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.

Call Today for a consultation:
(646) 862-5500

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Vasectomy Reversal Surgery Recovery

vasectomy-reversal-surgery-recovery-01After thinking for long, you have finally decided to get a vasectomy reversal surgery. You are going to book appointments and do preparations for the surgery. But before you go ahead, you must know what recovery steps are and how long will it take. It will help you plan your days accordingly, and you will know when you will get back to the normal routine after the surgery. Here is everything you need to know about the Vasectomy Reversal Surgery Recovery.

How Long Does Vasectomy Reversal Surgery Recovery Take?

Vasectomy reversal recovery can take anywhere between five and fourteen days. The recovery time varies from person to person. The recovery time also depends upon whether you have vasovasostomy or Vasoepididymostomy as the reversal procedure. Vasoepididymostomy takes longer to recover from.

Your sperm flow will not be restored immediately after your recovery. It usually takes four to six months for the sperm to start flowing in your semen. In case of Vasoepididymostomy, it can take between six to twelve months or even longer. Your doctor will examine your semen fluid samples every month. This way, you and your partner will know the correct time to start trying for the pregnancy.

What Happens Right After the Surgery?

rest-after-vas-rev-surgery-tips-03Your doctor will cover the incisions with bandages after the surgery. The stitches usually dissolve between seven to ten days. But you must ask your doctor when you can remove the bandages. For the next 24 hours, you should apply an ice pack to relieve yourself from the pain and swelling.

It is normal to feel a bruised and swollen groin for the next three days. Keep applying the ice pack on the groin.  It will take as long as one to two weeks for the swelling to finish.

What to do During the Recovery?

For the next 24 hours after the surgery, lie down as much as you can. Rest well for the next five days. Getting enough sleep will help in quick recovery. You must not lift heavy objects and do any physical activity that requires strain for one or two weeks. This includes lifting a child, heavy grocery bags, milk containers, heavy briefcase or, etc.

Avoid jogging, biking, or aerobic exercise. Do take a walk for the next seven days after the surgery. Walking helps to boost your blow flow and avoid your chances of getting constipation. Walk a little bit more than the previous day.

male-tubal-reversal-post-op-info-top-nyc-urologist-02You should not have sex at least for three weeks after the surgery or till your doctor gives you a clear call. Wear an athletic support undergarment following the seven days. It will provide support and help keep your bandages at the place.

If you are on medications, then discuss with your doctor. You must avoid taking blood-thinners such as aspirin. Taking blood thinning medication can cause bleeding after the surgery. Take medicines according to your doctor’s instructions. Do not self medicate if the pain is severe. Ask your doctor for the best options for pain relief.

If your doctor prescribes you antibiotics, then take them as the doctor has directed. Do not stop taking the antibiotics if you feel better. It is important to complete the course, or you have chances of developing infections.

You will be able to get back to work probably within a week depending upon your recovery time and work type. If your work involves heavy lifting or strenuous activities, then wait for two weeks to get back to work.

Book an Appointment Today

Now that you are well aware of the recovery of a typical vasectomy reversal surgery, it’s time to book an appointment. Call Dr. Yaniv Larish today for a no cost consultation. We will help you get a successful vasectomy reversal and a quick recovery.

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

Vasectomy Reversal NYC

How do I Prepare for My Vasectomy Reversal Procedure?

how-prepare-vasectomy-reversal-procedure-01Life has come to an unexpected turn, and you have finally decided to start a family. Now all you need to do is to go through a reversal procedure for the vasectomy you had. Vasectomy reversal procedure will reconnect the blocked tubes to allow the flowing of sperm during intercourse once again. After you have a successful vasectomy reversal, your sperm will flow through the newly unblocked tubes, and you will be able to make your partner pregnant.

Before you go through the vasectomy reversal procedure, you must prepare well for it. This blog post is your guide to prepare before you get a vasectomy reversal procedure.

What You MUST Know Before Your Vasectomy Reversal Procedure


Here are the most important things you need to know:

  • Vasectomy reversal cost can be more than what you might expect. The cost of the surgery does vary depending upon the hospital or the health care facility. But in general, the procedure is a little costly. You must find out if your insurance would cover the vasectomy reversal or not.
  • Vasectomy reversal procedures are most likely to be successful when a trained, qualified, and experienced surgeon who uses microsurgical techniques performs them.
  • A Vasectomy reversal may require vasoepididymostomy. Make sure your surgeon is well versed in vasoepididymostomy and can perform it if needed. It’s important that you choose your surgeon very carefully. Ask them how many vasectomy reversal procedures they have done in the past. Also inquire about the risks, possible complications, and success rates.
  • It is normal to experience some pain for a few days after you have a vasectomy reversal. If the pain is severe and lasts longer than a day or 2, immediately consult your surgeon.
  • After your surgery, you should not exercise or lift anything over ten pounds for a few days. You must not have sex until your genitals recover, wait for at least two to three weeks or when your doctor gives you a clear call. Vasectomy reversal recovery usually takes four to six months until your sperm flow is restored. In the case of a vasoepididymostomy, it might take longer than a year.
  • Food and Medications to Avoid: Doctors often recommend avoiding supplements and herbs a few days before and after your vasectomy reversal surgery. If you take herbs and medication, do tell your doctor so they can guide you best. Make sure you do not take blood-thinning medications like aspirin. Such medications will increase the bleeding during and after the surgery.

Pain Relieving Method


It is up to you to decide whether you want to have general anesthesia or an epidural for the surgery. It is better if you ask your doctor’s opinion and then decide which pain relieving method is best for you.


Form fitting athletic undergarments may help after the surgery. Undergarments and athletic supporters will help support your scrotum and hold the bandages in their place.

Have a Safe Vasectomy Reversal Procedure

To have a successful vasectomy reversal, you must ensure your surgeon is highly trained, highly qualified, and well experienced. Contact us today to receive your treatment from NYC’s top vasectomy reversal surgeon.

Call Dr. Larish today to schedule a confidential appointment to discuss preparing for your vasectomy reversal procedure.

(646) 862-5500

Are There Risks With Getting a Vasectomy Reversal?

risks-vasectomy-reversal-procedure-01Vasectomy reversals are becoming more common than you think these days. Thousands of men regret or change their views about vasectomy later in their lives. For this reason, they opt to reverse their vasectomy. Since vasectomy reversal is an invasive procedure, quite a lot of people are afraid to undergo it because they fear the worst could happen to them.

Before we discuss whether there are any risks involved with vasectomy reversals, let us discuss what vasectomy reversal is.

Vasectomy Reversal

Vasectomy is a minor urological procedure to ensure that the penis does not ejaculate semen. People who are not looking to have children are usually the ones who opt to undergo a vasectomy. Most professionals consider vasectomy to be the best method for birth control. According to numerous reports, almost 50,000 men in America have had vasectomies. However, many of these men also undergo vasectomy reversal surgeries.

Vasectomy reversal is a process that reverses the effects brought on by a vasectomy, essentially allowing your semen to pass through your penis. The surgeons reconnect pathway of the sperm to the semen by reattaching the vas deferens. People often use the term microsurgery when they are talking about a vasectomy or vasectomy reversal. The reason why these procedures fall under the category of microsurgery is that it is a minimally invasive surgery performed using a microscope.

Who Performs Vasectomy Reversals?

microsurgeon-surgery-best-vasectomy-reversal-nyc-02Urologists skilled in microsurgery are generally the people who perform vasectomy reversals. This doesn’t necessarily mean that every urologist is an expert in performing a vasectomy reversal. You should always look at their track record before opting to choose them for performing a vasectomy reversal on you.

Are All Vasectomies Reversible?

Although surgeons can reverse nearly all vasectomies, there are certain conditions where reversing a vasectomy can be difficult. Vasectomy reversals can be difficult if the surgeons have to perform it while operating on a hernia. When hernia is in the way, reconnecting the ends of the vas deferens can prove to be quite difficult.

What Are The Risks With Getting a Vasectomy Reversal?

age-risk-vasectomy-tubal-reversal-03Generally, vasectomy reversals are extremely safe. According to studies, only five percent of men face complications during vasectomy reversal surgeries. Swelling and ruptured blood vessels are among a couple of things that occur during vasectomy reversal complications. However, the likelihood of these things occurring is extremely low if you choose an experienced urologist to perform the reversal.

The chances of surgical infection occurring in a patient after undergoing this procedure are as low as one percent. Most doctors prescribe oral antibiotics to their patients. These antibiotics are enough to eliminate these infections within a few days in most cases. Patients facing scrotal discomfort or high fever are usually the ones who get an infection after the procedure. The good thing is that these infections are easily curable and should not stop you from opting for the procedure.

Age Factor in Vasectomy Reversals

Age is not usually a deciding factor when it comes to vasectomy reversals in most cases. People often confuse age and changes in the body over time with risks associated with vasectomy reversals. However, it is advisable not to waste time when it comes to opting for a vasectomy reversal to be on the safe side.

Call today for a confidential consultation:

Dr. Yaniv Larish
Fifth Avenue Urology
4 East 76th Street
New York, NY 10021
(646) 862-5500


What is a Microsurgeon?

top-microsurgeon-for-vasectomy-reversal-nyc-expert-02Microsurgery is a surgical discipline that doctors perform under an operating microscope. Surgical procedures where doctors have to repair or reconnect delicate parts of the body are usually the ones where the use of an operating microscope is necessary. Pediatric surgery, neurosurgery, gynecological surgery, orthopedic surgery, and general surgery are a few examples where microsurgery usually occurs.

Vasectomies and vasectomy reversals are also microsurgeries as they are minimally invasive procedures. The doctors who perform microsurgeries such as vasectomy reversals are microsurgeons. Sweden is the country where the first microsurgery took place.

Early Days of Microsurgeons

During the early days, microsurgeons used to test their surgical procedures mostly on animals. These techniques require a lot of skill and dexterity as even the slightest of mistakes can make things go sideways for the patient. Once the microsurgeons found success in the initial testing stages, they started to perform microsurgeries on human beings. After some initial difficulties and with the advancement of time, microsurgery became common to everyone. Doctors did not hesitate in recommending these procedures of their patients as they were getting safer every year and had high success rates. The climbing success rates meant that microsurgeons could test their skill on other surgeries as well, which is why they began to perform vasectomy and vasectomy reversals using microsurgeries.

Vasectomy Reversal

vasectomy-reversal-microsurgeon-nyc-03Vasectomy reversal is a process that reverses the interruption of the reproductive tract by a vasectomy. Thousands of men undergo vasectomies; these men have different reasons for opting for this procedure. However, later on in their lives, a lot of these men end up regretting their decision of getting a vasectomy, which is why they seek to reverse it. Luckily for them, vasectomy reversals are possible, and plenty of doctors who specialize in vasectomy reversals.

Microsurgeons perform vasectomy reversals by reconnecting the vas deferens. In the early days, vasectomy was permanent contraception for males, but with the passage of time and improvement in the field of microsurgery, vasectomy reversals are not only possible, but their success rates are also high as well.

How Do Microsurgeons Reverse a Vasectomy?

There are two methods that microsurgeons generally use to reverse a vasectomy. In the first method, the surgeons connect the vas deferens ends by sewing them to the penis from the testes together.

In the second method, which is also famous as vasoepididymostomy, the doctors connect the vas deferens to an organ that is present on the back of the testicle. The organ present on the back of the testicle is responsible for carrying the sperm. This method is quite complicated in comparison to the former method, which is why doctors only choose it in rare cases.

Is Microsurgery in Vasectomy Reversals Risky?


Microsurgery has come a long way since its primitive days, and so have microsurgeons. Things are extremely advance in the modern era, and there are tons of tools at the disposal of microsurgeons that allow them to perform the procedure effectively and efficiently without harming the patients.

The success rates of most microsurgeries are staggering, whether it is a vasectomy reversal or any other procedure. Sure, there might be a few bad cases here and there, but overall, there are not many risks associated with microsurgery as long as you work with a qualified and experienced medical expert.

Schedule a consultation with Dr. Larish today to discuss your vasectomy reversal options.

Yaniv Larish, MD
4 East 76th Street

New York, NY 10021
(646) 862-5500

Vasectomy Reversal Procedure

What is Vasectomy Reversal?

top-nyc-vasectomy-reversal-surgeon-01In general, a vasectomy is performed when a man decides that he no longer wants to be able to have children. However, people and circumstances change over time, and there are several factors which may affect your decision and cause you to have a change of heart in the future. If you have had a vasectomy in the past and have recently decided that you’d like to become a father, you may want to consider undergoing a vasectomy reversal procedure. Read on to find out more about what to expect from this procedure.

How is a Vasectomy Reversed?


A vasectomy reversal procedure can be done using one of two different methods. The first and most popular option is through vasovasostomy, a procedure where the surgeon sews the tubes, or vas deferens, back together from the testes to the penis. The vas deferens transports sperm from the testes to the penis, where it is ejaculated during sexual intercourse. The second method is known as vasoepididymostomy, which is more complex and involves the vas deferens being attached to a small organ at the back of each testicle, which contains sperm. The latter option tends to be reserved for men who are unlikely to experience success with vasovasostomy.

What Does the Procedure Include?

Vasectomy reversal procedures are typically carried out in a hospital or clinic. During the procedure, you will be given anesthesia to ensure that you are not conscious throughout. The entire procedure will usually last for around two to four hours, and most men will return home the same day. In general, the recovery takes around two weeks, although you should allow around six weeks to resume life as normal.

Who Should Consider the Procedure?

male-tubal-reversal-children-family-03If you’ve had a vasectomy in the past but have had a change of heart regarding your family life, you may want to consider having the procedure reversed. Vasectomy reversal is usually considered by men who have changed their mind about becoming a father or adding to their family, along with men who have experienced the loss of a child after undergoing the procedure. A small percentage of men may find vasectomy reversal useful for relieving pain in the testicles and groin area caused by a past vasectomy.

If you’ve had a vasectomy in the past and want to turn back time, call us today at (646) 862-5500 to book a free consultation with one of the best urologists in NYC.

Ways to Improve Your Fertility After a Vasectomy Reversal

vasectomy reversalFor men who decide that they no longer want to have children, a vasectomy is a quick, surgical option which prevents sperm from being carried from the testes to the penis. For most men, this means that they can carry on life as usual without having to worry about birth control. However, it’s not uncommon for men to undergo a vasectomy, only to change their mind about starting or expanding a family later on down the line. If you’re hoping to conceive after having a vasectomy reversal, here’s what you can do to improve your chance of a successful pregnancy.

#1. Don’t Delay:

vasectomy reversalThe longer you wait between having a vasectomy and getting it reversed, the lower your chance will be of a successful pregnancy. In general, men who have the procedure reversed within the first three years have the biggest success rate of 67%. However, don’t be too concerned if it’s been longer than three years – men who wait between 3-8 years have a success rate of over 50%, whilst those who wait between 9-14 years still have a 44% chance of a successful pregnancy. It’s possible to father a child after having your vasectomy reversed over fifteen years later, however, the success rate is much lower at 30%.

#2. Wear Supportive Clothing:

After your procedure, it’s important to take the right steps to a speedy and healthy recovery. Along with closely following any instructions provided to you by your doctor, it’s important to consider what you wear. During the healing period, you may find it useful to wear a scrotum supporter, which you can get from your doctor. This will help to speed up the healing process and can improve your chances of conception in the future. For around six weeks after the procedure, you should wear loose-fitting, breathable boxer shorts to improve air circulation around the testicles. This can help to increase sperm count by regulating temperature.

#3. Change Your Diet:

vasectomy reversalMaking some healthy changes to your diet can help to increase your fertility after a vasectomy reversal. You should avoid eating soy products, since they contain weak estrogens that can be damaging to sperm. Limiting your intake of caffeine and alcohol can also be beneficial when trying to get pregnant. You may also benefit from taking vitamin supplements or zinc with the approval of your doctor.
Get in touch today to book your appointment with the best vasectomy reversal specialist in NYC.

Call our offices today at (646) 862-5500 to discuss your specific case. You’ll work with the best urologist in New York to determine what is best for your needs

Dispelling the Myths Surrounding Vasectomy Reversals

There are several reasons why a man may wish to reverse a vasectomy procedure, mainly ones which are personal to himself. Most commonly, a vasectomy reversal is carried out to allow a man to father a child again, although it can be used in some rare cases to treat testicle pain which occurs as a result of a vasectomy. Guys who are seriously considering a vasectomy reversal will want to ensure they have all the facts before going in for the procedure. But, there are several myths surrounding this procedure that leave some men with the wrong information. Some of the most common myths include:

I’m Too Old to Have a Vasectomy Reversed:

vasectomy reversalA popular misconception amongst men is that there’s an age limit when it comes to a successful vasectomy reversal. Whilst the pregnancy success rate does go down as the man’s age increases, there is no reason why any man should not consider this procedure due to their age. If you are deemed healthy enough for surgery under a general anesthetic, you will be able to have your vasectomy reversed whatever your age.

I Won’t Be Able to Father Children Naturally:

vasectomy reversalOne of the biggest myths about vasectomy reversal is that men are unable to biologically father a child after the procedure. Many people mistakenly believe that after a vasectomy, the only possible way to father a child is via IVF. However, this isn’t true – vasectomy reversal success rates range from around 30-90%, depending on various factors. Whilst it may sometimes be more difficult to father a child naturally after a reversal procedure, it’s certainly not impossible.

I’ll Only Be Able to Try Once:


Finally, another misconception about vasectomy reversal is that it’s only possible to try once. This is false – it’s possible to have multiple attempts at reversing a vasectomy if the first one is unsuccessful. In some cases, more complex procedures may be offered to increase the chance of success.

For more information on reversing your vasectomy, get in touch with NYC’s best urologist today.

Call our offices today at (646) 862-5500 to discuss your specific case. You’ll work with the best urologist in New York to determine what is best for your needs

How to Talk to Your Partner About Having Another Baby

vasectomy reversalMany couples find it difficult to bring up the prospect of having children. Even if you are already parents, bringing up the prospect of having another baby can be tough, as having another child is an emotional decision which will affect your household in more ways than one. However, talking about your needs regarding family expansion is essential, regardless of the decision that you come to.

Be Patient:

vasectomy reversalIf you want to have another baby and your partner does not, broaching the subject is unlikely to be easy for either of you. Bringing a child into the world affects both parents, so most will agree that it’s important for each party to be in agreement before going forward. Adopting a patient and understanding attitude is a crucial step which will make it easier to talk about having another baby with your partner. This is especially true if your decision to have another child is likely to lead to procedures such as vasectomy reversal or IVF.

Be Specific About Your Expectations:

Whether it’s your first or your fifth child, having another baby is a massive decision that will impact the rest of your life. For families, welcoming another member can affect every member emotionally and financially over the long-term. So, it’s important to be clear about your expectations for having another child; the more specific you are regarding your wishes, the easier it will be for your partner to weigh up the options. Be specific about your expectations for the conversation itself – let your partner know if you don’t want a decision straight away, for example.

Consider Career and Financial Implications:

vasectomy reversalBecoming parents will affect your careers and your finances; most new parents require leave from work once a baby is born and bringing up a small child often means that parents no longer have the time to dedicate themselves as much to their career or work as many hours as they once did. If your partner’s objections tend to be financially motivated, it may be worth taking the time to calculate if you can afford to expand your family right now or come up with a plan to help you achieve this.

Most importantly, both partners should be honest and open with one another about their wishes to expand their family to enable them to reach a compromise that works. If a vasectomy is stopping you and your partner from having another child, get in touch today to book your consultation with NYC’s best vasectomy reversal doctor.

Call our offices today at (646) 862-5500 to discuss your specific case. You’ll work with the best urologist in New York to determine what is best for your needs

Steps to Take During Your Recovery Period

vasectomy reversalAfter having your vasectomy reversed, you should allow yourself a few weeks to recover. Most men can get back to work one week after the procedure and have fully resumed normal life after six weeks, however, everyone is different. So, be sure to ask your doctor for more detailed advice when it comes to how long you should wait before resuming certain activities. To improve your chances of a full recovery and pregnancy success after a vasectomy reversal, it’s vital to take the right steps to look after your body during the healing process. You should:

Follow Medical Instructions:

vasectomy reversalYour doctor will give you detailed instructions on preparation and recovery both before and after your procedure. Following these instructions carefully is vital to ensuring that your procedure runs smoothly and that recovery is hassle-free. Bear in mind that failing to follow preparation instructions, such as ceasing to eat or drink at a certain time, could result in the surgery being cancelled.

Avoid Strenuous Activity:

For the first twenty-four hours after your procedure, you should lie down and rest as much as you can. Once you are discharged from the hospital or clinic, the next few days should be spent avoiding anything that could cause you strain. You should take leave from your job for at least one week; if your work entails heavy manual labor, more time will likely be needed. Avoid playing sports, heavy lifting, or strenuous workouts for at least 1-2 weeks. Gentle walking is advisable to promote healthy blood flow.

Stay Comfortable:

For the first six weeks following your surgery, the clothing that you wear can be hugely influential in your recovery. Underwear is particularly important – you should avoid wearing anything too tight-fitting and opt for loose-fitting boxer shorts which allow air to flow to the testicles. This will improve temperature and blood flow, creating a healthier environment for sperm to thrive.

Get the Right Nutrients:

vasectomy reversalLastly, you can aid the recovery process by ensuring that your body has the necessary nutrients for the healing process. Do this by eating a healthy, balanced diet rich in vitamins and minerals, and drink plenty of fluids unless you have been specifically advised otherwise by your doctor. You may also consider taking certain dietary supplements, such as Vitamin C, to aid with speedy recovery. Speak to your doctor before adding any supplements to your diet.

Contact us today to book your consultation with one of NYC’s most trusted vasectomy reversal specialists.

Call our offices today at (646) 862-5500 to discuss your specific case. You’ll work with the best urologist in New York to determine what is best for your needs

Questions to Ask Your Vasectomy Reversal Doctor

Vasectomy Reversal DoctorIf you had a vasectomy in the past but have since changed your mind about having children, you might want to consider undergoing vasectomy reversal surgery. Around 95% of men who have had a vasectomy will be able to have it reversed successfully, and alternative options are available for the small percentage of men who experience more complex issues such as low sperm count, insufficient vans deferens remaining, or a rupture of the epididymis tube. Before undergoing a vasectomy reversal, you’ll need to have a consultation with your surgeon to determine the best options for you. Here are some important questions to ask:

How Long Will Recovery Take?

Vasectomy Reversal DoctorIn general, it takes a maximum of around six weeks to fully recover from a vasectomy reversal. However, every man is different, so it’s a good idea to speak to your doctor to get a more personalized time-frame. There are several factors which may cause your recovery time to be longer than average, such as age, general health, and even the skill of the surgeon who carried out the vasectomy. Your doctor will be able to provide you with tailored advice on how to speed up your recovery safely.

What are My Chances of Fathering a Child?

It can be difficult to tell how successful you’ll be at becoming a dad before the procedure is carried out; this is usually determined by sperm tests after some weeks have passed. However, certain pre-existing factors can give you a clearer idea of your potential success rate. For example, the amount of time that has passed between the vasectomy and reversal procedures will make a big difference – men who wait just three years have a pregnancy success rate of almost 70%, which drops to just 30% for those with a fifteen-year gap or longer.

How Soon Can I?

Vasectomy Reversal DoctorIt’s important to ask your doctor how long you should wait after the procedure before resuming your day-to-day activities. In most cases, men can return to work after one week, but may need to wait longer if their job involves heavy physical labor. Your doctor will also advise you on how long to wait before you can drive. More importantly, if you’re planning on trying to conceive as quickly as possible after your vasectomy is reversed, be sure that you have the all-clear from your doctor before you engage in sexual activity. Most surgeons recommend waiting at least two weeks.

For more information on vasectomy reversal, get in touch with one of NYC’s best urologists today.

Call our offices today at (646) 862-5500 to discuss your specific case. You’ll work with the best urologist in New York to determine what is best for your needs

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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