Vasectomy reversals are performed to reconnect the vas deferens and make pregnancy possible after men have had vasectomies. Vasectomy reversals have a high rate of success, as defined by the presence of sperm in the semen within 12 months of the procedure. However, some men do experience failed vasectomy reversals, which may lead them to consider getting a re-do procedure. You may be a good candidate for a re-do operation, but only a vasectomy reversal surgeon can determine this.
What Causes Failed Vasectomy Reversals
There are a number of possible causes for a failed reversal. One potential reason is that scar tissue has built up at the surgical site. The body naturally produces scar tissue as part of the healing response. When there is too much scar tissue around the vas deferens, it can block the sperm from passing through this narrow tube. During a re-do procedure, the surgeon can remove the scar tissue. Other possibilities to consider include:
- Surgical site infection
- Post-surgical trauma in the scrotal area
- Presence of anti-sperm antibodies
- Improper use of the vasovasostomy instead of another surgical technique
What Other Factors Contribute to Infertility
A failed vasectomy reversal can be defined in two main ways: The failure of the sperm to travel through the vas deferens, or the failure to conceive a child naturally. In other words, even if the original procedure did result in the presence of sperm in the semen, there may be other underlying issues causing male or female infertility. Before considering a re-do reversal, it’s advisable for you and your partner to undergo a medical evaluation to assess fertility.
Why You Might Consider Sperm Aspiration
Even if the vasectomy reversal surgeon determines that a re-do procedure isn’t likely to succeed, you do have another option for having biological children. The surgeon can aspirate sperm from the epididymis. This is known as the MESA procedure. You and your partner may then decide to use the sperm for an in vitro fertilization (IVF) cycle.
Dr. Joshua Green has considerable expertise in re-do vasectomy reversals and has performed many of them successfully. Every patient has unique circumstances to consider, and so you should consult Dr. Green in Sarasota directly to find out if a repeat reversal might be right for you. Call the Center for Vasectomy Reversal at (941) 894-6428 to request a consult.
The vasectomy reversal is a highly delicate, complex procedure. The goal is to reconnect the vas deferens, which is the tiny tube that carries sperm from the testicle to the semen. This can enable a couple to get pregnant. The vas deferens is about one-third of a millimeter in diameter. The surgeon places several tiny stitches around that tube to reconnect the severed ends.
You can learn more about vasectomy reversals by watching the accompanying video clip of “The Doctors” TV show. It features a couple who underwent the procedure and their vasectomy reversal surgeon. You’ll hear about success rates, semen analysis, and other options, such as IVF.
Dr. Joshua Green at the Center for Vasectomy Reversal looks forward to meeting you and your partner. Call (941) 894-6428 to begin the process of exploring infertility procedures available in Sarasota.
During your consult, your vasectomy reversal surgeon will explain your surgical options. Depending on your unique situation, you may be a candidate for a vasoepididymostomy, also called the V-E procedure. If so, the surgeon will attach the vas deferens directly to the epididymis, which is the small organ at the rear of each testicle that stores the sperm. The V-E technique is far more technically complicated than the standard vasovasostomy. However, you may require the V-E approach if you aren’t a good candidate for a vasovasostomy.
It’s typical for the vasectomy reversal surgeon to determine which technique is right for you during the surgery itself. The determining factor is whether there is sperm present in the fluid in the vas deferens. It’s not common to require the V-E procedure when a man has the reversal performed within 10 years of having the original vasectomy procedure.
At the Center for Vasectomy Reversal, Dr. Joshua Green will answer all of your questions about the surgery before you make your decision. Call (941) 894-6428 to request a consultation for having a vasectomy reversal in Sarasota.
The decision to have any sort of surgery should never be made lightly. It’s important to be a proactive patient by asking the vasectomy reversal surgeon all of your questions and learning about the procedure from credible sources. Don’t hesitate to call the clinic if any questions or concerns occur to you after your initial consultation.
How long does the procedure take?
A vasectomy reversal is an outpatient procedure, which means you won’t have to stay at the hospital overnight. It typically takes two to three hours to perform it. If the doctor needs to perform a vasoepididymostomy, which is a more complicated surgical technique, then it will take a little longer. The doctor probably won’t know whether this technique is needed until during the surgery itself. Additionally, it will take some time to prepare you for surgery and to monitor you afterward.
Will I be asleep?
Yes, this procedure is performed under general anesthesia. If you’ve ever had general anesthesia before and experienced a reaction to it, let the doctor know. You’ll be asked not to consume any food or liquids for eight to 12 hours prior to your appointment. Your vital signs will be continuously monitored during the surgery, and while you’re coming out of the anesthesia afterward. It’s normal to be groggy for a while afterward. You should plan to rest after you return home.
Will it be painful afterward?
Most patients report that the pain isn’t as bad as they expected. You would probably describe it as discomfort or an aching sensation, similar to what you experienced after your original vasectomy. The doctor will prescribe pain medications. Follow the dosage instructions on the label carefully, and call the pharmacist if you have any questions. You should also apply an ice pack for 20 minutes off and on to minimize the discomfort and swelling.
You can get the answers to all of your questions during your consultation with Dr. Joshua Green. Here at the Center for Vasectomy Reversal, we emphasize the importance of patient education and pre-operative preparedness. You can call our vasectomy reversal clinic in Sarasota at (941) 894-6428.
During your consultation for a vasectomy reversal—or any other surgery—you’ll be instructed not to take anything by mouth for eight to 12 hours prior to the procedure. If you need to take medications, you should ask the doctor if you can take them with a small sip of water. Find out why it’s important to go into surgery with an empty stomach when you watch this featured video.
The anesthesiologist featured here explains that eating before being placed under general anesthesia increases the risk of aspiration. This occurs when the contents of the stomach travel upward and enter the lungs. Aspiration pneumonia is a serious complication, but you can avoid it by following your pre-surgical directions.
If you need to reach Dr. Green in Sarasota prior to having your vasectomy reversal, you can call (941) 894-6428. The entire staff at the Center for Vasectomy Reversal is committed to upholding the highest standards of patient care and safety.
There are dozens of issues that can potentially affect fertility. For men who have had a vasectomy, that procedure is the overriding factor. But there are also issues that may affect female fertility. It’s a smart idea to explore all the possible factors before making a medical decision, including the potential effects of the age of the female partner.
What Science Says About Age and Fertility
According to the American College of Obstetricians and Gynecologists (ACOG), a woman’s fertility “decreases gradually but significantly” when she reaches her 32nd birthday. The rate of fertility decline accelerates after 37 years. By age 40, it’s quite common for women to have trouble conceiving naturally. ACOG notes that females are born with one to two million oocytes, or eggs. By puberty, women will have between 300,000 and 500,000 eggs. That number declines sharply at age 37, at which point women will only have 25,000 eggs. As ovarian reserve declines, so too does fertility.
How Age Affects Post-Reversal Pregnancy Rates
Research indicates that female age has no special effect on pregnancy rates after the male partner has had a vasectomy reversal. In other words, the chances of pregnancy are comparable. If Jane, age 40, and Jose, post-vasectomy reversal, try to have a baby, their chances of getting pregnant would be roughly the same as if Jose had never had a vasectomy, assuming that all other factors remain consistent.
What This Means for You
When a couple is considering a vasectomy reversal, it’s wise for the female partner to discuss potential fertility issues with her physician. Even if female infertility may be a problem, there are other options to consider. The vasectomy reversal surgeon could perform a sperm retrieval procedure if the couple wants to consider in vitro fertilization (IVF), for example.
Dr. Green at the Center for Vasectomy Reversal strongly encourages couples to be proactive patients. It’s always a good idea for the female partner to explore possible fertility issues with her doctor before making decisions about the vasectomy reversal. When you’re ready to move forward, call Dr. Joshua Green in Sarasota at (941) 894-6428 to request a consult.
After you undergo a vasectomy reversal, you’ll need to wait a while to find out if it was successful in restoring the mobility of sperm. In about six to eight weeks, you’ll provide a semen sample for analysis. If sperm is present in the sample, the operation was a success. Occasionally, it may take a year or longer for sperm to be present in the semen. While vasectomy reversals are generally highly successful, there are several factors that can affect the success rate. Likewise, there are many issues that can affect female and male fertility, other than issues pertaining to the surgery.
Length of Time
The length of time between the original vasectomy and the vasectomy reversal surgery can be a factor in the success rate. Men who undergo a reversal within five years of having the reversal will generally have a 95% or greater chance of success. If between five and 10 years have passed, there is about a 90% success rate. If more than a decade has gone by, the success rate is generally between 80% and 90%.
Aside from the length of time that has passed, one of the biggest factors that can affect the success of the operation is the presence of scar tissue. After the original surgery, scar tissue can develop in the vas deferens or the epididymis. This means that, even if the severed ends of the vas deferens are successfully reconnected, sperm may not be present in the semen.
A vasectomy reversal is far more technically difficult than a vasectomy. Surgeons must have specialized skills and plenty of hands-on experience in order to produce a high success rate. It’s important to choose a vasectomy reversal surgeon who specializes in this field, and who has had a long and successful career.
Dr. Green in Sarasota has performed hundreds of vasectomy reversal surgeries with a high rate of success. He invites men and their partners to come in for a consult at the Center for Vasectomy Reversal. Call our friendly staff at (941) 894-6428, and ask about long-distance consults for out-of-town patients.
The vasectomy reversal is an outpatient procedure, which means you won’t need to stay overnight at a hospital. When you meet with Dr. Joshua Green for your consultation, you’ll receive all the necessary instructions. Avoid eating and drinking anything, including water, for at least eight hours prior to the surgery. If you need to take medications, speak with Dr. Green about whether you can take them with a sip of water. Please arrive at the Surgery Center 90 minutes before the start of the procedure. Your partner is welcome to wait with you until you’re taken to the operating room.
Once you’re in the pre-operative suite, you’ll have the opportunity to ask any last-minute questions you might have about the vasectomy reversal. At this time, you’ll also meet with the anesthesiologist to discuss your options. Then, a nurse will insert an intravenous (IV) line and you’ll receive a sedative. It’s likely that you won’t remember anything that happens after this point. You’ll wake up in the recovery area under close monitoring. Before you’re discharged, you and your partner will receive detailed post-op instructions.
If you have any questions about your upcoming vasectomy reversal in Sarasota, you can contact the Center for Vasectomy Reversal at (941) 894-6428. Dr. Green prides himself on providing personalized care and attentive service.
After dealing with male infertility, the thrill of a positive pregnancy test is matched only by the excitement of the labor itself. You can support your partner by being prepared. Ahead of time, read about the stages of labor, talk about her birth plan preferences, and take childbirth prep courses together. When you watch the accompanying video, you’ll learn about ways of supporting your partner during the labor and birth.
This expert recommends offering frequent reassurances and a comforting touch. Note that some women appreciate a massage to help manage the pain, while others prefer not to be touched during certain stages of labor. Follow your partner’s cue, and do what she requests.
Dr. Green is an experienced vasectomy reversal surgeon serving Sarasota. Give us a call today at (941) 894-6428 to request a consultation when you’re ready to overcome male infertility and become a parent.
No matter how sure you were of your decision to get a vasectomy, there’s always the potential to change your mind later. And thanks to vasectomy reversal surgeries, you still have a chance to become a parent for the first time or to father another child. You’ll likely have lots of questions if you’re considering this surgery. Your best source of information is a vasectomy reversal surgeon, but here are a few factors to consider.
What are the chances the surgery will be successful?
The success rates for vasectomy reversals are quite high, even if it’s been years since the original surgery. For example, even if it’s been five to 10 years since the original vasectomy, about 90% of men will have sperm in the ejaculate after a reversal.
Is a success rate the same as a pregnancy rate?
Not quite. The success rate refers to the number of men who test positive for sperm in the ejaculate after a reversal surgery. It’s possible for the pregnancy rate to be lower, and this may be due to reasons other than male infertility. Before moving forward with the surgery, it’s a good idea for your partner to speak with a fertility doctor. There may be some female fertility issues to consider.
Does it matter which surgeon I choose?
Absolutely. Although vasectomy reversals are a commonly performed surgery, they are complicated and require the skills and knowledge of an expert. There is a greater chance of a successful result if you choose a vasectomy reversal surgeon who specializes in these procedures, has an extensive background with them and has a long track record of success. Additionally, look for a surgeon who:
- Is board certified
- Has performed hundreds of male infertility surgeries
- Will take the time to address all of your questions and concerns thoroughly
- Performs the procedure at an accredited surgical facility
- Works with a board-certified anesthesiologist
Dr. Joshua Green’s board certification, excellent track record, and impeccable credentials are just some of the reasons why so many men choose the Center for Vasectomy Reversal. Call (941) 894-6428 to schedule a vasectomy reversal consultation in Sarasota today. Dr. Green will personally answer all of your questions and give you all the information you need to make a decision.
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