• Comparing V-V and V-E Procedures

    If you are having a vasectomy reversal, there are two approaches your surgeon will recommend: V-V or V-E. The one that is right for you depends on the scarring left behind after your vasectomy and whether the fluid from the testicular side of the vas deferens has a pasty consistency. Here is a closer look at how these procedures compare.  

    V-V is short for vaso-vasectomy. This is the most common form of vasectomy reversal surgery and involves reconnecting the ends of the vas deferens, which was cut during the original vasectomy procedure. This procedure can be performed as long as there is sperm present in the fluid from the testicular side of the vas deferens and the fluid looks clear and flows freely. If there is no sperm present or the fluid is thick and pasty, then a vasoepididymostomy, or V-E procedure, will be performed. During a V-E surgery, the vas deferens is attached to the epididymis.  

    Dr. Green at the Center for Vasectomy Reversal will help you understand each procedure and explain which one is most likely to work for you. To schedule an appointment for a vasectomy reversal in Sarasota, call (941) 894-6428. 

  • Are You a Candidate for a V-E Procedure?

    During your consult, your vasectomy reversal surgeon will explain your surgical options. Depending on your unique situation, you may be a candidate for a vasoepididymostomy, also called the V-E procedure. If so, the surgeon will attach the vas deferens directly to the epididymis, which is the small organ at the rear of each testicle that stores the sperm. The V-E technique is far more technically complicated than the standard vasovasostomy. However, you may require the V-E approach if you aren’t a good candidate for a vasovasostomy.  

    It’s typical for the vasectomy reversal surgeon to determine which technique is right for you during the surgery itself. The determining factor is whether there is sperm present in the fluid in the vas deferens. It’s not common to require the V-E procedure when a man has the reversal performed within 10 years of having the original vasectomy procedure. 

    At the Center for Vasectomy Reversal, Dr. Joshua Green will answer all of your questions about the surgery before you make your decision. Call (941) 894-6428 to request a consultation for having a vasectomy reversal 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. 

  • The Patient’s Guide to Vasoepididymostomy

    Having a vasectomy does not necessarily mean that you’ll never be able to father children. In fact, advanced surgical technologies have facilitated great outcomes for men seeking vasectomy reversal, which may become appropriate as your life plans and goals change. If you are considering vasectomy reversal in Sarasota, your first step will be to consult a surgeon to explore your options. There are a few different procedures available, including vasoepididymostomy, which is discussed in further detail here:

    What is the procedure?

    Vasoepididymostomy is a more complex and technically demanding surgical procedure than vasovasostomy, which you might consider a standard vasectomy reversal procedure. During the vasoepididymostomy, the surgeon must work around an epidydimal obstruction, which is not the case in vasovasostomy surgeries.

    Who should consider it?

    Your doctor will utilize a series of diagnostic tests to understand your unique needs in vasectomy reversal. If your vasectomy took place more than 10 years ago or there were any complications or trauma during your surgery, vasoepididymostomy may be indicated.

    What can you expect during treatment?

    Like other vasectomy reversals, vasoepididymostomy is a microsurgical procedure, so it will utilize very small incisions and be performed on an outpatient basis. You will be sedated during surgery, so you will not feel anything during the treatment itself. Afterwards, you may have some tenderness and soreness, and you will need to refrain from sexual activity and strenuous exercise until your surgeon gives you the go-ahead.

    What type of outcome can you expect?

    It’s important to understand the costs and potential for successful pregnancy following vasoepididymostomy. Though this procedure does not have success rates as high as vasovasostomy in terms of future pregnancies, it is still a more effective path to conception than IVF for many couples. In addition, it has lower costs per live birth than the in-vitro fertilization procedure.

    At the Center for Vasectomy Reversal , you can expect personalized, compassionate care to restore your fertility. To schedule an appointment with our surgeon, Dr. Joshua Green, call (941) 894-6428.