• Understanding What Happens During Vasectomy Reversal

    Vasectomy reversal is an advanced, minimally-invasive procedure that repairs the vas to restore male fertility after a vasectomy. The reversal procedure is most effective when it takes place within 10 years of the initial vasectomy surgery, but the effectiveness of treatment does vary from patient to patient due to other factors. Continue reading to find out what happens during a vasectomy reversal procedure.

    Helping dad with work

    Types of Vasectomy Reversals
    There are two types of vasectomy reversal procedures that your doctor will discuss with you during your consultation. The best one will be selected based on the presence or absence of blockages in the epididymis. When a blockage is not present, a vaso-vasostomy will be performed. This surgery has a slightly higher success rate than vaso-epididymostomy. Your surgeon may not actually determine the proper procedure until the vasectomy site is viewed under the microscope during your surgery. Both procedures may be performed under local anesthesia, but most patients opt for some type of IV sedation because it is difficult to sit still for the two to four hour surgery.

    The  vaso-vasostomy  begins with the removal of scar tissue at the vasectomy site. The cut ends of the vas are re-sewn together and heal fairly quickly. This procedure is only used if there is sperm or free-flowing clear liquid present after the scar tissue is cut.

    If there is thick or pasty fluid present, there may be a blockage preventing the flow of sperm. In this case, a vaso-epididymostomy is the best option. During this procedure, the vas is connected to a tube in the most distal part of the epididymis. This type of connection bypasses any blockages to increase the chances of successful conception.

    As you consider vasectomy reversal, you should consult Dr. Joshua Green at the Center for Vasectomy Reversal. Our Sarasota practice treats  patients from around the country , so don’t hesitate to call us at (941) 961-4581. You can also visit our website for an appointment.


  • What to Do Before Your Vasectomy Reversal

    If your family planning goals have changed after you have had a vasectomy, you may be considering vasectomy reversal surgery . This procedure can provide you with a new opportunity in your fertility with a high success rate and minimal recovery time. As you get ready for your surgery, you will want to take these steps to ensure your safety and comfort throughout treatment.

    Doctor giving man checkup in exam room

    Talk to Your Doctor about Pre-Surgical Tests
    Before you determine whether or not a vasectomy reversal is right for you, you should make sure that you have healthy sperm. A simple biopsy can reveal the health of your sperm to help you see if the procedure is worth it. You might also encourage your partner to see a fertility specialist to learn if she is healthy and able to conceive. If IVF is presented as a possible treatment for your partner, microscopic epididymal sperm aspiration may be a better alternative to vasectomy reversal.

    Stop Taking Blood-Thinning Medications
    It is important to temporarily discontinue use of any blood-thinning medication prior to any surgical procedure. These medications include aspirin and other over-the-counter pain relievers. If you smoke, you should quit at least three weeks before your surgery to give your immune system a boost and lower the risk of post-surgical infections.

    Make Arrangements for the Day of Surgery
    On the  day of your surgery , you should wear comfortable clothing and bring an athletic supporter to wear once the procedure is over. You will need to have a friend or family member drive you home, so plan ahead for these arrangements.

    Dr. Joshua Green  at the Center for Vasectomy Reversal is a national leader in vasectomy reversal procedures, and he can help you fulfill your family planning goals at our Sarasota practice. Whether you are a local patient or traveling for your care, Dr. Green will provide you with compassionate and accurate care through every step of the process. To schedule your first consultation in our office, visit our website or call (941) 961-4581. 

  • Trying to Conceive After a Vasectomy Reversal: How Long Should You Wait?

    Like any fertility treatment, vasectomy reversal involves a period of recovery and rest. When you have a vasectomy reversal, the general guideline is to wait three weeks before participating in sexual activity. If you try to conceive earlier in your recovery, you may run the risk of tearing open your stitches.

    Loving Woman Embracing Man From Behind At Home

    It is important to remember that conception could still take several months or even a year following the reversal procedure. Even the healthiest couples may not conceive right away when fertility issues are not present, so patience is important in your attempts to have children. You will also want to promote open communication with your partner so that you are comfortable expressing when sexual activity is uncomfortable or painful.

    For a closer look at vasectomy reversal procedures, visit the  Center for Vasectomy Reversal . You can schedule a consultation with Dr. Green at our Sarasota practice by calling us at (941) 961-4581. 

  • Symptoms of a Low Sperm Count

    In many cases of male infertility , low sperm count is to blame. Any number of different things can contribute to a low sperm count, from lifestyle choices to hormonal imbalances. The good news for men struggling with infertility is that low sperm count can often be treated. The more challenging part is actually diagnosing it in the first place. Beyond the inability to conceive, there are few symptoms of low sperm count, and many men may not experience any symptoms at all. Could a low sperm count be interfering with your fertility? Here are some of the signs to watch out for:

    Parents Holding Hands with Kids in Front

    Sexual Dysfunction Issues
    Sometimes, problems with sexual dysfunction are indicators of a  low sperm count . These dysfunctions may be indications of another hormonal or mechanical problem that is associated with low sperm count. If you are experiencing issues like a low sex drive or erectile dysfunction, then discuss your symptoms with your doctor. He or she can get to the bottom of your symptoms and offer treatments that resolve both the dysfunction and the sperm count issues.

    Pain or Lump in Testicle Area
    It is never normal to have a lump, swelling, or unexplained pain in or around the testicles. You should always see your doctor about these symptoms to rule out potentially serious medical issues. Pain, swelling, or a lump in the testicle area may be an indication that you have a blockage that is compromising your sperm production. Removing the blockage may address your infertility issues.

    Decreased Body Hair
    If your low sperm count is linked to a hormonal imbalance, then you may notice a number of changes in your body. Decreased facial and body hair is one of the most common changes, but you may also experience weight changes, mood changes, and other signs of a hormonal issue. Your doctor can determine if your hormones are imbalanced with a simple blood test.

    Let the  Center for Vasectomy Reversal  diagnose and treat your problems with male infertility. We can also perform vasectomy reversals for men who now wish to start a family. Schedule a visit with our vasectomy surgeon by calling (941) 961-4581.