Dr. Yaniv Larish specializes in micro-surgery to reverse vasectomies.

Vasectomy Reversal NYC Couple with Baby 10

Dr. Larish performs vasectomy reversal micro-surgery at Gramercy Surgery Center. This state of the art facility utilizes the most modern and advanced high quality surgical microscope, micro-instruments and the most highly trained nurses and support staff.

Dr. Larish has helped many men successfully reverse their vasectomies.

Call today for a consultation:

(646) 862-5500


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Older Men Are Having Children. Should You Reverse Your Vasectomy?

The rise of the 20th century has changed the levels of healthcare. Drastic improvements in medical science have proven to be the wonders of the age of enlightenment. Global average life expectancy has increased by 5 years between 2000 and 2016. This is the recorded fastest increase since 1960. Life expectancy has risen over the years due to countless healthcare efforts by scientists. The discovery and regulation of vaccines boasted the first ever increase in life expectancy and now people live longer and healthier because of the countless research and breakthroughs by scientists in the field of longevity.

If you are someone who is still on the fence on whether a vasectomy reversal will be good for you, let us clear some of the concerns that people have about older parenthood. We live in the modern age of science where child mortality is not a problem and multiple options are available for us that bring longevity into our lives. Stopping the aging process can have a lot to do with your lifestyle. Along with your lifestyle, there are ways that include therapies and supplementation that you can add to your life that help you maintain the energy levels needed for parenting your children.

A therapy like TRT (testosterone replacement therapy) is also a supplementary therapy that can help you maintain your testosterone levels even at the age of 50. So if you wish to have a vasectomy reversal at an older age, don’t just give up on the dream of fatherhood just yet.

Older Men Children Reverse Vasectomy
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The Rise of Older Fathers

The average age of newly made fathers has increased in recent years; this is an outcome of 20th century attitude towards early marriages. People are getting married at a much earlier stage in their lives now more than ever. Men experiencing fatherhood at an age beyond 40 or even 50 is now more common. The advancements in healthcare and triumphs in biotechnology not only make late fatherhood possible but also desirable.

Benefits of Late-fatherhood

Late-fatherhood counters the mistakes of early-fatherhood. Most men who become fathers at a very early stage in their lives find it difficult to carry out all the expenses of a child. At other times, young fathers are most likely to portray unstable personalities and impulsive emotional characteristics. A father of an older age is a more likely to have a stable personality which is very beneficial for a small child. Small children are tough to parent, they can be stubborn and often times throw tantrums. These problems require calmness and mindfulness, some of the qualities that an older father is more likely to possess.

Older fathers are also more likely to be better financially stable and have developed the personalities and gathered enough experience that they can transfer over to their children. Financial stability can mean you don’t spend too much time at work and so you can be able to give that crucial time to your kids, which is so important. Already having older kids can also prove to be beneficial, the distribution in labor around the house can teach the older kids more responsibility.

Older Men & Children - Reverse your Vasectomy?
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Vasectomy Reversal’s Success

You may be reconsidering a vasectomy reversal because you are skeptic of the procedure. A vasectomy reversal is a highly successful procedure. The sperm count in the semen defines the success of the surgery. The success rate of pregnancy after a vasectomy reversal ranges as high as 67-97%. Not just that, vasectomy reversal has no negative side effects and rarely any complications. When a highly trained micro-surgeon, who is an experienced urologist, executes this surgery, the chances of complications further decrease.

Let us look at some of the benefits that you can have as a couple of conceiving after a vasectomy reversal rather than other alternative procedures like artificial insemination.

Benefits of Conceiving after Vasectomy Reversal

Artificial insemination methods like vitro-fertilization can be very costly. You will have to spend a lot of money on frequent doctor visits. The procedure itself is very costly since it uses modern ART technology. Vasectomy reversal provides you with the joys and experiences of natural childbirth. Seeing your baby develop in an incubator can be an alienating experience for the mother. Natural childbirth invokes the special bond and connection that spouses have with their children.

Conclusion

Older men are now more active and healthy than they were ever before. There is nothing stopping you from getting a vasectomy reversal in order to become a father. Your body does not stop producing sperm cells at any stage of your life; they regenerate after every three months.  The risks and complications of late fatherhood are too minimal to be concerned about. If you have not experienced fatherhood in your life, reconsidering that decision can be totally worth it. Fatherhood is a beautiful learning experience. A vasectomy reversal is an accessible and easy procedure that has minimal drawbacks. If you or anyone you know is considering getting a vasectomy reversal, Visit Dr. Yaniv Larish, an experienced urologist for expert consultation and surgical services.

My Husband Got A Vasectomy Reversal. Can I Get Pregnant?

Can you get pregnant after your partner’s vasectomy reversal? It is possible for a male to become fertile after performing a vasectomy reversal. 90 percent of average males will regain their ability to ejaculate sperm within four to seven months. On the other hand, around 73 percent of males can impregnate their spouses after a year.

However, the procedure’s success rate significantly depends on the time passed since a vasectomy. It also depends on the surgeon’s procedure, what skills they have, and if the patient had a child.

Vasectomy reversal is just an option for having children again after a vasectomy. If your husband isn’t willing to get a reversal, ICSI, short for Intracytoplasmic sperm injection, is an alternative way to get pregnant. Similarly, IVF is a suitable option for many couples, as well.

Change of Mind

While many considered a vasectomy to be a permanent procedure, to their surprise, it is also reversible. More than 10 percent of men that have gone through vasectomy change their minds in the future about not having a child. This change of heart can be for various reasons:

  • Marrying another partner who wants to have a child
  • Deciding to have more children
  • Regretting the choice of going through vasectomy

Individuals interested in having children after a vasectomy usually ask about when they can conceive a child again. As the procedure takes time to heal, patience is key to the reversal procedure.

Pregnant after vasectomy reversal
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Duration for Getting Pregnant After Getting Vasectomy Reversal

There are various factors that affect the timeframe of insemination after a vasectomy reversal. For men, these factors involve:

  • How skillfully the surgeon has performed the procedure
  • The method they used to repair the vasectomy
  • Time since your vasectomy
  • The fertility of your partner and their age?

All these factors significantly affect the duration in which you can conceive a child again. In the standard procedure for vasectomy reversal, vasovasostomy, the urologist will reconnect the ends of the vas deferens cut during the procedure. After this procedure, it normally takes a few months before you can ejaculate semen with sperm gain. However, the time to recover from the procedure is different for everyone. Some men who go through this procedure also recover before four weeks, whereas some take up to six months. After a month, when you go through the procedure, the urologist will examine and analyze your semen to check if the sperms are back or not. If the result is negative, they will call you for another test after two to three months.

If Normal Method for Vasectomy Reversal Fails

In some of the cases, it is not appropriate to connect the ends of vas deferens due to any blockage in the epididymis. A blockage occurs if the vasectomy occurred many years before deciding to reverse. In this condition, the surgeon will connect the vas deferens directly to the tube, making the second blockage void. This process is called vasoepididymostomy.

A vasoepididymostomy is a detailed process procedure, including the tubes that contain sperms called epididymis tubules. These tubes are smaller and more delicate than vas deferens. Therefore it is a time-consuming procedure. The success rate of vasoepididymostomy may be lower than its contemporaries.

Moreover, it takes more time for the sperms to return ejaculating after the procedure is complete. Mostly you will require six months or even a year to recover from this method of reversal. In some cases, men also have to wait for longer than a year. The recovery from the procedure may take two to three weeks. However, during this process, you have to avoid ejaculation until you have completed healed from the procedure.

Getting pregnant after a vasectomy reversal
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Improving the Motility, Quality, and Sperm Counts after Going through Vasectomy Reversal

No matter if your partner has gone through a vasectomy or not, they should take steps to increase the quality, count, and motility of their sperms. If they have gone through vasectomy and a reversal, they need to rest and allow their body to heal in a proper way. Furthermore, they can follow these tips:

  • Getting enough sleep
  • Losing weight
  • Exercising daily
  • Avoiding hot tubs
  • Limiting or avoiding the consumption of alcohol
  • Eating a nutrient-rich diet
  • Quit smoking cigarette

Conclusion

To increase the success rate for vasectomy reversal, you need to consult with a urologist who has extensive experience in performing this procedure. They will give you a proper guidance about how you can recover and increase your chances of success. If insemination still concerns you, then you should schedule an appointment with our urologists, who will guide you in detail.

For appointments, contact us at 646-862-5500, or if you require any further information about our urologists or conditions related to urology, you can visit our website.

Are All Vasectomies Reversible?

A vasectomy is a form of contraception that causes permanent sterilization in a man. It is among the many contraceptive measures that people take for birth control. Urologists execute this type of surgery. The name “vasectomy” is a derivative from the name of the internal organ of a male reproductive system called “vas deferens.” This mini tube like structure is responsible for the transfer of the sperm from the testis to the penis. A vasectomy surgically blocks the transfer of sperm into the semen. The sperm, being responsible for the fertilization process in the women’s ova, is then unable to enter into the women’s ova during sexual intercourse. This prevents a man from impregnating a woman and results in permanent contraception.

Vasectomy Procedure

This is a short and easy procedure. It can normally take up to 30 minutes to perform this surgery. A urologist executes this by making small incisions in a man’s scrotum in order cut the vase differentia and seal them with heat. This creates a gap within the reproductive tube ultimately preventing the flow of sperm from the testes to the urethra inside the penis. This procedure has no effects on the man’s sexual performance. A person is able to ejaculate normally after the surgery but the sperm is not present inside the semen and this makes an individual infertile and unable to reproduce.

Are All Vasectomies Reversible?
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Are Vasectomies Reversible?

It is absolutely possible to undo a vasectomy. A vasectomy reversal is also a surgical procedure that reconnects the reproductive tubes in a man’s testes back into the urethra. There are two types of vasectomy reversal surgeries, Vasovasostomy and Vasoepididymostomy. Your urologists will decide which type of surgery to apply to you depending on various factors. The urologist can also apply a combination of both methods. This decision can mostly depend on the time interval between the vasectomy and vasectomy reversal.

Vasovasostomy

A vasectomy reversal surgical procedure in which the urologist will simply rejoin the two ends of the reproductive tube. This will preemptively work against the vasectomy’s effects and restore the fertility inside of man by making the flow of sperm into the urethra possible again.

Vasoepididymostomy

This surgery can be more complex and technically demanding for the urologist. The urologist decides to execute this when there are no traces of sperm found in the vas deferens fluid. The urologist will execute this surgery by connecting the vas deferens to the epididymis, which is a convoluted duct behind the testis responsible for the storage and flow of sperm.

How to Prepare for a Vasectomy Reversal

All the vasectomies are reversible; however, it is always advisable to keep check of a few things before you go into surgery. These include

Your Health

Any underlying conditions that you may have that can cause complications during or after surgery. It is important to notify the doctor about any health concerns you may be facing so he can decide whether it is safe for you to undergo surgery.

Sperm Analysis

It is always beneficial to have your sperm monitored by your urologist before entering into surgery. Making sure that you are still producing healthy sperm cells in numbers can determine whether the surgery will have a successful outcome.

Are All Vasectomies Reversible?
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The Fertility of Your Partner

The urologist will most likely ask whether your partner is fertile enough to reproduce. This will include running tests on your partner to see whether the vasectomy reversal is worth the effort.

Confirm the Credibility of Your Doctor

It is important to ask as much as questions as you can from your doctor. The experience and credibility of your surgeon is also a deterring factor when it comes to the success of your surgery. There is a much higher chance of success if the doctor specializes in this type of surgery. Do not be afraid to ask how frequently he performs vasectomy reversal.

Precautions after Surgery

After a vasectomy reversal, the doctor is most likely to ask you to abstain from any physical activity for at least 1 to 2 weeks. The stitches on your gonads take almost 10 days to heal and so it is important to wear some sort of protective support that relieves any stress or tension on your testicles.  It is also important to refrain from any activity that can possibly create tension of the testicles; these include running, bike riding, horse riding, heavy lifting, sexual activity, sports.

Conclusion

The procedure of vasectomy reversal is much more complicated than a vasectomy. It requires the handling of complex microscopes that magnify the tiny and sensitive parts of the reproductive organs. With the help of these microscopic instruments, vasectomy reversal is now more easily possible than ever. They magnify the tiny reproductive organs to a substantial size. This makes it easier for urologists to perform a vasectomy reversal.

Visit our clinic and meet Dr. Yaniv Larish’s for professional help, if you are in need of any consultation regarding a vasectomy or a vasectomy reversal.

 Should You Get A Vasectomy?

What Is a Vasectomy?

A vasectomy is a surgical procedure that permanently makes a man unable to reproduce. You can call it a permanent form of contraception – a form of birth control that is responsible for male sterilization. Other methods of birth control or contraception include condoms or birth control pills.

How Is It Performed

Firstly, you should look for an experienced and qualified urologist to perform this treatment. In this procedure, the urologist/ surgeon spots the area on your gonads where the vas deferens are located and makes small incisions on that area. The vas deferens is the transport tube that carries your sperm from your testicles to your urethra in the penis. The surgeon cuts the pair of vas deferens located on each side of the testicle so that they both hang separately. The urologist is responsible for cutting the tube and sealing it so that no sperm escapes; this stops the flow of sperm to the ejaculatory tubes in the penis. When there is no sperm present in a man’s semen, the vasectomy is successful because a man will be unable to reproduce without sperm.

Should You Get A Vasectomy?
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Efficacy

A vasectomy usually proves to be 100% successful. The chances of pregnancy after a vasectomy are close to none. Only one or two out of a 1000 women get pregnant after the first year of vasectomy. It is a highly reliable surgical procedure.

Benefits

Besides being 99 percent effective in preventing pregnancy, a vasectomy is a very easy procedure to execute. When we think of surgery, the thoughts of scalpels and scissors might begin to scare us. Another aspect of surgery that intimidates most people is post-surgical pain and the thought of being in the hospitals for hours and even days. A vasectomy is unlike most surgical procedures. It does not require long overdue stays. It mostly lasts a couple of minutes and the doctor can have you sent home on the same day.

The post-surgical pain is bearable and recovery time should only take a couple of days or a week. Complications like swelling, infections or inflammation are rare, in the case of any complication the doctor can prescribe you medication that should take care of it. During the procedure, local anesthesia prevents any pain. It’s very accessible and a doctor can perform this procedure in their office. It has zero effects on a man’s hormones levels and so sexual performance is not affected.  Another great thing about getting a vasectomy is that a vasectomy reversal is usually possible.

Should You Get A Vasectomy?
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Why Do People Get a Vasectomy?

A vasectomy suits people who make a specific choice of not wanting children. Some people want to exclude children from being a part of their lives while others already have children and do not want to risk an unplanned childbirth. Reasons vary from each individual and their situation.

Free choice

A vasectomy is a symbolic representation free choice and liberty, values that resonate with our country’s societal structure. People who get a vasectomy are exercising their power of free choice and so should anyone.  Some lean towards the option of a vasectomy because they wish not to contribute to already existing population crises, while others just want to live their lives to the fullest without risking any unwanted accidents.

Should You Get a Vasectomy?

Generally, the people who opt for vasectomies are very certain about not wanting kids. It is important that you are certain before undergoing a vasectomy. Even though the possibility of a vasectomy reversal exists, it is always better not to risk any complications. If you are certainly convinced that you do not want to reproduce, only then should you consider getting a vasectomy. In terms of couples, a vasectomy should be a choice for you if BOTH of you agree on not having children, you or your partner have some sort of genetic disorder that can be inherited by your offspring, or maybe your partner has a condition that makes her health vulnerable when she’s pregnant.

What You Should Consider

The best candidates for a vasectomy are normally the people who fall on the younger age spectrum. That does not mean that you should not get a vasectomy at an older age. It is important to note that sterilization does not happen instantly after a vasectomy so refrain from sex after the surgery until the doctor has confirmed that your semen contains no sperm.

Conclusion

If your decision of getting a vasectomy is rash and uncertain, it is better if you reconsider. Whether or not you should get a vasectomy is completely on you. It is best that you seek professional and experience consulting which provides you with the best answers and services.

If you or any of your peers seek expert consultation, visit our clinic and explain your condition to Dr. Yaniv Larish. He is an experienced urologist who provides the best urology-related services including vasectomies.

Male Vasectomies

What are male vasectomies? Vasectomy is a type of birth control that prevents sperm from reaching the semen and consequently, causing an unwanted pregnancy during ejaculation. During this process, a surgeon will block or cut the vas deferens, a duct carrying sperms to the urethra from the testicles. Men can opt for vasectomy reversal with the help of a urologist, but it may not always work. You should opt for a vasectomy if you are sure you do not want any child your entire life.

Pregnancy only occurs because a sperm cell fuses with an egg. For this, it’s necessary that sperm travels to a man’s urethra from the testicles. Cutting and sealing the vans deferens prevents sperm cells from reaching the urethra. The main purpose of a vasectomy is to prevent the presence of sperm in semen during ejaculation. This way, couples can avoid unwanted pregnancies without using other forms of contraception.

This method for birth control is very effective. The American Urological Association suggests that after a vasectomy, only two out of a thousand couples can get pregnant.

What are male vasectomies?
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Reasons for Performing Vasectomies

This method is an effective and safe birth control option for men who do not want children in the future. Here are some reasons why couples are choosing vasectomy as a birth control option:

  • For avoiding pregnancy, vasectomy is almost 100 percent effective
  • There are lower risk, complications, and side effects of vasectomy
  • This method is an outpatient surgery
  • Vasectomy is cost-effective for males compared to the cost of tubal ligation or sterilization in females ( using birth control medications, in the long run, can be very costly for women)
  • With a vasectomy, you do not have to worry about using birth control such as a condom during sex

Types of Vasectomy

1.    Conventional Vasectomy

For a conventional vasectomy, doctors need to make cuts in the scrotum to reach the tubes. These tubes are the vas deferens, and each tube is attached to each testicle. The doctor will cut the tubes and leave some gaps in between. The urologist can even seal the tube, but mostly, they tie the end of the tube with a stitch. The stitch will dissolve with some time, and the ends will close. Sperms will not leave your body and reach the semen after the procedure.

2.    No-Scalpel Vasectomy

The doctor will feel both the vas deferens below your scrotum and use clamps to hold these in place. Then, they make tiny holes in the skin. The urologist will then stretch the hole and lift the vas outside. They will then cut the vas deferens and stitch both the ends. After completing the procedure, you will not need any stitches.

Effectiveness of Vasectomies

This method is almost 100 percent effective. However, in rare cases, the tubes reattach, causing the partner to get pregnant. You should know that right after the surgery, semen still contains some sperm cells. You need to make occasional visits to your doctor to make sure zero sperm cells are in the tube.

Male Vasectomies - Information | Top Urologists NYC
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Benefits of a Male Vasectomy

1.    Vasectomy is very Effective

As per the U.S Office of Population Affairs, only one out of 100 women become pregnant after their partner has gone through a vasectomy.

2.    Lower Risks

The risk involved in getting this procedure is significantly low than any other method, such as tubal ligation. Vasectomy is also less invasive, which means there are lower chances of infection and bleeding. When we compare this method to tubal ligation, vasectomies don’t impact any vital organs.

3.    Lower Cost

The average vasectomy costs thousands of dollars less than sterilization methods for women. Tubal ligation will cost you $4,500 to $8000. Compared to these methods, a vasectomy is less expensive.

4.    One Time Cost

You should also remember that this method is permanent, so you do not have to spend your money again and again. Unlike other methods for birth control, such as condoms or pills, vasectomies are a one-time expense. While condoms are inexpensive, considering that you have to purchase a condom every time you have sex means you will be paying a lot more in the long run.

5.    No Effect on Sexual Pleasure

You may experience some discomfort after the procedure for a few days. However, you will not experience any difference in orgasms. According to medical professionals, this method does not reduce your intensity or libido. Furthermore, it does not affect the sensitivity of your penis.

6.    Fast Procedure and Recovery

In most cases, this process only takes seven minutes, and patients can go back home immediately. Tubal ligation takes seven days, but it only takes 48 hours to recover from a vasectomy.

What are Male Vasectomies: Conclusion

Your urologist’s experience matters for a successful vasectomy. If you are looking for an expert and experienced urologist, you can visit our website for complete details.

For tele and in-person appointments, contact our office at 646-862-5500.

Can Urologists Perform Vasectomy Reversals?

Do Urologists perform vasectomy reversals? If men change their minds about a vasectomy after opting for the procedure, surgeons recommend vasectomy reversal. In this procedure, a surgeon reconnects all the tubes (vas deferens). These tubes are responsible for carrying sperm into the semen from testicles. Once a professional successfully performs the procedure, semen will start carrying sperms, and couples can opt to get pregnant.

Pregnancy rates will increase from 30 percent to 90 percent after you are done with vasectomy reversal. However, the pregnancy rate depends mainly on the procedure for the reversal. Moreover, there are other factors that affect the success of reversal and achieving pregnancy. These factors include the age of the partner, time since vasectomy, experience and training of a surgeon, and fertility issues before the vasectomy.

Do Urologists Perform Vasectomy Reversals?
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Normal Conditions Before Vasectomy

Testes are located at the base of the penis inside the scrotum. A coiled tube called epididymis helps sperm to leave the testes. Epididymis connects with the prostate through a long tube known as vas or vas deferens. Vas leads to the inguinal canal starting from the lower region of the scrotum. Then it reaches behind the bladder into the pelvis. At this point, it forms an ejaculatory duct by joining with the seminal vesicle. When you are ejaculating, seminal vesicles and seminal fluids mix with the sperm and form semen. The semen then comes out of your penis, following through the urethra.

Treatment Through Vasectomy Reversal

Reversals are mostly performed by a urologist on come and go basis. Surgeons may perform the reversals in the surgery center or the outpatient area of the hospital. If a urologist is using a surgical microscope, they will perform the surgery after giving you anesthesia. Before performing the surgery, an anesthesiologist and urologist will discuss with you about the choices.

Performing this surgery through microsurgery is the best method. A urologist can examine the small tubes by up to 40 times when using a high powered microscope performing the surgery.

Once you are asleep, the urologist will make tiny cuts on the sides of your scrotum. Then the urologist trims the vas deferens’ ends, which was closed during the process of vasectomy. The urologist will then take some vassal fluid near the testis from the vassal end. They will then test if it includes the sperms or not. After that, the urologist will take any of the two methods for reversal. Here are those two procedures:

1.    Vasovasostomy

If sperm is available in the vassal fluid, this means that the path is now clear between the area of the cut in the vas deferens and testis. Now the urologist can join the ends from the cuts. The term used for connecting the ends is called vasovasostomy. When a surgeon performs the procedure through microsurgery, almost 85 out of 100 male patients find it effective, and there are chances of pregnancy in almost 55 out of 100 couples.

2.    Vasoepididymostomy

If the surgeon cannot find the sperms in the fluid, there are chances that because of vasectomy, a blowout in the epididymal tube is formed. In this case, the urologist will go back to the vas and join them from the upper end to the tube. Vasoepididymostomy has the same purpose as vasovasostomy. However, vasoepididymostomy has more complexity than vasovasostomy, and the results are the same. In some cases, urologist my perform vasoepididymostomy on one side and vasovasostomy on the other.

Urologists & Vasectomy Reversals
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Choosing a Doctor for Vasectomy Reversal

There are various factors that you need to consider before choosing a fertility male health care or urologist. These factors include technology they are using, their support staff, and surgical abilities. As vasectomy reversal is a specialized procedure, the experience and training of a surgeon will have the biggest effect on complete outcomes. Surgeons with training for treating infertility in male patients are urologists. They have received proper training for male fertility and microsurgery.

Even though most vasectomy reversals need surgery only in the scrotum, sometimes the patient requires reconstruction inside the abdomen. This happens when the vas experiences a blockage due to any reason other than that of vasectomy. For instance, after you have gone through a hernia repair. When this case occurs, the urologist will avoid repairing the vas. Instead, they will perform the most complex procedure: robot-assisted intra-abdominal repair. Very few surgeons can perform this and have experience of both robot assistance and traditional microscopic techniques for repairing the vas successfully.

Conclusion

When you are choosing a doctor, you should not hesitate to ask questions about the experience of the urologist and how many reversals they have done, what techniques they are experienced in, and what is the effectiveness rate of pregnancy after they perform vasectomy reversal.

To speak with professional and experienced NYC urologists that perform vasectomy reversals, you can contact us at (646) 862-5500.

Visit our website for information about how we can help you with your condition.

Success Rates for Vasectomy Reversal

What are the success rates for vasectomy reversal? Tubal reversal and vasectomy reversal are one and the same. The procedure is gaining more popularity with each passing day. Several men choose to undergo vasectomy at a certain point in their life. However, many of them start regretting that decision.

In most cases, they regret it because they decide to have a child. So, they start looking for procedures that would undo their vasectomy. This is where vasectomy reversal comes into play. It is a famous procedure to reverse a vasectomy and restore a man’s sexual functions as they were before the surgery.

Success Rates for Vasectomy Reversal

You may be surprised to find out that about twenty percent of men think of getting a vasectomy reversal surgery because of their regret or dissatisfaction of getting a vasectomy. In the earlier days, when vasectomy was new, there was no such thing as vasectomy reversals. This meant that once you underwent a vasectomy, you could not do anything to undo the impact or effects of that surgery. But luckily, as time passed, healthcare industry saw considerable changes, so much so that people are now lucky enough to have a vasectomy or tubal reversal surgery at their disposal.

What Is a Vasectomy Reversal

In case you don’t know, the purpose of a vasectomy reversal is to undo or reverse a vasectomy. Vasectomy is a complicated urological procedure that several men undergo for contraceptive purposes. In this procedure, the surgeons block the vas deferens, stopping its semen supply to the testes. This, in turn, ensures that the person who went through the vasectomy is unable to reproduce.

There are countless cases where men have a change of plans. They decide that they do want to reproduce and give birth, which prompts them to look for ways that reverse their vasectomy. Luckily, there is tubal or vasectomy reversal surgery there to do the trick. Tons of experienced professional doctors are there who deal with vasectomy reversals and have all the knowledge to perform this complicated urological procedure.

Nonetheless, you should always choose experienced doctors. The vasectomy surgeon you choose should have multiple years of performing this surgery as it is a delicate and complex procedure that requires a high skill level.

Is Vasectomy Reversal Safe?

Quite a lot of men who want to have vasectomy reversals contemplate whether the reversal procedure is safe or not. Of course, this surgery deals with a delicate part of the body, and one small mistake by an inexperienced surgeon could make things far worse.

Success rates for repeat vasectomy reversals with obstructive interval <10 vs. ≥10 years:
Obstructive interval Repeat reversal
VV VV-EV EV Total Patency rates Natural pregnancy rates
<10 yrs 11 3 5 19 16/18 (89%) 7/12 (58%)
≥10 yrs 17 6 5 28 20/25 (80%) ( P=.6797) 7/18 (39%) ( P=.2641)
Total 40/47 (85%) 14/32 (44%)
Note: EV = vasoepididymostomy; VV = vasovasostomy.

Hollingsworth. Outcomes of repeat vasectomy reversals. Fertil Steril 2007.

*Source: https://www.fertstert.org/article/S0015-0282(06)04562-6/fulltext

If the surgeon has a lot of experience, there is no need to worry about vasectomy reversal surgeries. They are as safe as they get. Rarely will you come across botched vasectomy reversal cases. Plus, the procedure is minimally invasive, so no need t worry about getting elaborate tears or bruises on your body. Also, the surgeon performs vasectomy reversals under first-rate microscopes to ensure that everything is done with accuracy and precision. The equipment used for performing the surgery is some of the modern ones that you will find anywhere. However, the type of equipment that the doctors use depends upon where you get your surgery. If the place is well known for its top quality doctors, then rest assured, the equipment they use will be of high quality as well.

Success Rates of Tubal Reversal Surgeries

If you are thinking about going for a tubal reversal surgery but are afraid because it is too dangerous, think again. The success rates of vasectomy reversal are on the higher side. You will be hard-pressed to find cases where a vasectomy reversal went utterly wrong. As mentioned earlier, the most significant deciding factor on whether a surgery goes well or not are the people who perform them. If the surgeons are professional and experienced, then most likely, your surgery will go fine as well. The operation does not take too long.

In most cases, the procedure ends in three to four hours. In some rare cases, it could go for five hours. The doctors will allow you to go home on the same day as the surgery. You can even resume your job after 4 days of rest. You can continue it even earlier if your job is entirely sedentary.

The success rates of vas deferens reconnecting without any troubles are very high. More than 90% of the deferens connect without complains or complications. However, keep in mind that although your surgery might be successful due to the vas deferens’ reconnection, there is no guarantee whether you still will be able to reproduce. Your sexual health and activity could be excellent after surgery, but there is a probability that you might not be able to get pregnant. Cases like these, however, are far and few.

Also, remember that in most cases, tubal reversal or vasectomy reversal surgery does not impact pregnancy. Your partner’s fertility is also a huge determining factor that decides whether they can get pregnant or not. Therefore, you must have your partner take a fertility test before you go for tubal reversal surgery.

Tubal Reversal Surgery Time Limit

There is no particular time limit set for tubal reversal surgeries. However, you must undergo the process as early as possible. The reason for choosing a vasectomy reversal procedure early is because success rates are higher for younger patients. With age, our bodies undergo physiological changes that impact and affect whether you could get pregnant with your partner.

Dr Yaniv Larish at Fifth Avenue Urology is an expert at performing vasectomy reversals.

Contact us today to schedule an in person or online confidential consultation. 

Yaniv Larish, MD
4 East 76th Street
New York, NY 10021
(646) 862-5500

What Is a Microsurgeon?

What Is a Microsurgeon? A microsurgeon performs microsurgery procedures on the body through a microscopic technology. It allows microsurgeons to view and operate on nerves, small blood vessels, or tubes. Microsurgery can be performed on different parts of the body that have sensitive structures.

Moreover, a microsurgeon uses a high-powered magnification system for the procedure. Interestingly, it is useful for solving other complicated reconstructive problems of the body.

What Is a Microsurgeon?

Microsurgical vasectomy reversal, for instance, is one of the most sensitive and complicated processes that reconnects the pathway of sperm into ejaculation. It allows men to re-gain their fertility and ultimately makes it possible for couples to conceive a child naturally.

Why Perform Microsurgery?

This microsurgery reverses the underlying impact of a vasectomy, which disconnects the vas deferens. A vasectomy builds a block in the tube, and a vasectomy reversal surgery removes that blockage.

Historical Relevance

Microsurgical methods have been popular since the early 1960s. The significance of modern microsurgery can be traced back to old techniques. However, the advent of digital tech integration sealed the fate of the microsurgery.

The Right Course of Action after Your Treatment

Once your vasectomy reversal surgery is complete, you will be on a liquid diet for an entire day. A microsurgeon would offer rigorous support and recommend you to be cautious after surgery.

The surgery also needs you to remain warm hydrated after the surgery. Primarily, the part of your body where the surgery was done should have a higher position to get rid of the extra fluids. You can expect minor pain after the surgery. However, you can take prescribed medications to alleviate the pain.

After a vasectomy reversal procedure, the skin around your penis may feel warm or look red. Besides, don’t hesitate to report any color, tissue, or temperature change to your doctor immediately.

Skills: What Ergonomics a Microsurgeon Should Have?

A professional microsurgeon will have an attentive mindset, relaxed posture, stable equipment, and flexible hand movements. For example, to achieve exact controlled movements of the hand, a microsurgeon’s wrist and forearm must be supported. Furthermore, it should have a dorsiflexion angle at 20° to decrease muscle tremors.

Moreover, a microsurgeon understands the vitality of all movements. Every movement has its usefulness, deliberation, and purposefulness. Pen grip, for instance, is the best precision grip for microsurgical procedures. For example, your microsurgeon should have the skill to perform a complicated method like epididymovasostomy for men.

Different Procedures, Different Tools

The instruments utilized for microsurgery magnify the operating area. As a result, microsurgeon makes movements that are more precise. The magnification, for instance, facilitates microsurgeons to see micro-structures that are usually impossible to see.

Contemporarily, the essential microsurgery tools are microscopic mat, microscope, and microsurgical equipment. Similarly, different microscopes have different features and surgeons can use them as per patients’ needs. Though most of the microscopes are stand-alone, microsurgeons change the position of a microscope through ceiling-mounted microscopes.

An experienced microsurgeon also takes care of the operating room with low lighting to make the lighting of a microscope stand out. Simultaneously, the microsurgeons can see the visual display of the information through the video camera placed in the operating area.

Vasectomy Reversal: What Is a Microsurgeon? What Is a Microsurgeon?

For microsurgical repair, a relatively higher magnification is needed. Conversely, microsurgeons can use lower magnifying lenses in the form of eyeglasses. Remember, most of the microsurgical equipment is explicitly designed for microsurgery. Common microsurgical instruments involve forceps, needle holders, scissors, clamps, irrigators, vessel dilators, and vascular clamps.

The complicated nature of a vasectomy reversal procedure, for instance, may require different kinds of surgery, a multitude of considerations, and other elements that would usually be won’t be included in a traditional process. The procedural area, size, and microscope lenses can all play a different role during the surgery.

The Role of Robots for Microsurgery

Robotic technology in the hands of the microsurgeons has had a significant positive impact on patients. In fact, it’s a win-win for hospitals and clinics. Most importantly, the technological advancement of robotic control provides specific advantages for patients who experience grave nerve-related injuries.

The objective of the robotic microsurgery is to prevent large-scale incisions. Microsurgeons, on the other hand, sometimes use large incisions to conduct extensive surgeries within the body. However, robotic control is capable of making small accurate incisions within the body. Furthermore, robotic control allows different dimensions of moments, such as the 3-D vision of the body and providing impeccable optical magnification.

Why You Should Select a Microsurgeon for Your Vasectomy Reversal

Several urologists can provide their expertise to perform a vasectomy reversal procedure. Remember, a urologist without training usually has only a 30% chance of success with the surgery. Additionally, some urologists take fellowship-training and distinct courses to study experienced professionals for a couple of weeks.

You should thoroughly interview potential physicians for your vasectomy reversal procedure because most of the urologists don’t have any training background. Besides, the success of a vasectomy reversal is higher when a urologist performs it microsurgically. Therefore, select a microsurgeon who has a vast knowledge and experience with reputable track-record to increase your chances of success. It’s high time you realize your dream to have a child naturally.

Schedule an Appointment

It would be wise to discuss the vasectomy reversal process with your surgeon in detail. Apart from benefits, ask your surgeon about possible risks and complications. Help is just around the corner and a phone call away.

Contact Dr. Yaniv Larish for a consultation at (646) 862-5500 or read more about the vasectomy reversal process here.

What Doctors Can Perform a Vasectomy Reversal?

What doctors can perform a vasectomy reversal? The outcome of the vasectomy reversal procedure inherently depends on the experience of the surgeon who will have to handle a variety of surgical instruments. Contrary to misguided perception, a trained doctor can even repair a failed vasectomy reversal.

Your job is to find out the competency and technical skills of the doctor to ensure a higher success rate. Apart from training, you need to make sure that your selective surgeon performs the procedure frequently with a high success ratio. You can ask around and converse with his patients that have had the vasectomy reversal experience.

What Doctors Can Perform a Vasectomy Reversal?

The Effectiveness of the Vasectomy Reversal Procedure

The first vasectomy reversal attempt is always simple. Furthermore, it is affordable enough for men to seize the best opportunities in life. Today, vasectomy reversal surgery has become a realistic option for men to conceive a child.

Though it depends on numerous elements, reverse vasectomy surgery is one of the most cost-effective and ideal choices for conception. You can practically guarantee the outcome of your reverse vasectomy by choosing the best available doctor.

Vasectomy Reversal Procedure Requires Specialty

Different surgical processes are not routine, like others. Now, it is not because they are simple but common. Any general surgeon has experience with gallbladder and appendix removals. A cardiologist has likely done hundreds and thousands of cardiac catheterizations.

In addition, the majority of the urologists have performed vasectomies, but the same rules do not apply when it comes to the vasectomy reversal surgery. In addition, that is because a reverse vasectomy is rare as compared to a vasectomy.

You should understand the fact that not every urologist is qualified to perform a vasectomy reversal procedure. However, the market does not have many urologists with experience and expertise to handle the equipment. However, the less demand means more exclusivity and better service. Your quest to find the best doctor does not have to be tumultuous.

Why is the Vasectomy Reversal Procedure More Challenging?

In a vasectomy, the surgeon finds vas deferens through palpation. He ties the tubes to both ends and then closes the incision.

A vasectomy reversal procedure, on the other hand, requires a more efficient surgeon because the process can be complicated. Now, it does not mean that the procedure is complex for everyone, but some patients require more technically superior proficiency than others do.

Your surgeon should have a lab testing to monitor before, during, and after surgery success status of your semen. In simple terms, there are two different kinds of reverse vasectomy procedures: vasovasostomy and vasoepididymostomy.

Your doctor will have to select a suitable process and advise you to move toward the best option after a thorough examination of your vas deferens. What is even more interesting is that both surgeries are microsurgical methods. It means your surgeon should have sufficient understanding to operate a microscope and perform small sutures. Most surgeons, in fact, use sutures that are the same size as one strand of human hair.

Consequently, vasectomy reversal leaves little to no room for human error. It is no wonder that training and experience are of utmost importance. So long as you know the specifics and can answer the fundamental questions about your needs, you will be able to find the right surgeon for your vasectomy reversal procedure.

What Qualities You Should Look in a Doctor

Extensive Experience

You should value the experience of a surgeon as a priority. Experience, after all, makes up the expertise when it comes to the significant microsurgical technique. You can find out about the total number of times your surgeon has performed vasectomy reversals and microsurgical procedures. Simultaneously, make sure that the surgeon has performed vasovasostomy and as well as vasoepididymostomy surgeries.

As a result, you should be able to find your preferred surgeon’s success rate. Small things matter. Therefore, see if your surgeon is responsive and answers all your questions. He should be able to explain different aspects of the surgery to put your mind at ease.

Primarily, doctors can have two different vasectomy reversal success rates. The standard success ratio represents the percentile of men who achieve potency or return of sperm. The successful outcome of this procedure means that patients’ sperm ultimately turns semen again.

What Doctors Can Perform a Vasectomy Reversal? 02

You can, on the other hand, check the success rate based on the pregnancy ratio. In hindsight, it represents the percentile of patients who conceived successfully with their partners. Comparatively, the percentage will be relatively lower than the patency rate.

Training

You will require a urology expert or someone who intricately understands reproductive medicine to perform your vasectomy reversal surgery. Look for the doctor who is trained and board-certified in both vasectomy reversal processes. Lastly, look at their curriculum vitae, history, and website.

You should not hesitate to ask questions about the respective surgeon’s training, background, and experience. Furthermore, conduct additional research and ask third parties about the professional associations of the surgeon.

You will meet plenty of urologists who specialize in microsurgical techniques and perform vasectomy reversal procedures. However, make sure that your choice of surgeon understands modern standards of microsurgical instruments and methods to perform the surgery successfully.

Take the First Step and Schedule an Appointment

Your best course of action would be to start light research and finalize a surgeon. You can make a list of questions and then evaluate the qualifications of your preferable surgeon.

Vasectomy reversal surgery offers men the chance to become fertile again. Contact Dr. Yaniv Larish and talk about your male infertility treatment choices. Dr. Larish is a skilled vasectomy reversal surgeon with years of experience.

For more information and for a confidential consultation in person or online, call Dr. Yaniv Larish at (646) 862-5500. 

Getting a Vasectomy: What If I Change My Mind After?

You got a Vasectomy. What If you have a change of mind? Vasectomies are quite common these days. You will find many men opting for this procedure. Their reasons could vary. However, the most common one among all of them is the patient’s desire not to produce an offspring. A high number of these patients go through the surgery, but change their minds after several yours. Have you gone through a vasectomy and had a change of heart later on? Do not worry, as you are not alone. There are tons of people who find themselves on the same boat.

So what to do once you change your mind after getting the surgery? Well, there is only one solution- and that is getting a vasectomy reversal. There have been numerous speculations regarding this procedure, but to clear things up and make you feel at ease, vasectomy reversals are not dangerous. In fact, it would be fair to say that they are as simple as the vasectomy itself. That being said, let us delve a little deeper regarding the procedure in order to clear up your doubts.

Vasectomy Change of Mind 01
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Why Do Men Get A Vasectomy Anyway?

In today’s age, most men make their decisions based on circumstances and fate. Because of this, they make rushed decisions, even if they have long term implications. One of these decisions is opting to undergo a vasectomy. What is a vasectomy you ask? Well, it is a surgical procedure for avoiding births permanently. Experienced urologists perform this procedure quite often.

Vasectomy: When Men Change their Minds

As time goes by, men dace different experiences which influence their minds in more ways than one. These experiences have a strong influence on their hasty judgments regarding their decision to get a vasectomy, which is why they decide to get it reversed for good. According to several pieces of research, one out of every twenty individuals opts for a vasectomy reversal surgery.

Age is not a big issue when it comes to vasectomy reversals. You can undergo it whenever you want practically as well as theoretically. However, you do have to keep in mind that the success rate for vasectomy reversals is considerably lower in older men in comparison to younger individuals.

Benefits of Vasectomy Reversals

Once you undergo a tubal reversal surgery, you’ll significantly increase your chances of conceiving. It will also make sure that you do not have to make regular trips to the doctor for conceiving naturally. Once the procedure is complete and successful; you can reproduce whenever you want after the doctor’s recommended rest period. Let us go through some of the best benefits of vasectomy reversal procedures.

1.    It is Permanent

Once you undergo a successful vasectomy reversal surgery, you will not need any extra procedures for restoring your fertility. Your family planning goals will get back on track, and you will live a happy and fulfilling life.

2.    It is Affordable

In comparison to IVF treatments, vasectomy reversal surgeries are significantly cheaper. IVF treatments cause more than 10,000 Dollars and could vary according to your location. The cost could potentially go even higher if you do not have insurance coverage.

3.    Excellent Success Rate

The total time after your procedure is complete is a huge determining factor to decide whether your procedure was successful or not. If you choose to have a vasectomy reversal within ten years of your vasectomy, there is a 95 percent chance that your reversal will be successful. As mentioned earlier, the success rate decreases if you are older or take a longer time to change your mind.

Vasectomy What If Change of Mind?
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Recovery Time for Vasectomy Reversals

The vasectomy reversal method that your doctor chooses is a major determining factor for your recovery time. In comparison to tube tying processes, vasectomy reversals can take slightly more time. However, surgical procedures these days are performed with far more finesse and dexterity than before. Surgeons use microsurgical equipment and state of the art techniques to make sure there is no room for error in the surgery. Surgeons will also provide you pain killers to reduce any sort of discomfort and for alleviating the pain.

You might also have heard that your testicles stop producing sperm after a vasectomy. This is not true. Your sperm is unable to navigate a way through your body. So, the reversal procedure essentially brings back your fertility. You should also avoid sexual intercourse for three to four weeks. Take some time to rest and heal, after which, you are free to conceive.

Setting Expectations for Your Vasectomy Reversal

Before the surgeons operate on you, they will require some specifics. Let’s discuss them:

  • First off, they will require a case history of your physical examination. Surgeons need to make sure that you do not have any other health issues that could put your reversal procedure in jeopardy.
  • The surgeons also need to confirm that you are capable of producing healthy sperm. In most cases, men who already have children or even one child is enough proof. Despite that, there are some cases where doctors will ask you to get yourself tested for some other issues to eliminate all uncertainty to make sure you are able to produce healthy sperm after the surgery.

Get in touch with top nyc urologist Dr. Yaniv Larish for first-rate consultancy on all of your vasectomy reversal queries.

Yaniv Larish, MD
4 East 76th Street

New York, NY 10021
(646) 862-5500

Yaniv Larish, MD

4 East 76th Street
New York, NY 10021

(646) 862-5500


What is Vasectomy Reversal?

Vasectomy surgery entails cutting the vas deferens to prevent sperm from entering the ejaculate in order to produce long term sterility. (click to enlarge)

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Vasectomy reversal micro-surgery entails reconnecting the two ends of the vas deferens utilizing a surgical microscope, micro-instruments and micro-sutures in order to allow the sperm to enter the ejaculate and regain fertility after vasectomy surgery.

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Vasectomy reversal surgeon nyc right column 03

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