• Re-Do Vasectomy Reversal Surgeries: What You Need to Know

    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. 

  • Understanding the Vasectomy Reversal Procedure

    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.