Multi-institutional validation of vasectomy reversal predictor

Academic Article

Abstract

  • Purpose: Some urologists who perform vasectomy reversals are not experienced with performing VE. A model to preoperatively identify patients who may require referral to an experienced VE surgeon was created (www.uroengineering.com). We tested the model at multiple institutions. Materials and Methods: The model had previously been designed in 483 patients who underwent vasectomy reversal at 1 institution (100% sensitive and 59% specific for predicting the need for VE). It was based on time since vasectomy and patient age. We tested it prospectively in 33 patients and retrospectively in a total of 312 at 6 other institutions. The predictive accuracy of the model was compared to using a simple duration from vasectomy cutoff alone, as is used in clinical practice. Results: The model had 84% sensitivity and 58% specificity for detecting the need for VE in a total of 345 patients at 7 institutions. If using only a duration from vasectomy cutoff of 10 years to predict the need for VE, sensitivity was only 69%. At a cutoff of 4 years sensitivity was 99% but specificity was only 23%. Thus, the model performed better than any specific duration cutoff alone. Conclusions: The predictive model provides 84% sensitivity for detecting patients who may require VE during vasectomy reversal across 7 institutions (58% specificity). The model more accurately predicts the need for VE than using a specific duration from vasectomy cutoff alone. Copyright © 2006 by American Urological Association.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Author List

  • Parekattil SJ; Kuang W; Kolettis PN; Pasqualotto FF; Teloken P; Teloken C; Nangia AK; Daitch JA; Niederberger C; Thomas AJ
  • Start Page

  • 247
  • End Page

  • 249
  • Volume

  • 175
  • Issue

  • 1