Vasectomy reversal is a surgical procedure performed in men to restore fertility after a vasectomy. During a vasectomy, the vas deferens, the tubes that carry sperm from the testicles to the penis, are cut or blocked, preventing the sperm from reaching the semen. This procedure involves reconnecting the vas deferens to allow the sperm to reappear in the semen.
A vasectomy reversal is typically performed as an outpatient procedure under general anesthesia. The surgeon makes small incisions on either side of the scrotum to access the vas deferens. The ends of the vas deferens are then carefully cut and examined under a microscope. If healthy sperm are present, the surgeon will reconnect the vas deferens using tiny stitches. This type of surgery is often referred to as microsurgery.
There are two main types of vasectomy reversal procedures: vasovasostomy and epididymovasostomy. Vasovasostomy is the more common procedure and involves reconnecting the two cut ends of the vas deferens.
Epididymovasostomy is a more complex procedure performed when there is a blockage in the epididymis, the structure that stores and matures sperm before they enter the vas deferens. During epididymovasostomy, the surgeon creates a new connection between the vas deferens and the epididymis to allow the sperm to bypass the blockage.
After a vasectomy reversal, it is normal to experience some pain, swelling, and bruising in the scrotal area. Pain medication and ice packs can help to manage these symptoms. It is also important to avoid strenuous activity and sexual activity for several weeks following the procedure to allow the body time to heal.
It is important to note that a vasectomy reversal does not guarantee a successful pregnancy. Factors such as the length of time since the original vasectomy, the age and fertility of the female partner, and any other fertility issues can all impact the procedure's success. It may take several months for sperm to once again be present in the semen following a vasectomy reversal, and it can take up to a year or more to achieve a successful pregnancy.
Additionally, a vasectomy reversal requires a skilled surgeon to achieve the best results. Some surgeons have higher success rates than others, so it is worth seeking a urologist with vasectomy reversal experience.
Average Vasectomy Reversal Success Rates
|Time Since Vasectomy||Chance Sperm Will Return to Ejaculate||Chance of Pregnancy|
|Less than Three Years||97%||76%|
|3 - 8 years||88%||53%|
Risks and Complications
As with any surgical procedure, there are risks and complications associated with vasectomy reversal. These can include infection, bleeding, and damage to the vas deferens or other nearby structures. In rare cases, the vas deferens may re-block, requiring another surgery to restore fertility.
Cost of a Vasectomy Reversal
The cost of a vasectomy reversal can vary depending on the surgeon's experience, the type of procedure performed, and the location of the surgery. Most insurance plans do not cover vasectomy reversals.
Please contact us to learn about our current vasectomy reversal rates.
Urology Center Of Iowa
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