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

Blog Posts Are Below:

Vasectomy Reversal Procedure

During a vasectomy surgery, the surgeons block a tube, namely vas deferens. They do this to stop the sperm from flowing into the patient’s semen. Because of this, patients are able to avoid pregnancy, which is the main reason why patients opt for this surgery.

Do you happen to be someone who underwent a vasectomy? Do you think it wasn’t the best decision, and are you wondering whether you could reverse the procedure or not? Well, the answer to that is yes.

Vasectomy Reversal Procedure

You can indeed reverse your vasectomy with a standard process known as vasectomy reversal surgery. Quite a lot of people who do know about vasectomy reversal surgery are afraid of opting for it because they are unsure what happens during the procedure. They are also scared that it would damage their body instead of reversing their vasectomy. If you happen to be one of the people wondering about these questions, keep reading to know about the vasectomy reversal procedure in detail.

How Do Doctors Reverse Vasectomy?

There are a couple of methods involved that doctors use for reversing vasectomies, let us discuss them in some detail.


This is a standard vasectomy reversal method that quite a lot of doctors use. In this method, the doctors connect the spermatic cord by attaching it with the vas deferens. The spermatic cord is present behind the testicles.

This procedure is quite rare and complex in comparison to other methods, which are slightly more straightforward. Your surgeon will only choose this procedure if they believe that the other ways will not work for your particular case. Surgeons perform a thorough analysis of the vas deference fluid. They check to see sperm presence in it. Once the investigation is complete, they decide, which type of vasectomy would be suitable for their patients. There are even some unique cases where doctors choose to combine different vasectomy surgery types for a patient. However, these kinds of occurrences are quite rare.

In the combination surgeries, the surgeons perform vasoepididymostomy on one side and casovasostomy on the other one. Remember this, the longer you take to decide on your vasectomy reversal, the higher the chances will become to undergo vasoepididymostomy on both or either sides.


More often than not, doctors choose vasovasostomy to reverse their patient’s vasectomy. In this procedure, surgeons connect the vas deference from the testes by sewing them to the penis. Through this method, the sperms present inside the vas deferens are able to reach the penis easily by flowing out. It is significantly more straightforward in comparison to the other methods as all it requires is sewing.

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Side Effects of Vasectomy Reversal

In most cases, vasectomy reversal does not have dangerous side effects. Sure there is a little bit of pain, but it goes away with some rest and precautionary measures. However, there are a handful of unlucky people who could face a few side effects due to this surgery. The side effects include painful scrotum swelling and bleeding. In a few cases, people also had infection as a side effect of their vasectomy reversal.

Keep in mind that chances of getting infected after a vasectomy reversal surgery are very slim. You can reduce the possibilities even further by choosing a highly experienced and trained surgeon for your reversal. In case you have an infection after the reversal, the doctor will give you some prescribed antibiotics. Persistent and severe pains mostly do not occur after vasectomy reversal surgeries. However, if by any chance, you face unbearable pain after the surgery is over, get in touch with your doctor as quickly as you can.

How to Know If the Reversal Was Successful

First of all, avoid sexual acts altogether for some time after a vasectomy reversal surgery. Ideally, waiting for three to four weeks is the perfect time for optimal recovery. However, the recovery time varies from patient to patient and the severity of the surgery. You can easily find out whether your vasectomy reversal surgery was successful or not by checking your sperm. If it appears in the semen after a month or two, your surgery was successful.

You will have to go to your doctor for a few months after the surgery to get your semen checked by them. In case the doctors used Vasoepididymostomy for reversing your vasectomy, your sperm flow might take considerably longer to return. Six to twelve months is the standard time frame in which sperm flow returns after Vasoepididymostomy.

Also, keep in mind that vasectomy reversal procedures do not have a hundred percent pregnancy rate. Sure, you might be able to resume our sexual activity, but remember that there is a small chance that your significant other does not get pregnant after the vasectomy reversal. You can easily reverse your vasectomy several years after undergoing the procedure. However, as mentioned earlier, the longer you wait to get the reversal, the lower the chances of a successful surgery.


You can restore the flow of your sperm through vasectomy reversal procedures. It provides you another opportunity for a successful pregnancy. Remember to choose a qualified and experienced surgeon for your procedure.

Contact us to learn more today:

Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021

(646) 862-5500

Vasectomy Reversal Recovery

What is the process of vasectomy reversal recovery? Generally, the recovery time for the patients who undergo vasectomy reversal is quick. In fact, patients can go back to their routine just a few weeks after the surgery. If you had a vasectomy procedure, your dream to restore fertility and grow a family is closer than you think.

The Procedure

The majority of the men undergo microsurgical vasovasostomy procedure for vasectomy reversal. Mainly, Dr. Yaniv Larish rejoins the vas deferens. Remember, this process is only possible when men have enough sperm in the testicular area of the vas deferens.

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If Dr. Yaniv Larish finds that you do not have the required fluid and sperm, it might point to the fact that your reproductive system has built a blockage close to the testicular area. In addition, this is where you might get a recommendation for an epididymovasostomy. The surgery combines the abdominal area of the vas deferens with the epididymis. It is the area where your sperm cells ultimately mature.

Precautions before the Vasectomy Reversal Procedure

1)  Diet

Before the night of the procedure, you should eat light. No matter what you do, take the directions and expert advice of your doctor seriously. For example, you might get anesthesia on the morning of your procedure. However, if no specific information is available to you, refrain from consuming food or drink after midnight altogether.

2)  Medication

Before 10-15 days of the surgery, do not take any medication that might have ibuprofen, such as Advil or Aleve. In addition, that is because the side effects of these medications can decrease platelet count.

3)  Apply a Sandbag

After the vasectomy reversal procedure, you can use a cold sandbag with mixed veggies. Several patients, in fact, apply the sandbag after the procedure.

Vasectomy Reversal Recovery Guidelines

After 48 hours of the vasectomy reversal surgery, get rid of the dressings. Once the procedure is complete, create a one-week timeline for full testicular support. So long as you remove the dressings, you can shower once a week. For the sake of fertility, make sure you do not use hot water to take baths.

Simultaneously, make sure to apply ice to the scrotum regularly for 24 hours after the vasectomy reversal procedure. You can, however, stop using the ice after 24 hours. As soon as you return your home, go back to your healthy and well-balanced diet. In addition, do not forget to drink plenty of fluids.

It is imperative to remember that dissolvable sutures close the scrotal incisions. It means you do not have to worry about removing them. That said, it might take more than 3 or 4 weeks for the sutures to dissolve. At the same time, you may experience swollen skin in the area.

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Yes, you can resume your physical activities 48 hours after your surgery. In addition, you can go back to work within three to four days. However, you should avoid extraneous heavy physical activities. You can, on the other hand, resume lifting heavy weights and running after two or three weeks of your vasectomy reversal surgery.

Concurrently, patients should also avoid sexual intercourse for at least three or four weeks. However, the extent of the gap depends on the nature of your vasectomy reversal surgery. You can contact Dr. Yaniv Larish to find out guidelines that are more restrictive during and after your surgery.

What You Should Know in Advance

It is completely normal to experience discomfort after the surgery. Some of the common symptoms involve bruising of the penis or change in the base color of the penis. The black or blue color semblance will go away after one week. Similarly, you might also experience some scrotal swelling. Your job is to keep the incision area as clean and dry as possible.

Conversely, if you received a small amount of anesthesia, you might experience nausea, sore throat, constipation, and mild body ache. You will be able to get rid of these issues in 48 hours. In addition, some patients develop a wound infection that requires the usage of antibiotics. Consequently, you will experience redness in the incision area and fever.

What about Recovery Time Period

v  One Week after the Procedure

Apart from refraining from sexual intercourse, avoid heavy exercises that might put pressure on your testicular area, and result in discomfort.

v  One Week after the Procedure

Although you can go to work seven after the procedure, you should wait before you undertaking any strenuous activity.

v  Two Weeks after the Procedure

There is a good chance you might be able to resume weight lifting, jogging, and sexual activity after two weeks of the surgery as per your doctor’s approval.

v  Eight Weeks after the Procedure

A semen analysis is required to ensure the success of your vasectomy reversal surgery.

v  Six Months after the Procedure

To monitor your recovery, you will need to go through a monthly examination. Sometimes, even the scar tissue on patients’ vas can result in a lower sperm. And when that occurs, you will get anti-inflammatory prescription medication.

Wrap Up

When happiness comes knocking at your door, men often want to reverse their vasectomy. In simple terms, it involves the vas deferens where sperm reaches from the testicles to the urethra. The procedure seals and disjoints that flow. Luckily, science has advanced to the point where you can live as per your newfound lifestyle. You can undergo a vasectomy reversal surgery to bring back your fertility and make the most out of life’s new experiences.

Vasectomy reversal is a straightforward and safe procedure. The good news is that patients typically need a short time for a full recovery. We invite you to consult an appointment with Dr. Yaniv Larish and communicate your questions regarding vasectomy reversal recovery. You can call at (646) 862-5500 or choose to visit the website:  https://vasectomyreversal-nyc.com/. You can even contact other prominent doctors to find out more benefits from a vasectomy reversal procedure.

Vasectomy & Vasectomy Reversal Procedures

Do you need a Vasectomy or Vasectomy Reversal Procedure? Vasectomy is a small surgery procedure to prevent the sperm from reaching the semen. The semen will  still exist but carries no sperm content. On the other hand, a vasectomy reversal surgery is a process that reverses the vasectomy.

Vasectomy and Vasectomy Reversal Procedures

Keep reading to learn more about Vasectomy and Vasectomy Reversal Procedures:

Vasectomy Procedure

Men undergo vasectomy surgeries in hospitals or at surgery centers. You can discuss with  your urologist whether you need complete sedation for the  surgical procedure.

You will have to sign a form that gives permission to your urologist permission to carry out the procedure.

In the surgical room, your urologist will first shave and then wash your scrotal region thoroughly with an antiseptic solution. The doctor numbs the area by injecting it with local anesthesia. However, you will be aware of the feelings of movement, tension, and touch. This anesthetic will serve to block any acute pain that you might experience otherwise. If, by any chance you do experience pain during the surgical procedure, you can inform your urologist so that he/she can inject you with more anesthesia.

There are two vasectomy procedure types:

No-Scalpel Vasectomy

In the no-scalpel vasectomy procedure , your urologist feels for the vas under your scrotum skin and uses a  small clamp to hold it in place.  He/she then makes a small hole in the skin and stretches the hole open for lifting the vas deferens in a gentle manner. Your surgeon then ties and puts it back in its original place.

Conventional Vasectomy

In this vasectomy procedure, the urologist makes one or two tiny cuts in your scrotum skin. The purpose of this is to be able to reach the vas deferens. The vas is then cut and a minuscule piece can be taken out which leaves a short gap between the vas deferens ends. After this, your urologist may sear the vas ends and then tie up the ends that have been cut with a suture. The doctor then performs the same steps on the other vas. Dissolvable stitches are useful for closing off the scrotal cuts. Alternately, the cuts can seal off on their own.

Vasectomy Reversal

To put in simple terms, vasectomy reversal surgery undoes the effects of a vasectomy. This procedure reconnects the passage for the sperm to get inside the semen. Read on to know about the Vasectomy Reversal procedures.

Vasectomy Reversal Procedures

It is a urologist who usually performs vasectomy reversal surgeries at a surgery center. If using a surgical microscope, the surgery is completed while you (the patient) are sound asleep under the influence anesthesia.

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Microsurgery is the ideal way to perform this vasectomy reversal surgery. A powerful microscope enlarges the small tubes around five to forty times their original size. Your urologist can then join the vas deferens ends by using exceedingly thin stitches.

The urologist will make a minuscule cut on either side of your scrotum after you have fallen asleep. He/she will then clip the vas scarred ends where they were earlier sealed off by the vasectomy. The surgeon will extract the fluid from the vasal end that is closest to the testis. The  doctor will  next check whether the fluid has any sperm in it.

At this stage, you can go with either of the two following reversal procedure types:


If no sperm is found in the vasal fluid, this indicates that the back pressure created by the vasectomy lead to a block in the epididymal tube. The urologist has to circumvent this block and join the upper vas end to the epididymis. This is referred to as “vasoepididymostomy”.

Although Vasoepididymostomy fulfils the same purpose as the vasovasostomy procedure( more on this later) , the former is  more complex than the latter. However the results achieved at the end are equally good for both the reversal procedure types


This is the second type of reversal procedure. If it turns out that there is in fact sperm in the vasal fluid, that shows that the passage is clear between the place where the vas was cut and your testis. What this means is that the urologist can then join the ends of the vas. The term “Vasovasostomy” is used to reconnect the vas ends.

For men, the vasovasostomy success rate is about 85 percent when microsurgery is used .The likelihood of pregnancy occurring stands at 55 percent. ( In other words, 55 out of 100 women get pregnant).

Should you go for a Vasoepididymostomy or a Vasovasostomy ?

Unfortunately, you cannot know which procedure works best for you prior to the reversal vasectomy surgery. The urologist is only able to find this out during the surgery procedure itself. A vasovasostomy is performed  if there is presence of sperm inside the vasal fluid. On the other hand, if there is no  sperm in the vasal fluid, your urologist will decide what next to do bearing in mind other factors. If there is an occurrence of a  block in the epididymal tube, the  vasoepididymostomy procedure will be required.

If there is no block, then the look of the vasal fluid might assist the  urologist in deciding  which surgical procedure is best. Usually, if the fluid has a watery look, your urologist  will perform a vasovasostomy even if there is no presence  in the vasal  fluid. Creamy looking fluid in the absence of sperm suggests that vasoepididymostomy is required.

Bottom Line

If you want to reverse your vasectomy, be sure to reach out to us at Vasectomy Reversal NYC.  Feel free to call us at (646) 862-5500 for a consultation with Dr Yaniv Larish, who specializes in vasectomy reversal surgeries.

Change of Heart? Vasectomy Reversals

Quite a lot of men decide to undergo a vasectomy surgery at some point in their lives. Most of them choose it because they do not wish to bear a child. However, later on in their lives, they have a change of heart. Because of this change, they wonder if there a procedure could undo the effects of their vasectomy surgery. If you find yourself in a similar predicament, consider yourself lucky because there are vasectomy reversal procedures that can undo the impact of a vasectomy.

People who do know about vasectomy reversal surgeries are unsure whether they are safe or not. They are afraid that it could potentially be risky and cause them further damage. Let us clear the notion up, once and for all. First of all, vasectomy reversal surgeries are as safe as the regular vasectomies. The process is fairly simple and does not take too long, especially when the surgeon is experienced.

vasectomy reversals doctor info change

Vasectomy Reversal Procedure

Depending on the type of vasectomy, doctors have a couple of methods for reversing them. The most common method to do it is known as Vasoepididymostomy. It is a regular method for reversing a vasectomy that most doctors use. Doctors join the vas deferens with the spermatic cord in this method. This cord is located behind the testicles. It is a unique procedure in comparison to other methods as they are straightforward. Surgeons only choose Vasoepididymostomy if they believe that other methods would not work in your case.

Before performing the surgery, doctors thoroughly analyze the fluid present inside your vas deferens. They check it to determine sperm presence. As soon as the investigation is over, they choose the type of procedure that would suit their patients the most. In some rare cases, surgeons choose to combine different procedures to get optimum results out of a vasectomy reversal surgery. However, such occurrences are far and few. Whenever, surgeon opts for a combination surgery, they perform vasovaspstomy on one side, and vasoepidymostomy on the other side. Make sure that you change your heart earlier rather than later, because the later you undergo a vasectomy reversal, the lesser the chances are for it to be successful.

Common Vasectomy Reversal Method

In most cases, doctors prefer vasovasostomy for reversing a vasectomy. It is a remarkably simpler procedure in comparison to the one mentioned above. The surgeons attach the vas deference to the penis from the testes. In this method, the fluid inside the vas deferens flows to the penis easily. Since this method mostly requires sewing, it is a preferred choice for surgeons because of its success rates and straightforwardness.

Do Vasectomy Reversals Have Side Effects?

A lot of people are also concerned with vasectomy reversals because they believe that it has side effects. However, there are very few cases where people who underwent this surgery faced any kind of side effect. If you follow all of the precautionary measures that the surgeons tell you to, you will be back to normal in no time. Of course, you might feel a little pain for the first few days, but it is not intolerable.

vasectomy reversals microsurgeon

In the few cases where people do fall victim to side effects, they face scrotum bleeding and swelling, especially on the operated areas. Infection is another rare side effect of vasectomy reversal procedures. Once again, remember that side effect infections after vasectomy reversals are extremely rare. You could trim down the chances even further by going for a highly trained and experience doctor to perform your surgery. If you happen to have an infection after the procedure, the doctor will provide you with a few prescribed antibiotics. You do not need to worry about severe and persistent pains after your reversal procedure. However, in case, you do face unmanageable pain once the surgery is complete, contact your doctor immediately.

Successful Vasectomy Reversal Surgeries

It would be wise to avoid participation in sexual acts soon after your vasectomy reversal surgery. Although the waiting time varies from person to person, it would be wise to wait for a week or two for proper recovery. The surgery’s severity also plays a role in the recovery time. If you want to find out whether your procedure was successful or not, check your sperm. If the sperm is present in your semen after one or two months, congratulations, and your surgery was a success.

Despite the successful surgery, you will still need to go for follow up visit to your doctor for a couple of months. If the surgeon chose Vasoepidimostomy or your reversal, you might have to wait for a slightly longer period for your sperm to return. Usually, it takes 6 to 12 months.

It would also be wise to remember that pregnancy rates after vasectomy reversal procedures are not a hundred percent. Yes, you can absolutely return to your regular sexual activities, but there is a possibility that your partner might not become pregnant despite your vasectomy reversal procedure. Nowadays, vasectomy reversals are not that big of a deal. You can even choose it several years after going through a vasectomy.

Bottom Line

You will find no problem in restoring your sperm’s flow after a reversal procedure. It will give you another chance for a victorious pregnancy. Make sure that you choose an experienced surgeon who works in a renowned healthcare institute. You will find more than competent nurses at Vasectomy Reversal NYC for first rate vasectomy related services. Contact us through our website and take advantage of our consultancy.


Male Tubal Reversal: Is It Worth it?

Is male tubal reversal, also known as vasectomy reversal surgery worth it? Men, who have had a vasectomy surgery, might want to reverse it for several reasons. For instance, your innate desire to have more children is one of the primal reasons behind it. However, when you have a change of heart, you do not need any more reasons to find a solution to your problem. In some cases, men have a vasectomy reversal to treat their testicular pain that they thought was a result of a vasectomy.

Technically, Vasectomy reversal is a surgical process where your vas deferens is reconnected. In simple terms, vasectomy reversal restores the presence of your sperm during ejaculation. Mostly, the surgery is performed within three (3) hours, and you will have to take 3-4 days rest from the work.

Statistically, 6-10% of vasectomy patients eventually change their decision and go through a reversal. Though your life circumstances and perceptions may change over time, male tubal reversal is inherently beneficial. Here are some of the considerations that you should take into account:

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Learn about the Tubal Reversal Process

Male tubal reversal requires you to go to an outpatient facility or hospital without staying an entire night once the surgery is complete. The surgery is painless because of the general anesthesia and won’t wake you up in the middle of the operation.

Your surgeon puts a small laparoscope via the belly button and into your pelvic region. It allows the surgeon to check your fallopian tubes to assess the probability of reversal surgery. Once he decides everything checks out, your surgeon makes a small incision called bikini cut close to your pubic hair.

The microscopic equipment attached to the laparoscope allows the surgeon to cut out any rings that could block your tubes, and rejoin the ends of the tubes with small stitches. Typically, the surgery can last from 2 to 3 hours.

How Long Does It Take to Recover After a Tube Reversal

The surgical method your doctor decides ultimately becomes the main factor for recovery time. Male tubal reversal can, in fact, take longer than the other tube-tying processes. However, in this day and age, male tubal reversal is performed with the help of microsurgical techniques. Your surgeon will prescribe painkillers to alleviate pain and reduce any discomfort.

Contrary to misguided perception, your testicles never stopped producing sperm; it only can’t find a way out of your body. Male tubal reversal practically restores your fertility. Also, you must avoid sex for at least three weeks. Give yourself enough time to heal, and then you can begin to conceive.

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Added Benefits

Male tubal reversal allows an opportunity to conceive. Once you go through a successful vasectomy reversal surgery, you don’t have to make extraneous doctor’s appointments or seek treatment to conceive naturally.

Permanent State

Once men go through a successful tubal reversal procedure, you won’t need other added procedures to restore fertility. Instead, you will be able to get your family planning objectives back on track.

It’s Affordable

Comparatively, tubal reversal is affordable than IVF. IVF treatment, for instance, costs roughly $12,000 and may vary depending on your geographical location.

Furthermore, without insurance coverage and modern fertility clinic, the cost can go even higher. That said, a vasectomy reversal surgery for male fertility costs around $7,000.

High Success Rate

The success rate of your vasectomy reversal depends on the total time since your vasectomy. Usually, success rates can go over 95% so long as the vasectomy was performed within ten (10) years. The success rate begins to decrease when a man has had his vasectomy more than ten years ago.

Preparation Matters

If you have decided to undergo a tubal reversal surgery, get examined by your surgeon first for any fertility problems. It would be advisable to look for a professional surgeon such as Dr. Larish, who performs vasectomy reversal microsurgery through modern quality surgical equipment.

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And that’s because vasectomy reversal surgeons have a higher success ratio. They have required experience, training, and utilize microsurgical techniques such as a surgical microscope. It is better to look for a surgeon who performs the surgery frequently and has done it plenty of times before.

For instance, your surgery might need a more complicated method, such as vasoepididymostomy. Therefore, make sure that your surgeon is capable of undergoing this process. When you select a surgeon, don’t hesitate to ask as many questions as you’d like about your vasectomy reversal.

So long as you are knowledgeable and understand your case history, the tubal reversal for men is worth it. Now, don’t forget to ask your doctor about any attached risks. Also, find out about possible complications of the surgery beforehand.

Set Realistic Expectations

Before the vasectomy reversal procedure, your surgeon will need specifics that may involve:

Provide Your Case History for Physical Examination

Your surgeon will need to ensure that you don’t have health issues that might complicate your procedure.

The Assessment of Your Sperm

Your surgeon will need to make sure that you can produce healthy sperm. Mostly, men who have had a child before is sufficient enough proof. However, you might be recommended to undergo more tests if your surgeon is uncertain whether or not you can produce healthy sperm.

Contact Dr. Yaniv Larish for professional consultancy and communicate all your vasectomy reversal concerns. You can call at (646) 862-5500 or check our website:  https://vasectomyreversal-nyc.com/. You can also reach out to our other experienced urologists.

Undo Vasectomy – What Are My Options?

What are the options to undo a vasectomy? In the beginning, vasectomy may seem permanent, but undoing vasectomies is a proven and popular procedure among men. In fact, more than 15% of men ultimately change their mind about having a child and want vasectomy reversal.

Vasectomy reversal is a surgical process in which vas deferens are reconnected. The success rate of vasectomy reversal mainly depends on the time after your vasectomy. In the U.S., the average cost of vasectomy reversal procedures is between $6,000 and $14,000.

Undo Vasectomy - What Are My Options?

Undo Vasectomy – What Are My Options?

You can restore your fertility after a vasectomy in two ways (i.e., Vasovasostomy and Vasoepididymostomy). One is quite a standard vasectomy reversal procedure, while the other requires a complicated process. Conversely, the fertilization of an egg and injecting it is another process known as sperm aspiration along with ICSI and IVF.

  • Vasovasostomy

A vasovasostomy surgical process refers to reversed procedure the reverses the effects of vasectomy. In simple terms, the ducts or vasa deferentia are discarded or tied from the testicles. Consequently, a vasovasostomy makes an opening between the disjoined ends of every vas deferens. Ultimately, it might mix into the semen before or during ejaculation.

Remember, the objective of vasovasostomy is to bring back a man’s fertility while vasectomy refers to contraception or sterilization (i.e., birth control). In most individuals, a vasectomy it is possible to reverse a vasectomy. However, vasectomy reversal, on the other hand, doesn’t guarantee a successful pregnancy for a couple. The more time a man has had a vasectomy, the harder the reversal and the fewer chances of success.

That said, if your surgeon performs a vasovasostomy within three years of your vasectomy, the success rate of sperm return is 97%. The number would, unfortunately, would reduce to 88% after three to eight years of your vasectomy.

What’s even more interesting is that other elements such as partners’ age, fertility potential, reversal technique, and the surgeon’s experience also come into play when it comes to the success rate of your vasectomy reversal.

  • Vasoepididymostomy

Vasoepididymostomy is a bypass surgery where the internal and external layers of the vas deferens are reconnected to the epididymis.

Both vasovasostomy and vasoepididymostomy procedures are performed on an outpatient basis with general anesthesia. With vasovasostomy, you will need to provide semen samples for analysis after one month of the surgery.

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Subsequently, your semen samples will be required within three months of the gap. The underlying purpose of the continuous monitoring and tracking is to ensure that the scar tissue from the procedure doesn’t create a blockage for epididymis. Your vasovasostomy surgery is deemed unsuccessful if the sperm doesn’t show visible presence during ejaculation within six months

Which One is Better?

The lumen area within the vas deferens is approximately one-third of a millimeter in diameter. And lumen area of the epididymis is usually one-half or even one-third of the size. Therefore, vasovasostomy is the more practical and preferred option among surgeons.

Watch Out for Complications

There’s a high probability that males build antibodies against sperm. Consequently, your body’s immune system threatens and eventually attacks the sperm cells. And when sperms inevitably vanish, it creates infertility.

Since vasovasostomy and vasoepididymostomy are surgical procedures, it makes sense to prepare for possible infections. The good news is that doctors can prescribe you antibiotics that can reduce the severity of the infection instantaneously.

In rare cases, the surgery fails because of the patients’ bodies can’t merely produce quality sperm or even improve the probability of fertilizing an egg. That said, there is low risk associated after a vasovasostomy surgery.

Besides, you may experience mild scrotal bruising after the surgery. Ideally, it shouldn’t lead to infection, but doctors prepare for the worst. Therefore, you will probably have to intake an antibiotics’ dose before the procedure.

The complications of a vasoepididymostomy are solely associated with the length of the surgery. Just like any other surgical procedure, the level of repair of your previous scar tissue might develop venous blood clots. However, the overall risk of blood clots is comparatively small than vasovasostomy. Infection, on the other hand, is also quite rare.

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Results: Patience is the Key

If your vasectomy is, say, three years old, your probability of impregnating your female partner is higher after vasovasostomy. The pregnancy rate practically skyrockets to 76% because men’s sperm return rate amounts to 97%.

What about the “Other” Option?

Failure of pregnancy after tubal reversal procedure often leads patients to the IVF option. In Vitro Fertilization is a procedure where a man’s sperm and partner’s egg are fertilized externally from the womb in a dedicated lab. Typically, the fertilized egg is referred as the embryo. After a specific time, the embryo is placed inside your partner’s womb.

Sperm extraction, on the other hand, is another option to get sperm. Though natural conception is preferable, some patients, however, also choose assisted reproductive techniques (ART).

Conclusion: Grab Your Second Chance in Life

Choosing the right option with your doctor will make all the difference. With careful consideration and planning, it wouldn’t come across as a problem. Your decision, however, will inherently depend on several elements like current weight, or previous abdominal surgeries.

Over the years, Dr. Yaniv Larish has successfully helped a multitude of men to reverse their vasectomies. It’s never too early or late to make an appointment and communicate your concerns about the vasectomy reversal procedure. You can call us right now at (646) 862-5500 or email us.

Find out more about our other professional and experienced urologists at Fifth Avenue Urology to talk about your health issues.

Ejaculating after Vasectomy Reversal

How does ejaculating after vasectomy reversal work? Your naïve decision to undergo vasectomy may have backfired, but it is never too late to back in the game. Maybe you did not plan to have more kids, but now you do. Whether you had a bleak perception or different goals in life, ejaculating after vasectomy reversal is a possibility. Luckily, you do not have to spend an extraneous amount of money on this.

Sure, the quality and amount of your semen do not alter a vasectomy. However, vasectomy surgery involves a multitude of risks and complications. It would be wise to consult with your doctor. You remember the pain, swelling, and uneasiness after your vasectomy reversal procedure. Now it is time to revert your lost sensation of ejaculation.

Ejaculating after Vasectomy Reversal

Dive in to find out more about measures you should take to ejaculate after vasectomy reversal:

Understand the Nature of Ejaculatory Fluid

It is imperative to understand that the procedure does not involve cutting and producing the ejaculatory fluid (semen) in the prostate and central seminal vesicles. The ratio at which fluid that comes out of the testicle alongside sperm is less than 1% of total ejaculation. Remember, your sperm adds up to 2-5% of your ejaculate.

That said, you should assume your ejaculations are different from others. In addition, that is because people have varied diet and drinking habits. Usually, after a vasectomy, your ejaculations should not be painful. Conversely, an ejaculation includes many strong muscle contractions.

The Relationship between Vasectomy and Erectile Function

This vasectomy process does not affect your capability to erect and ejaculate. Now, your erection and ejaculation can include stimulating nerves, higher blood flow to the penis, muscle contractions in the genital area, and psychological stimulation. Technically, the vans deferens affects the sperm, which your body is capable of reproducing. Consequently, your body absorbs sperms, as it is similar to other kinds of cells.

A vasectomy, for instance, leaves no effect whatsoever on your penis shape, hormones, erectile function, and other bodily processes. In simple terms, if you did not have an issue getting an erection prior to your vasectomy, you should not have any problem after the reversal. However, you should visit your doctor after three months to examine the condition of the semen.

Ejaculation Ratio after Reversal

It is true – most of the men (77%) experience motile ejaculated sperm within reversal’s three months. Over time, this ratio will go as high as 90% within the first year. As a result, the likelihood of conceptions becomes real as soon as you go through the reversal process.

Ejaculation Period after Reversal

The period of your ejaculation after vasectomy reversal depends on the different kinds of vasectomy reversal procedures. However, you can anticipate natural conceptions. Here are various periods for different vasectomy reversal procedures:

From two to 12 months – Bilateral vasovasostomy

From four to 12 months – Vasovastomy or epididymovasostomy

From five to 15 months – Bilateral epididymovasostomy

Ejaculating after Vasectomy Reversal: Your Options

When men go through a vasectomy surgery, sperm becomes non-existent from the ejaculation. Thus, you can go for the IVF/ICSI process where you will need sperm. You can, of course, recover your sperm from the epididymis or testicle via a small surgical process.

The surgery to get sperm is relatively less complex than the actual reversal procedure. Typically, it involves anesthesia and needle insertion into the testicle to get sperm. Experts refer to a vasectomy reversal as IVF-ICSI. The reversal process does, in fact, involve conceptions that you can go through at the comfort of your house.

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What about the Conception Curves

When it comes to your ejaculation, you should be aware of the conception curves’ outlook after vasectomy reversal. Conception after vasectomy reversal can happen instantaneously. After transfer of the embryos, you can expect the answer within two weeks.

That said, your embryos have to be frozen or fresh for a particular time. Therefore, the conception curve can have different periods without interruption. Once you go through a vasectomy reversal procedure, the conception curve becomes smoother and even.

As much as men might hate this, wait for the three weeks before you start to ejaculate again. As you go beyond the initial time limit and ejaculate, the probability of conception also increases every month because of the better semen analysis.

Ejaculation and Low Sperm Count

The stated normal sperm count and motility are barely ever required for women to conceive after vasectomy reversal. The majority of the women require minimum low sperm count to get pregnant. So, take a sigh of relief in knowing that you can conceive quite early without spending months of trying.

Pregnancy Rate

Comparatively, the pregnancy rate increases after the vasectomy reversal process. However, the period can change from one to 2 months. Your decision should be to finalize a method that helps you move forward in the right direction. It is a direction that would bring back fun and happiness in your life.

Wrap Up: Moving On After Vasectomy Reversal

If you are practically thinking about a vasectomy reversal but not certain about it, do not be shy to communicate with other men went through the procedure.

It is time to take matters in your hands. Call us for a consultation at (646) 862-5500 or email us. In addition, feel free to review the portfolio and expertise of other doctors at our Fifth Avenue Urology practice.

Age Risks with Vasectomy Reversal

What are the age risks with a vasectomy reversal? In this day and age, several men often leap on to a “rushed” judgment and get a vasectomy, which is a method to avoid unwarranted births permanently. In fact, it’s one of the most common procedures that urologists perform.

With time, different experiences shape men in unexpected ways. And those unexpected set of experiences influence your pre-conceived “judgment” to reverse your vasectomy for good. Contrary to misguided perception, 1 out of each 20 men with vasectomy ultimately wants a reversal surgery.

Age Risks With Vasectomy Reversal

Theoretically and practically, you can get a vasectomy reversal at any age. However, your final decision to go through the process requires you to undertake certain considerations. For instance, the vasectomy reversal success rate among older men is similar to younger individuals.

Though a man’s age doesn’t finalize the success or failure, you need to be aware of certain conditions that might apply to you in a vasectomy reversal:

Age Limitation with Vasectomy Reversal

You can be 30 and 50 and still choose to go through a vasectomy reversal process. If you meet the criteria and check all the boxes, you are practically accepted as a patient. However, your age might have an impact on the recovery from the procedure. Most men who have had a vasectomy, on the other hand, can have a reversal at any specific time in their life.

Learn About the Time Factor

A man’s age might not be a primary element for a successful vasectomy reversal surgery, but an extended period can, in fact, affect the recovery and transition. In time, there’s a distinct possibility that you might develop pressure between the vas deferens after your vasectomy reversal surgery.

Mostly, this pressure doesn’t turn into any complications. However, your surgeon might have to utilize a more sophisticated technique for a successful process.

  • How is Vasovasostomy Different?

Vasectomy method is comparatively more common than Vasoepididymostom. It’s applicable when a urologist sees sperm’s presence in the central vassal fluid. Consequently, the procedure is simple and includes the rejoining of the cut vas deferens. If you had a vasectomy ten (10) years ago, urologists could conduct the surgery at a 90% success rate.

  • What about Vasoepididymostom?

When sperm is not present in your vassal fluid because of another blockage, a more complicated procedure is required to rejoin the vas deferens. In simple terms, the blockage in the vassal fluid is spotted and mitigated from the epididymis. It does, however, require an experienced urologist to perform such complex surgery. If you had a vasectomy ten years ago, you’d have a 70% probability of success under Vasoepididymostom in the U.S.

What Older Patients Need to Know

Older patients should consider their health problems before undergoing vasectomy reversal surgery. Find out which factor might lead to a complication after the procedure. Typically, risk elements might be about your bleeding issue, systemic disease, or failed immune system. Now, these complications don’t necessarily exist in older individuals, but the fact remains that older patients pose more health risks as compared to younger individuals.

  • Success Ratio of Your Vasectomy Matters

vasovasostomy has a success rate of 90% in American patients. Vasoepididymostomy, on the other hand, has a success rate between 40 and 50%. For example, if you had your vasectomy ten years ago, there’s a 40% probability that your doctor will recommend a vasoepididymostomy method during a vasectomy reversal.

  • The Age of Your Partner

Although your age does not impact your vasectomy reversal, its transition might get off-balance with increasing age of your partner. The fact is, men should be careful about their partner’s age. In fact, men should pay close attention when a woman’s fertility starts to decrease. And that’s because women in their 30s tend to have weak fertility. It can create even more problems if your partner is reaching into her 40s. Remember, the male biological clock changes from man to man.

  • Analyze Your Collective Health Problems

Many men often have to bear the burden of a disease at some age. Despite the nature and severity of the risk, you must prioritize your decision before the surgery. Also, talk to your doctor about your medical record and try to understand your probability of success before undergoing a vasectomy reversal.



If you are thinking about vasectomy reversal at the age of 50 or older, it’s better to communicate with your urologist. An experienced urologist would ask you to prepare comprehensive documentation of your medical history. Concurrently, you should also devise the questions that you want to ask the doctor. A conversation can help you get a clearer picture of the vasectomy reversal procedure.

Better to Be Safe than Sorry: Schedule an Appointment

Your goal should be to understand different elements that might affect your vasectomy reversal procedure. Accumulate information and analyze the decision again. A professional doctor, for instance, would instantly inform you about any negative result from your vasectomy reversal surgery.

Consult an appointment with Dr. Yaniv Larish and convey your questions about the vasectomy reversal procedure. Call us at (646) 862-5500 or email us. Don’t hesitate to contact other renowned doctors to discuss vasectomy reversals and health problems.

What Is a Vasectomy Reversal

What is a vasectomy reversal? One of the most common urological procedures in America is Vasectomy. Many men who are under the age of 45 opt to undergo this procedure for a variety of reasons. Several studies suggest that about 18 percent of men living in America undergo a vasectomy. For those who do not know what vasectomy is, it is a urological procedure that prevents the male sperm from getting to the semen. An easier definition of vasectomy would be that it is a male sterilization procedure for ensuring permanent contraception. Surgeons tie or seal the male vas deferens, which ensures that sperm doesn’t enter the males’ urethra. As a result, it prevents the process of fertilization during sexual intercourse.

What Is a Vasectomy Reversal?

Men make a tough choice when they opt to get a vasectomy, a choice that a lot of them regret later on in their lives. Luckily for them, there is a procedure present to reverse their vasectomy. This procedure is vasectomy reversal. Similar to vasectomy, this surgical procedure is also minor; the only difference being that it reverses the effects of vasectomy by reconnecting the reproductive tract of a male.

Is a Reversal Safe?

A common question that many people seeking vasectomy reversal procedure ask is whether it is safe or not. Well, just like vasectomy, vasectomy reversal is as safe as it can be. Surgeons have been  performing this procedure for many years with success. It is a minor procedure and it does not take long. Eventually, it allows men to restore their sterility.

Important Things to Know About Vasectomy Reversal

Just like having a vasectomy, choosing to have a vasectomy reversal is a big decision. There could be numerous reasons why someone would choose to reverse their vasectomy. However, you should remember a few important things before you make your final decision.

1.     Vasectomy Reversals Have High Rates of Success

People who are afraid of having a vasectomy reversal should know that this procedure is minimally invasive, and there is nothing to be scared of. Additionally, the success rate is high, especially because of the modern equipment and techniques that the surgeons have at their disposal.

Vasectomy surgeons use microsurgical techniques to minimize the scars they leave behind on the patient’s body. Surgeons use surgical microscopes to ensure the finest and smallest of stitches on the vasectomy removal patients. In most cases, the patients have the permission to go home on the very day of the procedure. In fact, they can even go back to work in two or three days.

2.     Your Testicles Continue to Produce Sperm

You might be surprised to discover that your testicles continue producing sperm despite having a vasectomy. However, they do not have any passage to exit the body. This is the reason people restore their fertility after getting a vasectomy reversal. Doctors ask you to steer clear from sex for a few weeks to recover from the surgery.

Note that there are some cases where it takes longer to regain fertility.

Are you or your partner looking to reverse your vasectomy? If yes, get in touch with Dr. Larish and book your appointment now!

What Happens During a Vasectomy Reversal Surgery?

What happens during a vasectomy reversal surgery? When you had your vasectomy surgery, your doctor had blocked the tubes called vas deference to prevent the sperm from flowing in your semen. You had successfully avoided the pregnancy you and your partner did not want. But now you have a change a heart and want to go through a vasectomy reversal surgery. Are you concerned about how safe is the vasectomy reversal surgery? What happens during the surgery? If you have these questions running in your mind, we have got you covered. Read along to find out.

How Is Vasectomy Reversed?


There are two procedures for the reversal of vasectomy. The first method is the vasovasostomy. In this method, the surgeon sews the vas deference from testes to the penis. This way, the sperms from vas deference easily reaches the penis and flows out.


The other method is vasoepididymostomy. Here, the doctor attaches the vas deference to the spermatic cord present at the back of the testicles. Vasoepididymostomy is a complex procedure and rarer than the other easier reversal method. Your surgeon will opt for vasoepididymostomy if they feel that vasovasostomy would not be possible or less effective.

Your surgeon will analyze the fluid from vas deference for the presence of sperm. Then they will decide which vasectomy reversal is suitable for you at the time of the surgery. In some cases, there can be a requirement of the combination of both the reversal methods. The surgeon will perform vasovasostomy on one side and vasoepididymostomy on the other side. The longer you have your surgery after the vasectomy, more likely you are to have vasoepididymostomy on either or both sides.

Are There Any Side Effects?

Vasectomy reversal procedures usually do not have side effects other than pain. But some patients may experience other side effects in rare cases. The side effects include bleeding and painful swelling in the scrotum. The infections are possible in some cases.

However, you avoid the chances of getting an infection if you have your vasectomy reversal done by a highly trained and experienced surgeon. If you get an infection after the surgery, your doctor will prescribe you some antibiotics. Severe and persistent pains usually do not happen after vasectomy reversal surgery. However, if you experience severe pain for long, do check with your doctor immediately.

How Would I Know The Reversal Worked?

You must not continue your sexual practice too soon after the vasectomy reversal. Wait for at least two to three weeks until your genitals recover.  You will know if your vasectomy reversal is successful if the sperm began to appear in the semen within a few months.

Your doctor will examine your semen sample for four to six months. If you have Vasoepididymostomy as your reversal method, it will take between six to twelve months before your sperm flow returns. In some case, it may take a year as well.

One thing you must know is that all vasectomy reversal procedures do not guarantee a successful pregnancy rate. Vasectomy is reversible even after passing of several years since the original vasectomy. But the longer the time between vasectomy and its reversal, the lesser the chances are of its success.


Vasectomy reversal procedures restore your sperm flow and give you and your partner a chance for a successful pregnancy. You must choose a proper surgeon and a health care facility to carry out such a sensitive procedure. Vasectomy Reversal NYC offers you the best of our surgeons and services for your vasectomy reversal.

Call us today and book a free consultation.

Fifth Avenue Urology
Dr. Yaniv Larish

(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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