How Exactly Are Vasectomy Reversals Performed?

Many men have vasectomies when they believe they do not want more children, but many factors can change their minds, like a new marriage or the loss of a child. In these cases, patients may want to consider a vasectomy reversal to restore their reproductive ability. Depending on a patient’s health and individual situation, his doctor may elect to perform either a vasovasostomy or a vasoepididymostomy.

Vasovasostomy

This is the more traditional form of vasectomy reversal and is somewhat less surgically complex than the vasoepididymostomy. During a vasovasostomy, the surgeon removes the scar tissue blocking the vas deferens and connects the two sides with microscopic stitches. This establishes a clear connection with the testes; if there are no other blockages, this operation should result in a restoration of the man’s reproductive capacity. However, if other blockages exist in the reproductive system, the vasovasostomy will be ineffective. Additionally, some men who have vasectomies develop anti-sperm antibodies over time, which could affect the viability of their sperm, even in the case of a perfectly performed vasectomy reversal.

Vasoepididymostomy

Patients experiencing blockages that cannot be resolved through a vasovasostomy may find that a vasoepididymostomy is an effective way to reverse their previous procedures. The epididymis is a delicate duct that attaches to a testicle and serves as a conduit for sperm. When a vasectomy is performed, it may lead to a buildup of pressure that will cause blockages and blowouts in the epididymis. To perform a successful vasoepididymostomy, a surgeon will connect the vas deferens to the epididymis above those blockages, providing one clear pathway through which sperm can flow. This surgery is very complicated because it is performed on extremely small structures; its success depends on the skill and experience of the surgeon.

To discuss the possibility of reversing your vasectomy, call (941) 343-4020 to schedule a consultation at the Center for Vasectomy Reversal . Dr. Green can determine which of these procedures is likely to give you the best results.