• How to Baby Proof your Home

    When you are about to have a baby, it can be alarming to look at all the hazards in your home. Your space, which has always seemed benign or even inviting, may now seem like a virtual deathtrap, with danger lurking everywhere. Relax! It’s not as bad as it may seem, and babyproofing is not too overwhelming if you take it step by step.

    • First, think about the reasons behind babyproofing. It’s important to keep hazards out of the way of children, not just to keep the little ones safe, but also to make it easier to parent. It’s no fun to constantly say “no”, but you can set yourself and your child up for success by creating an environment that’s comfortable and safe.
    • Look for major hazards throughout the house. Anything broken, paint that’s chipped or peeling, wallpaper that’s coming unstuck- fix those things. Make sure your water heater is set below 120° F, and that your smoke and carbon monoxide detectors are in good working order. If you live in a home built before 1978, check for lead paint; hire a lead-safe contractor to fix it if you find it. Cover electrical outlets and secure any piece of furniture or heavy electronic item that could tip, using safety straps or anchoring things to the wall. If you use window blinds, consider choosing cordless blinds. If your existing blinds have cords, use cord safety wraps.
    • Keep small children out of the bathroom. Babies and toddlers are drawn to water, which makes toilets, sinks, and bathtubs hazardous. Additionally, bathrooms tend to have cleaning supplies and medications. The best course of action is to secure the cabinets, drawers, and toilets with child locks and then put a doorknob cover on the outer handle.
    • Kitchens need special attention. Install magnetic childproofing locks in the cabinets, secure drawers, and lock hazards like liquor cabinets and medicine cabinets. Use stove knob covers and turn the handles of pots and pans inward so a child can’t grab them and pull down hot food. Store cleaning supplies, including laundry detergent, out of children’s reach. Put non-skid pads under rugs and find a way to contain children while you’re cooking.
    • Do a sweep of the whole house. In the nursery, make sure your crib is safe with crib rails at the appropriate level and no toys, blankets, or bumpers in the crib. Choose a toy box that’s safe, with no heavy lid, and put finger guards on door hinges. In the living areas, pad corners of furniture, skip tablecloths because of the danger of kids tugging on them, and install window guards.

    At Center for Vasectomy Reversal, we love helping to create healthy, happy families. 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.


  • 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 1/10th 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.

  • 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.

  • Why Vasectomy Isn’t Always the Right Choice

    Vasectomy, or male sterilization, is an effective form of birth control. It involves cutting the tubes, called vas deferens, that release sperm into the seminal fluid, thereby preventing pregnancy. Vasectomies don’t prevent erections or ejaculations, so intercourse feels the same for both partners.

    Men often decide to have a vasectomy when they know they don’t want any (or any more) children and no longer wish to rely on other forms of birth control. While the procedure is quite safe and effective, it’s not ideal for everyone. Here’s why having a vasectomy isn’t always the right choice.

    It’s Not Risk-Free

    The most common risk of male sterilization is the ongoing pain and discomfort of the testes or surrounding area. This condition is most often caused by the congestion of sperm in the system and may occur within a year of having a vasectomy. Treatment is usually simple, including taking anti-inflammatory medication and applying heat therapy. One to six percent of men need further treatment to relieve their pain.

    Other risks of vasectomy include:

    Bleeding under the skin, resulting in temporary swelling or bruising

    Infection at the incision site or inside the scrotum

    A lump forming near the treatment site (surgery may be needed to remove the lump)

    Vas deferens growing back together and enabling the man to have children again

    It Doesn’t Protect Against STDs

    Most forms of contraception don’t protect against sexually transmitted diseases. This includes birth control pills, IUDs, tubal ligations (female sterilization), and vasectomies. To prevent contracting an STD, you should either be abstinent or use a condom, even after undergoing sterilization.

    Your Partner Might Disagree

    While the decision to get a vasectomy is a very personal one, it isn’t yours to make alone. A man and his partner should discuss honestly and openly about the possibility of not having any (or any more) children. If you don’t want kids, but your girlfriend or wife does, getting a vasectomy behind her back is not the right choice.

    You Might Not Qualify

    Male sterilization is often difficult to arrange for single or childless men under 35 years old. Federally funded procedures may not be performed on anyone who is under age 21 or unable to give legal consent. Vasectomies aren’t recommended for teenagers because the procedure is intended to be permanent. Many providers and hospitals simply deem sterilization to be too significant of a decision for a minor to make.

    You Might Change Your Mind

    Aside from tubal ligation, most other forms of contraception are temporary. If you and your partner decide you want to have kids after all, it’s easy to simply discontinue many birth control methods. Vasectomies, however, require surgical reversal. It can be done, but not having a vasectomy in the first place is a better choice if you’re not sure where you stand on being a parent.

    If you’re ready to reverse your vasectomy, please call the Center for Vasectomy Reversal at 941.894.6428 to learn more about the procedure.

  • Questions to Ask Before Deciding on a Vasectomy

    When looking for a permanent method of birth control, many men and their partners consider a vasectomy as a better option than female sterilization. That’s because a vasectomy is a less complicated procedure than tubal ligation, which requires general anesthesia, and there’s an option of vasectomy reversal down the road. However, before you decide to undergo a vasectomy, there are a few questions you should ask yourself. 

    • Am I sure I don’t ever want children in the future? You may already have children and believe your family is finished, or you may have never had children and believe you want to remain childless. Maybe a future pregnancy would endanger your partner’s health, or maybe there are genetic components that make having children unwise. On the other hand, it’s impossible to know what the future holds. If your circumstances change, and you decide that you do want children, you can opt for a vasectomy reversal, but it’s not a sure thing. Sometimes, vasectomy reversals do not lead to pregnancy. What’s more, while a vasectomy only takes about 20 minutes, a vasectomy reversal is a much more delicate operation and can take up to six hours. If you’re not absolutely sure your family is complete, it may be wiser to opt for a more temporary solution.  
    • Is a vasectomy safe? In short, yes. Generally safe and effective, vasectomies are performed either under local anesthesia or conscious sedation. This means you will be awake during the procedure, with local anesthesia administered directly to the scrotum, and sometimes medications are given to sedate you and relieve anxiety. After you’ve received anesthesia, the surgeon will disconnect the vas deferens, so that sperm is no longer able to leave the testicles.  
    • What’s the recovery period after a vasectomy? A vasectomy doesn’t keep a man down for long. Most men are able to return to work in two or three days, and after a week they’re able to resume normal exercise and even start having sex again. It should be noted, though, that sterilization is not immediate. You’ll need to wait about two months before forgoing other forms of birth control. There will be bruising or swelling after the vasectomy, which should be gone after about two weeks.  
    • Will a vasectomy negatively affect my sex drive or sexual function? No. A vasectomy doesn’t typically decrease the sex drive or the ability to achieve erection or orgasm. That’s because only about five to ten percent of ejaculate comes from the testicles, and the rest comes from other structures like your prostate and seminal vesicles. Your ejaculation will look and feel the same, there just won’t be any sperm in the semen. 

    A vasectomy is a simple procedure, but getting a vasectomy reversed requires a highly skilled surgeon. 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 reversal of their vasectomy or have other concerns about their fertility. 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. 

  • Does a Vasectomy or a Vasectomy Reversal Affect Your Sex Drive?

    A vasectomy is a very popular form of birth control, and each year, about 500,000 men in the United States undergo this procedure in order to gain control over their reproduction. It’s safe and effective, and it’s permanent unless you choose to have it surgically reversed. Additionally, it’s cost effective and less invasive than a tubal ligation is for a woman. It’s easy to see why it’s a popular option, but many men have questions about their sex drive after they undergo a vasectomy.  

    If you are concerned about this, there’s no need to worry. Experts have determined that there is no negative relationship between a vasectomy and sex drive because nothing in your body changes physiologically. The blood vessels and nerves that are involved in erections and ejaculation are intact after a vasectomy, so there’s no risk of impotence or a lowered ability to maintain an erection. Post-vasectomy, you should have the same libido and sex drive, and you’ll be able to have and maintain erections, ejaculate, and have an orgasm. There may be a small reduction in the volume of your ejaculate because vasectomy prevents sperm from being released into the semen. You’ll still have the same male hormones, though, and in addition to having the same sex drive, you’ll also have the same voice and be able to grow facial hair.  

    In the first couple of months after a vasectomy, some men to report occasional mild aching in their testicles during arousal. But in fact, having a vasectomy can actually increase sexual satisfaction because men have less anxiety during lovemaking. This is because there’s no longer anxiety over a potential unplanned pregnancy. Because men have more control over their own reproductive function, they report more having intense, pleasurable, and spontaneous sex, more frequently.  

    So what if a man decides to reverse his vasectomy? About ten percent of men decide later that they would like to have children and decide to have surgery to return sperm to the ejaculate. Does this reversal have a negative impact on the sex drive?  

    Again, the answer is no. In fact, before a vasectomy, after a vasectomy, and after a vasectomy reversal, the testicles still produce testosterone, which stimulates the sex drive. Because a vasectomy reversal does not involve any of the structures that have an impact on a man’s libido or his ability to achieve and maintain an erection, neither the sex drive nor the erections are affected. After a vasectomy, fertility is restored sometime in the next year, and the drive to conceive can even boost the sex drive.  

    If you’re considering a vasectomy reversal in Tampa or Orlando, 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 reversal of their vasectomy or have other concerns about their fertility. 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.  


  • 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. 

  • How Does Age Affect Vasectomy Reversal Success Rates?

    There are many factors that can influence the success of vasectomy reversals, from overall health to the length of the time between the original vasectomy and the reversal procedure. One factor that many prospective vasectomy reversal patients have questions about is age. Does age affect the success of vasectomy reversals? Here is what you need to know.

    Age is less of a factor than time since the procedure.

    Many men who are interested in vasectomy reversals are older, having changed their minds after having a vasectomy when they were young. Age is less of a determinant of how successful a vasectomy reversal will be than the time between the original procedure and the reversal surgery. An older man whose vasectomy is more recent is likely to have fewer concerns about the success of his reversal than a younger man whose vasectomy was many years before.

    Age-related health concerns can be a factor.

    Although age itself is not a significant factor in vasectomy reversal success rates, some age-related health complications can impact how successful the procedure is. Some of the health issues that occur in older men can make it unsafe to have surgery or can interfere with healing and the overall success of the procedure. Your vasectomy reversal surgeon will review your health history with you before your procedure to make sure it is safe for you to have anesthesia and that you are a good candidate for surgery.

    Age can affect the quality of sperm.

    A vasectomy reversal can be successful while other infertility issues still persist. Although age is a much bigger factor in fertility in women than men, age can still impact the quality of sperm, which in turn can make it harder to successfully achieve a pregnancy. Additional infertility treatments may be necessary.

    Before your surgery at the Center for Vasectomy Reversal, Dr. Green will review the procedure with you and help you understand all of the factors that can influence the success of the reversal. Schedule an appointment for a vasectomy reversal consultation in Sarasota by calling (941) 894-6428.