Different Vasectomy Reversal Surgical Options

If you’re considering a vasectomy reversal, you should be aware that there are different surgical options used to complete the procedure. Vasectomy reversal is complex and detailed, requiring expertise and focus from the surgeon. That’s why it’s important to find a surgeon with the experience and knowledge necessary to choose the right one for you and perform it skillfully. Which procedure will you require, and what will it entail?

The most straightforward type of vasectomy reversal is the vasovasostomy. This is what most men can expect when they go in for a vasectomy reversal. In this procedure, the scar tissue from the vasectomy is removed and the ends above and below the portion that had been blocked are sutured back together. The opening being reconnected is extremely small, between .7 mm and .4 mm in diameter, so extreme skill is required to perform this procedure.

For some men, the time frame since their vasectomy might be so long or the blockage from the vasectomy might be so low that a vasovasostomy is not possible. In these cases, a vasoepididymostomy is performed. This is a much more technically challenging surgery, requiring microsurgical expertise, and only the most experienced, specially-trained surgeons can perform it. In this procedure, the upper end of the vas deferens is connected to a tubule of the epididymis, the structure that connects the testicle to the vas deferens. The opening connected in this procedure is about 1/10^th of the one made for the vasovasostomy, so it’s a much more delicate microsurgery. In addition to the difficulty of the procedure being high, the success rate is lower than that of the vasovasostomy. For these reasons, this procedure is only done if absolutely necessary.

There is a third done for men who have had a vasectomy and now wish to father a child. It’s called microscopic epididymal sperm aspiration (MESA), and it’s only an option for those couples who are choosing to undergo in vitro fertilization. Sperm aspiration, like the two kinds of vasectomy reversal, is done using an operating microscope. This enables the surgeon to successfully obtain sperm directly from the epididymis without contamination from blood and bodily fluids. Using the operating microscope, the surgeon is able to see the epididymal tubules clearly, so the success rates are extremely high and there’s very little risk of damaging adjacent structures.

At the Center for Vasectomy Reversal, we pride ourselves on providing optimal surgical results and uncompromising, concierge-level patient care. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, contact us through our website, or call 941-894-6428 for a free consultation.

Reasons Why Men Get Vasectomy Reversals

As many as 500,000 vasectomies are performed in the United States each year, making it a fairly common procedure. It’s not surprising that the numbers would be high, since a vasectomy is a simple outpatient procedure. Interestingly, between six and ten percent of men who opt for a vasectomy later change their minds and have the vasectomy reversed. Why do men get vasectomy reversals? And are those reversals successful?

The reasons for a vasectomy reversal are personal and varied. Maybe the man thought he didn’t want children, or didn’t want any more children, but then he met a new partner and changed his mind. Maybe he and his wife had a child and decided they didn’t want any more, but then that child died, and the loss prompted them to try for another. Maybe the family’s financial resources have increased and having a new family member seems more doable. On the other hand, some men choose vasectomy reversals because the vasectomy has caused pain and other negative symptoms. In that case, regardless of whether or not he wants children, a man might have a vasectomy reversal to alleviate pain.

Most vasectomies are reversible. In fact, vasectomies can be reversed up to 20 years after the initial procedure. It should be noted, however, that the longer a man waits for a vasectomy reversal, the lower the chances are that the procedure will be successful. In general, vasectomy reversals are most likely to be successful if they’re performed by a surgeon trained in microsurgical techniques and the use of a surgical microscope. The chances of success are also increased when the surgeon has done the procedure many times and does it regularly.

There are two types of vasectomy reversals. The simplest and most common is called a vasovasostomy. The surgeon, using a surgical microscope, reconnects the sides of the vas deferens, which was severed in the vasectomy. Sometimes, however, this procedure isn’t possible. In that case, a vasoepididymostomy is performed, in which the vas deferens is connected to the epididymis, the area above the testes where the sperm is stored. In most cases, the vasovasostomy is the more successful of these two procedures.

Of course, a successful vasectomy reversal does not always result in the successful conception of a child. Many other factors come into play when trying to achieve a pregnancy, including the type of procedure and the age and fertility of the man’s partner. After a vasectomy reversal, pregnancy rates range from about 30 to over 90 percent.

If you’re interested in reversing your vasectomy and you’re looking for an experienced professional surgical team, the Center for Vasectomy Reversal is here for you. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, contact us through our website, or call 941-894-6428 for a free consultation.

How to Help your Body Heal Faster After Having a Vasectomy Reversal Procedure

A vasectomy reversal is a safe, outpatient procedure with a high success rate. However, as with any surgical procedure, patients who undergo vasectomy reversal need to take care afterward, to help their bodies heal. Full healing can take several weeks, and it’s important to follow your surgeon’s instructions for aftercare. Here are some tips on how to help your recovery go smoothly.

• First, commit to at least a week of rest. Try to take off work, and just spend the week relaxing. If you can’t fully stop working, it’s ok to take calls and emails while resting on a sofa. Your everyday activities should be limited. You can get yourself a drink, for instance, or make a snack like toast, but avoid cooking full meals. You can drive, but don’t lift anything. You absolutely cannot go to the gym.
• Be aware that it may take more than a week. Especially if you have a physically demanding job, you’ll need to take two weeks off work. In fact, with any job other than a desk job, it’s better to take the full two weeks. After four or five weeks you should be essentially back to normal, though you should still try to avoid heavy lifting.
• You won’t be able to exercise for a month. Your body needs rest to recover, so you should not do any exercise beyond walking for the first month after your operation. Even though it’s a fairly gentle exercise, swimming is not advised. This is because chlorine can damage open or newly healed wounds.
• Postpone sex for no fewer than two weeks, and preferably longer. Some patients can resume intercourse after two to three weeks, but for most, it’s better to wait a little longer. After four or five weeks, most patients can comfortably have sex again. It’s crucial not to rush things, because you can undo your surgery, and then you’ll have to go through the whole process again.
• The right diet can promote healing. Eating nutrient-dense foods like fruits and vegetables, eggs, healthy fats, and protein-rich foods can help your body recover more quickly.
• It can take several months for pregnancy to be possible after vasectomy reversal. After six weeks, the doctor will perform a semen analysis to see if sperm has successfully returned to the ejaculate. By about three months, men typically have viable sperm. However, it may not be possible to achieve pregnancy for several months, so it’s important to be patient.

If you’ve changed your mind about the size of your family and you’re interested in reversing your vasectomy, the Center for Vasectomy Reversal can help. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, contact us through our website, or call 941-894-6428 for a free consultation.

How to Prepare For your Vasectomy Reversal

If you’re having a vasectomy reversal, it’s normal to feel some anxiety before the procedure. Any type of surgery can be intimidating, and vasectomy is certainly a serious undertaking. The procedure itself, however, is quite safe. It’s performed in an outpatient setting and has a high success rate. There are some things you can do to prepare for your vasectomy reversal that will help the entire process go more smoothly.

• Shake off the nerves. Trust your medical team and trust yourself. You’ve made an educated decision, choosing a reliable and experienced surgeon, and you can be confident in the choice you’ve made. Learn as much as you can about the procedure ahead of time, prepare yourself and your home for your recovery, and then rest in the knowledge that you’re in good hands.
• Watch what you put into your body. Stop smoking at least six weeks before your surgery, and don’t smoke for at least a month after the procedure. Better yet, don’t smoke at all! Avoid alcohol for a week before surgery, and steer clear of medications like aspirin for 48 hours before your procedure. Your doctor will advise you of any other medications to avoid, but the general rule is to stop taking blood thinners and anti-inflammatory medication. You will need to abstain from food and drink from midnight the night before your surgery. Don’t even chew gum, because this can stimulate gastric acids.
• Prepare your body for surgery. Take a shower the night before your surgery. You should also shave the area where you’ll have surgery, either the night before or the morning of your surgery. This includes the full area of the scrotal sac, extending to the groin areas on either side, but not the pubic area above the penis.
• Make preparations for your recovery. Enlist someone’s help getting to and from the clinic, because you won’t be able to drive for 48 hours after the surgery. Arrange time off work, because you’ll need at least a week to rest and recuperate. Make sure your home is in order, and that you have everything you’ll need in easy reach of the place where you plan to rest after surgery. Have a compassionate support system in place, so that you’ll know someone will be there to help care for you during the time that you need to take it easy and heal.

If you’re interested in reversing your vasectomy and you’re looking for an experienced professional surgical team, the Center for Vasectomy Reversal is here for you. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, contact us through our website, or call 941-894-6428 for a free consultation.

What to Expect with Your Vasectomy Reversal

Are you considering a vasectomy reversal? Maybe you’ve changed your mind about your ideal family size, and now you want to try for a child. The good news is that vasectomy reversals are more successful today than they’ve ever been before. However, the procedure is more complicated than your vasectomy was, and it’s important for you to know what to expect.

• On the day of your surgery, arrive 90 minutes before your scheduled operation. Make sure that you follow your doctor’s instructions, and don’t eat anything for eight hours before the surgery unless you are told otherwise by your doctor. You don’t need to do any special preparation, and the operating room staff will clip any hair as needed for the surgery, as part of their operative preparations.
• When you arrive, you’ll be taken to the surgical preoperative area. If your significant other would like to stay with you during this time, that’s perfectly fine. Your doctor will meet with you in the preoperative suite, in order to answer any questions and discuss your procedure. The anesthesiologist will come by as well, and help you decide on the best choice of anesthesia.
• While you’re still in the preoperative suite, you’ll be given an IV. After the nurse inserts the IV, you’ll be given a sedative. If you’re like most patients, you won’t remember anything after that until you’re back in the recovery area.
• Immediately after the surgery, you’re not likely to experience pain. You may feel some numbness in the scrotum, but until the anesthesia wears off a few hours later, you probably won’t feel any discomfort. When the local anesthesia wears off, you can use an ice pack, provided by the medical staff, to decrease swelling and ease soreness. Make sure to apply the cold pack over the scrotal support and never directly to the skin. A little bit of blood oozing from between the sutures or out of the drains is to be expected, and it’s very unlikely you’ll have any significant bleeding.
• Once you’re fully awake and alert, you’ll be discharged with prescriptions for antibiotics and pain medication. A responsible adult must escort you out of the Surgery Center and take you home, because you won’t be allowed to drive for 24 hours after surgery, nor take a cab alone.

If you’re considering a vasectomy reversal, the Center for Vasectomy Reversal is here to help. Under the direction of 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.

Five Fast Facts about Vasectomy Reversals

A vasectomy is considered a permanent method of sterilization, but is it really permanent? Between six and ten percent of men who have had vasectomies will change their minds at some point and consider a vasectomy reversal. In truth, even though in times past it was a long shot, today vasectomy reversal is extremely doable. Here are some things you might want to know about this increasingly common procedure.

1. Vasectomy reversal is a largely successful outpatient procedure. When a vasectomy is performed, the surgeon reroutes or clamps the internal tubing that carries sperm from the testicles through the penis. This tube, called the vas deferens, is restored in a vasectomy reversal. Using microsurgery techniques that involve surgical microscopes and stitches finer than a human hair, the doctor re-attaches the tubing. It only takes about two hours, and the patient can usually go back to work in a day or two.
2. A man’s testicles never stop making sperm. A vasectomy prevents sperm from leaving the body, but it doesn’t stop sperm production. Therefore, once the reversal is complete, normal fertility is restored. After three weeks or so of abstinence, to allow for healing, the couple can try to conceive.
3. Time is a factor in vasectomy reversal success, but it may not be the biggest factor. The rates of success for a vasectomy reversal are as high as 95 percent for vasectomies done within the past 10 years. After 15 years, the success rate begins to decline, but the health of the man’s sperm and the age of the female partner are just as significant in the chances of conception.
4. Fertility plays a role, even after a successful reversal. Before a man goes through a vasectomy reversal, he and his partner should be examined for fertility issues as well as overall health. Sometimes, the best option for conception is in vitro fertilization, so the doctor may recommend a sperm retrieval to increase the chances of conception.
5. Insurance probably doesn’t cover the procedure. It’s important to note, before deciding to undergo a vasectomy reversal, that it’s typically not covered by insurance. Therefore, patients need to be prepared to pay out of pocket.

If you’re considering a vasectomy reversal, the Center for Vasectomy Reversal is here to help. Under the direction of 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.

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.

Is It Ever Too Late to Have a Vasectomy Reversal?

If you underwent a vasectomy in the past, you probably intended for it to be permanent. If you’re in a different situation now and have changed your mind about having children, you may be concerned that it’s not possible. Is a vasectomy reversal really effective? And even if it is, will it work for you if your vasectomy was done several years ago? 

In most cases, vasectomies are reversible. A skilled surgeon can perform the necessary micro-surgery and reconnect the vas deferens, restoring sperm to the ejaculate. A vasectomy performed more than fifteen years ago may be more challenging, because there may be further blockage in addition to the vasectomy. If this is the case, the surgeon will need to perform a more involved procedure, known as vasoepididymostomy, to restore sperm flow and fertility. This surgery involves connecting the vas deferens to the epididymis, rather than just reconnecting the vas deferens itself.  Modern technology has led to great advances in these kinds of surgery, though, and even for complicated vasectomies, the success rate is high.  

In fact, recent research indicates that older vasectomies can be reversed almost as easily as younger ones. In a study of 1229 men having vasectomy reversals, grouped into more recent (1-15 years) and less recent (16-38 years) vasectomies, the rates of successful reversal were statistically very close. The success rates, measured by the rate of achieving moving ejaculated sperm counts after the surgery, were 88% in younger vasectomies and 65% in older. Further, the sperm counts obtained in these two groups of men following their reversal surgeries were the same, averaging about 55 million sperm.  

What does this all mean? First, after undergoing a vasectomy, men continue to make just as much sperm as they did before, and that continues no matter how long they have the vasectomy. Additionally, this research indicates that older vasectomies are more reversible than ever thought possible previously, which means it’s never too late to have a vasectomy reversal and make fatherhood a reality.  

If you’re considering a vasectomy reversal, the Center for Vasectomy Reversal is here to help. Under the direction of Dr. Joshua Green, our caring and skilled 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 we also offer a payment plan option 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 have questions and want to learn more, you can contact us through our website, or call 941-894-6428 to arrange a free consultation.  

The Risks, Results, and Success Rates of Vasectomy Reversals

If you have had a vasectomy and now regret it, you may wonder if you can have it reversed. The good news is that vasectomy reversals have come a long way, and it’s very possible to have a successful reversal. The bad news? The surgery can be far more complicated than a vasectomy.  

• How is the procedure performed? Because a vasectomy involves severing or blocking the tubes that carry sperm from your testes to your penis, a vasectomy reversal is done by rejoining them. This is done using microsurgery, either to sew the ends of these tubes (vas deferens) back together, in a procedure called vasovasostomy, or to attach the ends of tubes to the small organ at the back of the testicle that holds sperm. This is called a vasoepididymostomy, and it’s a much more difficult procedure, used only if for some reason you can’t have a vasovasostomy or your doctor believes it won’t work for you. Sometimes, it’s necessary for a doctor to perform a combination of these two procedures.  
• How major of a procedure is it? A vasectomy reversal is either performed in a hospital or a clinic, typically under general anesthesia. It takes between two to four hours, and the patient can usually go home the same day. Patients with desk jobs can usually return to work in a couple of days, while those who do physical labor or have a job that involves excessive walking or driving may need to wait a while longer.  
• What are the risks? It’s rare to experience any serious complications from a vasectomy reversal, but there are a few risks. Sometimes, bleeding within the scrotum leads to a collection of blood called a hematoma, which can be painful. Rarely, patients experience chronic pain after a vasectomy reversal or contract an infection that requires antibiotics. The best way to reduce the risks of complications is to follow your doctor’s instructions exactly.  

• How soon will you know the results of the procedure? Your doctor will collect semen samples from you for about four to six months, and examine them to check for the reappearance of sperm. For patients who undergo a vasovasostomy, it can take as long as six to twelve months for sperm to reappear, while those who have a vasoepididymostomy may have to wait more than a year.  
• What’s the success rate for vasectomy reversals? That’s another piece of good news. Up to 90 percent of vasectomy reversals are successful. Of course, the ability to conceive a child involves many factors, and pregnancy rates after vasectomy vary widely, ranging from 30 to 90 percent. Sometimes patients decide to have some sperm frozen prior to the procedure, in case it’s unsuccessful. That way, even if they are unable to conceive through intercourse, they may be able to use assistive reproductive technology to father children.  

If you’re considering a vasectomy reversal, the Center for Vasectomy Reversal is here to help. Under the direction of Dr. Joshua Green, our caring and skilled 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 we also offer a payment plan option 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 have questions and want to learn more, you can contact us through our website, or call 941-894-6428 to arrange a free consultation.  

Your Sperm Count After a Vasectomy Reversal

Vasectomy reversals have a high success rate, and many men and their partners are able to conceive naturally after having a vasectomy reversed. However, reaching optimal sperm production after having the surgery can take as long as six to twelve months. Why so long? More importantly, is there anything that can be done to optimize your sperm count after a vasectomy reversal?  

To understand sperm count, it’s helpful to know a little bit about sperm production. A sperm cycle is usually about 90 days. That’s the amount of time it takes for your body to produce new sperm and get rid of the old sperm through ejaculation. After a vasectomy reversal, when a man goes in for his six–week postoperative semen analysis, the sperm motility is typically still low, because the man is still working on getting rid of old, dead, sperm found in the ejaculate. For most men, it takes about two sperm cycles, or six months, to achieve good sperm quality.  

If your vasectomy reversal was done by an experienced, well-qualified, specially trained microsurgeon, you can rest assured that your sperm counts will eventually rise as your body returns to optimal sperm production. It’s important to be patient, though, and understand that this process will take some time. While you wait, there are some things you can do to help boost your sperm count.  

• Take your recovery seriously. For a couple of weeks after your surgery, it’s important to take it easy, minimizing straining, pulling, lifting, and stretching. Even everyday actions like getting in and out of a car can cause strain, so be sure to follow your doctor’s instructions to the letter.  
• Don’t rush back into sex. After a vasectomy reversal, wait three to four weeks before resuming sexual activity. Once the waiting period is over, though, frequent ejaculation is a great way to keep the sperm flowing through your tubes, which helps keep them open.  
• Eat a nutrient-dense diet. While vitamin and antioxidants in supplement form may help, there’s really no substitute for a well-balanced diet that’s packed with vegetables and fruits.  
• Take anti-inflammatories if your doctor recommends them. At the post-operative check, your doctor can tell you whether there is scarring at the surgical site, which can be improved with anti-inflammatory medications.  
• Stay out of the hot tub. High water temperatures can kill healthy sperm, so avoid excessive heat.  
• Watch your alcohol consumption, and don’t smoke. Alcohol can impair sperm production, and smoking slows wound healing.  
• Follow up with your doctor. It’s important to keep all the recommended follow-up appointments so that your doctor can monitor your progress and make sure you’re healing correctly.  

If you’re considering a vasectomy reversal, the Center for Vasectomy Reversal is here to help. Under the direction of Dr. Joshua Green, our caring and skilled 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 we also offer a payment plan option 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 have questions and want to learn more, you can contact us through our website, or call 941-894-6428 to arrange a free consultation.