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

Vasectomy Reversal NYC Couple with Baby 10

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

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

Call today for a consultation:

(646) 862-5500


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How Is Sperm Produced?

How is sperm produced? The reproductive system of men is particularly designed for storing, transporting, and producing sperm. Dissimilar to female genitalia, male reproductive organs are present on pelvic cavities’ exterior and interior parts. These include:

  • The testicles
  • The penis
  • Accessory glands, including the prostate gland and seminal vesicles
  • The vas deferens and epididymis

Where Does Sperm Production Happen?

The production of sperm takes place in the testes. Once men reach puberty, they create sperm cells in the millions each day. These cells measure around 0.002 in.

How Is Sperm Produced?
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How Does Sperm Production Happen?

The testicle consists of a system with loads of small tubes known as seminiferous tubules. These tubes contain germ cells that testosterone and other hormones turn into sperm. Moreover, each germ cell changes and divides until they look like a tiny tadpole—these force the sperm to enter a tube known as the epididymis. Then, the sperm begins traveling through this tube to complete its development.

After the sperm leaves the epididymis, it enters the vas deferens. Whenever a man becomes stimulated, their sperm mixes with the seminal fluid, a white liquid created by the prostate gland and seminal vesicles, creating semen. Because of all the stimulation, the penis pushes out semen containing over five hundred million sperm from the urethra.

A Closer Look at Sperm

The sperm is essentially the gamete or male reproductive cell. For those wondering, gamete suggests that it’s a half cell of a whole. Once sperm blends with the female egg or gamete, it creates an embryo. When scientists look at sperm cells using a microscope, they can spot the following parts:

The Head: The sperm consists of a DNA material called chromatin. This chromatin helps make up the chromosomes. Human eggs and sperm cells contain twenty three chromosomes. So, once the egg and sperm combine, it creates an embryo with forty six chromosomes. The sperm’s head is covered with a cap, which doctors call an “acrosome,” which has proteins for helping sperm enter the egg’s outer shell.

The Tail: The flagellum or sperm tail helps with movement as the tail helps push the sperm toward the egg.

The Mid Section: The sperm’s midsection contains mitochondria, which produce energy. This specialized structure provides the right amount of energy required by the sperm cell.

Why Sperm is So Important

Sperm is vital for conceiving a child, and it is impossible to get your partner pregnant without it. That’s why those who do not want kids often opt for a vasectomy. In this procedure, surgeons detach the vas deferens, the vital tube for transferring sperm toward the semen.

How Is Sperm Produced? Top Urologist NYC
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However, many people who undergo a vasectomy often have a change of heart and want to undo it, and this is where a vasectomy reversal procedure can help. When reversing a vasectomy, surgeons reconnect the vas deferens to help the sperm move in the semen present in the testes.

How Is Sperm Produced? Final Thoughts

If you or someone you know has a problem related to sperm production, consider visiting an expert. Maybe you underwent a vasectomy and want it reversed to ensure you can conceive again. Whatever the case, Dr. Yaniv Larish and his team can help you out. Book an appointment with us; our professionals will closely evaluate you to determine the right steps to take.

After determining the right course of action, our experts will counsel you on how to move forward and what to expect. Remember, vasectomy reversals and any procedure related to the male reproductive organs can be quite complex, so it’s important to choose seasoned pros like Dr. Larish.

Call today for a consultation.

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

Can You Get a Vasectomy Reversal Without Surgery?

Can you get a vasectomy reversal without surgery? Couples will often change their minds about procedures like vasectomies. A vasectomy is a very effective method of birth control, allowing partners to have sex without worrying about impregnation. It also happens to be one of the cheaper alternatives to birth control.

However, when couples change their minds about this birth control, it is possible to reverse the procedure. But if you are not particularly looking to get surgery again, other alternatives to vasectomies allow you to start a family.

Vasectomy Reversal Without Surgery?
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Is It Possible to Reverse a Vasectomy Without Proper Surgery?

The first obvious question to get out of the way is if it is possible to reverse a vasectomy without an operation? The answer to that is no. During the vasectomy, the surgeon will sever the vas deferens from the epididymis, making the individual sterile.

Although the vas deferens can connect following surgery, that is usually a result of the surgeon failing to close both ends properly. It is a very rare phenomenon, and it is impossible to replicate it properly.

Since both ends of the vas deferens are sealed off, it is impossible to reconnect them without a microsurgeon having to do it manually.

How a Microsurgeon can Reverse a Vasectomy

If you are looking to reverse a vasectomy, the first step is to locate the vas deferens and reconnect their ends.

Unlike when individuals perform a vasectomy, there is no alternative to surgery. Vasectomies have one where the urologist can find the vas deferens through the scrotum and pull them out through a small hole. The urologist will proceed to cut and stitch the vas deferens, after which they will leave them inside the scrotum.

After sealing the vas deferens with heat, the surgeon will stitch the incision area, and the entire procedure does not take more than 30 minutes.

However, a microsurgeon will take much longer to reverse the procedure since rejoining the tubes can be much more difficult. One of the reasons why this procedure can be more expensive is because the surgeon will need the help of a robot to ensure a clean surgery.

You may also hear your urologist refer to the procedure as a vasovasostomy. The surgeon must also check if the individual has healthy sperm during the procedure. If they do, they can move forward with the operation.

Can An Urologist Perform the Procedure?

The micro stitches necessary for this specific surgery mean that an average urologist cannot perform this procedure. For this procedure, you must find a microsurgeon with the necessary operating skills.

Surgeons who specialize understand that there is a lot of pressure on them to succeed, and they often perform microsurgery on mannequins to keep their steady hand. Furthermore, the risk of the procedure going wrong is especially high if the surgeon does not have the necessary skills to operate.

Vasectomy Reversal Without Surgery Urologist
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Other Alternatives to Vasectomy Reversal

There are a handful of vasectomies alternatives, the most popular being IVF in vitro fertilization. The process includes injecting sperm from a partner directly into an egg in a lab. While it does have a high success rate, it can also be prohibitively expensive.

Vasectomy Reversal Without Surgery? Conclusion

If you’re looking for an excellent surgeon to reverse a vasectomy, consider going to Dr. Larish, who has helped plenty of men reverse a vasectomy. With state of the art technology and years of experience in the field, he has everything necessary to perform a successful procedure. Visit our clinic or continue to explore our website to learn more.

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

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Can a Man Reverse His Vasectomy?

Can a Man Reverse His Vasectomy? A vasectomy reversal can be quite a complicated and delicate procedure and doesn’t come with any guarantees. A vasectomy reversal procedure reconnects the tubes that allow sperm to flow normally and allow a man to conceive again. Testes are the sex glands in males, and their main job is to store and produce sperm.

In vasectomies, the surgeon prevents sperm from reaching the semen by cutting the tubes responsible for carrying the sperm to the urethra. Usually, a vasectomy is considered a permanent type of contraception, as reversing the procedure isn’t always possible. So, if you are thinking about getting a vasectomy, it’s important to remember that the procedure doesn’t have a 100% success rate with reversals. When performing a vasectomy reversal, the surgeon rejoins the blocked or cut tubes, ensuring the sperm can reach your testes so you can impregnate your partner.

Can a Man Reverse His Vasectomy?
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Is it Possible for Men to Reverse Their Vasectomy?

Yes, reversing a vasectomy is possible, and hundreds, if not thousands, of men opt for it every year. That said, this procedure is not always successful. Plus, there are plenty of factors that determine whether the procedure will bear results. Some of those factors include:

  • Age
  • Overall health
  • Preexisting conditions
  • The genetic quality of the sperm

Most people get a vasectomy to avoid having kids or adding more to their family. However, some change their mind later in life and want to be able to have children. That’s where getting a vasectomy reversal could be helpful. With time, there has been a notable increase in vasectomy reversal success rates as more professionals learn how to perform this complex procedure.

Are Vasectomy Reversals Risky?

Generally, a vasectomy reversal is considered quite a safe procedure even if it doesn’t turn out to be successful. People rarely have complaints regarding post surgery pain or other similar issues. That said, a small percentage of men who undergo this procedure report experiencing the following issues:

Swelling: Some people notice swelling in their surgery area after the procedure. While this rarely happens, you must keep an eye out for it. If you experience such an issue, consult your doctor to receive the right treatment.

Chronic Pain: Once again, there are very few instances of people experiencing chronic pain after a vasectomy reversal. If you feel unbearable pain after the reversal procedure, waste no time consulting your surgeon or healthcare professional.

How Successful are Vasectomy Reversal Procedures?

As mentioned earlier, the success of a vasectomy reversal usually depends on the type of surgery you underwent and how when it happened. Of course, if the surgery took place a long time ago, your tubes will have a lot of scar tissue, lowering the likelihood of successful reversal. Here is a look at some vasectomy reversal success rates:

  • Seventy five percent if the reversal is performed within three years
  • Up to forty five percent after ten to fourteen years
  • Thirty percent after fifteen to nineteen years

Can a Man Reverse His Vasectomy | Specialist NYC
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Can a Man Reverse His Vasectomy? Final Thoughts

Deciding to get a vasectomy reversal can be quite a tough decision, especially because there are no guarantees that the process will be successful. If you are unsure whether to opt for this surgery, consider contacting a professional like Dr. Yaniv Larish, who has a great deal of experience with reversals.

Once you contact the doctor’s team and book an appointment, one of the experts in his team will check your medical history and determine if you would be a suitable candidate for a vasectomy reversal. After that, they will counsel you on how to proceed with the surgery and provide post surgery guidance.

Call today to schedule a consultation.

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

All About Vasectomies

Read on to learn all about vasectomies. Few medical procedures are as stigmatized as that vasectomies, with men often having dated views of what the procedure entails. However, vasectomies are very safe procedures and are some of the best forms of male birth control that people can find. The procedure focuses on separating sperm and semen, making it impossible for men to reproduce.

All About Vasectomies | Top Urologst NYC
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Through the procedure, a surgeon or urologist will cut and seal the tubes carrying the sperm that mixes with other fluids to produce semen. So even though your body will still produce sperm, it will absorb it instead of adding it to the sperm.

You should always consider your decision to ensure you do not want to have children. Although it is possible to reverse a vasectomy, the reversal can sometimes be unsuccessful. Therefore, you should consider it as a more permanent solution to birth control.

However, you should also understand that vasectomies do not offer protection from STDs (sexually transmitted diseases) or STIs (sexually transmitted infections).

Why Do People Choose to Have the Operation Done

Vasectomies remain the most effective method the birth control among men. Since the semen does not contain sperm, nothing will be deposited during intercourse. The tubes that transfer sperm into the semen are called the vas deferens.

During the procedure, a urologist cut the vas deferens, separating the sperm and the semen.

Some other reasons why people will often get a vasectomy include the following:

  • It is a procedure with very little risk and very few side effects
  • It is much cheaper than female birth control pills over the long term or sterilization surgery
  • The operation allows couples to skip various birth control steps before intercourse, such as wearing a condom
  • Individuals can reverse the procedure at any time if they want to have children

All About Vasectomies | Top Urologsts New York
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Myths Surrounding Vasectomies

Despite being one of the most effective methods of birth control among men, men have many unfounded concerns before getting the procedure. Some of the most important ones that are worth discussing include the following:

Increased Risk of Heart Disease

This claim has no basis other than some patients complaining that they feel a burning sensation in their chest following the surgery. However, besides a superficial connection, there is no scientific link between vasectomies and heart diseases.

Does Permanent Damage to Sex Organs

Unlike the claim about heart disease, this myth does hold some water. There is a slight risk that the surgeon could damage an individual’s sex organs during the procedure. However, this is a risk that you can easily move past if you have a good surgeon performing the procedure. In rare cases, individuals could lose a testicle if the blood supply is damaged during the surgery.

However, you can handle this if you have a skilled surgeon.

Affecting Your Sexual Performance

A vasectomy does not affect anything other than a man’s ability to father children. But other than that, it does not affect your sex drive or performance.

Possible Risks

One of the most important things to understand about vasectomies is that they can be difficult, expensive, and ineffective to reverse. Therefore, although the option is certainly available, people going forward with the surgery should know that it takes a skilled surgeon to reverse the procedure.

All About Vasectomies: Conclusion

Vasectomies are very effective methods of birth control that have very few risks and are very safe if you have the right surgeon.

However, if you’re looking for an excellent surgeon for a vasectomy or to reverse a vasectomy, consider going to Dr. Larish, who has helped plenty of men reverse a vasectomy. With state of the art technology and years of experience in the field, he has everything necessary to perform a successful procedure. Book an appointment with us if you are considering these procedures.

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

Aging Men and Fertility

Do aging men have lower fertility? Men experience changes in fertility as they age. Age matters as much in male fertility as it does in female fertility. Sure, the fertility changes in women tend to be quite drastic, but men also have biological clocks.

The Rise and Decline of Fertility in Men

Reputable research suggests that the quantity of semen in men usually peaks around the ages of thirty and thirty five. Researchers also found that the overall quantity of semen was lowest when men were in their mid to late fifties. It is also worth keeping in mind that the motility of sperm changes as we age. For those wondering, sperm motility is a term used to describe how well sperm can swim. Sperm motility is usually at its best when men are around twenty to twenty five.

After that, however, it starts slowly but surely declining and is at its lowest at the age of fifty five and beyond.

Aging Men and Fertility
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Does Age Affect the Sperm’s Genetic Quality?

Age doesn’t only affect semen quality, but it also takes a toll on genetic quality. Genetic defects in the sperm could result in the following things:

  • Poor fertility
  • Higher likelihood of miscarriage
  • High risk of congenital disabilities and stillbirth

Besides having increased chances of infertility, older men can also pass certain genetic issues to their kids. Male and female age can also result in certain congenital disabilities like Down syndrome. There is a high risk of a child being born with Down syndrome if their mother conceived at an older age. Additionally, older dads have a high likelihood of having kids with the following:

  • Schizophrenia
  • Childhood leukemia
  • Bipolar disorder
  • Autism
  • Dwarfism

Keeping these things in mind, men must consider having kids at a younger age. So, if you underwent a vasectomy procedure to avoid having kids but had a change of heart, it would be best to opt for a reversal immediately. The more you delay it, the more the genetic quality of your sperm will be affected. Additionally, delaying a reversal could also lower the likelihood of the procedure being successful.

When are Men the Most Fertile

Many factors determine the ideal age for a man to have a child. Testosterone levels are arguably the most important factors that determine male fertility. After men reach the age of thirty, their testosterone levels drop by one percent every year. So, if you want to conceive a child, it would be best to do it in your twenties. When this hormone goes down, it significantly impacts an individual’s sperm count, affecting their ability to conceive.

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Aging Men and Fertility: Final Thoughts

Believe it or not, infertile males often develop depression. So, if you are infertile or have doubts about your fertility, it would be best to consult your doctor. Your age could also be the reason behind your poor fertility, which is why it is best to make the most of it when you are young. Unfortunately, many men go the other route and decide not to have kids by getting a vasectomy.

If you want to reverse a vasectomy in order to conceive again, consider contacting Dr. Yaniv Larish. He is a urologist in New York City and familiar with all vasectomy and vasectomy reversal microsurgical procedures.

Schedule consultation today. We will go above and beyond to ensure you can conceive again.

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

Vasectomy Reversals: What Training Do Microsurgeons Receive?

Who are and what training to microsurgeons receive? Microsurgeons have to follow some of the strictest surgical disciplines to perform procedures using specialized tools and different operating techniques. Microsurgery is quite important when it comes to transplanting tissues from one part of the body to another. It is essential to join amputated parts of the body. Microsurgery doesn’t just involve the use of the microscope: there’s much more involved.

It’s not easy becoming a microsurgeon, as you need to complete years of training and studying first. Many institutes and medical schools around the world offer training for microsurgeons. Read further below to learn what training microsurgeons receive.

What Training Do Microsurgeons Receive? Vasectomy Reversal
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Who are Microsurgeons?

Microsurgeons are professionals in the healthcare industry who perform some of the most delicate and advanced surgeries. This includes plastic surgery, reconstructive surgery, and many other types of surgical procedures. Microsurgeons help patients deal with different types of injuries and perform most procedures by looking through a microscope. It allows them to transplant muscles, tissues, and veins.

These procedures require thorough practice and technique, which is why it is so important for microsurgeons to undergo effective training. Microsurgeons can perform an endless array of surgeries, but they play a major role when it comes to plastic surgery, as well as vasectomy reversals.

Microsurgeons Training Steps

Microsurgeons go through two types of training. One is the hands-on training, and the other involves theoretical lectures. Mentioned below are the steps involved in hands-on training for microsurgeons:

1.     The Microscope

The first stage involves using the microscope. This is one of the main things and techniques used during microsurgery, but not the only one. Using the microscope to focus and how to position it correctly are the few main things taught during this stage. There are different retro preparation and retro filling techniques taught and practiced to get firm with the use of a microscope.

2.     Microsurgery

The second stage of the training involves microsurgery, which is usually the interesting but difficult part. During this, candidates practice ultrasonic retro preparation, osteotomy, apicoectomy, and retro fillings, all of which are practiced on dental mannequins. Before practice, participants are showed live demonstrations as part of their training, and the surgeons dictate every step of the training to the candidates understand what’s going on.

The microsurgery is observed on a TV monitor that is usually kept in a conference room, and students are usually encouraged to interact with the surgical team during the surgery through a proper audio system. This is one of the most interesting steps as it helps you understand the core of microsurgery, which is performing one as there is a lot of that Microsurgeons will be doing.

3.     Microsurgery Practice on Mannequins

The third stage involves practicing microsurgery on mannequins. Whatever learned in the second stage will now be applied on mannequins, and to see how much you have observed and understood during this live surgery. They always say practice makes perfect, and by doing this, you gain efficiency and the confidence to perform real-life microsurgery. There are numerous different techniques and placements carried out during microsurgery, especially with the use of a microscope. To perfect all of this, you have to practice it thoroughly.

What Training Do Microsurgeons Receive?
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Microsurgeons Lectures

Attending lectures is another part of training, as microsurgeons usually do this before the hands-on phase of training and education. Sometimes, professors provide lectures during the hands-on part. The lectures include different training exercises that are specifically for candidates to understand different surgical tools and how to use the microscope. The lectures are the gist of microsurgery and are actually very important to understand before you jump into the surgical part.

The first thing introduced is the criteria based on which professors will instructor demonstrate. There are many instruments involved in microsurgery, and they will demonstrate how to use each one. When it comes to microsurgery, instructors will help the student understand the purpose of each type of microsurgery and provide surgical tips in real-time.

They will also teach advanced microsurgery concepts, such as molar surgery and the management of sinus perforation. Candidates will come across many techniques, such as the tooth replantation technique, guided bone regeneration techniques, effective metastatic techniques, and much more. Once they implement these techniques, candidates can get to the hands-on stage and start practicing what they have learned.

What Training Do Microsurgeons Receive? Final Words

As you can see, it’s not easy becoming a microsurgeon, as it requires a lot of training and years of practice. Now that you’re aware of the different procedures microsurgeons specialize in, you can rest assured that you’re getting the best of care. Microsurgeons perform most vasectomy reversals. Dr. Yaniv Larish is among the best microsurgeons in NYC that performs vasectomy reversals.

Call us for more information and to book a consultation.

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

What Procedures do Urologists Perform to Male Genitalia?

There are quite a few procedures urologists perform to male genitalia. Most of these procedures are minor but require a lot of techniques that only urologists are familiar with. Most of these procedures help in treating urological conditions, and a professional urologist can perform them. Mentioned below are a few procedures urologists perform for male genitalia.

What Procedures do Urologists Perform to Male Genitalia?
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Cystoscopy

Cystoscopy is a urologic procedure in which the urologist examines the lining of the urethra and bladder. The urologist uses a cystoscope by inserting it into the urethra. It goes all the way to the bladder. A Cystoscope is a long thin tube that has a light and camera attached at the end. They perform a cystoscopy procedure to diagnose and treat all bladder conditions, and it is also used to diagnose an enlarged prostate.

Vasectomy

Vasectomy is one of the most popular procedures carried out on the male genitalia. The procedure involves stopping or cutting off the supply of sperm to the semen. They do this by cutting and then sealing the vas deferens. The vas deferens holds the sperm from the testicles. This is an outpatient procedure that lasts for around 10-30 minutes. Around 500,000 men get vasectomies in the US, according to the American Urological Association

Vasectomy Reversal

Vasectomy reversal is another urological procedure that men opt for after getting a vasectomy. A vasectomy stops the supply of sperm through which you cannot get pregnant. However, if a man decides later on that he want to get pregnant, he can opt for a reversal procedure, known as vasectomy reversal. But even so, this procedure does not guarantee complete fertility. The procedure involves microsurgical techniques that repair the vas deferens to restore fertility.

Orchiopexy

Orchiopexy is also a urological surgical procedure that helps repair an undescended testicle. In the procedure, the urologist moves the testicle from the groin area or the abdomen into the scrotum. The next step involves attaching the testicle to the scrotum with the help of a tacking stitch.

Penile Implants or Prosthesis

Penile implants or prostheses are types of devices that are placed inside the penis. This device allows men with erectile dysfunction to get an erection. The penile implant device is usually only put if other ED treatments don’t work. Like if a man with a Peyronie disease isn’t able to get an erection due to the curvature of the penis, they then will be recommended to get a penile implant or prosthesis by a urologist.

Penile Plication

Penile Plication is a surgical procedure that helps treat the curvature of the penis, which is caused by Peyronie’s disease. Penile Plication is an outpatient procedure that involves placing permanent sutures on the opposite side of the scarring where the curvature of the penis occurs.

Male Circumcision

Male circumcision is quite a common procedure also carried out by urologists. This procedure involved the removal of the skin covering the penis top, also known as the foreskin. This procedure is usually performed on newborn babies all around the world. Some tend to get it done at a later age too.

What Procedures do Best Urologists Perform to Male Genitalia?
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Prostate Procedures

Urologists perform numerous prostate procedures for men. This helps diagnoses and treat prostate conditions. Some of the procedures include:

  • Transurethral resection of the prostate (TURP): This is a small procedure in which the urologist uses a resectoscope, which is a special instrument designed to turn and seal the prostate tissue. This is done when the prostate tissue is enlarged and causes difficulty in urination.
  • Transurethral Incision of the Prostate (TUIP): This is a procedure that helps treat benign prostatic hyperplasia (BPH). This procedure involves the urologist inserting a small endoscope through the urethra also using other special instruments to create a small opening in the bladder neck. This is where the prostrate is connected and opens the urinary channel so that urine can easily pass.
  • Uro Lift: Uro lift is a small procedure carried out in-office to treat prostate enlargement that’s mild to moderate.
  • Transurethral needle ablation (TUNA): This procedure involves using radiofrequency ablation to shrink the prostate tissue that presses into the urethra and that causes urinary symptoms.
  • Prostate Biopsy: This procedure involves removing samples of tissue from the prostate. This is usually done for examination in a lab.

What Procedures do Urologists Perform to Male Genitalia? Final Words

Hopefully, with the help of this article, you are now familiar with the main procedures urologists perform on male genitalia. If you’re looking to undergo a safe and proper vasectomy, vasectomy reversal, or any other urological procedure then get in touch with Dr. Yaniv Larish today.

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

What Doctors Can Perform Vasectomy Reversals?

What doctors can perform vasectomy reversals? Urologists often perform vasectomy and vasectomy reversals. Vasectomy reversal is a surgical procedure that includes reattachment of vas deferens so the sperms can mix with the semen. Semen without sperms won’t cause pregnancy.

Many men decide to undergo vasectomy but they change their minds afterward. They can undergo reversals and return their ability to cause pregnancy.  Urologists perform these surgical procedures to treat reproductive conditions.

What Doctors Can Perform Vasectomy Reversals?
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While performing vasectomy reversal, the surgeon or urologist makes tiny incisions on the scrotum skin. This exposes both ends of the vas deferens. The doctor conducts microsurgery to separate the tube from other organs and joins both ends.

What is a Urologist?

Urologists receive a specialization in treating and diagnosing diseases in the urinary system. A urinary system eliminates fluid waste and other toxins from the body. Urologists treat the reproductive system as well and cure infertility. Here are some body organs they are experienced in:

  • Ureters
  • Bladder
  • Urethra
  • Kidneys
  • Vas deferens
  • Testes

Since the urinary system in both males and females connects with the reproductive system, they receive a specialization in this field as well. Furthermore, they also treat conditions related to the adrenal glands. Adrenal glands produce hormones to regulate blood pressure, immune system, and metabolism. Urologists refer to reproductive and urinary systems as genitourinary. This refers to the conditions, symptoms, and treatments of body parts located in the lower abdomen.

How Urology Differs From Nephrology?

Urology and Nephrology are different fields of study. If you experience a problem with your kidney, you should visit a nephrologist. They have specialization to diagnose and treat kidney related conditions. Nephrologists will prescribe medications to treat kidney-related disorders. They are not surgeons. If they find the need for surgery during the treatment, they will refer you to a urologist.

On the other hand, urologists are surgeons and perform surgeries such as vasectomy, vasectomy reversal, and penile plication.

How Urologists Can Help?

Urologists receive training to treat various common and rare diseases in men and women. Some diseases are:

  • Urinary incontinence (inability to control urination)
  • Frequent urinary tract infections
  • Interstitial cystitis or painful bladder
  • Hematuria or blood while urinating
  • Male and female infertility
  • Benign Hyperplasia or enlarged prostate, which is a male reproductive disorder

Urologists also treat the following diseases such as:

  • Kidney stones
  • Erectile dysfunction
  • Bladder, prostate, and kidney cancers
  • Congenital urinary tract issues
  • Pelvic organ prolapse

Why You Should See a Urologist?

You can consult a urologist if you want to undergo vasectomy or vasectomy reversal. Also, visit a urologist if you experience:

  • Problem with urination
  • Bleeding while urinating
  • Infertility
  • Heaviness in the scrotum
  • Pelvic pain
  • Cloudy and frequent urination
  • Difficulty to get or keep an erection
  • A feeling of vaginal heaviness
  • Urine droplets while exercising, laughing or sneezing

What Doctors Can Perform Vasectomy Reversals | Urology
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Types of Urologists

Urologists diagnose and treat many urological conditions. They develop skills and experience through years of practice. Keep in mind that there are different types of urologists:

  • Urology oncology
  • Pediatric urology
  • Sexual medicine
  • Kidney transplantation
  • Genitourinary reconstruction
  • Male infertility
  • Minimally invasive surgery such as endoscopic, laparoscopic, and robotic surgery

What You Should Expect From a Urologist?

When you visit a professional urologist, you should explain to them why you are there. For instance, if you want to get vasectomy reversal, you should give them the complete details. For instance, you should tell them when you had a vasectomy and why you need a reversal.

Depending on your condition, the urologist will recommend examination tests. They will diagnose your condition and plan your treatment plan. Furthermore, they will evaluate your medical history and medications during diagnosis. Here are some examination tests they might recommend:

1.     Physical Examination

These tests are different for females and males. The doctor will suggest a pelvic exam for the woman and a rectal examination for the man.

2.     Sample Tests

They might also ask you for urinalysis, semen samples, and blood tests. You have to provide your semen, blood, and urine for these tests. Before the test, make sure you drink excessive water.

3.     Imaging Tests

You might also undergo imaging tests such as computed tomography scans or ultrasound.

What Doctors Can Perform Vasectomy Reversals? Conclusion

If you want to undergo vasectomy reversal or other procedure related to the reproductive or urination system, you should consult a professional urologist. A urologist has relevant experience and skills to diagnose and treat critical urological conditions.

If you need expert consultation with a urologist in New York City, you should visit our clinic and consult our experienced surgeon Dr. Yaniv Larish. For appointments and consultation , contact us at 646-862-5500.

Vasectomy Reversals: Another Chance to Have Children

Vasectomy reversals help return fertility to a man after he’s undergone a vasectomy. In this procedure, urologists reattach the tube called vas deferens that carries sperms from testicles to the penis. During a vasectomy, the doctor cuts and seals this tube preventing sperms to mix with semen and leave the body. After a successful vasectomy reversal, you can ejaculate sperms and get your spouse pregnant.

Vasectomy Reversals Another Chance to Have Children
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The pregnancy rate after vasectomy reversal ranges between 30% to more than 90%. However, the success rate depends on many factors such as the partner’s age, type of procedure, and time since vasectomy. Furthermore, the training and experience of the urologists also count. That’s why you should consider a professional urologist to fix fertility issues.

Why Should I Get a Vasectomy Reversal?

Sometimes people after 15 to 20 years of vasectomy or even earlier want another chance to have a baby. Perhaps they have a change of heart or the partner they want to spend their life with, wants a child. Some people also perform vasectomy before they want someone to carry their family name. These are just a few examples and you may have your own. Nonetheless, you can undergo vasectomy reversal to recover your ability and have a child.

What Does the Procedure for Vasectomy Reversals Involve?

Let’s understand how the procedure works to revive your ability to make your partner pregnant:

Before the Procedure

Here is what you will go through upon your visit to a doctor for vasectomy reversal:

·       Physical Examination

When you will visit the doctor for vasectomy reversal, the doctor will take your history and evaluate your health. If you have already taken medication, you should inform the doctor. They will let you know whether the medication disrupts the procedure or not.

·       Sperm Production

After undergoing vasectomy, sperm production continues. But, it doesn’t mix with semen to leave the body. Over time, sperm production reduces in quantity. An unhealthy diet, smoking, and age are some factors that reduce sperm production. Urologists perform various tests to confirm whether your body produces sperms or not.

·       Partner’s Ability to Conceive

A urologist will check your partner to ensure that they produce a healthy ovum. If your partner never had a baby, there is a chance that they might develop fertility problems. The doctor will perform gynecological tests and exams.

When the doctor confirms you are healthy for vasectomy reversal, they will set an appointment for the procedure. Reversals are minimally invasive treatments, performed on an outpatient basis. This indicates that you don’t have to stay overnight in the office. In fact, some doctors perform a vasectomy in their clinics. But, you have to ensure that the doctor is capable of performing this complex surgery.

Depending on your health condition and the complexity of the procedure, a urologist gives local or general anesthesia. So, you may or may not be sleeping during the reversal. So, you should confirm with your doctor before the surgery.

Vasectomy reversal is a complex procedure than vasectomy. In some cases, the doctor might use the microscopic device to perform the surgery. A powerful surgical microscope enables urologists to magnify vas deferens. Cutting vas deferens is simple while stitching the tube is difficult and requires a urologist with expertise and skills.

Vasectomy Reversals Another - Children
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During the Procedure

After injecting local or general anesthesia, the doctor will rub their fingers on the scrotum to identify vas deferens. They will make a small cut or hole on the spot. That way they can see the tube that takes sperms to the penis. The doctor will use a microscope to remove vas deferens from surrounding tissues.

Next, the doctor will cut the sealed ends of the tube. They will take a sample of the fluid for examination. The examination helps them to identify whether the fluid contains sperms or not. If they found sperms in the fluid, they will connect the tube with the other end to reestablish the flow.

In rare cases, when the tube doesn’t contain sperm, the doctor will perform vasoepididymostomy. This is another type of vasectomy reversal, but a urologist will only go for this procedure when the fluid doesn’t contain sperms.

Vasectomy Reversals: Conclusion

Whether you have a change of heart or remarried someone after vasectomy, you have to undergo a reversal. This is the only effective technique to return your fertility when you had a vasectomy. With a high success rate, vasectomy reversal is the only chance for you. Many people also undergo vasectomy reversal because they experience pain in their testicles due to the previous vasectomy. The reversal may help this condition.

A skilled urologist will carefully examine you before the procedure and properly perform the surgery. At, Vasectomy Reversal NYC, our expert urologist, Dr. Yaniv Larish will help you with vasectomy reversals and help you to achieve pregnancy with your partner.

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

Vasectomies & Vasectomy Reversals

Vasectomies & vasectomy reversals are two male genital surgeries that curtail your ability to get your partner pregnant via insemination. Below, we will learn more about these reproductive system surgeries.

What is Vasectomy?

A vasectomy is an outpatient surgery that prevents pregnancy. It is a simple procedure that doesn’t require advanced tools. In this procedure, a professional urologist accesses the vas deferens and severs them. the vas deferens are responsible for carrying sperm into the penis after mixing with seminal fluids. When the doctor cuts this tube, the sperms won’t mix with the semen. Instead, it stays inside the body and dries off.

Vasectomies & Vasectomy Reversals
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This is a quick and easy process and the doctor will take up to 30 to 45 minutes to complete the procedure. Vasectomy is the best method for birth control. Furthermore, the effectiveness and success rate for this treatment is almost 100%. Urologists might choose one out of two processes to perform both control treatments. Here are these types:

  • The incision method
  • No-scalpel method

Many urologists perform scalpel or no-cut methods. This treatment includes lower complication and infection risks. Furthermore, the recovery is also fast. In this procedure, the urologist will make a tiny hole or incision, small than 10 mm. This tiny hole helps them to access the vas deferens and make a cut to disconnect the sperm flow.

Although vasectomies are permanent birth control solutions, you can also reverse them. Many people after getting vasectomy have a change of heart and want to have a child. They can consult a urologist and reverse their vasectomy.

How Do Vasectomies Work?

Vasectomy is a simple birth control procedure that prevents pregnancy. If you want to have a vasectomy, how it’s done.

Upon your visit to the urologist for vasectomy, the doctor will ask you to lie on the bed. Since this is a minimally invasive treatment, you don’t have to be in an operation theatre. The doctor will perform the surgery in their clinic.

The doctor inserts local anesthesia so you won’t feel pain during the surgery. Then the doctor will identify the vas deferens above the scrotum’s skin and place a clamp. They will make a tiny hole or incision to access the tube. The urologist will cut a piece of vas deferens and carefully stitch both ends. Since vas deferens carry sperms from the epididymis to the urethra, cutting this tube will prevent the flow.

Vasectomy is a less invasive treatment and once the doctor stitches the scrotum skin, you can go back home all alone. However, the doctor will recommend not having sex for three months for the recovery of the open vas deferens ends. During this time, you might ejaculate sperms with the semen. Urologists also ask for various follow-up sessions. In these sessions, the doctor will confirm whether your semen contains sperms or not. Once confirmed, you can have sex without worrying about making your partner pregnant.

What is a Vasectomy Reversal?

At any time of your life, you feel like you want to have babies, you can reverse the vasectomy. This procedure is a bit difficult and might require general anesthesia. This means that you will be sleeping throughout the procedure. Like vasectomy, reversal is also an outpatient procedure.

By performing vasectomy reversal, the doctor will reestablish the sperm path by connecting vas deferens. The success rate of vasectomy reversal is around 90% and it decreases according to the number of times you had this surgery. Many people undergo vasectomy and vasectomy reversal multiple times because they can’t make up their minds. For these people, the success rate for reversal will decrease. Thus, you have to have clear thoughts while deciding for the first time.

How Do Vasectomy Reversals Work?

When you will visit a urologist for reversal, they will evaluate your condition and check whether it is worth it or not. They might also diagnose your partner for female reproduction diseases.

Once confirmed, the urologist will inject local or general anesthesia, depending on your condition. The medication will numb your genital. Now the doctor will make tiny incisions or holes on the scrotum skin and drag out both ends.

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Sometimes, the tubes are attached to other organs, especially when you are having reversal after a long time of getting a vasectomy. In this condition, the urologist will perform microsurgery. For that, the doctor has to use a powerful surgical microscope. This helps them to magnify the vas deferens and observe them during treatment.

Keep in mind, a slight mistake can damage the vas deferens and other organs. Thus, you need a professional and experienced urologist experienced in microsurgery. After separating the tubes, the surgeon will reattach the tubes, creating a clear pathway for the sperm to reach the penis.

Vasectomies & Vasectomy Reversals: Conclusion

If you want to consult a professional urologist in New York City, you can consult one of the experienced urologists in the city, Dr. Yaniv Larish.

Schedule an appointment today for a consultation:

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

Urology: Vasectomies

urology vasectomies best NYC

Urologists are the main types of doctors that perform vasectomies. A vasectomy is a birth control procedure that will block your sperm from leaving the body. It is an effective treatment with a high success rate. Let’s learn more about vasectomies and how they work:

How Does a Vasectomy Work?

The male body produces sperms in the testicles and carries them to the penis through tubes called vas deferens. When the sperms reach into the female body and mix with the egg, it causes pregnancy. But, when a male doesn’t want to have a child, they undergo vasectomy. In this procedure, a professional urologist cuts the vas deferens to prevent sperms from reaching the penis. Semen without sperms won’t complete the reproduction process.

Vasectomy is an effective birth control procedure with a high success rate. If you want to keep your sperm from leaving the body, you should undergo this treatment procedure. Vasectomy doesn’t affect your ability to produce sperms, which means that the reversal is also possible.

An experienced urologist will perform a vasectomy on a single visit. But, it takes about three months for your body to not cause pregnancy. Meanwhile, your doctor will ask you to visit their clinic for follow–up sessions.

Having a vasectomy doesn’t mean that you won’t ejaculate or have an orgasm. Also, the feel, look, and taste of semen won’t change. The only thing that changes is your ability to get anybody pregnant.

Types of Vasectomies

Vasectomies are of three types:

  • Minimally invasive vasectomy
  • Conventional vasectomy
  • No-scalpel vasectomy

All these procedures result in permanent vas deferentia blockage. But, the procedure for each technique is different. Some vasectomies have a higher complication rate, but the result is the same that is the inability to make your partner pregnant. Let’s understand these types, so you can make an informed decision. However, a professional doctor will explain the procedures in detail:

1.     Conventional Vasectomy

During a conventional vasectomy, the urologist will use a scalpel to make a tiny cut on the scrotum. The doctor might make one or two incisions since there are two tubes at each end. Incisions expose tubes to the doctor, so they can complete the procedure. The incision size is usually between 1.5 cm and 3.0 cm. When the incisions are large, urologists have to use sutures. However, smaller incisions can stitch the holes in the scrotum. Conventional vasectomy has a high complication rate.

2.     No-Scalpel Vasectomy

This is a minimally invasive procedure and uses specially designed instruments. In this type of vasectomy, the doctor makes a small size opening on the scrotum to access vas deferens. The incision shouldn’t be more than 10mm and doesn’t require skin sutures. The doctor will use two special instruments including a vas dissector and vas ring clamp.

The only difference between conventional and no-scalpel vasectomies is the opening or incision on the scrotum. Unlike conventional vasectomies, the small incisions make it a minimally invasive procedure. A doctor will make one or two skin openings on the scrotum to access vas deferens. Once they see the tube, they will cut it into two and seal both endings.

3.     Minimally Invasive Vasectomy

Urologists use the same instruments for minimally invasive vasectomy and no-scalpel vasectomy. Minimally invasive vasectomy has lower complications risks. It doesn’t require segments or scalpels. Also, the doctor will make only a single incision to remove the vas deferens.

Urology and vasectomies NYC
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Why You Should Get Vasectomy?

Here are some reasons why you might want to get a vasectomy:

1.     Effective Birth Control Procedure

A vasectomy is one of the effective ways of birth control. Although it is a permanent procedure, there are ways to reverse it, if you change your mind in the future. Vasectomy has almost 100% effectiveness to prevent pregnancy. A vasectomy prevents sperms from mixing with the semen. As a result, your ejaculation can’t make your partner pregnant.

2.     Highly Convenient

After having vasectomy, your semen won’t contain any sperm for the rest of your life until you reverse it. It is the most convenient way to prevent pregnancy, especially when compared to other birth control methods such as birth control pills. Your partner doesn’t have to take measures to prevent pregnancy. Also, you will save your trips to the pharmacy to buy condoms and pills. Vasectomy is a set-it-and-forget-it procedure for birth control.

3.     Better Sex Life

After getting a vasectomy, you no longer have to pay attention to an unwanted pregnancy. The procedure allows you to get into the heat of the moment and forget about accidentally having a child. Also, vasectomy won’t influence your sex drive or hormones. Your ejaculation and orgasm will feel the same.

Vasectomies: Conclusion

Do you want to undergo vasectomy and not worry about the possibility of getting your partner pregnant? If yes, then consult with Dr. Yaniv Larish, an experienced and skilled urologist and micro-surgeon.

Schedule an appointment today:

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

Should I Reverse My Vasectomy?

Have you asked yourself, “should I reverse my vasectomy?” A vasectomy reversal refers to undoing a previously done vasectomy. Vasectomies act as a birth control measure to prevent the risk of unwanted pregnancies. However, it permanently blocks off sperm flow towards the penis, making it difficult for your partner to get pregnant. However, this doesn’t mean that a man has to remain sterile for the rest of his life. The procedure can be reversed through another procedure called vasectomy reversal. After a vasectomy reversal, the sperm reenters the seminal fluid that the patient released upon ejaculating.

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The short procedure makes it possible for you and your partner to get pregnant. For your information, getting your partner pregnant will depend on the success rate of the vasectomy reversal that you underwent. For instance, the success rate for vasectomy reversals varies significantly and can be anywhere between 30% – 90%. Furthermore, you must consider several factors before opting for the expensive procedure.

Potential Procedural Risks

Nearly all vasectomies can be reversed, but the success rate can’t be ignored. It’s one of the most crucial factors to a vasectomy reversal. While reversal is possible, no expert can guarantee that you will have success in conceiving a child. The longer you spend time with a vasectomy, the fewer your chances get of conceiving a child with your partner or spouse. However, you must know that the success rate remains high for the first couple of years regardless of your decision to conceive a child or not.

Since we’re talking about the medical procedure related to vasectomy reversal, it’s worth mentioning that there can be several side effects. The side effects are more like risk factors that could emerge post-procedure leading to discomfort and painful symptoms. Here are some of those:

·       Scrotum Internal Bleeding

Hematoma can occur inside the scrotum if one or several wrong incisions are made or perhaps when the incisions aren’t closed properly. The collection of blood can cause painful swelling within the scrotum. However, you must realize that such instances usually occur when patients don’t take good care of their surgical site, i.e., scrotum.

·       Chronic Pain

Although it’s common to experience pain after a vasectomy reversal procedure, persistent pain is quite uncommon.

·       Surgical Site Infection

An infection where the skin has been slit open isn’t uncommon. However, all expert urologists and surgeons give proper advice along with adequate medication to prevent infections in the body.

Micro Surgery for Vasectomy Reversal: The Procedure

Vasectomy reversals target the vas deferens near men’s pelvic area. Vas deferens is the nerve that enables sperm flow towards the penis region for ejaculation. During a vasectomy, the surgeon uses fine tools and equipment to tie off the vas deferens and stop sperm from reaching the penis.

However, during the reversal procedure, the surgeon analyzes the condition of the vas deferens and rejoins the tied ends to enable sperm flow for healthy and fertile ejaculation.

Should I Reverse My Vasectomy | Top Vas Reversal Surgeon NYC
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The use of microsurgical tools is quite important because vas deferens isn’t easily noticeable through minor incisions. But, you shouldn’t be too worried about any discomfort because surgeons usually provide anesthesia to numb the site of the incision. The surgeons commonly use one of the two methods below to reattach the vas deferens.

Vasoepididymostomy

In this surgical procedure, the surgeon re-attaches the vas deferens for a sperm-containing ejaculate. However, the vas deferens is attached directly to the sperm-producing organs’ tissues, i.e., testicles. This is a less commonly sought-after and performed surgery compared to the alternative.

The surgeon responsible for carrying out your vasectomy reversal will first analyze the fluid content from your vas deferens to see whether it contains sperms or not. If they fail to find an adequate number of sperm cells, vasoepididymostomy is chosen as an effective medical solution.

Vasovasostomy

This procedure is relatively simpler than vasoepididymostomy. It involves the use of fine surgical tools to re-attach the severed/tied ends of the tube that carries sperms to the penis, i.e., vas deferens.

Post Procedure Checking

Once the procedure is complete, your surgeon will require a semen sample from you to examine under a fine microscope. Under the microscope, the surgeon will check the fluid for semen content. Based on the surgeon’s experience and knowledge, if the fluid passes certain thresholds, the operation will be considered a success.

The surgeon will advise that you continue showing up for scheduled semen analysis until they can confirm that your vasectomy reversal was a success. Of course, if you get your partner pregnant after the operation, regular semen analysis won’t be necessary to confirm that the operation was successful.

Should I Reverse My Vasectomy: Conclusion

At Vasectomy Reversal NYC, we help all our patients according to their needs. Dr. Yaniv Larish is among the top urologists in NYC. He has excellent surgical skills honed through years of practice under reputable professionals. If you need a vasectomy reversal, you should consult with  Dr. Larish.

You can discuss the possible complications, outcomes, and eligibility criteria with Dr. Larish. It’s important that you discuss freely, and that’s why our doctor carries a compassionate attitude. Call us at (646) 862-5500 to set an appointment today!

Parenting in Your 50’s and Beyond

Is parenting in your 50’s and beyond a viable option? Conceiving a child at the age of 35 is common, but now, many women and men are having a child in their 40s and even 50s. If you are above 50 years old and want to have a baby, then you should read this post. You will find details about how you can give birth to a child after the age of 50 and what are the consequences and risks.

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Are you thinking about your biological clock? Well, it is a natural and true concept. But, with advancements in technology and urology, people can now give birth to a child at the age of 50 and above. So, if you want to have a child, there is still hope.

Why Do Some People Have Children Later in Life?

Many people have their children in their 20s and 30s. It feels like it is a tradition or something. But, there are many advantages if you want. Furthermore, if you already have a child at an early age and want more when you grow old, it is possible. Here are some reasons why people have children later in their life:

1.     Achieve Your Goal

Were you busy traveling, advancing your career, and establishing a lavish lifestyle at an early age that you didn’t have a chance to have a baby? Well, you are not alone. Many people have so much dedication to achieve their goal that they eliminate giving birth from their priorities.

2.     Couldn’t Find a Partner

Perhaps you didn’t find a life partner to have kids with. If that is the reason why you didn’t have children at an early age, it makes sense. Nevertheless, you found your partner now and what to have children with them. This is totally legit.

3.     Looking for Financial Stability

You might be busy building financial flexibility and stability at an early age and didn’t have time to think about getting into a long-term relationship. That happens to many people. They don’t want to get caught up in children in their age to earn money.

In fact, many people undergo a vasectomy to eliminate sperms from their semen. But, they have change of heart at a certain age and visit a professional urologist for vasectomy reversal.

4.     Want to Enjoy Sexual Life

Many people want to enjoy their sexual life at an early age and can’t risk having children. So they also go through vasectomy to prevent getting their partner pregnant.

5.     Don’t Want Stressful Routine

At an early age, the thought of having children scares many people. Thus, they decide not to have children. But, with time they change their mind and want to have children.

Parenting in Your 50’s and Beyond | Top Urologist NYC
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Why Parenting in your 50’s and Beyond is Difficult

Although the above mentioned reasons for having a child at an older age are valid, there are some difficulties and high risks involved. Here are some risks of having a child at an early age:

  • Miscarriage
  • Gestational diabetes
  • Stillbirth
  • Ectopic pregnancy
  • Preeclampsia during pregnancy can become life-threatening.

You should also consider these life changing risk factors in your child:

  • Down syndrome and other chromosome related issues
  • Learning disabilities
  • Low birth weight
  • Birth defects

It is important to discuss risks and considerations with your doctor. A urologist can also help determine your health condition to reproduce. They will conduct tests to check whether all your reproductive parts are healthy.

How You Can Get Pregnant in your 50’s?

Here are some ways you can consider conceiving at older age:

1.     Using Frozen Eggs

Many people freeze their eggs at a young age, so they can start their family when they are 50 years old or above. Freezing eggs and sperm is a great option, especially when you are afraid that your genitals won’t work at a certain age. Females have limited eggs in their bodies. They can’t produce more eggs in their body. But, with growing age the number of eggs decreases. However, in men, testosterone production slows with growing age. Thus, you should freeze your eggs or sperms if you don’t want to take risks and have a child later in your life.

2.     Using a Gestational Carrier

When you are 50 years old or above, you might develop various conceptions. The conceptions include lack of fertilization, inability to release eggs, or risk of miscarriage. In this case, you can consider other women to carry your child. You should discuss with your doctor for this option. You can either use your eggs or look for a donor.

Parenting in Your 50’s and Beyond: Conclusion

If you want to learn about the pros and cons of conceiving and parenting a child in your 50’s and beyond, you should consult a professional urologist. At Vasectomy Reversal NYC, you can discuss your urological problems with our experienced urologist, Dr. Yaniv Larish.

For more details to contact us at 646-862-5500.

Older Men Having Children

It’s not uncommon to see older men having children. However, most people assume that getting a vasectomy significantly reduces your chances of conceiving a child because vasectomies are long-term. This can give you the impression that the longer you wait, the lower your chances of conceiving. While that’s true, you don’t have to feel the need to rush to a vasectomy reversal or ignore the need for vasectomy in the first place. Common myths about vasectomies revolve around the loss of fertility and reduced production of sperm in individuals.

Older Fathers Having Children
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But, if you’re concerned that getting a vasectomy and reversing it later might reduce your chances of conceiving, you’re right. Nonetheless, it doesn’t mean that conceiving a child will be impossible. And that’s why you must consult a reputable urologist.

Paternal Age Factors Affecting Baby’s Health

Most men know that as they get older, their body starts to weaken, and they become infertile over time. This isn’t the case for everyone as some people are healthier than others. However, being older can bring complications to your physical lifestyle, including the ability to conceive. As men get older, they become more prone to diseases and disorders. The health disorders and diseases pose significant health risks for the baby.

While more research is necessary, it’s quite clear that having an older father can increase the baby’s chances of developing health complications. Adverse pregnancy outcomes are more common when the paternal age is over 40. Some of the most common risks and health issues in babies due to older parents include:

  • Pregnancy Loss: While pregnancy loss can occur for several reasons, older paternal age is among the most common.
  • Schizophrenia and Mental Disorders: Due to older parents, a baby’s health conditions can worsen from birth. The baby may carry genes or hereditary DNA that can develop several mental health disorders and diseases such as schizophrenia.
  • Childhood Leukemia: Men fathering a child at an older age increases the chances of their baby developing childhood acute lymphoblastic leukemia. It’s a type of cancer that develops due to abnormal white blood cell production.
  • Autism: Several experts believe that autism in children may link to older paternal age.
  • Uncommon Birth Defects: Being older can increase the chances of your baby developing uncommon/common congenital disabilities such as improper limbs, heart, and skull development, leading to various physical health issues.

Research and studies are in progress to identify the links between advanced paternal age and health issues in babies. Countless genetic mutations can occur as a result of weaker DNA from parents. As you age, your DNA starts to weaken while increasing the offspring’s chances of developing several health conditions that affect physical and mental well-being.

This onset of health risks can be transferred to the baby resulting in unexpected health problems right after birth. If you’re above 40 and think that your reproductive health may be deteriorating, consult the best urologist/surgeon on time. A urologist can help you determine your fertility ratios and help you identify any underlying medical health conditions that pose a significant risk of passing down to your baby.

Can Older Men Have Children Even After 40?

Several health factors can influence the fertility rate in older men. Firstly, the development of various health conditions can pose a significant threat to the fertility of older men, especially those over 40 or 50. While men of age 50 have tried to conceive a child, several factors must be considered. Here’s why it’s slightly difficult to conceive a child at age 40 or above:

  • Sperm quality deteriorates over the age of 40 and even 50. The morphology (shape) and motility (movement) of the sperms become more irregular. The sperms are either unhealthy and don’t survive long inside the female. On the other hand, it’s possible that the sperms can’t swim properly.
  • Female partners’ fertility declines earlier than men’s decline and can pose a significant threat to the chances of conceiving a child.
  • Testosterone production becomes irregular after 40 and above, leading to irregular sexual activity. While some people lose sexual drive, others experience erectile dysfunction leading to further difficulties in conceiving.

Older Fathers Having Children | Vasectomy Reversal
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Older Men Having Children: Conclusion

Do you think you’re too old to become a father due to your vasectomy? You should discuss your options with the right urologist or surgeon near you. At Vasectomy Reversal NYC, we help our patients improve their urological health, and perform vasectomies and vasectomy reversals. For years, Dr. Yaniv Larish has been helping older men reverse their vasectomies and become fathers.

Through tests and various medical exams, Dr. Larish can advise on whether or not your age will interfere with your vasectomy reversal  and chances of fatherhood.

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

Who Is Eligible for Vasectomy Reversal Surgery?

Is anyone eligible for vasectomy reversal surgery? We will discuss this question in this article. Have you and your partner or spouse considered conceiving a child? Have you both decided that you’re now ready to bear a child? Well, if you previously went under a vasectomy to permanently restrict sperm flow out of your penis, you might be considering a vasectomy reversal procedure. However, getting a vasectomy reversal can have you and your partner or spouse asking several questions. What are those important questions and factors for consideration? In this post, you will learn about who qualifies for vasectomy reversal surgery.

Who is Eligible for Vasectomy Reversal Surgery?

Vasectomy reversal refers to the process of reattaching the vas deferens’ severed ends, i.e., the tube that carries sperm to form a healthy ejaculate with the semen fluid. Only two microsurgeries are common in the urological healthcare field, including vasoepididymostomy and vasovasostomy.

What Does the Procedure Involve?

The procedure generally occurs at a hospital or surgery center where expert urologists and surgeons operate. There’s usually a short-term hospital stay after which the patient is free to go and rest at home for a few days before getting back to their normal daily activities. However, most surgeons and urologists will recommend the patients to have an overnight stay so that any post-procedure complications are dealt with on time.

The procedure is nothing more than a typical vein repair. However, the use of fine surgical tools and equipment makes the procedure quite complicated for an average surgeon. That’s one of the major reasons why you should look for a well-trained and experienced urologist for effective recovery.

The procedure begins when the surgeon delivers anesthesia to the patient. The anesthetic effect either renders the surgical site completely numb or makes the patient fall asleep to avoid painful discomfort. Since a reversal is more complicated than the original vasectomy, a vasectomy reversal procedure should take place with adequate care.

With the use of microscopic surgical equipment, the surgeons magnify the visuals of the vas deferens, which is the tube that carries the sperm towards the penis along with semen fluid. Here’re the two main microsurgery methods via which surgeons reverse a vasectomy:

Vasovasostomy

In this procedure, the surgeon makes minor incisions near the scrotum to visualize the vas deferens. The surgeon will then find the severed/ tied ends and reattach them to enable sperm flow within the tube.

Vasoepididymostomy

This microsurgery is quite similar to vasovasostomy, but it involves reattachment of the vas deferens directly to the reproductive organs, which are the testicles in the scrotum, a sac-like organ under the penis. This is done when the severed ends of the vas deferens have semen fluid, but it doesn’t contain any healthy sperm.

The surgeon will analyze your vas deferens semen fluid beforehand to figure out which microsurgery will work best for you. Usually, that decision is taken during the surgery.

What to Think About Before a Vasectomy Reversal?

When trying to figure out whether or not you’re eligible for a vasectomy reversal procedure, make sure you know certain things. Discussing and running thoughts over several things will help you know whether or not you stand as a suitable candidate for a vasectomy reversal procedure.

  • The cost of a vasectomy reversal procedure is high, which means that typical health insurance won’t cover it. So, make sure you’re planning and covering the costs beforehand.
  • You must find the best urologist with adequate surgical skills to carry out a vasectomy reversal on you. The main qualities to look for include experience, training, and knowledge. Find a urologist with all the right qualities, including experience in performing the said procedure almost constantly.
  • Make sure you search for a urologist/surgeon who’s trained in handling microsurgical equipment and taking care of split-second decisions like deciding on which microsurgery is better for you depending on your sperm health status.

Who’s Eligible to Get a Vasectomy Reversal?

So, are you eligible for a vasectomy reversal procedure? Can you cover the costs of a vasectomy reversal procedure by yourself, or do you require help via insurance? Can you find the right urologist/surgeon near you? Well, there’re several checks that your urologist or primary healthcare provider may also make to check whether or not you qualify for the said procedure.

Eligible for Vasectomy Reversal Surgery Ages Limitation | Urologist

Physical Exam and Medical History

The main factor for eligibility is doing a physical exam. The urologist/surgeon will perform a physical test and check for any underlying medical health conditions that could interfere with the procedure. The doctor will also suggest that you have your previous medical records reviewed before opting for the procedure.

Fertility Rate and Health Sperm Production

The urologist will check and ensure that your testicles are still making healthy sperms. If you have fathered a child previously, this is proof enough for the urologist to move ahead with the procedure. Otherwise, you will take a fertility test.

Partner’s Fertility Test

You can’t spend a huge amount of your savings and get a vasectomy reversal when your partner isn’t fertile or capable of conceiving a child. For instance, you may have to advise your partner to go under a gynecological exam.

Who Is Eligible for Vasectomy Reversal Surgery? Conclusion

If you wish to find one of the top urologists and surgeons in NYC, give us a visit at Vasectomy Reversal NYC. Dr. Yaniv Larish is among the top urologists in the NY, NJ & CT Tri-State area. He has practiced under reputable urological professionals helping patients with various urological disorders and diseases.

If you have questions about reversing your vasectomy, or any other urological condition call Dr. Larish today.

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

The Mechanics of Male Genitalia & Reproduction

How do male genitalia and reproduction work? The male reproductive system contains various organs that support urination and reproduction. These organs play a vital role in the body. Their functions are:

  • Producing male sex hormones
  • Creating, maintaining, and transporting sperms and semen. Sperms are the reproductive cells that attach to the female egg, while sperm is a fluid that protects sperm.
  • Discharging sperms inside the female body.

The male genitalia and reproductive system have two parts, internal and external. These genitalia support males with sexual intercourse, urinate and give birth.

External Male Genital and Reproduction Parts

Many male reproductive organs such as the penis and scrotum are located on the pelvis and abdominal cavity. Let’s understand what roles these genitals play in the reproductive process:

1.     Penis

The penis helps with sexual intercourse and carries sperms inside female reproductive genitals. It consists of three parts. The root attaches the penis to the abdomen’s wall. The shaft or body is a tube-like chamber and contains erectile tissue. This tissue includes thousands of pores or spaces, filled with blood.

The erectile tissue helps with sexual arousal. When the blood fills inside the pores, it causes an erection. Erection is important to penetrate the penis inside the female genitals during sex. The elastic and loose penis skin stretches with the erection.

Male Genitalia and Reproduction

The last part of the penis is the glans, which is a cone-shaped head. It contains foreskin, which is also a loose skin layer. Normally, men remove this part through circumcision.

2.     Scrotum

The scrotum contains testicles and numerous blood vessels and nerves. It regulates the temperature of the scrotum and protects the testes. The testes require a cooler temperature than the body to trigger normal sperm development. There are special muscles in the scrotum that relax and contract for climate control. It brings testicles closer to the body for protection and warmth. However, when the testes need cool temperature it moves further away.

3.     Testicles (testes)

Testes are olive-shaped large organs covered inside the scrotum. The spermatic cord keeps the testes secure. Testes make testosterone, which is a male sex hormone. It is responsible for sperm production. Testes contain coil-structured tubes called seminiferous tubules. These tubes produce sperm cells through the spermatogenesis process.

4.     Epididymis

The epididymis is a coiled and long tube behind the testicles. These tubes transfer and store sperm cells from the testes. Testes produce incapable and immature sperms that are not ready for reproduction. The epididymis is responsible for sperm maturity. Furthermore, it transfers the sperms to the vas deferens during sexual arousal.

Internal Male Genital and Reproduction Parts

Several internal organs support your reproductive system. You can refer to these organs as accessory organs. These organs play a vital part in the male reproductive system. Problems with these organs may affect the reproduction process. A professional urologist can help treat infections, diseases, and abnormalities in these organs. These organs are:

1.     Vas Deferens

Vas deferens is a muscular and long tube that carries sperms to the penis. This tube stretches from the epididymis to the pelvic cavity. The sperms travel through this tube, mixes with semen, and move out of the body during ejaculation.

2.     Ejaculatory Ducts

Ejaculatory ducts join seminal vesicles and vas deferens.  The duct carries sperms and semen into the urethra.

3.     Urethra

Normally, urine flows through this tube out of the body. When you reach orgasm, semen flows through this organ. The erection of the penis blocks urine and ejaculate semen.

4.     Seminal Vesicles

These are sac-like pouches located near the base of the bladder. It connects with the vas deferens and creates a sugar-rich fluid that helps sperms move with energy. The major role of this fluid is to help with motility. The major portion of your ejaculatory fluid is the seminal vesicles.

Male Genitalia and Reproduction Urology NYC

5.     Prostate Gland

This is a walnut-sized gland, located between the rectum and urinary bladder. The prostate glands produce additional ejaculatory fluid. Prostate fluids offer nourishment and protection to the sperms. The urethra that ejaculates the fluid outside the body passes through the prostate gland.

6.     Bulbourethral Glands

The Cowper’s glands or the bulbourethral glands are small glands located below the prostate gland. These glands produce slippery fluid that acts as a lubricant. It lubricants and neutralize the pH level of the urethra. This clear fluid lowers the acidity of the urine in the urethra to protect against sperms.

Male Genitalia and Reproduction: Conclusion

The structure of male genitalia and the production system is remarkable, where each organ plays a vital part. When even one of these organs malfunctions, it disrupts the reproduction process.  Some male reproductive disorders are testicular cancer, erectile dysfunction, and varicoceles.

If you experience pain in the lower abdomen, scrotum, or penis, or are looking to have a vasectomy or vasectomy reversal procedure, you should consult an expert urologist. Visit our clinic Vasectomy Reversal NYC and consult with one of the best urologists in New York City, Dr. Yaniv Larish.

To schedule a free consultation with Dr. Larish, contact us today:

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

Reasons Men Get Vasectomies

What are some of the main reasons men get vasectomies? A vasectomy is an effective birth control method that ensures minimal risks of unwanted pregnancy despite unprotected sexual intercourse. It’s a form of birth control most couples opt for to make sure that they can go about their lives and enjoy sex without considering the prospect of raising children. While some couples wish to live care-free until they’re willing to have children, others assume that they’re not ready to care for younglings due to a lack of experience.

Reasons Men Get Vasectomies

While those two are the major reasons men opt for vasectomies, we will discuss several other reasons below as well. Now and then, people wish to enjoy sex but don’t want to face the risk of an accidental pregnancy. So, they consider going for vasectomies. But is that the only reason for it? Let’s find out!

Top Reasons Why Men Get Vasectomies

Here, we will take a look at various reasons why men get vasectomies:

Low-Risk Medical Procedure

The medical procedure surgeons follow to perform a vasectomy is highly risk-free. There are extremely rare chances of surgeons messing up a procedure since it’s so straightforward. However, you must find a urologist with surgical skills to operate effectively with fine medical equipment and surgical tools. The chances of bleeding or getting an infection are very low, so you don’t have to worry about any after-procedure health risks.

Most expert urologists carry out vasectomies under extremely well-defined environments. Generally, the procedure takes no more than 10-20 minutes, especially when you see an expert urological microsurgeon.

Better Recovery Time

Excellent recovery time is another reason most men consider opting for vasectomies. For instance, when men want to engage in sex with little to zero chances of getting their partner pregnant, they opt for contraception such as birth control pills and condoms. However, those require multiple investments, and the user has to keep buying them while checking for their expiration.

However, through a medical surgery that completely ties of the vas deferens, the chances of getting the partner pregnant are extremely low. Plus, with all those benefits, the procedure isn’t hard on the health. It’s easy to recover, and most patients do so within 7-10 days. This means that men can get back to exercising, working, and having sex without any risks of pregnancy.

Effective Birth Control Method

All you have to do is avoid heavy lifting or having sex to eliminate any possible pressure on your pelvic muscles, tissues, and nerves that could also break off the stitches to your vas deferens (tubes that carry sperm). Once you wait 7-10 days after the procedure, you can start having sex again and carry on with heavy lifting.

Reasons Men Get Vasectomies top urologist NYC

The plus side to that is the procedure is extremely effective in restricting the flow of semen and sperm out of the penis. It’s an effective birth control measure that reduces the chances of getting pregnant after sexual intercourse down to 1%. To put things into perspective, condoms have a lower efficacy rate than that and require the user to put them on carefully every time!

Less Burden on Partner

You will be helping out your partner/spouse who’s taking birth control pills to prevent pregnancies by getting a vasectomy. And that’s the thought that most responsible men have when they’re planning to get a vasectomy. When you’re not ready to have children but wish to indulge in sexual activities with your partner/spouse, you may have to go for contraception methods like condoms.

But, when your female partner opts for birth control pills, they can experience several hormonal changes as well as other side effects. Men can help out their partners/ spouses by getting a vasectomy.

No Sexual Health Issues or Risks

For your information, a vasectomy procedure doesn’t involve operating or adjusting any part or region of the penis. There are no damages to the penis during a vasectomy procedure. Furthermore, once you get a vasectomy, the chances of experiencing any side effects are critically low. In simple words, getting a vasectomy doesn’t have anything to do with sexual or erectile dysfunction. Also, it doesn’t interfere with hormone production, e.g., testosterone.

Also, once the procedure is complete, the testicles continue producing sperm and semen fluid inside the body. However, the only difference is that due to the veins being tied off, the sperms won’t find a way out. Hence, extremely low chances of getting pregnant.

Reasons Men Get Vasectomies: Conclusion

Whatever the reason you’re getting the vasectomy, Dr. Yaniv Larish can help you go through the procedure comfortably.  He is among the top urologists and surgeons providing vasectomy and reversal procedures in NYC. Operating through our fully-equipped and modern offices, Dr. Larish provides impeccable care to patients.

Giving a considerable amount of time out of his schedule to his patients, Dr. Larish keeps all patients on effective treatment courses. Overall mental and physical health improvement is the goal at Vasectomy Reversal NYC. So, call us today and schedule an appointment for a consultation.

Call Today:

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

Important Factors for Vasectomy Reversals

What are the most important factors for vasectomy reversals? As the title may already suggest, we’re going to be talking about vasectomy reversals. Vasectomies are medical procedures that act as a permanent contraceptive method for men. It allows them to enjoy sexual relationships without the worries about accidental pregnancies. On the other hand, some people wish not to have children due to other reasons such as not being financially well-off or experienced enough to handle children.

Factors for Vasectomy Reversals

But, over time, the decisions about vasectomies can change. In reality, that’s the whole idea of vasectomies, i.e., to let you go by your lifestyle without facing the risk of unexpected pregnancies. When you wish to start a family and have children with your partner/spouse, you may have to get the vasectomy reversed. That procedure is fairly complicated but very easily done if you’re taking the help of a professional surgeon.

Vasectomy Reversal: Factors for Considerations

You can easily reach out to a professional healthcare provider who can help you with your vasectomy reversal. However, there are certain things that you and/or your partner/spouse must consider first. The said factors will ensure that you’re making the right decision without any complications.

Time Is a Huge Factor

Most people who are about to get their vasectomies or have already gotten their vasectomy and are thinking about reversing it assume that it won’t succeed. The reason why some people think that is because of the time that has elapsed since the procedure. We’re here to tell you that while time is a huge factor for consideration when it comes to vasectomy reversals, the success rate is usually high. Even after ten years, it can be as high as 90 percent, according to experts.

Some experts believe that 15 years after getting a vasectomy, the success rate of reversal starts declining quite slowly as well. So, if you’re thinking about getting a vasectomy reversal, you must know that time plays a huge role in the procedure’s effectiveness and success. The sooner you get the vasectomy reversed, the higher the chances of you successfully conceiving with your partner/ spouse.

Along with time, other factors also come into play. For instance, the health of your sperm cells, fertility rate, and the age of the partner/spouse you’re trying to get pregnant with.

Fertility Matters Significantly

Although time plays a crucial role in getting pregnant after a vasectomy reversal, you must consider other factors as well. Firstly, the doctor you see for a vasectomy reversal consultation might suggest that you take a fertility test. It’s a precautionary measure aimed at informing a couple whether or not they can conceive effectively. For instance, a couple might reconsider spending their savings on a vasectomy reversal if they have extremely low fertility rates and chances of conceiving.

On the other hand, learning about the fertility rates can suggest whether you should opt for a vasectomy reversal or think about adoption. Besides the patient, their partner’s health matters as well. Your partner or spouse might also undergo fertility tests and age factor consideration before a vasectomy reversal procedure. If time is a huge factor and aging has become an issue that makes the prospect of getting pregnant seem difficult, many doctors recommend vitro fertilization.

While it’s not a natural method, you must consider it when you think that you or your spouse is aging and that the health of your sperms is declining.

Sperm Health Is Restored

Do you know that your testicles never stop making sperm cells after a vasectomy? Your testicles responsible for producing sperms and semen fluid continue the spermatogenesis process. However, the sperms and semen don’t find a way out of the body due to the vas deferens being cut off permanently. Therefore, a vasectomy reversal can restore your fertility.

Top Urologist Factors for Vasectomy Reversals

This is a huge cause of concern because some patients experience low fertility rates in their test results. This causes most couples to panic and moves away from the idea of spending large amounts of their savings on the respective medical procedure. In other words, don’t worry or stress out if your fertility rates appear low at first.

Once a vasectomy reversal enables sperm flow and the testicles produce new sperms, the fertility rate might increase. But, you have to remain cautious and discuss all possibilities with your general healthcare provider or specialist vasectomy reversal surgeon.

Important Factors for Vasectomy Reversals: Conclusion

Yaniv Larish MD offers expert surgical and consultation services. We aim to ensure the most effective procedure possible through the use of updated surgical techniques and state of the art equipment. Dr. Larish has extensive and diversified experience of operating on dozens of patients with urological diseases, disorders, and other issues.

Dr. Larish has successfully helped many couples with vasectomy reversal procedures. The vast majority of his vasectomy reversal patients have also succeeded in conceiving children. Call to schedule a meeting today.

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

Did You Have a Change of Mind About Your Vasectomy?

Did you have a change of mind about your vasectomy and now want to have children? A successful vasectomy reversal procedure can make that a reality. Did you know that a huge proportion of the US male population is hesitant to get vasectomies because it involves several visits to the urologists and high costs?

Change of Mind About Your Vasectomy

Well, people can change their minds after getting a vasectomy. You and your partner/spouse may think it’s time to start a family, or maybe you feel that you’re depriving yourself of a good life by not having children.

Although perspectives vary and the reasons behind getting a vasectomy reversal can be many, it is possible to reverse a vasectomy you had a long time ago effectively. This post will answer some important questions about vasectomy reversals.

Why Get a Vasectomy Reversal?

There can be quite a few reasons for reversing a vasectomy. We will go over some of the most common reasons why men reverse their vasectomies to make you more confident in your decision. However, you shouldn’t sign up for a vasectomy reversal before consulting a reputable urologist/ surgeon. The reasons why people reverse their vasectomy include:

·       Loss of a Child

Some couples have had the misfortune of losing their children—couples who wish to have a single child go for a vasectomy after healthy childbirth. However, the loss of a child can make couples wish to try again. Fortunately, this is a rare case in the US.

·       Change of Heart

Some couples originally decide that they’re not ready to invite children into their lives. That’s why they opt for a vasectomy medical procedure. They can have a healthy sex life with extremely low risks of pregnancy. However, with time, couples can change their mind. That’s when couples opt for a vasectomy reversal.

·       Remarriage

After remarrying, a husband might wish to have children again to turnover a new stone in life. This is the case for many couples in the US.

·       Testicular Pain

Lastly, it’s worth mentioning that some patients can experience sharp scrotum-related pain near their pelvic area after getting a vasectomy. When antibiotics, therapy, and other treatments don’t help to eliminate the pain, urologists have to perform a vasectomy reversal procedure. It’s worth mentioning that persistent pain after the surgery isn’t common and usually occurs due to lack of care.

The patient might not have been careful with their wound. For instance, indulging in strenuous exercises right after the procedure or having sex can break the stitches on the vas deferens leading to internal bleeding and swelling. Furthermore, persistent pain can also occur if the surgeon/urologist you chose was inexperienced in performing such complex procedures.

What Happens During a Vasectomy Reversal?

In a vasectomy reversal surgery, the surgeon will administer general anesthesia similar to most patients upon their discretion. The anesthesia will have a numbing effect on the surgical site while putting you to sleep temporarily. The numbing agent helps prevent any pain and discomfort during the procedure.

Afterward, the procedure begins when the surgeon makes a small incision on your scrotum. It is a small sack-like organ below your penis containing testicles. The tube will be exposed through the incisions, and the surgeon will generate a visual feed to gain a good view of the tube.

Change of Mind About Your Vasectomy Urologist

The surgeon will separate the vas deferens, i.e., the tube that carries sperm, from surrounding tissues to operate on it. Then, your surgeon will incise the tube and collect a small amount of semen from it to analyze it for sperms. Depending on the analysis results, the surgeon will proceed with one of the two microsurgery methods, including vasovasostomy and vasoepididymostomy.

If the vas deferens contain healthy sperm with semen fluid, the surgeon will reattach the tied and severed ends of the tube. This should allow for a healthy passage of sperm to travel towards the penis. If the semen doesn’t have any sperm or healthy sperm inside the severed vas deferens upon analysis, the surgeon might attach the vas deferens directly to the testicles’ tissues (i.e., sperm-producing organs).

Change of Mind About Your Vasectomy: Conclusion

Before you’re ready to sign up for a vasectomy reversal, make sure you’re in contact with the right urological expert. Sometimes, going to the wrong surgeon or urologist can increase procedure costs and complications. A Vasectomy Reversal NYC, Dr. Yaniv Larish MD offers expert urological healthcare services, including vasectomies and reversal procedures.

Dr. Larish possesses unique knowledge and an expert set of surgical skills to operate on different types of patients. He has successfully helped many couples conceive via vasectomy reversals. Give us a call to schedule an appointment today.

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

https://vasectomyreversal-nyc.com/

Getting Pregnant After a Vasectomy Reversal

What are the chances of getting pregnant after a vasectomy reversal procedure? Vasectomy is an effective contraception that restricts the combination of healthy sperm in the semen that forms the ejaculate. Although it can prevent pregnancies and let you enjoy a romantic life with your partner, you may change your mind.

Often, after a man has had a vasectomy, he gets into a new relationship and changes his mind about having children and starting a family. The vasectomy reversal procedure, which involves the reattachment of the vas deferens of the male reproductive organs that produce fertile sperm, makes this possible.

Getting Pregnant After a Vasectomy Reversal

However, the procedure itself is complicated, and depending on various factors, the success rates of a vasectomy reversal, that is, the chances of pregnancy, may vary from one case to another.

What Happens During a Vasectomy Reversal Procedure?

The procedure is complex and involves using precise instruments, including scalpels, incision equipment, microscopes, etc. Your surgeon will sedate you and apply a numbing agent near the scrotum to prevent any sudden pain or procedure implications.

After that, the surgeon will make precise incisions on your scrotum through which they will expose the vas deferens. These tubes carry the sperm from the epididymis (tissues at the back of the testicles that produce sperm) to the male ejaculatory tube.

The surgeon will separate the vas deferens on both sides from the nearby tissues, which will help reattach them. The main step in determining which reattachment procedure takes place is checking if the fluid is present in the vas on both sides. In case the fluid (i.e., sperm) is present in the tubes, the surgeon will reattach the severed ends.

On the other hand, if sperm is not present and the tube appears to be dry inside, it may have something to do with scar tissue blocking the sperm from entering the tube. Therefore, the surgeon may have to find another end of the vas to attach to the epididymis.

Pregnancies- Are Vasectomy Reversals Successful?

Vasectomies and reversals are expensive medical surgical procedures that often general health insurances don’t cover. However, make sure you consult a surgeon who performs such procedures regularly, as they can help you out.

A surgeon who has the experience and knowledge of vasectomy reversal should be your first and only choice. Moreover, vasectomy reversals are successful when the surgeon knows and is proficient in using precise instruments with the help of micro-surgical equipment. This ensures that the procedure will go without any complications, and there will be high chances of success.

Once the reversal occurs and the vas deferens connect with the sperm-producing male reproductive glands, the sperm starts to move into the tubes. However, the doctor and surgeons might suggest going through a few tests and analyses to ensure that the sperm is still healthy and fertile to cause pregnancies.

Pregnant after a vasectomy reversal | Success rates

It might take time and a few ejaculations to make sure that healthy sperm are forming and combining with semen inside the tubes.

What are the Success Rates of Pregnancies Post-Vasectomy Reversal?

Your doctor will take regular or scheduled ejaculate samples to ensure that there are sperm present in the semen. Nonetheless, it is worth knowing that this process can take up to 4 to 6 months and even 12 months in some cases.

The sperm may take time to mix into the semen before forming a healthy ejaculate. Depending on the vasectomy procedure you had previously, the fertilization level of the female, the health of sperm, and the type of procedure in the reversal process, the rate of pregnancy can vary.

Overall, research shows that the rate after reversals can be as high as 85 percent and as low as 67 percent. Therefore, it is highly possible to get pregnant after a reversal of the vasectomy. Additionally, it is better to undergo different tests to ensure that your sperm is fertile and healthy. Further, having a low sperm count reduces your chances of making your female partner pregnant. Hence, there are many considerations, but overall, there are high chances of getting pregnant after vasectomy reversal.

Pregnant After a Vasectomy Reversal: Conclusion

Do you wish to begin a family by getting a vasectomy reversal? Such high hopes and great decisions should not go in vain. Getting in touch with the right urologist, skilled in microsurgery, will help to achieve a successful vasectomy reversal.

Dr. Yaniv Larish has years of experience performing vasectomy reversals. Give us a call to schedule an appointment and discuss your options. All information is personal and confidential.

Call Today:

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://www.healthline.com/health/vasectomy-reversal
https://www.webmd.com/infertility-and-reproduction/guide/reversing-a-vasectomy
https://www.researchgate.net/publication/292177460_Vasectomy_reversal_A_clinical_update

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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)

Vasectomy reversal surgeon nyc right column 01

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.

Vasectomy reversal surgeon nyc right column 02

Vasectomy reversal surgeon nyc right column 03

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