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:


What Age is a Man Too Old to Have Children?

At what age is a man be too old to have children? Having children depends mainly on the fertility of a female, the health of a male’s sperm, and the will to procreate. When both are fertile and able to perform sexual intercourse, they will likely get pregnant. In general, many couples and partners want to enjoy a pregnancy-risk-free life. Some couples want to spend more time together rather than watching out and working for the children.

Other times, some people are not ready to become parents. Therefore, they may go for vasectomies which prevent the sperm from reaching the ejaculate that gets their partner pregnant. Still, people might realize the need to have children to begin a family. In this case, they go for vasectomy reversal.

When is Man Too Old to Have Children ?
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But often, men wonder if they are too old to have children after getting a vasectomy. Instead of going through the procedure, enduring medical costs, and taking recovery time, they want to make sure if they are still fertile to have children after a vasectomy reversal.

What Age is a Man Too Old to Have Children?

Effects of Old Age on Fertility

Many genetic concerns come into account when assuming the right age to become a father. There are various speculations regarding the effects of having a child/baby in old age, such as the mid-40s, 50s, and 60s.

To start off, let’s learn what effects old age has on the fertility of a man. Here are some of the main concerns that pop up:

  • As you get older, sperm quality may decrease as your body weakens and becomes harder to sustain. The morphology and motility of sperm come into play. They deteriorate with age and make it extremely difficult to fertilize female eggs after a certain time. Moreover, you may not produce enough sperm after a certain period, such as the 40s or 50s.
  • With increasing age, there are higher chances to experience various medical conditions and health problems. These can have an impact on a man’s fertility and the degradation of sperm. Medications can also affect the production of sperm and semen in the body.
  • Furthermore, as a man ages, likely, his female partner may also be old. This hints towards an overall decline in fertility and lower chances of getting pregnant.
  • Lastly, men’s bodies produce less testosterone with increasing age, which serves as the sexual libido driving sex appeal. With lower sexual drive, you may not be able to perform sexual intercourse and even experience erectile dysfunction.

What Might be the Best Age to Become a Father?

Certain resources suggest that becoming a father before the 40’s can help prevent any abnormalities, gene concerns, deformities, and health conditions in babies. In fact, becoming a father between the age of 25-30 is the prime choice of men.

What Age is Man Too Old to Have Children?
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However, you should know that only after crossing his mid 40’s, a man falls in the category of “old”. Therefore, that’s when the real genetic and fertility problems can arise. At this point, the chances of  experiencing lower sperm counts, “X” chromosomes, and other effects from a young age that hinder pregnancies can increase.

Pay Attention to Certain Factors

Some may consider a person “old” after the age of 40. Becoming a father after such an age may be too old, but it isn’t uncommon for older people to become parents. So, before losing hope and deciding not to get a vasectomy reversal, you should discuss some of the important factors with your doctor mentioned below.

  • Do your health stats and conditions affect fertility and childbirth? If they do, then inquire to what extent will your health conditions affect a baby’s health?
  • Would you require semen analysis to assess the fertility and sperm count in your ejaculate before you are ready for your vasectomy reversal?
  • Do your lifestyle habits such as smoking, drinking, drugs, or any other habits of concern affect childbirth, fertility, and sperm health? Are there are any medications that may affect your sperm and consequently your child’s birth?

What Age is a Man Too Old to Have Children? Conclusion

If you plan to have a vasectomy reversal, you should get in touch with the right professional to guide you through the process and help you understand the most important factors. Letting an experienced surgeon handle your surgery will ensure high success rates and chances of getting pregnant.

Dr. Yaniv Larish at Vasectomy Reversal NY is an esteemed and highly reputable vasectomy reversal surgeon. He possesses vast experience regarding the procedure and possesses the required skills and expertise. Call us to set a confidential appointment with Dr. Larish today to discuss the options if you think you are too old to have children. 

Yaniv Larish, MD
4 East 76th Street

New York, NY 10021
(646) 862-5500

 


Reference Links

https://www.webmd.com/healthy-aging/too-late-to-have-baby-60-year-old-man#1
https://www.webmd.com/men/news/20141202/older-dads-health
https://www.healthline.com/health/pregnancy/how-old-is-too-old-to-have-a-baby
https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/age-and-fertility

Recovery Time for a Vasectomy Reversal

What is the recovery time for a vasectomy reversal procedure? A vasectomy is an effective contraceptive method that is highly common in the US today. However, many people choose to reverse this procedure because they want to begin a family and enjoy parenthood.

While the primary reasons for a vasectomy reversal are heart-warming, there are certain complications involved. What are they? Firstly, some men cannot tolerate the pain that may sometimes arise after the procedure.

Recovery time for vasectomy reversal procedure
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Moreover, scrotum and reproductive glands-related medical conditions can compel a person to get a vasectomy reversal. Here, we will begin by looking at how a vasectomy reversal takes place, risk factors, recovery time, and some tips for caution.

Vasectomy Reversal in Simple Words

At the beginning of the procedure, the surgeon will ensure that your scrotum is numb through a numbing anesthetic agent. Moreover, they will sedate you to prevent any sudden unintentional complications during a procedure. Following that, the normal process would involve an incision on the scrotum through which the surgeon will separate the vas deferens from the nearby tissues.

After that, the surgeon will open and check inside the tubes to ensure the presence of fluid (sperm). In case the tube appears dry, meaning that there isn’t any sperm in the tube, your surgeon may find another end of it to attach with the epididymis (male reproductive tissues and organs that produce sperm).

This might be because the scar tissue from previous incisions and surgery might be blocking the sperm. However, if there is healthy sperm in it, then your surgeon will choose to attach the ends of the disconnected vas.

Bear in mind that you may be in the operating theater/surgical room for 3-4 hours because the process involves using highly surgical instruments and a microscope.

What is the Recovery Time for a Vasectomy Reversal?

The procedure usually takes place on an outpatient basis, which means that there generally isn’t the need for a night stay at the hospital or the surgeon’s clinic. However, in case of complications, the surgeon/caretaker may suggest that you stay at the hospital or clinic for extended hours to receive medical care.

The bandages will cover the incision for nearly six weeks after the procedure is complete. It is advisable to protect the surgical area from getting wet during urination, bathing, showering, etc. Stitches generally dissolve within two weeks of the surgery. Importantly, it is advisable to rest during the first two days or 48 hours of the surgery and move as little as possible.

recovery time for vasectomy reversal
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Further, you should also avoid sexual intercourse, heavy lifting, and any aerobic exercises for nearly four weeks. This is because the veins and scrotum (vas deferens) will be healing. Normally, your surgeon/doctor may ask for semen samples after a few months of the surgery to ensure the presence of healthy sperm. In case there is no presence of sperm in the vas, they may recommend additional surgeries.

Risk Factors of a Vasectomy Reversal

Multiple risk factors can cause a vasectomy reversal to go wrong. It all comes down to adequate care and consideration, which prevents the rise of sudden and severe complications. Despite that, here are some of the most common risks factors/side effects that may affect your body after the vasectomy reversal procedure:

  • Inability to maintain maximum fertility (problems with the male reproductive glands)
  • Swelling on the scrotum
  • Pain in the scrotum or nearby pelvis area
  • Degeneration of testicular tissues/cells (atrophy)
  • Low sperm count
  • Bleeding
  • Blood collection (hematoma)

While many of the side effects such as bleeding over stitches, swelling, bruising, pain in the scrotum, and hematoma do not pose a serious threat, leaving them as it is can cause severe effects. Therefore, seek medical care if you experience any side effects.

Caution to take Post-Procedure

  • Wear jockstraps
  • Avoid loose underwear
  • Use ice packs on the area of surgery
  • Avoid sexual intercourse
  • Avoid aerobic exercises
  • Use painkillers and antibiotics in case of swelling, pain, and bleeding under the doctor’s discretion.

Recovery Time for a Vasectomy Reversal: Conclusion

Dr. Yaniv Larish is an experienced urologist in NYC and is highly skilled in the use of micro-surgical equipment and instruments. Along with years of experience in performing vasectomy reversals and urological surgeries, Dr. Larish has an excellent reputation among all of his patients.

Schedule a private consultation with us today. Give us a call at (646) 862-5500 or visit us in person to learn more about our services from our expert urologists. All of our patients receive world class medical care and service.

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


Reference Links

https://www.medicalnewstoday.com/articles/318900
https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zc2381
https://my.clevelandclinic.org/health/treatments/15459-vasectomy-reversal
https://www.wikihow.com/Recover-from-a-Vasectomy-Reversal

 

Microsurgery for Vasectomy Reversals

What is microsurgery for vasectomy reversals and how and why is it required? Vasectomy reversal is the process of re-attaching the vas deferens with the epididymis again. The vas deferens is the long tube that carries the sperm from the male reproductive organs (testes) to the urinary/ejaculatory tract, later fertilizing a female’s egg to form a child.

Microsurgery for vasectomy reversals
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What’s important to learn is that vasectomies are effective contraception methods. In fact, they are 99 percent successful after your sperm analysis ensures that you don’t have any sperm in your semen. However, couples may decide to begin their families by having children, which calls for vasectomy reversals. You should note that the success rates of microsurgical vasectomy reversals depend on several different reasons and factors. Hence, the chances of pregnancy can vary substantially.

What Happens During a Vasectomy Reversal?

In a vasectomy reversal procedure, the main objective of the surgeon is to make sure that the vas deferens (long tubes carrying sperm to the penis) is reconnected either on the severed ends or with the epididymis. Since it is a microsurgical procedure, the qualities of the urologist and micro-surgeon will matter significantly.

In reversing the effects of the vasectomy, i.e., contraception and blockage of sperm from entering the semen that leaves a man’s penis, the surgeon ensures to bypass the blockage that initially stopped the sperm.

The procedure itself begins when the surgeon uses local or general anesthesia. The restoration of the pathway of sperm into a man’s penis is a complex one. Hence, the procedure can take well up to 3 or four hours. On top of that, here are the two most common vasectomy reversal microsurgical procedures that take place.

Vasovasostomy

When your surgeon begins the procedure, they make an incision on the scrotum from which they separate and gently handle the vas. The surgeon will incise the vas to check whether there is fluid inside or not. If there is fluid and sperm present in the vas, the surgeon will re-attach the severed ends of the vas deferens together.

The surgeon might perform the same re-attachment even when there is watery and clear vassal fluid present. These are the right conditions for sperm production and therefore hint towards potential chances of pregnancy post-procedure. This microsurgical procedure is “vasovasostomy.” For some people, the chances of pregnancy after the procedure are as high as 95 percent.

Epididymovasostomy

Epididymovasostomy is a complex and detailed microsurgical medical procedure that is similar to vasovasostomy. Like the previous ones, this procedure also uses microsurgical instruments and equipment. Moreover, your surgeon may perform this microsurgery when there is either no fluid/sperm present in your vas or pasty and thick fluid in the vas.

Abundant pasty fluid in the vas points towards poor quality of the severed vas end and possible scar tissue interference. Hence, in this procedure, the surgeon will directly attach the end of the vas to the epididymis (sperm-producing tissues and cells in the male reproductive organs, testes).

What Happens Post Microsurgery?

Your surgeon might decide to perform vasovasostomy on one vas and epididymovasostomy on the other, depending on the conditions. After the procedure, the surgeon will use bandages to cover the incision. You may also need stitches.

Your surgeon will instruct you to avoid wetting the area for nearly two days and inform you that it will take at least two weeks for the stitches to dissolve. Moreover, you might not have to stay at the hospital for longer. In fact, you may be able to carry on with your everyday life after 1 or 2 days except for certain activities.

Urologist for microsurgery for vasectomy reversals
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Pain, numbing, and swelling can persist but are a cause for general concern. Further, it can take up to 4 weeks before your surgeon may allow you to have sexual intercourse. In regard to that, your surgeon will also demand semen samples within 2-3 weeks of the procedure to check on the sperm count and quality.

In case of any persistent chronic pain, you have to consult your surgeon and primary healthcare provider. This will ensure that any previous medical conditions will not interfere with the success rate of the vasectomy reversal.

Microsurgery for Vasectomy Reversals: Conclusion

If you need to have the best microsurgeon take care of your vasectomy reversal procedure, schedule an appointment with Dr. Yaniv Larish. Dr. Larish is a top vasectomy reversal expert and urologist. Boasting an impeccable record and experience, he is a top choice if you’re in need of a skilled surgeon to achieve a high success rate for a vasectomy reversal.

Give him a call at (646) 862-5500 to book an appointment today. Visit us in person at 4 East 76th Street New York, NY 10021.

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


References

https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537#:~:text=Vasectomy%20reversal%20is%20surgery%20to,to%20get%20your%20partner%20pregnant
https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/vasectomy-reversal
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854082/
https://med.virginia.edu/urology/for-patients-and-visitors/mens-health/vasectomy-how-it-works/vasectomy-reversal-at-uva/vasectomy-reversal-recovery-guidelines/

Male Vasectomy Reversal Process

What is the vasectomy reversal process for men wishing to regain the ability to have children? Doctors recommend a vasectomy reversal if you decide to regain your fertility after a vasectomy. In this procedure, the surgeon will reattach your vas deferens tube. These tubes carry sperm to your penis while mixing the fluid with the semen. Your body stores the sperm in testicles and leaves the body along with semen when you ejaculate. However, when you undergo a vasectomy, the surgeon will cut the vas deferens tube, blocking sperm flow. After a vasectomy reversal, your sperm will mix with semen once again, which can get your partner pregnant.

Male Vasectomy Reversal Process
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The success rate of the procedure depends on the type of procedure and the duration you remain unfertile. Many other factors influence the success rate of the procedure. For instance, sometimes, while performing the surgery, doctors notice that your body no longer produces sperm. In this condition, the doctor will attach the vas deferens with the organ behind the testicles. This procedure is vasoepididymostomy. Other factors include your age and the surgeon’s experience. Vasectomy reversal isn’t as simple as vasectomy, but it doesn’t mean that it is not possible. Many people undergo vasectomy reversal after experiencing a change of heart, loss of a child, or remarriage. Regardless of your reason for getting vasectomy reversal, you can address the condition.

What is the Procedure of Vasectomy Reversal?

Here is the complete procedure of vasectomy reversal:

Before Vasectomy

When you visit the doctor for a vasectomy reversal, they will diagnose your condition and asses your overall health. Here are some things that they will confirm:

  • A professional doctor will go through your medical history. Other than that, they will perform a physical examination. They will make sure of your current health situation and check if there is any risk of further complications.
  • The doctor will then check if your sperm is healthy. After a vasectomy, your body produces sperm normally. But, it doesn’t move through the vas deferens tube. However, your sperm production decreases with time. To ensure sufficient production of sperm, the doctor will run some tests.
  • The doctor will also confirm if your partner is fertile. The risk of infertility develops when a woman never gives birth to a child, or she is above 40 years of age. In this condition, a gynecologist will inspect your partner’s health condition and run some tests.

During the Procedure

While performing the surgery, the doctor will make a small incision on the scrotum. That way, they can access your vas deferens. They will release the tube from tissues. After that, the doctor will open the tube and check if you are producing the fluid. This will help them understand if you will undergo vasovasostomy or vasoepididymostomy. If your sperm production is normal, the doctor will reattach the tube. However, if the tube does not contain sperm, this indicates that something is blocking the flow. That’s when they will perform vasoepididymostomy.

After the Procedure

Soon after the surgery, the doctor will add bandages to cover the incision on the scrotum. You need to apply ice on the scar for 24 to 48 hours. This will reduce the swelling. Besides that, the doctor will suggest you wear tight undergarments. Athletic support will also work. After the surgery, you may feel pain in the scrotum. But, the pain will eventually go with time. The stitches will dissolve within seven to eight days. Nevertheless, you need to ask the doctor when it is safe to remove the bandage.

Vasectomy Reversal Process urologist | New York
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After returning home, you need to reduce your daily activities and try to avoid excessive movement of your testicles. When the effects of anesthesia wear off, you will experience some pain and swelling. You will feel better in few days. Here are some instructions from a professional doctor that you need to follow:

  • You need to wear an athletic supporter for several weeks.
  • Make sure that your surgery site doesn’t get wet. You need to take precautionary measures while taking a shower.
  • Avoid every activity that puts pressure on your scrotum including heavy lifting, jogging, riding a bike. Take safety precautions for around eight weeks.
  • You can return to your job after few days. However, if your job involves strenuous physical activity, talk to your doctor before going back to work.
  • Avoid sexual intercourse unless your doctors examine your condition and give you the all-clear. Also, avoid ejaculating for two to three weeks.

Vasectomy Reversal Process: Conclusion

A few days after surgery, your doctor will evaluate you and take samples of your semen. They will check the semen under a microscope to see if it includes sperm. You need to visit the doctor for some time as they will check the sperm count in your semen. The doctor will consistently check your semen to ensure that your vasectomy reversal was a success.

If you need consultation from a highly experienced urologist who specializes in vasectomy reversals, call Dr. Yaniv Larish at 646-862-5500

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

Can Vasectomies Be Reversed?

Have you changed your mind about having children and need to know if vasectomies can be reversed? Vasectomy reversals are microsurgical procedures to rectify the effects of a vasectomy. A vasectomy is a contraceptive method to prevent pregnancies while having sexual intercourse. However, you and your partner may decide to have a vasectomy reversal if you want to have children and start your family.

Can Vasectomies Be Reversed?
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It is an important life decision that requires careful planning and consideration. While it is a relatively straightforward procedure, it comprises some of the most complex and intricate microsurgical procedures. Therefore, it is essential to know what happens during the process beforehand.

What to Know Before a Vasectomy Reversal?

One of the first things that your surgeon will do is make sure that none of your previous medical history, conditions, diseases, or disorders interfere with the procedure and complicate it. After reviewing your medical history, the doctor/surgeon will do a sperm analysis.

This analysis saves your time and trouble of getting into a vasectomy reversal if your body is unable to produce healthy and fertile sperm. Hence, there may not be chances of pregnancy from the start. However, if the reports reveal the production of healthy sperm, the surgeon will carry on with further questions and inquiries.

Your partner will also undergo tests and analysis to make sure that she can conceive and form embryos. Old age complicates the reversal procedure, so chances of conceiving significantly reduce with reverse vasectomy when a man/woman ages.

During the Microsurgery Procedure – Vasectomy Reversal

You will have your vasectomy reversal process on an outpatient basis which doesn’t require a long hospital stay.

At your surgeon’s discretion, you will receive either local or general anesthesia. Then the procedure begins with the surgeon making an incision on your scrotum, which reveals the vas deferens. These tubes carry the sperm from the male reproductive organs (testes) to the urinary/ejaculatory duct.

Gently handling the vas from your scrotum, the surgeon will make minor incisions to test if fluid is present in the vein. In case there is water/clear fluid and sperm, the surgeon will carry out a vasovasostomy.

Re-attachment of the severed ends will occur, ensuring the restoration of the pathway for sperms to move from the testes to the penis.

In the case of a dry vas or the lack of sperm in the fluid that may be present in the vas, the surgeon will carry out an epididymovasostomy. This method allows the surgeon to attach one end of the vas directly to the epididymis on the testes.

Note that these are microsurgeries that are complex and much more intricate than a vasectomy itself. In order to perform such an operation, the surgeon will use a microscope, microsurgical instruments, and other precision equipment.

After the Procedure

It can take nearly four weeks for the veins (vas deferens) to heal or more in some cases. It is also possible that your surgeon might perform vasovasostomy on one vas and epididymovasostomy on the other one. Moreover, you should not let your bandages and stitches come in contact with water or anything wet for at least two days/48 hours.

Furthermore, it is advisable to avoid heavy lifting, aerobic exercises, and, more importantly, sexual intercourse for two weeks after the procedure. Using ice packs, antibiotics, painkillers, and other medication can help take care of any bruising, swelling, or pain.

Chances of Pregnancy

Once the procedure takes place, pregnancy might not occur instantly. It can take time for the sperm to get back into the tubes and start mixing with the semen. In reality, sperm carrying ejaculate can form over the course of nearly 4-6 months. Meanwhile, your surgeon will take semen samples to ensure that sperms are healthy and fertile while also capable of mobility.

Can Vasectomies Be Reversed | NYC Urologist
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Pregnancy rates may not be 100 or 99 percent, but they are significantly higher, which is around 60-90 percent on average. Additionally, it is best to consult your doctor or surgeon in case of any unexpected emergencies after the procedure or side effects.

Can Vasectomies Be Reversed: Conclusion

Do you want to consult with one of the best urologists and vasectomy reversal experts? Dr. Yaniv Larish is a urologist and expert in performing microsurgery, especially vasectomy reversals. With extensive experience in the medical process, he can guide you and ensure the effective completion of the procedure.

Give us a call at (646) 862-5500 to schedule a consultation with Dr. Larish today. Visit us at 4 East 76th Street New York, NY 10021 for in-person inquiries. Vasectomy reversals are a sensitive concern and demand high-level expertise and skills for success.

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


Reference Links

https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537
https://urologyaustin.com/male-urology/preparing-for-a-vasectomy-reversal/
https://clearpointhealth.ca/blog/5-facts-you-should-know-before-your-vasectomy-reversal/
https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zc2385

Are Urologists Qualified to Perform Vasectomies and Vasectomy Reversals?

Microsurgeons usually perform vasectomies and vasectomy reversals, and urologists who are also skilled in microsurgery can conduct them as well. Urologists are trained physicians who treat different issues affecting the organs in the urinary tract. Urologists also take care of and treat issues that occur in the male reproductive system and organs. Hence, some urologists do qualify to perform vasectomies and vasectomy reversals on patients. To learn more about urologists and their link with vasectomies, read further below.

Urologists Vasectomy Reversals
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Who are Urologists?

Urologists are doctors that specialize in genitourinary issues related to the urinary and genital organs of both men and women. As they specialize in this field, urologists have a broad knowledge in other fields that link to cancerous treatments of the testicles, kidneys, urethra, prostate, and bladder. Since urologists focus on male reproduction, they can also perform vasectomies for birth control purposes, as well as vasectomy reversals.

Urologists receive a credited medical degree after graduating from a prestigious medical institute and continue their postgraduate residence training in different hospitals for around five years. They attain a license to practice surgery and medicine, though their sole focus is practicing urology. As there are many issues involved in urology, physicians attain special training in different areas that are broken down into adult urology, pediatric urology, urinary incontinence, and more.

Vasectomy and Vasectomy Reversals

Vasectomy is a surgical procedure that blocks the sperm from contacting ejaculated semen from the penis. With a vasectomy, you will still ejaculate semen, but the only difference will be that it won’t contain sperm cells. The sperm is usually soaked up by the body. Sperm is the male reproductive cell that fertilizes a female egg, causing her to become pregnant. Many people get a vasectomy because they want to get pregnant, but if they change their mind later on, they can get a vasectomy reversal.

A vasectomy reversal is a surgery that helps undo the process of a vasectomy. Men who underwent a vasectomy opt for this procedure if they want to have children. A vasectomy reversal involves reconnecting each tube that takes sperm cells from the testicle right into the semen. If the reversal is successful, sperm combines with the semen once again. You regain your fertility this way, allowing your spouse to get pregnant. The pregnancy rate after a vasectomy reversal may differ, depending on the procedure. The rates usually vary from 30% to 90%.

Are Urologists Qualifies to perform Vasectomy Reversals
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How to Choose the Best Urologists for Vasectomies and Vasectomy Reversals

If you’re getting a vasectomy or vasectomy reversal from a urologist, you have to make sure you choose the best one. You must keep a few things in mind when choosing a urologist for a vasectomy and vasectomy reversal. They are as follows:

Their Qualifications

Urologist qualifications are one of the most important things you should check for before approving them for your vasectomy or vasectomy reversal. Their qualifications and credentials are usually mentioned on their website. You can also gather information from the hospital they are performing your surgery in. It is best to choose a urologist who has had successful experience in performing vasectomies and vasectomy reversals. This way, you will feel safe and comfortable when going in for surgery.

Ask For Referrals

You can ask friends and family for referrals of good urologists in town. They will surely give you a better view of a specific urologist and can advise which ones offer top level service. You can also ask your family physician. They will surely know of different doctors who specialize as urologists and perform vasectomies. The more referrals you get, the better you can shortlist and choose the best one for your vasectomy and vasectomy reversal.

Check Online Reviews

If you want to look further into a urologist, you can take a look at online reviews, which are usually mentioned on their website or the clinic’s website. This way, you can learn about the experience other patients had, which makes your selection process much easier.

Book a Consultation

It is advised to have multiple meetings with your urologist before your surgery. You can book a consultation with them prior to the surgery and ask them all the necessary questions. The consultation appointment will help in gathering more information, and you can make a proper judgment on whether or not you’re comfortable with that particular urologist carrying out your vasectomy or vasectomy reversal. The consolation will also be a good time to get comfortable with the urologist and establish a relationship where you can trust them to perform such a major surgery.

Urologists & Vasectomy Reversals: Final Thoughts

So yes, urologists are qualified to perform vasectomies and vasectomy reversals. All you have to do is make sure you choose the right one with the help of a few guidelines mentioned above. They should be skilled and experienced in microsurgery, and should have performed multiple successful vasectomy reversals.

If you want to attain the best and safest vasectomy or vasectomy reversal in NYC, then get in touch with Dr. Yaniv Larish and schedule an appointment today.

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

I Changed My Mind About My Vasectomy. What Are My Options?

Have you or someone you know changed their mind about their vasectomy? It’s common for men who undergo vasectomies to change their minds and want to reverse the process. Some search for a solution so they can bear children again, but many are under the impression that reversal is not possible. So, if you want to have kids after having a vasectomy, you can get it reversed. But, vasectomy surgery is more complicated than a reversal.

changed mind about vasectomy
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Vasectomy is a process wherein the doctor cuts the vas deferens and blocks sperm flow from the testes to your penis. Vas deferens are a tube that carries the sperm cells, so they combine with the semen during ejaculation. While conducting a vasectomy reversal, a surgeon has to reconnect both the tube’s ends, allowing sperm to pass through. If you live in NYC, you can visit Vasectomy Reversal NYC and consult highly qualified and experienced doctors.

Who Gets a Vasectomy Reversal?

If you finally decide to start a family, you can consider vasectomy reversal. Five to six years after their vasectomy, men often decide to have children again. Either they feel like they are ready to raise a child, or their spouse wishes to have children. Doctors may also recommend this procedure if you experience pain in your testicles. Yes, in some cases, people develop pain because of their vasectomy. You may experience pain for various reasons, but the reversal is an effective way to get pain relief and have children with your partner.

Yes! I Want a Reversal. What Should I Do Next?

Regardless of your reason to get a vasectomy reversal, you need to consider few things. For starters, you are not the first person to regret your decision to get a vasectomy. Hundreds and thousands of people change their minds after the first few years. Suppose you are one of them; no need to worry. You can opt for a vasectomy reversal, which is a non-invasive surgery. However, keep in mind that you need an experienced doctor to perform the surgery.

Getting your vasectomy reversed by a professional doctor with extensive training will increase the success rate. Not to mention, they should have years of practice performing the procedure, so they understand how to do it without causing complications. Vasectomy reversal is a safe and successful surgery to recover from vasectomy. If you discuss the option with a person who previously got a vasectomy reversal, they will likely recommend that you get one.

What Is Vasectomy Reversal?

Vasectomy reversal is a surgery that involves the reconnection of vas deferens. Many people undergo a vasectomy due to male sterilization and permanent contraception. After some time, many people change their minds and want a reversal. Vasectomy reversal is a time-consuming and expensive treatment. Considering the success rate of this procedure, it is the most effective technique to regain your fertility.

The success rate of vasectomy reversal highly depends on when you decided to get a reversal. The earlier you make up your mind, the higher the success rate. Your body keeps on changing from time to time. After a vasectomy, your body will recover, and it reaches a point where surgeons find difficulty in reattaching the tube.

How Is a Vasectomy Reversed?

There are methods for vasectomy reversal. The first and common method for reversal is vasovasostomy. In this procedure, the doctor will attach both ends of the vas deferens tube. When this happens, sperm can travel from the testes to your penis as you ejaculate. The second procedure for vasectomy reversal is vasoepididymostomy. In this method, the doctor will attach the vas deferens with a small organ that holds your sperm. The doctor will find this organ behind each testicle. This procedure is more difficult than a vasovasostomy. Surgeons recommend this procedure if a vasovasostomy is not possible or it doesn’t work.

changed mind about vasectomy options
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A professional doctor will perform a vasectomy reversal in their clinic or hospital. The procedure takes place after the doctor gives you general anesthesia. You will be unconscious throughout the process and won’t feel any pain. You will regain consciousness in two to four hours. After the surgery, you can leave for home. However, you will recover from the reversal procedure within two weeks. You can get vasectomy reversal numerous times. However, each time that you undergo the procedure, the success rate decreases.

Changed Mind About Vasectomy? Conclusion

Vasectomy reversal is an effective technique to regain your fertility. If you recently underwent a vasectomy, your success rate for reversal is higher. However, as time goes by, the success rate decreases. Vasectomy reversal isn’t an extensive technique. There are two types of reversal methods; vasovasostomy and vasoepididymostomy.

Do you want a vasectomy reversal? Contact us at 646-862-5500. We perform vasectomy reversals under the supervision of a highly qualified surgeon, Dr. Yaniv Larish. Feel free to contact us and make an appointment.

Can All Vasectomies Be Reversed?

Can all vasectomies be reversed when it comes to the vasectomy reversal procedure? Vasectomies are a common medical procedure around the world. It is for those couples or partners who wish to live a romantic life without the risk of getting pregnant. Since a vasectomy deals with the male’s reproductive sperm, it is a highly successful and effective contraception method.

Can All Vasectomies Be Reversed?
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However, after spending some time together, a couple might decide to get a reverse vasectomy. There are many reasons behind a vasectomy reversal, primarily the wish to have children and begin a family. Moreover, a male might feel self-conscious regarding his health, which can lead him to opt for a vasectomy reversal. Hence, it is best to know beforehand what happens in a vasectomy reversal and whether all vasectomies are reversible or not.

Are All Vasectomies Reversible?

Answering the main questions first, you should know that all the vasectomies are reversible but require a lot of consideration. It involves the incision and ligation of the vas deferens in the scrotum of a male. Thus, the reversal involves the re-attachment of the veins.

While all vasectomies have a high chance of success in reversal procedures, certain complications can occur. Often, without adequate care, the results might be unsatisfactory and cause severe implications on health and lifestyle.

Some Risks of the Vasectomy Reversal Procedure

Painful Scrotum

Pain can begin and persist in the scrotum, near the vas deferens, and some close venous parts of the lower body. Although this is highly uncommon and doesn’t hold any medical record, such cases are possible and will require the immediate attention of a skilled medical professional.

Surgical Infection

Infections can happen after a surgical treatment or operation. Cutting a vein open and then incisions and ligation exposes the sensitive internal organs and blood vessels to foreign elements. Hence, chances of infection rise but are treatable through antibiotic therapy.

Internal Scrotum Hemorrhaging

The vasectomy reversal procedure can increase the chances of internal hemorrhaging in the scrotum. This can lead to hematoma (blood collection), and clotting within that is responsible for the painful swelling in the scrotum. However, it is often the result of inadequate care and health preservation. Moreover, using scrotal support, ice packs, antibiotics, and more can help in controlling the risk of progressing pain.

What is a Successful Vasectomy Reversal?

Vasectomy reversal appears to be a relatively straightforward procedure that is no more than rectifying the previous “snip”. However, it can lead to certain complications, often due to improper post-surgery care.

After going through some of the most important factors, a surgeon will determine whether you are fit to have a vasectomy reversal and if there are high chances for any complications. After confirming the chances of reversal being successful, the surgeon will begin the process.

Usually, this procedure occurs as an outpatient service that doesn’t require a hospital night stay or something similar. However, you may have to rest and get medical assistance for a couple of hours post surgery. Regardless, within a day or two, you should be able to get back to work and get on with your routine.

Can Vasectomies be Reversed?
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What is the Procedure?

The procedure involves your surgeon making sure that you are healthy and fit. The surgeon will make precise incisions after providing general and regional anesthesia to sedate you while leaving your scrotum numb.

The incision will expose your vas deferens (the tubes carrying sperm into the ejaculate that forms with the semen) while releasing it from the surrounding tissues. After separating the vas deferens, the surgeon will make incisions to check if there is fluid present.

In case the sperm is present, the surgeon will attach the severed ends of the tubes together. Nevertheless, if the fluid is lacking and the inside of a tube is dry, it might relate to scar tissue (blocking the sperm). In this case, the surgeon will perform a “vasoepididymostomy,” which involves connecting another end of the vas to your epididymis.

Keep in mind that these are highly micro-surgical procedures that require extreme precision and skill. In fact, a surgeon who doesn’t have the experience of using microsurgical instruments and equipment might not be the best fit to perform your vasectomy reversal.

Can All Vasectomies Be Reversed? Conclusion

Are you looking for the best doctors and surgeons for your vasectomy reversal? The decision to begin a family is a rather important decision that also requires plenty of consideration. Therefore, you should only contact a surgeon who has experience in the process of vasectomies/reversals and carries a good reputation in the industry.

Dr. Yaniv Larish is an experienced, skilled, expert, and highly knowledgeable surgeon in vasectomy reversals at Vasectomy Reversal NYC. Contact us today at (646) 862-5500 to schedule an appointment with him. Pay us a visit for personal inquiry at 4 East 76th Street New York, NY 10021.

 


Reference Links:

https://www.urologyhealth.org/urology-a-z/v/vasectomy-reversal
https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537
https://health.clevelandclinic.org/vasectomy-reversal-5-facts-men-need-to-know-2/
https://www.healthgrades.com/right-care/vasectomy/are-vasectomies-reversible

 

Why Do Men Reverse Their Vasectomies?

Why do men reverse their vasectomies? The 20th century has made many changes to marital relationships. Marriage is no longer a need-based requirement for survival. There was a time when people lived in an economical construct, based strictly on monarchic values. In these times, people who lived amongst their families in large numbers benefited from sharing labor. The beginning of the 20th century and the changes in world dynamics have made marital relationships unnecessary for survival. The glue that holds marriages together in the modern world is the intertwined feelings and emotions between the spouses. When we consider this, the crude decisions of couples getting vasectomies and vasectomy reversal begin to make more sense.

Why Do Men Reverse Their Vasectomies?

A vasectomy is a surgically executed procedure. It permanently makes a person infertile and so they can never reproduce. This is a form of birth control along with other forms of birth control. Most people are very happy with their decisions of a vasectomy but 20 percent of people reconsider their decisions. There are certain reasons why a person would reconsider such a huge decision. One of the most common reasons is regret.

·      Regret

People often find themselves making decisions solely based on their emotions. The decision to get a vasectomy is, however, a decision that takes time to make. It is very less likely to be an emotional decision. Even though it is mostly not an emotionally driven decision, you can still find yourself regretting it.  Modern psychology suggests that even intellectually thought-out decisions can be turn out to be regretful because of the inconsistent and unpredictable nature of human emotions.  If you look at it from the perspective of behavioral science, regret becomes an undeniable and normal reason for getting a vasectomy reversal.

Why Do Men Reverse Their Vasectomies
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·      Change in Perspective

A person that opts for a vasectomy reversal makes that decision based on certain beliefs and morals. Regret can also stem from certain changes in life that makes a person change their perspective on life. Certain accidental events can occur in their lives that make them re-think about their decisions on the vasectomy. These events can be a tragedy or in some cases even a celebration. A person can also change perspectives by getting inspired to views that oppose his ideology. Inspiration can come from anywhere, an internet video, a person, an event or even by one’s own mind.

·      Having a Vasectomy in an Unstable Marriage

A vasectomy between spouses is usually a collective decision. In some cases, the person decides to get a vasectomy because of the other partner wants them too. There are relationships that make one-sided rash decisions. In a few cases, the husband agrees to have a vasectomy because the more dominant wife forces her decisions on him. This type of marriage, which lacks compatibility and compassion, is more likely to end in divorce and an unwanted vasectomy. Divorced men, when looking for a new spouse are likely to get a vasectomy reversal to fulfill the desires of conceiving and starting a family.

·      Benefits of Vasectomy Reversal

Another reason why men chose vasectomy reversal instead of other alternative methods like artificial insemination, Vitro fertilization is because it saves the added costs of frequent doctor’s visit and medications. Not only that, it also provides the opportunity to experience natural childbirth. Artificial methods can be very costly; they can also be a very alienating experience for the mother. Natural childbirth is a more preferable way of conceiving because the mother feels more connected to her baby. It is also a more relatable process because it has been going on for centuries. The restoration of fertility is not temporary but lasts for the rest of your life.

·      The Success Rates of Vasectomy Reversal

People are often times apprehensive before going through a surgical procedure. Not everyone is comfortable with the idea of a surgical procedure in their genital area. A person might reconsider going through any surgery that does not even completely ensure successful results. People tend to make the decision of undergoing a vasectomy reversal with no hesitation because of the unwavering success that it has. The rate of achieving pregnancy after a vasectomy reversal ranges as high as 97%. In men who have longer delays after vasectomy, the success rate can be as high 67%. It also rarely has any negative effects, not to mention the post-surgery pain, which is more or less the same as post vasectomy pain.

Why Do Men Reverse Their Vasectomies?
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Why Do Men Reverse Their Vasectomies? Conclusion

Many reasons can play into a person’s mind, which can eventually make him decide in favor of a vasectomy reversal.  Technological advancements in microsurgery have made it possible for a man to choose against his own decisions. Men who wish to have their vasectomy reversed can now easily make that decision.

Multiple, variable reasons can dictate their decision, but the possibility of the outcome will always remain constant. If you wish to stamp your decision on getting a vasectomy reversal, visit our clinic and Dr. Yaniv Larish will provide you with skilled and professional care and consultation.

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

What Training Does A Microsurgeon Receive?

Microsurgery is a specialized surgical discipline that involves the use of precision instruments and microscopes. It helps in repairing intricate structures such as nerves, vessels, and tissues. Microsurgeons receive training to operate on the smallest of tissues and nerves. The field is dedicated to restoring function in individuals suffering from congenital anomalies, cancer, and trauma.

Many plastic surgeons and urologists rely on microsurgery to perform different procedures. These include transferring tissue from one part of the body to another, composite tissue transplantation, replantation, or reattachment of various body parts.

microsurgeon training
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Microsurgeons can perform a wide range of individualized operations. Microsurgical reconstruction is a complex reconstructive surgery that solves problems better than other options such as skin grafting, primary closure, and regional and local flap transfer.

Who is a Microsurgeon?

Microsurgeons perform all type of surgeries that involves microscopic procedures. Apart from reconstructive and plastic surgery, microsurgeons are advancing in many fields. They can now perform numerous surgeries safely and efficiently. Their abilities expand the scope of treatments greatly.

By enhancing their skillset, microsurgeons help patients overcome severe injuries. They do so using innovative techniques rather than traditional methods. Microsurgeons can perform surgeries via special operating microscopes. They can transplant tissues, bones, muscles, and other body parts. They inspect the area using a high-power microscope and execute different surgeries. This way, they can carefully move and reattach the nerves and blood vessels carefully. This way, the transplanted tissue will stay and live in the new position.

A microsurgeon can take tissue from the back or leg, reattach the fingers, reattach the breast, or perform plastic surgeries. They can also reconstruct tongues, toes, fingers, hands, noses, ears, and other parts of the body. Microsurgeons usually handle and manage complicated surgeries such as trauma and cancer. Microsurgery cases are challenging and help with reconstructive and plastic surgery, as well as urological procedures such as vasectomy reversal.

What Does Microsurgery Involve?

Surgeons use various tools to operate and repair nerves, tissues, and blood vessels. Here are some of the tools that they use:

·       Bright Light Source

It helps the surgeon maintain proper visibility in the operating theatre.

·       Microscope

This device helps surgeons magnify the target and visualize the monitor for better procedures.

·       Specialized Needles and Thread

These instruments help surgeons with stitching

·       Forceps and other Instruments

Surgeons use specialized instruments to allow precision and prevent inaccuracy due to natural tremors.

Why is Microsurgery Performed?

Microsurgeons perform surgeries for a wide range of healthcare disorders and treatments such as plastic surgery, vasectomy, neurosurgery, orthopedic surgery, ophthalmology, and general surgery. With the advancement of microsurgical techniques and perform the following procedures:

·       Transplantation

A microsurgeon can reconstruct a body part via a transplant. For instance, they will recommend a toe-to-thumb transplant and replace the thumb with the big toe.

·       Replantation

In this emergency procedure, the surgeon will reattach the body part no longer attached to the body, such as the toe or finger.

·       Free Tissue Transfer

A microsurgeon has the ability and skill to take tissue from one body part and reconstruct it to another. They will perform the surgery if you undergo severe surgery, and stitching and skin grafts are out of the options.

What training does a microsurgeon receive?
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What Training Does A Microsurgeon Receive?

·       Stage 1: The Microscope

The microsurgeon will perform microscope position, parfocal, and focus exercises under training sessions. They will learn about identifying conditions by properly using microscopic instruments.

·       Stage 2: Microsurgery

The surgeon will stimulate the participants to practice osteotomy, private practice setting, retro ultrasonic preparation, and retro filling on dental mannequins. They will work under a surgeons supervision and their assistance, demonstrating them to diagnose and treat the patients. Furthermore, the surgeons will learn how to use microsurgical tools and instruments for surgeries. Participants will observe and monitor the condition through a TV monitor, and the supervisors will engage them through interactions.

·       Stage 3: Mannequin Microsurgery Practice

This practice will help enhance microsurgery students efficiency and confidence. During this training process, they practice microsurgical techniques on mannequins, depending on their specialization. They will use a microscope for the procedures.

Microsurgeon Training: Conclusion

At Vasectomy reversal NYC, we ensure that you receive the best vasectomy reversal treatment under the supervision of Dr. Yaniv Larish, a microsurgeon at Gramercy Surgery Center. Dr. Larish has extensive experience, training, and expertise in performing microsurgery with high-quality microsurgical instruments.

You can discuss your conditions with him, and he will suggest the best treatment options for your situation. Contact us at (646) 862-5500 and set up an appointment with the best micro-surgeon in New York City.

Vasectomy Reversal Success Rates

What are the general vasectomy reversal success rates? When you regret your decision to get a vasectomy, you can opt for reversal surgery. Vasectomy reversal is one of the best techniques with the highest success rate out of all. In the procedure, the surgeon reconnects vas deferens. This is the tube carrying the sperm to the semen from the testicles. After a successful vasectomy reversal process, you and your partner can conceive.

Vasectomy Reversal Success Rates
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The rate of pregnancy after undergoing vasectomy reversal ranges from 30 percent to 90 percent or more. The success rate depends on the procedure and the surgeon performing your surgery. Numerous other factors also affect the reversal surgery’s success at improving fertility. For instance, the success rate depends on the surgeon’s training and experience and how long it has been since the vasectomy. . Your partner’s age and your fertility also play a role.

Procedure for Vasectomy Reversal

The surgeon will perform vasectomy reversal using any one of these methods:

1.    Vasovasostomy

When you choose vasovasostomy for the reversal, the doctor will sew both the ends of the vas deferens together, stretching it back to the penis from the testes. This will enable the flow of sperm so it can mix with semen.

2.    Vasoepididymostomy

Another method for vasectomy reversal is vasoepididymostomy. During this method, the doctor will attach the vas deferens at the back of your testicles to the small organ holding the sperm. This technique is invasive and more difficult than a vasovasostomy. For surgeons, a vasovasostomy is the first option. But if it fails for any reason, they will perform vasoepididymostomy. The surgeon will perform the reversal method in a clinic or the hospital. The doctor will give you anesthesia, so you remain unconscious throughout the procedure. This way, you won’t feel any pain, and the surgeon can easily perform the reversal. This reversal technique will take about two to four hours. After the surgery, you can go back home the same day. Of course, you need almost two weeks to recover from the surgery. You can reverse a vasectomy numerous times, but as the number increases, the success rate decreases.

Success Rates of Vasectomy Reversals

Here are some of the factors affecting the success rate of vasectomy reversal:

·       Time

While some experts suggest that this is a misconception, others say that your reversal won’t succeed if you had vasectomy years ago. The reversal’s success rate depends on how much time has passed since your vasectomy. For instance, if you are getting vasectomy reversal after ten years of vasectomy, your success rate will be higher than if you decide on a reversal 15 years later. Of course, your partner’s chances of getting pregnant and the health of your sperm will influence the success rate as well.

·       Type of Vasectomy

The success rate of the vasectomy reversal also depends on the technique that you prefer for your vasectomy. The surgeon will ask you about the technique that you choose.

·       Sperm Antibodies

When a lot of time has passed between vasectomy and reversal, the body starts developing antibodies to eliminate sperm within the body. If that happens, the surgeon must diagnose the condition and perform other surgeries.

Success Rate By Numbers

Pregnancy and fertility depend upon the number of years it took for you to decide on reversing the surgery. The success rate will be around 75% if you go through reversal after the first surgery. However, the rate will decrease to 25 to 30% after 19 years.

After the Surgery

After performing vasectomy reversal, the doctor will examine the semen under the microscope to determine if the surgery was effective. They will continue to examine your semen samples until your partner conceives. This is the only way your doctor can ensure that the reversal was successful.

General Vasectomy Reversal Success Rates
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After a successful vasectomy reversal, your doctor will be able to detect sperm in the semen sample. This usually takes a few weeks, but it can take a year or more. Furthermore, numerous other factors, such as the number and quality of the sperm, influence the reversal surgery’s success.

Vasectomy Reversal Success Rates: Conclusion

If you want to learn more about the success rates of vasectomy reversals and what technique you should choose, contact us at (646) 862-5500. At Vasectomy Reversal NYC, we ensure that you receive the best treatment under the supervision of an expert and professional urologits and surgeon, Dr. Yaniv Larish. He has years of experience in performing successful vasectomy reversals.

Qualities of the Best Urologists

Urology is the medicinal and doctoral branch pertaining to the diagnoses, treatments, and prevention of urinary tract diseases, disorders, and conditions. Upon specializing in the field, medical professionals earn the title of a urologist. They tend to patients’ urological problems, providing services to improve their lifestyles.

To ensure the provision of the best medical care for patients, a urologist requires a unique skill set. These qualities range from common doctor’s qualities to extreme surgical abilities. Possessing these qualities allows them to build solid trust with patients to ensure excellent career growth in the urology department.

Qualities of the Best Urologists
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But what qualities do the best urologists have?

Overview

Urology requires medical professionals to use their skills as a physician and surgeon. A combination of thorough knowledge of medical management and the skills to perform surgeries is a unique field to specialize in as a doctor. Urology divides into branches, allowing specialization. Mentioned below are some of these branches, along with brief descriptions.

  • Andrology; this field of urology primarily focuses on the male reproductive organs. This field looks into matters like penile prostheses and their implants, erectile dysfunctions, and ejaculatory disorders. Moreover, it deals with patient issues like infertility and re-fertilization processes.
  • Gynecologic Urology; this field employs urologists with the specialty of reprimanding the issues present in the female pelvic floors, which consist of the reproductive and urinary organs. A gynecologic urologist might rely on various surgical procedures.  Examples of pelvic floor issues are incontinence, vagina prolapse, etc.
  • Oncologic; this type of urologist works on genitourinary diseases. These diseases include cancer in different parts of the urinary system, such as kidneys, bladder, prostates, and male reproductive organs. Oncologic urologists employ surgical methods.

These were the few of the sub-fields of the branch of Urology. You’re probably wondering about some of the qualities of the best urologist.

Some Qualities of the Best Urologists

Here are some of the best qualities of a urologist. Some of them are common to a doctor in any field, while others are common in surgeons around the world.

Determination

This field requires determination. You cannot become an expert urologist overnight. You have to spend years in training and education, after which you can begin practicing. This entails that a good urologist is persistent in proving his point and consistent in providing medical care. Showing long-lasting determination in urology ensures career growth and provision of support to the patients.

Communication

A critical feature that medical professionals must have is “communication.” It entails conveying information from one person to another. But how is it different in the case of a urologist and the patient? The answer is simple. You have to engage with the patient in the most prominent and suitable manner of respect and compassion.

A urologist provides comforting statements and tips throughout the patient’s checkups, and he might form an optimistic tone to encourage positivity. A urologist with excellent communication skills helps achieve the patient’s satisfaction and trust. With proper communication and rapport between the urologist and the patient, there is no room for confusion or error.

Qualities of the Best Urologists NYC
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 Dexterity and Visuospatial Ability

A manual state of dexterity is a must in the best urologist. This is because surgical procedures that treat urological problems and conditions require microscopic treatments. With an excellent eyesight and hand-eye coordination of a professional-level surgeon, skilled urologists yield a high success rate when performing procedures. Dexterity is vital because surgical procedures such as vasectomies, vasectomy reversals, cancer and tumor treatment in the urinary tract system, etc., all require steady microscopic treatment.

Organization Skills

This skill involves the ability to lead a demanding and busy life. As a doctor of urology, you might have to respond to urgent calls and treatments of patients. Therefore, the ability to engage without any distraction or mess is a quality of the best urologist.

Qualities of the Best Urologists: Conclusion

At Vasectomy Reversal NYC, Yaniv Larish MD is a highly experienced expert in the field of urology. He specializes in different branches of Urology to provide his services and medical care to his patients. He ensures an excellent bedside manner and compassionate attitude towards his patients.

With his extensive knowledge and background, Dr. Larish MD is one of the best urologists in New York City. Schedule an appointment today at (646) 862-5500 and receive outstanding medical care.

For contact details, head over to our website page here


References & Related Links:

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114028/
  2. https://www.medrecruit.com/blog/urology-surgeon/
  3. https://www.bmj.com/content/335/7610/s14
  4. https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/surgery/urology/entry-requirements-skills-and-interests#:~:text=Urologists%20need%20a%20special%20blend,vision%20and%20visuo%2Dspatial%20awareness
  5. https://www.urologytimes.com/view/what-traits-are-important-be-good-urologist
  6. https://www.careerexplorer.com/careers/urologist/personality/
  7. http://www.orangecoasturology.com/patient-information/branches-of-urology.html
  8. https://www.urologytimes.com/view/e-m-guidelines-require-a-different-approach-to-documentation

Older Men Having Children

Many women who get pregnant at older age already understand the risks involved – for both them and their child. On the other hand, men are still unaware of the risk their old age can have in the event that they have a child (Source). As more millennials are putting off having kids, the average age of parents is growing, as parents opt to get stable careers before having children. This trend has numerous implications for women and children’s health.

Older Men Having Children
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While delaying marriage and having children does allow a stable lifestyle for children, having older parents can have an effect on their development.

Parental Age and Baby’s Health

Research pertaining to parental age and child health shows that there are numerous misconceptions about the best time to have a child.’ While this field still requires immense research, there are some scientific answers based on biology. According to the studies, children whose parents had them after crossing their 40s face the risk of developing the following conditions:

1.    Schizophrenia

Some studies suggest that older parental age might lead to numerous risks for the baby. These risks include mental disorders, such as schizophrenia. Furthermore, the child may start to experience symptoms of schizophrenia at an early age.

2.    Pregnancy Loss

Higher maternal or paternal age can increase the risk of stillbirth or miscarriage increases. In women, the womb may not be as strong as it used to be.

3.    Autism

According to some cases of research, there is a correlation between increasing cases of autism spectrum disorder and older parental age.

4.    Childhood Acute Lymphoblastic Leukemia

Children with older parents face a higher risk of acute lymphoblastic leukemia at an early age. This condition is cancer and is an abnormality in the production of white blood cells. Since white blood cells are crucial components of the immune system, this disease means that the child will have compromised defenses against various infections and diseases.

5.    Rare Birth Defects

When parents decide to have a child at an older age, there is a higher risk of the child experiencing rare birth defects. This includes defects in the development of the heart, limbs, and skull.

What is a Vasectomy?

Vasectomy is a surgical procedure that prevents the sperm from reaching the seminal fluid. It implies that the ejaculate will be free from sperm cells, which are crucial for conception. While you will continue to release semen, the tube connecting transfer of the sperm to semen is no longer connected. A vasectomy doesn’t affect your body’s ability to produce sperm. You will continue to produce sperm normally, but your body will absorb it as they accumulate in the scrotum.

In the United States, more than 500,000 men choose to undergo a vasectomy every year. Because vasectomy is among the most effective methods for birth control, it is gaining more and more popularity. This surgery has higher efficiency and a greater success rate in contrast to other birth control methods, such as oral contraceptives, etc.

Older Men Having Children

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Testicles produce sperm and other male sex hormones. Sperm cells are male reproductive cells that fertilize female eggs, beginning the reproduction process. The testes are in the scrotum at the base of the penis. The sperm leaves the testes through the epididymis, a coiled tube. The sperm cells stay in the testes until you are ready to ejaculate. Epididymis connects with the vas deferens, which further connects with the seminal vesicle, forming the ejaculatory duct. The ejaculate is a combination of seminal fluid and sperm cells, called semen.

How Vasectomy Works

Sperm cells are microscopic cells that fuse with egg cells to cause a pregnancy. The sperm cells come from the testicles. The vas deferens transfer sperm and mix it with semen when you ejaculate. When you undergo a vasectomy, the surgeon will block or cut the vas deferens tube so that your semen does not mix with the sperm. The sperm cells will stay in the testicles, and your body will absorb them. After three months of your surgery, your semen will no longer contain sperm cells, losing its ability to get your partner pregnant. A vasectomy will not change the way you ejaculate or have an orgasm. Your ability to have sexual intercourse will remain the same after the surgery.

Older Men Having Children: Conclusion

If you are looking for a urologist in New York City to undergo vasectomy, you can contact Dr. Yaniv Larish and consult with him. He has extensive experience in performing vasectomies and vasectomy reversals. You can contact us at (646) 862-5500. Furthermore, you can visit our clinic and find the best treatment in New York City.

Do Urologists Perform Vasectomies?

Do urologists perform vasectomies as one of their typical services? The vas deferens is a tube that transmits sperm to the penis through the testes. In a vasectomy, the urologist blocks or cuts the tube via surgery. This surgery will help avoid unwanted pregnancies. Experts think that a vasectomy is a fantastic option for permanent birth control. If you and your partner are sure about not having children, you can opt for this surgery. On the other hand, options are available to restore your vas deferens and ability to have children with your partner.

Do urologists perform vasectomies?
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What is a Vasectomy?

With 99.85% effectiveness, a vasectomy is a long-term birth control option for men. The urologist will cut the vas deferens, preventing the sperm from mixing with your semen when you ejaculate. Once you undergo a vasectomy, your testicles will continue to produce sperm, but they won’t leave the testicles. Your body will absorb the unused sperm. Vasectomy is a procedure with fewer complications and problems. Furthermore, it is an outpatient treatment involving the use of local anesthesia.

Procedure for Vasectomy

The urologist will perform the procedure in their office. You need to prefer a specialist who has widespread experience in the urinary tract and reproductive system. If you are anxious about the procedure, your urologist can perform the treatment in the hospital or outpatient surgery center. To perform the surgery, the doctor will decide any one treatment option from two ways. In both procedures, the urologist keeps you awake. They will numb your scrotum using local anesthesia.

The simple method includes two one centimeter of incision in your scrotum. This way, they can access the vas deferens. They will cut down the small part of the vas deferens and remove it from your body. They will cauterize and seal it. After that, they will stitch the endings. The urologist may or may not use the same cut for the vas deferens on the other testicle. After sealing both the vas deferens, the specialist will glue or stitch the skin on the scrotum where they cut open.

For another surgery, the specialist will puncture a small hole in the scrotum. This method does not include any scalpel. After the cut, the doctor will locate the vas deferens under the skin and pull it out of the hole. They will cut the vas deferens removing it from the body. They will seal the tube by tying both ends or cauterizing it. Then, they will put the tube back in place. They will then perform the same procedure for the other testicle. Since the holes are small, you won’t require any stitches or glue on the skin.

The Recovery Time from a Vasectomy

After the procedure, you will experience mild discomfort, swelling, and bruising for few days. The symptoms for a vasectomy won’t longer than two weeks. Specialists will suggest various methods to decrease swelling and pain. Here are some standard methods that you can try:

  • Keeping a cold pack on the scrotum helps relieve swelling
  • You can also try over-the-counter pain killers for mild discomfort. Ibuprofen might work, but consult with your doctor before taking any medication
  • Jockstrap or compression shorts can also help with the pain and swelling. You need to wear these for two weeks.

You should wait 24 hours before taking a shower and avoid using a bathtub for two days. You can return to work and other routines after two to three days of the procedure. However, you should prevent strenuous activity such as lifting heavyweight and other exercises for one week after the treatment.

Choosing the Best Urologist to Perform Your Vasectomy

Before choosing a urologist, ensure that you and your spouse are ready for the procedure. This can be a big decision. After you both agree on having a vasectomy, you need to find an experienced specialist. Here are some of the suggestions that you should follow before choosing the urologist:

1.    Online Reviews

When looking for a doctor, gather some information. Search for reviews and read testimonials. By reading patients’ experiences, you can understand doctors’ good and bad qualities.

2.    Referrals

You can take recommendations from a friend or family member who went through a vasectomy. They will share their experience with the doctor. You will always hear an honest opinion from them.

Do urologists perform vasectomies? Urology
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3.    Check Qualifications

There are numerous urologists with credentials. Check their websites for their qualification. Furthermore, choose a qualified specialist who has performed numerous successful vasectomies.

4.    Schedule a Consultation

You can learn more about the urologist by consulting with them. The consultation will provide plenty of information about the doctor. You can ask them any questions about the procedure. This session takes place prior to a vasectomy. This way, you can ask questions, establish a relationship, and take some time to decide whether you should opt for it or not.

Do Urologists Perform Vasectomies: Conclusion

You can set-up an appointment with Dr. Larish if you are looking for a Urologist in New York City. He has widespread experience in performing vasectomies and vasectomy reversals. Dr. Larish is highly-trained and knows how to perform advanced and modern treatments. For a consultation, you can contact our clinic at (646) 862-5500 .

What is Male Tubal Reversal?

Male tubal reversal, or “vasectomy reversal,” is a process in which your surgeon attaches the vas deferens back together. This allows the tubes, vas deferens, to carry sperm into the urethra and become part of the ejaculate.

Vasectomy is a better contraceptive than various other methods. Vasectomy surgeons tie the sperm ducts (vas deferens) or use a ring to prevent sperm from becoming part of the semen. Thus, male sterilization allows you to have sexual intercourse with your partner while avoiding unwanted pregnancies.

Most men prefer to reverse their vasectomy because they have a change of heart. They might have passed through a rough patch, or they simply want to start a family. Another reason is to alleviate the pain that occurs after a vasectomy.  For the reversal of vasectomy (male tubal reversal), a qualified and professional urologist is a must.

What is Male Tubal Reversal?
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For this reason, Dr. Yaniv Larish is one of the best urologists in New York City. You can visit the website here to learn more about the vasectomy reversal procedure and about what Dr. Larish has to offer.

Before Vasectomy Reversal

Before giving the green light on a vasectomy reversal, a urologist may check a few things to ensure a successful procedure.

  • Firstly, they take a medical history, which includes medication, treatment, and any physical complications. It ensures that no aspects of your medical history complicate the reversal procedure.
  • Secondly, before performing the procedure, your urologist will make sure that your partner/ spouse is capable of having children. Besides checking their age, he might suggest conducting gynecological tests to prove fertility.
  • Lastly, before the reversal procedure, the urologist will suggest certain tests to ensure that you are capable of producing healthy and fertile sperm.

The Procedures in Vasectomy Reversal

Vasovasostomy

This vasectomy reversal procedure involves sewing back the severed ends of both vas deferens ducts. The surgeon will do this by utilizing exceptional micro-surgical instruments such as a microscope, sutures, and other equipment. Sometimes, a surgeon might use hair-thin stitches to sew back the sperm ducts.

Vasoepididymostomy

This procedure involves countering the blockage that forms in the epididymal tube when the surgeon severs the vas deferens ducts. This procedure has the same role as the one above. However, the micro-surgeon joins the upper parts of the vas directly to the tiny organ holding sperm at the back of each testicle (epididymis). This procedure is prone to complications and requires thorough expertise in the micro-surgery field.

Risks Involved

Risks are minimal, and the side-effects are rare. Nevertheless, you may experience post-procedure pain, which can make daily tasks uncomfortable. Visit Vasectomy Reversal NYC’s website to learn about Dr.Larish MD’s extensive skills.

  • Infections; a common risk like in any other surgery
  • Bleeding and pain; might occur in the scrotum. Painful swelling due to accumulation of blood during the procedure can occur. To avoid this, get sufficient rest after the procedure and avoid taking blood-thinning medication.
  • Chronic pain, highly uncommon but may occur due to severe complications in the procedure.

 Post-Surgery and Risk of Pregnancy

The incisions on the scrotum during the procedure might have bandages, and it usually takes seven to ten days before the stitches dissolve. Therefore, the surgeon may advise refraining from any activities that involve the excessive movement of the testicles.

Info About Tubal Reversal for Males
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Moreover, apply ice packs for the next twenty-four to forty-eight hours of the surgery. This reduces the swelling and eases pain. You can contact your surgeon or urologist if you experience any pain in the pelvic area.

After the surgery, you might have to incorporate some changes for the time being.

  • Avoid sedentary lifestyles (sitting in office or home)
  • Keep moisture away from the surgical area
  • Avoid sexual intercourse and ejaculation until the doctor gives an “all clear”
  • Wear a tight supporter as an undergarment

The success rates of conceiving after vasectomy reversal vary depending on your and your partner’s age and fertility. Evidence shows that most men are able to impregnate (30% – 90%) their spouse after vasectomy reversal. Thus, they conceive without any complications.

Male Tubal Reversal: Conclusion

At Vasectomy Reversal NYC, Dr. Yaniv Larish relies on years of expertise in micro-surgery to enable a smooth and painless surgical procedure to reverse vasectomies. Dr. Larish works to improve the well-being of his patients, ensuring excellent quality services.

FIFTH AVENUE UROLOGY
4 East 76th Street New York, NY 10021

Give us a call today at (646) 862-5500 to schedule a consultation. View our contact details here.


 References

  1. https://www.webmd.com/infertility-and-reproduction/guide/reversing-a-vasectomy#1
  2. https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537
  3. https://health.clevelandclinic.org/vasectomy-reversal-5-facts-men-need-to-know-2/
  4. https://www.urologyhealth.org/urology-a-z/v/vasectomy-reversal
  5. https://www.healthline.com/health/vasectomy-reversal#efficacy
  6. https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/vasectomy-reversal
  7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854082/
  8. https://www.healthline.com/health/pregnancy-after-vasectomy#takeaway
  9. https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537

What Procedures Do Urologists Perform?

What procedures do urologists perform? For ages, doctors examined the urine to identify underlying conditions. They analyzed texture, odor, and color. Furthermore, they also looked for blood, bubbles, and other signs of different diseases. Now, medicine has a separate field that includes performing procedures on the urinary system and maintaining its health. You can refer to the field as urology. In this article, we will discuss urologists and the procedures they perform.

Who is the Urologist?

These medical professionals have specialized in diagnosing, treating, and preventing conditions pertaining to the urinary system. They diagnose, identify, and treat the bladder, kidneys, ureters, and urethra. Urologists also help treat reproductive disorders related to the scrotum, testes, prostate, and penis. Urologists can also serve you for the conditions such as:

  • Prostate cancer
  • Kidney stones
  • Problems related to urine

What Procedures do Urologists Perform?
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Procedures that Urologists Perform

You can visit urologists for numerous reasons. They can diagnose and treat various urologic conditions:

1.    Vasectomy

Vasectomy is a common procedure for birth control. Around 500,000 men in the US undergo this treatment every year, as suggested by the American Urological Association. The success rate of vasectomy is higher than other birth control techniques. In this procedure, the doctor will block or cut the sperm supply by removing a piece of vas deferens. Vas deferens is a tiny tube that carries sperm cells from the testicles. This is an out-patient procedure, and you can go home after the surgery.

2.    Vasectomy Reversal

If someone decides to undergo vasectomy, he can avoid unwanted pregnancies. But in the event you want to start a family with your partner, you can reverse this procedure with a vasectomy reversal. Vasectomy reversal has a high success rate, but it does not guarantee that your partner will conceive. Numerous factors can affect your fertility rate in this case. Nonetheless, the urologist will use microsurgery techniques to reconnect the vas deferens.

3.    Cystoscopy

With the help of cystoscopy, the urologist will examine the lining of the urethra and the bladder. The urologist will insert an instrument into the bladder through the urethra. The cystoscope is a thin and long tube that includes a camera at the top. Cystoscopy is a procedure that helps in diagnosing and treating issues of the bladder. The urologist might also use this procedure to diagnose problems with the prostate.

4.    Prostate Procedures

Urologists can perform numerous tests and procedures to diagnose and treat prostate conditions. These procedures include

During these procedures, urologists use light to produce intense heat and remove the extra tissue. This enables the flow of urine. The surgeon will recommend an appropriate technique depending on the size of your prostate and your health.

Procedures that Urologists Perform
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5.    Ureteroscopy

This procedure helps to identify and treat kidney stones. The urologist will use a special instrument to guide through the bladder and urethra to the kidney stones’ location. You can refer to the instrument as the ureteroscope. It is a thin and long tube with a camera and light for inspection. The urologist will remove the small stones from your kidney. They break up and remove larger stones individually. The experts refer to this procedure as lithotripsy.

6.    Lithotripsy

During lithotripsy, the urologist will use laser or shock waves to break ureter, bladder, and kidney stones. Once the urologist breaks the stones into pieces, they exit the body upon urination.

7.    Orchiopexy

Orchiopexy helps to repair the undescended testicle. In this procedure, the urologist will bring back the testicles from the groin or abdomen to the scrotum. Then they attach it with the tacking stitch.

8.    Penile Plication

This surgical procedure treats curvature in the penis. Urologists often recommend this procedure after diagnosing Peyronie’s disease. This treatment is an out-patient procedure and involves placing a suture on the opposite side of the scar, supporting the penis from the other side.

9.    Penile Implants & Prosthesis

A urologist can also help treat erectile dysfunction with the help of a penile implant . This procedure helps you maintain proper erections. The patient typically will undergo ED treatment first. If this treatment fails, the urologist may offer the patient the option to get a penile implant. Those suffering from Peyronie’s disease and cannot get erections often opt for a penile prosthesis.

10.  Male Circumcision

During circumcision, the urologist will remove the foreskin or tip of the penis through a surgical procedure.

Procedures Urologists Perform: Conclusion

Dr. Yaniv Larish at Vasectomy Reversal NYC can help you with a vasectomy or vasectomy reversal. Our experienced surgeons also diagnose and treat all other urological disorders. Call today to schedule an in-person or tele-consultation at (646) 862-5500.

Can Older Men Still Have Healthy Children?

Are you asking the question if older men have healthy children? Many women are aware of the consequences of having a child and its risks at old age. However, only a few men will realize the risk of reproduction at an advancing age. When people become parents at old age, it leads to implications for the child and women while giving birth. For the last four decades, the age at which people start settling down and become parents is rising. Many couples are marrying late and having delays in giving birth to children. However, this can lead to numerous consequences. In this article, we will discuss why you should not give birth to children at old age.

Older Men and Healthy Children
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That is why experts are exploring the effect of dad’s age on the health and career of children. Journal BMJ published a study in October 2018 that men who become fathers at the ages 45 to 54 can cause risks of low birth weight and premature birth when compared to men who become fathers at ages 25 to 34.

When the child is born early, they might develop numerous and long-term mental and physical problems (Source). However, when they have low birth weight, they need to stay in the hospital for a while in the intensive care unit. In other research, experts suggest that older dads increase the risk of miscarriage. Furthermore, it may lead to children developing schizophrenia and autism.

Motility and Age of Sperm

According to a study, the motility of sperm changes with age. The motility of sperm defines how well the sperm can swim. At the age of 25, the motility of sperm is at its best, and at the age of 55, it is the lowest. For instance, if you compare the number of healthy sperm cells in men from the age of 30 to 55, you will find that the motility decreases at the rate of 54. In a study in 2019, it was found that (Source):

  • Older fathers have a high rate of infertility, even if their partner is under 25.
  • Men over the age of 45 will father the child having low birth weight, birth abnormalities, and low Apgar score. This means that the child will have lower health at the time of birth.

Risk of Genetic Problems

Apart from low-quality semen, the age of a man will also impact the genetic sperm quality. A study at the University of California at Berkeley and the Lawrence Livermore National Laboratory suggests that the effect of age in men will cause genetic defects in the sperm. Sperm defects can:

  • Increase the risk of stillbirth
  • Increase the risk of birth defects
  • Increase the chances of miscarriage
  • Increase infertility

Researchers have found that older men are not at the risk of infertility, but they have a higher risk of transferring the genetic problems to their children. Furthermore, the age of men and women can also increase the birth defects in the child. For instance, the risk of Down syndrome increases when an older couple has a child.

In another study that included 3,000 children, researchers found that at age 35 or older, paternal age has a major influence. The hypothesis was correct in this situation. At the maternal age of 40 or more, the chances of the child developing Down’s syndrome are 50%. The children are not at the risk of developing Down syndrome, but other conditions also. For instance, when the father is older, the children are at the risk of developing:

  • Schizophrenia
  • Childhood leukemia
  • Bipolar disorder
  • Autism
  • Achondroplasia, which is a kind of dwarfism.

 

Can Older Men Have Healthy Children?
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Risk Factors

If you are thinking about becoming a father at the age of 40 or above, you should discuss the consequences with the doctor:

  • You can ask the doctor if your health conditions affect the child. For instance, if your weight, age, diet, and other health conditions will affect the child’s health.
  • How lifestyle habits like alcohol consumption, smoking, and other illicit drugs will affect your fertility. Moreover, do you take any medication that can affect the health of your child?
  • Do you need a semen analysis before having a child with your partner? The analysis will help you understand if you have a low sperm count or not.
  • You can also ask your doctor if your age will cause any risk to the health of the newborn child. Men can produce sperm cells up until they die. But they may not necessarily have a healthy child at an older age.

Can Older Men Have Healthy Children? Consult an Experienced Urologist

If you are thinking of giving birth to a child despite your age, you can discuss the condition with top urologist Dr. Yaniv Larish. He will guide you regarding the consequences and the risk factors for giving birth to a child at your age.

Schedule an in-person or tele-appointment today at (646) 862-5500.

All About Vasectomies

Are you looking for information all about vasectomies? A vasectomy is a contraceptive method that blocks the sperm from reaching the penis when you ejaculate. After the procedure, you will experience regular semen secretion, but it will no longer include sperm. This will help prevent unwanted pregnancies. Your testes will continue to produce sperm, but they remain inside the scrotum until the body reabsorbs them. Every year, almost 500,000 men undergo a vasectomy as a means of birth control. Vasectomy is the best method to avoid pregnancy and has a higher success rate than any other technique.

Testicles produce the male sex hormone and sperm cells. Testes are at the base of the penis in the scrotum. Sperm cells are male reproductive cells that leave the testicles and fertilize the female partner’s eggs, resulting in a child. When the sperm leaves the testes, it passes through the epididymis, which is a coiled tube. The sperm remains in this tube until it is ready to leave the body—epididymis links with the vas deferens. The vas deferens is a long tube that connects to the ejaculatory duct.

All About Vasectomies
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The vas deferens leave the lower scrotum region into the groin region or inguinal canal. From there, it reaches the pelvis region behind the bladder. The vas deferens forms an ejaculatory duct by joining with the seminal vesicle. During ejaculation, the seminal vesicle releases seminal fluid by mixing the semen with the sperm. Then, the semen passes to the urethra, leaving the body through the penis. When teh semen includes sperm, it can induce a pregnancy.

All About Vasectomies: How the Process Works

After a vasectomy, you can ejaculate without worrying about causing an unwanted pregnancy. The microsurgeon will block, seal, or cut the vas deferens, so the sperm does not reach the urethra.

Procedure for Vasectomy

A vasectomy is a painless and quick surgical procedure. In most cases, you can return home on the same day after the surgery. Here are two types of Vasectomy that you might undergo:

  • A conventional vasectomy with a surgical knife or scalpel
  • Vasectomy without scalpel

When you consult with a urologist, they will help you decide the best vasectomy technique for your condition. Let’s understand both vasectomy techniques:

1.    Conventional Vasectomy

In this technique, the doctor will numb the scrotum by injecting local anesthesia. They will then make two tiny cuts on the scrotum, over the skin. This helps them reach the vas deferens. The surgeon will take the tube out of the testicles. They will cut a small section of the tube and remove it. They will then close both ends of the tube by sealing or stitching. They might also use heat to seal vas deferens. The surgeon will then stitch the scrotum’s skin. The stitches usually dissolve after a week or two.

2.    No-scalpel Vasectomy

During no-scalpel vasectomy, the surgeon will first numb the scrotum with the help of local anesthesia. They will puncture the scrotum’s skin by making tiny holes. This will help them access the tubes easily. In contrast to a conventional vasectomy, a no-scalpel vasectomy does not use a scalpel.

The surgeon will then take the tube out of the hole and cut it. They will use the same technique to cut and seal the vas deferens. This technique is less painful and involves fewer complications. Furthermore, the surgeon will not stitch the holes in this technique.

How Effective is the Vasectomy?

No birth control method is 100% effective, except for celibacy. After a vasectomy, sperm will only travel to the other end of the vas deferens in rare conditions. In numbers, that’s one in 10,000. That is why this technique has the lowest failure rate. Surgeons have been using this technique for many years, and the results are most effective and safe.

All About Vasectomies | Top Urologist
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A professional surgeon will regularly check the semen sample to ensure that it does not include sperm. Once the surgeon confirms that you no longer ejaculate sperm, you can have sexual intercourse without the need for contraceptive methods. If they identify the presence of the sperm, you need to undergo another vasectomy procedure.

Benefits of Vasectomy

There are numerous benefits of undergoing a vasectomy as a birth control technique. Vasectomies have an efficacy rate of more than 99%. Similar to female tubal ligation, Vasectomy is the one-time method proving permanent contraception. In contrast to tubal ligation, you will find that a vasectomy:

  • Is effective
  • Is simple
  • Performed on an outpatient basis.
  • Include fewer complications
  • Is budget-friendly

All About Vasectomies: Conclusion

If you prefer a birth control method with greater efficacy than a condom or tubal ligation, choose a vasectomy. Once you discuss the benefits of a vasectomy with the surgeon, you will learn how effective this procedure can be. Consult with Dr. Yaniv Larish, top NYC urologist & microsurgeon.

Call to schedule an appointment at (646) 862-5500.

Microsurgery for Vasectomy Reversal

What is microsurgery and how is it used for a vasectomy reversal? People still believe that vasectomy is a permanent method for birth control. But this is not true, as you can undergo various procedures to reverse a vasectomy. Due to continuous advances in healthcare, you can restore your fertility through microsurgical vasectomy reversal. When you opt for a vasectomy, the surgeon will clamp or cut the tube connecting your testicles to your penis. This tube helps transfer the sperm out of the body. After a vasectomy, the sperm will not mix with semen when you ejaculate.

Microsurgery for Vasectomy Reversals
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The vasectomy reversal means that during ejaculation, sperm combines with semen. You can restore the tube through the vasovasostomy method. Furthermore, another technique bypass the tube’s deficit, a vasoepididymostomy. When you choose a microsurgical vasectomy reversal, the surgeon will diagnose the condition and spot the tube. Then they will use two specialized instruments to perform the surgery. These instruments are unique, and the surgeon only uses them for vasectomy and vasectomy reversal techniques.

Microsurgery for a Vasectomy Reversal

Dr. Yaniv Larish performs both vasectomy reversal and microsurgical procedures. Not all physicians are microsurgeons. You need to choose the best surgeon with extensive experience and a high success rate to perform a vasectomy reversal.

Microsurgical vasectomy reversal is a treatment method in which the doctor rejoins the pathway for sperm when you ejaculate. This is a complex and delicate operation. Microsurgery will help reverse a vasectomy. While undergoing a vasectomy, the surgeon will cut the vas deferens that stop the ejaculation of the sperms. In other words, a vasectomy prevents sperm from leaving your body, and vasectomy reversals bypass the blockage.

Before the Procedure

While going through vasectomy reversal surgery, the surgeon will:

  • Check your medical history so they can examine your condition by performing a physical exam. The doctor will ensure that you don’t suffer from any condition that can exacerbate due to surgery.
  • Inspect your ability to produce healthy sperm. If the surgeon identifies any disability in producing sperm, they will recommend additional testing and treatments.
  • Examine your partner to check if they can give birth. If your spouse has any condition or problem regarding infertility, the doctor will perform gynecological exams.

During the Procedure

Going through surgery, the doctor will make a small incision on the scrotum. This way, the sperm carrying tube, vas deferens are visible to them. They will release the tube from the tissues covering it. Now, the doctor will cut the vas deferens and inspect the fluid. If they find any sperm in the fluid, they will reconnect the vas deferens to allow the sperm to pass through.

If the doctor does not detect the presence of sperm, they will perform vasoepididymostomy. This usually happens because scar tissue blocks the flow of sperms.

After the Procedure

After the surgery, the doctor will use a bandage and cover the opening on your scrotum. You need to apply ice on the incision for 24 to 48 hours. This will reduce the swelling. Furthermore, you need to wear tight undergarments.

You will experience soreness for some days. If the doctor applies bandages on your cuts, ask when you should remove them. If they stitch the incision, it will take almost seven days for stitches to disappear.

Vasectomy Reversals Microsurgery
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You can leave for home after the surgery, but limit your activities as your testicles might move excessively. Once the effect of anesthesia wears off, you will experience swelling and pain. Some men do not experience a lot of pain, but if they do, it goes away in few days.

Benefits of Vasectomy Reversals

Here are some benefits of vasectomy reversals:

1.    Fewer Complications

Microsurgical vasectomy reversal is less invasive than the traditional method. By choosing this technique, you reduce your risk for bleeding and infection. Moreover, this technique has a higher success rate.

2.    Smaller Incision

In the microsurgical technique, incisions will not be bigger than a centimeter. You will feel less pain after undergoing a procedure with a smaller incision.

3.    Reduced Cost

Microsurgery for vasectomy reversal isn’t more expensive than the traditional method.

Microsurgery for Vasectomy Reversal: Conclusion

If you want to undergo the vasectomy or vasectomy reversal procedure, contact our clinic in New York City. Our urological experts and world class staff ensure that you receive the best treatment. For appointments and other information about the procedure, call us.

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

Do You Regret Your Vasectomy?

Did you get a vasectomy and now regret it? Getting a vasectomy is an effective, long-term birth control method for men trying to avoid unwanted pregnancies. Often, these men don’t have plans to have children with their partners. In some cases, however, men opt to get a vasectomy after a spur-of-the-moment decision. They fail to consider long-term effects and, later on, regret the effects. To avoid this scenario, it’s crucial that men discuss the surgery’s long-term effects with their respective physicians.

One of the main reasons men regret the decision is when they decide to have a child with their partner. Nonetheless, there are other reasons as well, so let’s discuss them below.

Why People Choose Vasectomy at First Place

1.    Vasectomies are Effective

After undergoing a vasectomy, the chances of pregnancy are a mere one percent. This makes the procedure more effective than birth control pills and rubbers.

2.    They have Lower Risk

While there are chances of incurring a risk in all surgeries, the chances of complications during vasectomy are especially low. Chances of experiencing an infection, pain, or bleeding are only two to three percent. Only ten percent of men might develop severe pain, which occurs when sperm builds-up after a Vasectomy.

3.    A Vasectomy Simplifies Sex

Vasectomy allows sexual freedom without having to worry about unwanted pregnancies. If you previously used other forms of contraceptives to avoid pregnancies, a vasectomy acts as a long-term, simpler solution. Nevertheless, a vasectomy doesn’t prevent the spread of STIs.

Do You Regret Your Vasectomy?
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Why Men Sometimes Regret Their Vasectomy

After undergoing a vasectomy, men may regret the decision. This can happen for numerous reasons. Here is the main reason why you might want to reverse your vasectomy:

1.    Change of Mind

After having a vasectomy, you or your spouse may have second thoughts about having a child. Going through vasectomy is a huge decision, so it is better to consider all the complications before undergoing surgery. In the event that you have already opted for a vasectomy, you need to consider vasectomy reversal to regain your fertility.

2.    New Partner

You might not think this through but suppose you are with a new partner who wants to have a child. When you are with a partner who does not want to get pregnant, you should know that it is possible that things do not stay the same between you and her.

3.    Non-Invasive

Just like a vasectomy, reversal is a non-invasive procedure. You will be awake the whole time, and the specialist will inject local anesthesia into your scrotum for numbness. The surgery is simple, and the doctor will perform it in their office. In rare cases, the doctor may perform the surgery in an operation theatre.

4.    Simple Procedure

Vasectomy reversal is a simple and straightforward procedure. During the surgery, the urologist will locate both the ends of vas deferens and stitch them together. This opens the blockage, and you regain your fertility.

5.    Family Name

When opting for a vasectomy, you might not realize how important it is to carry on your lineage. However, you might recognize the need to have a child afterward. This happens when you think you won’t start a family. But as time passes on, you may meet someone to spend the rest of your life with. That is when you need to undergo surgery.

Other Reason for Vasectomy Reversal

Here are some other reasons you may want to undergo vasectomy reversal.

  • You want to have a child after separating from your previous partner
  • Your parents want you to have a child in the future
  • You have enough resources and a stable-enough life to start a family.
  • You experience pain in the testicles after the vasectomy

What’s a Vasectomy Reversal?

While going through vasectomy reversal, the surgeon will locate the vas deferens and reconnect the tube. This will enable the sperm to mix with the semen. Vasectomy does not stop your sperm production, but it disconnects the tube, so it does not reach the penis when you ejaculate. On the other hand, a vasectomy reversal reverses the procedure. With this surgery, sperm will be part of the semen, increasing the chances of your partner getting pregnant.

Vasectomy Regret? NYC Urologist
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Conclusion: Consult An Experienced Urologist if You regret Your Vasectomy

When you feel like you want to have a child after a vasectomy, you must undergo vasectomy reversal to revive your infertility. If you want to undergo a vasectomy reversal in New York City, contact us. You can consult one of the best Urologists in NYC, Dr. Yaniv Larish. He will guide you through the procedure and complications of reversing your vasectomy.

To make an appointment, contact us at (646) 862-5500. With the help of advanced and high-tech tools, Dr. Larish will diagnose your condition and help you with the procedure.

What Are the Average Costs of a Vasectomy Reversal?

Vasectomy Vasectomy is a surgical procedure. It is a form of male sterilization. It permanently disables a man from impregnating any women. Conventional vasectomy is when the doctor cuts the male vasa deferentia and ties it, this prevents the sperm from entering the urethra and without the sperm, the ejaculated semen cannot cause pregnancy in… Continue Reading

Procedures Performed By Urologists

What procedures are performed by urologists? Urologists are specialized physicians and experts in diseases of the urinary tract and the male reproductive system. If a physician suspects that their patient needs treatment for conditions of the ureters, adrenal glands, urethra, bladder, and kidneys, they will refer to a urologist. (Source) Furthermore, urologists can treat disorders… Continue Reading

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… Continue Reading

 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… Continue Reading

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… Continue Reading

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… Continue Reading

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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