Vasectomy Reversals 101

If you’ve had a vasectomy, is it really permanent? Vasectomies are permanent in that they can only be reversed through surgery. However, using vasectomy reversal, your surgeon can restore fertility and make it possible for you to have children.

Vasectomy reversal is surgery to reconnect the tubes (vas deferens) that carry sperm from the testicles into the semen. Once the tubes are connected, sperm reenters the semen, and it’s possible to conceive. There are different factors that affect the success of the reversal, and pregnancy rates after the reversal range from 30 percent to more than 90 percent. The length of time since the vasectomy was performed, the age of the man’s partner, the surgeon’s experience and training, and fertility issues that existed prior to the vasectomy all play a part in the success of the reversal.

Most of the time, a vasectomy reversal is performed as an outpatient procedure. Sometimes it requires general anesthesia, while other times only a local anesthetic is given, to keep the patient from feeling pain without causing him to lose consciousness. The most common type of vasectomy reversal is a vasovasostomy, in which the surgeon sews together the severed ends of each vas deferens. Less common is the vasoepididymostomy, which is more complicated and typically used with the simpler vasovasostomy won’t work. In a vasoepididymostomy, the surgeon attaches the vas deferens directly to the epididymis, the small organ, located at the back of the testicle, that holds sperm. Complications rarely occur, but when they do, they include bleeding within the scrotum, infection at the surgery site, and chronic pain. Carefully following the doctor’s instructions will help reduce these risks.

When a vasectomy reversal is successful, semen may contain sperm within just a few weeks. In some cases though, it takes a year or more for sperm to appear. The surgeon is an important factor in the success rate of a vasectomy reversal, and choosing a surgeon who is trained in and uses microsurgical techniques greatly increases the odds of success. Don’t be afraid to ask questions about the doctor’s experience when choosing a surgeon, because a surgeon who has done the procedure many times is more likely to perform it successfully. Make sure, too, that the surgeon is qualified to perform a vasoepididymostomy, in case that becomes necessary.

If you’re considering a vasectomy reversal, the Center for Vasectomy Reversal is here to help. Under the direction of the experienced and knowledgeable Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other concerns about their fertility. We accept major credit cards as well as cash and checks and offer a payment plan for those who are unable to pay the entire fee at the time of surgery. Whether you’re ready to schedule a procedure or just want to learn more, you can contact us through our website, or call 941-894-6428 to arrange a free consultation.

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