Tesis

Lost Follow Up Pada Pasien yang Menjalani Vasektomi Reversal Dengan Teknik Mikroskopik Double Layer di 2011-2015 = Lost to Follow-up Among Patients who Underwent Vasectomy Reversal with Double Layer Microscopic Techniques in 011-2015.

Vasektomi sudah diterima masyarakat sebagai metode yang mudah dan efektif untuk kontrasepsi pria. Namun, beberapa pasien ingin mengembalikan kesuburan mereka karena kasus perceraian atau pernikahan kembali. Teknik melakukan vasektomi reversal bervariasi dengan kelebihan dan kekurangannya. Salah satu teknik adalah vasektomi reversal mikroskopik double layer. Kami mengevaluasi tingkat keberhasilan teknik ini didasarkan pad analisis semen. Tingkat keberhasilan baik yaitu sekitar 98,5% pasien dengan tindak lanjut lengkap memiliki sperma berdasarkan analisis sperma. Namun, total keberhasilan tindak lanjut sangat rendah (5 dari 19 pasien) meskipun biaya vasektomi reversal cukup mahal (sekitar 3.000 $ USD). Tingkat lost follow up pada vasektomi reversal adalah sekitar 20%.
Kata kunci: Infertilitas, laki-laki, vasektomi, vasektomi reversal.



Vasectomy already been accepted by the society as easy and effective method formale contraceptive. However, some patients want to restore their fertility status due to divorce or re-marriage cases. Techniques in performing vasectomy reversal are varying with their own advantages and disadvantages. One of the techniques is double layer microscopy vasectomy reversal. We evaluate the success rate of this technique based on the semen analysis. The success rate was good with around 98.5% patients with complete follow up had sperm in their semen analysis However, total success of follow up were very low (5 out of 19 patients) even though the cost of reversal vasectomy was quite expensive (around 3.000$USD). Lost to follow up rate of reversal vasectomy was around 20%.
Keywords: Infertility, male, vasectomy, vasectomy reversal.