Vasectomy reversal is a surgical procedure that reconnects the male reproductive system after vasectomy. Vasectomy is a small surgical procedure that causes a man who cannot make a female pregnancy. Vasectomy interrupts two tubes called vas deferens, one on both sides of the body, so the sperm from the testicles is no longer part of […]
Vasectomy reversal is a surgical procedure that reconnects the male reproductive system after vasectomy. Vasectomy is a small surgical procedure that causes a man who cannot make a female pregnancy.
Vasectomy interrupts two tubes called vas deferens, one on both sides of the body, so the sperm from the testicles is no longer part of the semen.
Although vasectomy is still considered a reliable and permanent contraception, advances in microsurgery have made it possible to reverse this procedure.
Even after a long time in a vasectomy, in some cases, 15 or more years, sperm is continuously produced and live. In general, about 6 percent of men undergoing vasectomy choose vasectomy reversal.
Rapid facts on vasectomy reversal:
The inverse reversal of vasectomy relies on vein difference, which is cut in a vasectomy.
Vasectomy reversal is as safe as vasectomy.
Vasectomy reversal does not affect sex drive and men typically return to sexual intercourse after 3-4 weeks of treatment.
Vasectomy and reversal
Many men may need to consider these procedures, avoid grasping a child, or ask for their fertility to return because of changes in their personal circumstances.
What is vasectomy?
According to the Centers for Disease Control and Prevention (CDC), the pregnancy rate after a vasectomy is less than 2 per 1,000 women. Vasectomy is the most effective form of birth control, as well as being completely out of sexual intercourse.
Vasectomy is an outpatient procedure that lasts about 30 minutes. The guy’s been awake the whole time. A small portion of the Vas deferens is removed from both sides and the ends are closed.
It may take up to 3 months before all sperms are removed from the vas deferens. During this time, doctors recommend that a person use other methods of contraception to avoid an undesirable chance of pregnancy.
What is a reversal of vasectomy?
The return of vasectomy is usually an outpatient procedure involving local or general anesthesia. General anesthesia may be required to ensure that the patient remains still during the procedure.
According to a report from the Asian Journal of Andrology, the success rate for a reversal procedure is about 90 percent. This is based on the re-opening of the vas deferens and the presence of live sperm.
The rate of pregnancy after vasectomy reversal may be lower before the vasectomy. The success of vasectomy reversal in obtaining pregnancy depends on several factors, including:
- Surgeon’s experience and ability
- the age and fertility of a female partner
- Since the time since vasectomy, reversal, vasectomy has been much harder than before.
- motile sperm return
There are two types of vasectomy reversal techniques:
Vasovasostomy reconnects both sides of the vas deferens.
Vasoepididymostomy re-connects the vas deferens to the epididymis, the area above the testicles where the sperm is stored.
It is important to say that the surgeon does not know whether a man needs vasovasostomy or vasoepididymostomy for his operating table.
We perform vasectomy reversals in a surgery in our hospital, but it is a standing procedure without having to stay in the hospital for one night. Vasectomy reversal before, doctor:
Take a medical history and perform a physical examination – it is important to ensure that there are no other health problems that may cause complications during or after surgery.
Verify that healthy sperm can be produced – in most cases, proof that a child already has a father is sufficient, but if there is uncertainty, additional tests may be necessary.
Review the surgical history – it is important that the surgeon knows about previous surgeries as well as previous injuries that may interfere with vasectomy or vasectomy.
Consider blood tests – they are usually not necessary but can be recommended for any man with sexual function or abnormal physical examination.
When a person is in the operating room, they usually sleep with anesthesia.
Vasectomy during reversal
During a vasectomy reversal, the surgeon will make a small cut on the underside of the scrotum to expose vas deferens and release it from surrounding tissues.
The vas deferens are then cut to examine the liquid inside. Once the sperm has been found to be present, the vas deferens is re-coupled to allow passage of sperm.
If the fluid in the vas deferens is thick, it may be a sign of congestion and this does not flow. At this point, the surgeon is more likely to decide on a vasoepididymostomy as a more appropriate procedure.
Many experts believe that the procedure of attaching vas deferens directly to the epididymis is one of the most challenging methods in the field of urology and male reproductive microsurgery. Difficulty depends on the small size of the vas deferens – a piece of angel hair more narrow than the pasta – the smaller size of the epididymis tube and the difficulty of running on such a small scale.
Recovery after vasectomy
It is a must to rest for 48 hours after the operation.
Once vasectomy is reversed, the incisions will be covered with bandages and a person is advised to wear a jockstrap for support for up to 6 weeks, only when taking a shower. Typically, the wetting of the surgical site should be avoided for 2 days after surgery.
Ice can help with pain that may occur after a few days of treatment. Stitches should be dissolved within 2 weeks if any. A man should rest for the first 48 hours after the procedure and should do as little as possible.
When he returns home, a man is advised to limit any activity that would cause the testicles to move too much, such as working, jogging or biking – up to 4 weeks from surgery.
Sexual intercourse should be avoided until a doctor gives a favor. Most men will need to wait at least 3 weeks prior to surgery. Semen samples are usually collected 2, 4 and 6 months after surgery to check for the presence of sperm. Typically, if a valid sperm is not available after 6 months of age, further surgery may be recommended.
Risks and complications
When safe, there are risks for vasectomy reversal surgery. The most common risk is the inability to sustain full fertility. Other risks include chronic pain and infection:
- insufficient sperm count
- bruising and swelling
- testicular atrophy, although extremely rare
The vasectomy reversal procedure is generally safe. Complications are quite low as long as the follow-up instructions of the surgeon are followed and healing is properly managed.
A person will not know how well a vasectomy reversal is performed until a few months after sperm evaluations are performed. When the sperm count reaches a sufficient level, the chance of grip improves.