• Answers to Your Top Questions About Vasectomy Reversals

    If you are considering a vasectomy reversal, it’s natural to have a number of questions about what to expect from the process. At the Center for Vasectomy Reversal, we’re committed to ensuring that every patient has the information he needs to make an informed decision about surgery, and we’re always available to address your questions and concerns. Here are the answers to some of the questions that arise most often among vasectomy reversal patients.  

    What happens during a vasectomy reversal? 

    During a vasectomy reversal surgery, the goal is to restore the presence of sperm in the ejaculate. This can be done by reconnecting the vas deferens or by connecting the vas deferens to the epididymis, which is done if there is a blockage in a portion of the vas deferens from the original vasectomy procedure. For most men, reconnecting the vas deferens is sufficient, but your surgeon will decide which approach is right for your specific needs.  

    Are vasectomy reversals successful? 

    Success rates for vasectomy reversals vary and depend on several different factors, including the length of time since the vasectomy. Before your surgery, your doctor will discuss your chances for success with you, though it is impossible to predict with certainty whether a reversal will restore fertility. It can take several months to determine if a reversal procedure was successful. If your doctor doesn’t think you are a good candidate for a reversal, you can still explore other fertility procedures, such as sperm aspiration combined with IVF.  

    How long is the recovery? 

    Vasectomy reversal can be performed with a minimally invasive procedure, which helps to shorten the recovery period. After surgery, you will have small drains in the scrotum, which will be removed the next day. You will need to wear an athletic supporter 24 hours per day for about the first month. Soreness is common for the first few days but is usually easy to manage.  

    Learn more about vasectomy reversals by contacting the Center for Vasectomy Reversal in Sarasota, Orlando, and Tampa. You can schedule a consultation with Dr. Green by calling (941) 894-6428. 

  • What Are Options for Having a Baby Without Getting a Vasectomy Reversal?

    Vasectomy reversals have a high success rate. Most men who undergo vasectomy reversals will once again have sperm present in the ejaculate, although it can take months before they will test positive. Unfortunately, there can sometimes be complications, such as blockages. If the reconnection of the vas deferens is unlikely to result in the presence of sperm in the ejaculate, the vasectomy reversal surgeon may perform a microepididymal sperm aspiration (MESA) procedure. 

    The MESA technique involves the removal of sperm directly from the epididymis. The sperm can then be used in an in vitro fertilization (IVF) procedure. Depending on factors pertaining to female fertility, the sperm might be used in an intrauterine insemination (IUI) procedure. In this case, it would be injected into the womb while the female partner is ovulating. Or, the sperm can be used in an intracytoplasmic sperm injection (ICSI) procedure, in which the sperm is directly injected into the eggs. 

    Dr. Green specializes in vasectomy reversals and MESA procedures. To discuss your options for starting a family, call Dr. Green in Sarasota at (941) 894-6428 and schedule a consult at the Center for Vasectomy Reversal. 

  • Common Reasons that Men Change Their Minds About Their Vasectomies

    There are plenty of options for birth control, but few of them are permanent. Men may decide to get a vasectomy if they think they’re all done having children, or if they think they never want to have kids. But quite often, guys change their minds. If you’ve been thinking about getting a vasectomy reversal, you’re not alone. Plenty of other men have gone back to the surgeon’s office after changing their mind about having children. 

    Realizing They Aren’t Done Having Kids 

    Many men who undergo vasectomy reversals have already had one or more children. When the kids are young and demand a great deal of time and attention, it can be easy to decide that you’ve had enough children. But as the kids grow up and empty nest syndrome sets in, many couples decide they want another chance at parenthood. There are lots of advantages to being an older father. Older dads have more wisdom to pass down. They also have the patience that comes from personally experiencing sleepless nights with an infant and long waits in doctors’ offices with sick kids. 

    Divorcing and Finding Love Again 

    Divorce is often perceived as a failure, but perhaps it shouldn’t be. Rather, it’s a chance to start over and an opportunity to find love again. Some men who have previously had a vasectomy later get divorced. When they find a new partner, they might want to have children together. 

    Suffering from Post-Vasectomy Pain Syndrome 

    Vasectomies are routine procedures and serious complications aren’t common. But some men develop post-vasectomy pain syndrome (PVPS). PVPS can be chronic and it may be debilitating for some men. A vasectomy doesn’t stop sperm production; it only stops the release of sperm into the ejaculate. It’s thought that PVPS develops as a result of the accumulation of sperm, which exerts pressure on the vas deferens. One way to address PVPS symptoms is to get a vasectomy reversal. 

    If you’ve changed your mind about your vasectomy, the Center for Vasectomy Reversal invites you to consult Dr. Joshua Green. He is a leading vasectomy reversal surgeon in Sarasota who specializes in male infertility procedures. Call (941) 894-6428. Out-of-towners are welcome. 

  • It’s Been a Long Time Since My Vasectomy. Can I Still Get a Reversal?

    Most men who have vasectomies do so because they feel sure that they no longer want to have children. However, life can change in unexpected ways, even long after a vasectomy procedure. If this happens to you, you may be wondering if it has simply been too long since your original procedure to consider a vasectomy reversal. How long is too long to wait to change your mind? 

    Vasectomy reversals have the highest rates of success when they are performed soon after the original procedure. That doesn’t mean that reversals can’t be successful even decades later. Dr. Green has seen patients have successful reversals more than 20 years after their vasectomies since men produce sperm for their entire lives. If a vasectomy reversal is not possible, sperm retrieval for IVF is another option.  

    The best way to decide if a vasectomy reversal is right for you is to schedule a consultation with Dr. Green at the Center for Vasectomy Reversal. To learn more about having a vasectomy reversal in Sarasota, call (941) 894-6428 today. 

  • Will You Need Pre-Surgery Testing?

    Before you have any type of surgery, including a vasectomy reversal, it’s crucial to inform the doctor of your full medical history. The vasectomy reversal surgeon needs to know about your pre-existing medical conditions, prior history of surgeries, and the medications and supplements you may be taking, including over-the-counter (OTC) drugs. In some cases, patients may be asked to undergo pre-surgery medical testing. 

    It’s particularly important to inform the doctor if you take medications for high blood pressure. The surgeon may need you to have a simple blood test. And if you are in poor overall health, you may need to see your primary physician in order to get medically cleared for surgery. Medical clearance means that it’s generally safe for you to undergo surgery, despite the presence of medical conditions. 

    Receive the personalized guidance and medical advice you need when you become a patient at the Center for Vasectomy Reversal in Sarasota. Call (941) 894-6428 to request an appointment with Dr. Green.

  • 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.

     

  • Questions to Ask Your Surgeon About Your Vasectomy Reversal Procedure

    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. 

  • What Are the Factors That Impact Vasectomy Reversal Success?

    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%. 

    Anatomical Blockage  

    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. 

    Surgical Skills 

    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. 

  • A Brief Overview of the Outpatient Surgery Process

    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.