• 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. 

  • When to Call Your Doctor About Post-Operative Swelling

    Swelling is among the most common side effects for patients who have undergone any type of surgery, including vasectomy reversals. If you ever have any questions or concerns following an operation, don’t hesitate to get in touch with the doctor. You should also carefully review your discharge information and follow the instructions listed there. 

    What to Expect 

    You should expect to experience some scrotal swelling after your surgery. The area will also look bruised and be uncomfortable. It shouldn’t be painful as long as you’re taking your medications as prescribed. The degree of swelling can vary from one patient to the next. Some might notice a great deal of swelling, while others only have a little. 

    How Long It Will Last 

    The swelling and other post-operative side effects will be most noticeable during the first week. By the end of that week, you should notice a gradual decline in the amount of swelling. Some minor swelling may linger for an additional one to two weeks. By the end of the third week, the swelling should have been resolved. 

    When to Worry 

    Generally, swelling is not a red flag unless it’s excessive or it’s accompanied by severe, worsening pain. However, you can always call the doctor if you’re unsure of whether your swelling is a sign of a complication. It’s uncommon, but possible, for men to experience a hematoma after a vasectomy reversal. A hematoma is a collection of pooling blood that occurs when a blood vessel ruptures. You should seek a doctor’s care if you suspect you might have a hematoma. You should also call your doctor if your pain is not wellmanaged. 

    What to Do 

    Following your discharge instructions will help you manage the post-operative swelling and other side effects. Keep an ice pack on the scrotal area for 20 minutes at a time. Get plenty of rest, especially during the first day or two. Avoid vigorous physical activity for two weeks. And don’t forget to wear your scrotal support! 

    The Center for Vasectomy Reversal provides extensive pre-operative and post-operative support for our patients. Dr. Joshua Green is always responsive to his patients, and each patient receives his personal cell phone number. If you have questions about your vasectomy reversal in Sarasota, give us a call at (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. 

  • What to Expect in Your First Few Days with a New Baby 

    If your little miracle is the result of a vasectomy reversal, then there’s a good chance you’ve been planning and preparing for your newborn for quite a few months. By now, you should already have plenty of supplies on hand, from diapers and rash cream to baby monitors and thermometers. If you do find yourself short on a few items, consider asking family or friends to make a run to the supermarket for you. You’ll want to spend your time getting to know your new baby. 

    When you watch this video, you’ll hear about how important it is for fathers to share in the baby care responsibilities. You should also have reasonable expectations for bringing your new baby home. For example, you shouldn’t expect to sleep through the night for a while. Instead, focus on bonding with your baby. 

    Here at the Center for Vasectomy Reversal, we’re proud of all of the little miracles we’ve helped to make possible. If you’ve been struggling with vasectomy-induced male infertility, call Dr. Joshua Green at (941) 894-6428 and request an appointment at our vasectomy reversal clinic in Sarasota. 

  • 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. 

  • Sperm Retrieval for IVF: What to Expect

    After a vasectomy, in some cases, men who want to start a family are better candidates for sperm retrieval than a vasectomy reversal. Sperm retrieval is performed as part of in-vitro fertilization, or IVF. This option is necessary in the case of azoospermia, which means that there is no sperm present in the ejaculate. During sperm retrieval, sperm is removed directly from the epididymis so that it can be used in IVF procedures. If your vasectomy reversal surgeon recommends this procedure, here is what you can expect.  

    Sperm Retrieval Through MESA 

    Sperm retrieval is performed using the MESA procedure, or Microscopic Epididymal Sperm Aspiration. It is performed using an operating microscope, so your surgeon can see exactly where sperm is located in the epididymal tubules. Through the use of the operating microscope, it is possible for your surgeon to remove the sperm with as little damage as possible to the surrounding structures and with as little blood and other fluid as possible. This increases the chances of success during IVF. 

    Local Anesthesia  

    MESA is usually performed under local anesthesia, though some patients receive spinal blocks or general anesthesia. During the procedure, once you receive the anesthesia that the surgeon deems appropriate for you, he or she will make a series of small incisions in order to access the epididymal tubes. Using the microscope, he or she will remove the sperm from the tubes and frozen for use in future IVF sessions. Generally, it is possible to get enough sperm for multiple rounds of IVF during one MESA procedure.  

    Recovery 

    MESA is a minimally invasive procedure, and recovery is usually fast. It’s normal to have some swelling and tenderness for a few days after MESA that is easily controlled with pain medications. Most people return to normal activities within a few days.  

    MESA is one of the procedures offered at the Center for Vasectomy Reversal in Sarasota. Dr. Green can help you decide if vasectomy reversal or another procedure, such as MESA, is the best fit for you. Schedule an appointment today by calling (941) 894-6428. 

  • 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. 

  • Would You Use Social Media to Choose a Baby Name? 

    Picking a baby name is one of the most exciting parts of growing your family. After a vasectomy reversal, if your partner conceives, would you ever use social media to help pick your baby’s name? 

    Watch this video to hear how social media is shaping the way that some people pick names for their babies. Some people check social media handles and change the names that they had in mind of their chosen name is already taken, while others conduct social media polls to narrow down a name.  

    Are you ready to start picking baby names? Call the Center for Vasectomy Reversal and learn more about vasectomy reversal procedures with Dr. Green in Sarasota. For more information, call (941) 894-6428 

  • Caring for Yourself at Home After Your Vasectomy Reversal

    Vasectomy reversals are generally well-tolerated procedures. In most cases, patients return home on the same day as their surgeries and recover over the course of the next few weeks. Before you leave the surgery center, you will receive detailed instructions on how to care for yourself at home and avoid complications. Here is what you need to know.  

    Anesthesia Recovery 

    Before your surgery, your doctor will decide what kind of anesthesia is right for you. Some patients have the procedure using local anesthesia or a spinal block along with a sedative to prevent them from moving during the surgery. Others undergo vasectomy reversals with general anesthesia. After the procedure, you may still feel some of the effects of the anesthesia when you leave the surgery center, including numbness, dizziness, fatigue, and nausea. This is normal and will gradually ease. Most people feel like they have fully recovered from anesthesia after 24 hours.  

    Surgical Site Care 

    After the surgery, you will have two small drains in your scrotum. These will be removed the day after the surgery. You will need to wear supportive underwear or an athletic supporter continuously for about a month after your surgery, which will give you the appropriate amount of support as you heal. The incision itself should heal within about two weeks, and the stitches will be absorbed, so they do not need to be removed.  

    Return to Normal Activities 

    Most people are able to return to work within a week of their surgeries, but it is recommended that you refrain from heavy lifting or sexual intercourse for about four weeks after your procedure. Most men say that the recovery process from their vasectomy reversals is similar to the recovery from their original vasectomy procedures 

    At the Center for Vasectomy Reversal, our team will support you both before and after your surgery, so you have the healthiest, most comfortable recovery possible. Are you considering a vasectomy reversal? Call Dr. Green in Sarasota at (941) 894-6428 

  • A Surgery Preparation Guide for Out-of-Town Patients

    It’s more common than you might think for patients to travel for surgery, particularly when the surgery is a very delicate procedure like a vasectomy reversal. It’s important to choose a vasectomy reversal surgeon who has an excellent track record of success and plenty of experience in the various surgical approaches. Patients often decide that the skill of the surgeon is more important than the distance. 

    Coordinate the scheduling with your partner. 

    You must be accompanied by a responsible adult when you leave the surgical center. Because of this, you and your partner will both need to travel for the surgery. Ask the surgeon’s office about the available surgery dates, and coordinate with your partner to pick the best one. 

    Pack comfortable clothing. 

    After having any surgery, comfort will likely be your top priority. Pack an assortment of comfortable clothing that is easy to put on and take off. You’ll be resting in your hotel room after the surgery, so consider bringing sweatpants and a robe. Remember that you’ll also need to wear a jock strap for a while after the surgery to minimize swelling and support the surgical area. 

    Choose a hotel with room service. 

    If you were planning a typical vacation, you’d probably research good restaurants in the area. But for a trip for surgery, it’s more convenient to order room service. When booking your hotel, you should check out the room service menus and policies in advance, such as how late you can order. Remember that you’ll need to refrain from eating and drinking anything prior to surgery. Typically, patients are asked to fast beginning at midnight the night before. 

    Thanks to Dr. Joshua Green’s renowned expertise, patients travel from far and wide to undergo medical procedures at the Center for Vasectomy Reversal. Our office makes it as easy as possible for our out-of-town patients to complete many of the pre-operative necessities before they arrive in Sarasota for a vasectomy reversal. If you have questions about traveling for surgery, we’ll be happy to help you at (941) 894-6428.