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Record W4417154795 · doi:10.1097/ju.0000000000004862

Fertility Restoration After Vasectomy: AUA Guideline (2026) Part II

2025· article· en· W4417154795 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueThe Journal of Urology · 2025
Typearticle
Languageen
FieldHealth Professions
TopicMale Reproductive Health Studies
Canadian institutionsUniversité Laval
Fundersnot available
KeywordsGuidelineFertilityVasectomyMale fertilityVasovasostomyMEDLINE

Abstract

fetched live from OpenAlex

PURPOSE: This Guideline aims to provide a contemporary overview of options for future fertility following vasectomy. See Part I of this series for information on indications for vasectomy, pre-operative counseling and preparation, peri-operative considerations, procedural techniques, potential risks and complications, and post-operative care. MATERIALS AND METHODS: A comprehensive search of the literature was performed and covered articles published between January 1, 1990 and January 30, 2024. Relevant study designs included randomized controlled trials, controlled clinical trials, and observational studies (cohort with and without comparison group, case-control). Systematic reviews were searched for as an additional resource to identify any relevant studies with the designs noted above that may not have been captured in the literature search. RESULTS: The Panel developed evidence- and consensus-based statements based on a comprehensive systematic review of the literature. Recommendations for restoration of fertility following vasectomy are detailed herein. CONCLUSIONS: While this Guideline provides a summary of the current evidence related to vasectomy reversal and other fertility options after vasectomy, future review will be required as knowledge in this space continues to evolve. The unabridged version of this Guideline is available at auanet.org.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.149
Threshold uncertainty score0.726

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0060.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.061
GPT teacher head0.447
Teacher spread0.385 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it