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:
Understanding vasectomy reversals is very important for men who have undergone a vasectomy but now wish to regain their fertility. For these men, a vasectomy reversal offers a viable solution to regain the ability father children. Understanding the intricacies of this procedure is crucial for making an informed decision. In this comprehensive guide, we will delve into the world of vasectomy reversal, discussing its purpose, success rates, considerations, and the role of a skilled urologist.
A vasectomy reversal is a surgical procedure that aims to restore fertility in men who have previously undergone a vasectomy. During a vasectomy, the vas deferens, the tubes responsible for carrying sperm from the testicles to the urethra, are severed or blocked. Vasectomy reversal reconnects the vas deferens, allowing sperm to flow freely again.
While vasectomy reversal can be an effective option for restoring fertility, there are important factors to consider before making a decision. One crucial aspect is the time elapsed since the original vasectomy. Generally, the longer the duration between the vasectomy and the reversal, the lower the success rates. Age and overall health also play a role in determining candidacy.
Choosing the right urologist is paramount when considering vasectomy reversal. Dr. Yaniv Larish brings a wealth of expertise and experience to the field, specializing in male reproductive health and microsurgery. His dedication to patient care and commitment to staying up-to-date with the latest advancements ensure that individuals seeking vasectomy reversal receive the highest quality of care.
There are two primary surgical techniques for vasectomy reversal: vasovasostomy and vasoepididymostomy. Vasovasostomy involves reconnecting the severed ends of the vas deferens directly, while vasoepididymostomy creates a bypass between the vas deferens and the epididymis, the structure that stores and matures sperm. The choice of technique depends on various factors, including the presence of sperm in the vas deferens and the condition of the epididymis. Your urologist will determine the most suitable approach for your specific case.
The success of vasectomy reversal is typically measured by two factors: the patency rate (the restoration of sperm flow) and the pregnancy rate. While success rates can vary based on individual circumstances, factors such as the surgeon’s skill and experience, the technique used, and the time since the vasectomy are critical determinants. Your doctor should provide you with a realistic assessment of the potential outcomes based on your unique situation.
If you are considering vasectomy reversal to restore your fertility, it is crucial to have a thorough understanding of the procedure, its success rates, and the factors that can influence the outcome. Dr. Yaniv Larish, an esteemed urologist in New York City, offers comprehensive vasectomy reversal services to help you on your journey towards parenthood.
Dr. Yaniv Larish’s expertise, combined with his compassionate approach to patient care, ensures that you receive the highest level of support and guidance. Begin your path towards parenthood with the help of a skilled urologist who is dedicated to helping individuals like you regain their fertility and become fathers.
Take control of your fertility journey and explore the possibilities of vasectomy reversals. Contact Dr. Yaniv Larish today to schedule a consultation:
Yaniv Larish, MD
4 East 76th Street
New York, NY 10021
Phone: (646) 862-5500
Disclaimer: This blog post is intended for informational purposes only and should not be considered as medical advice. Please consult with a qualified healthcare professional for personalized guidance regarding vasectomy reversal and your specific medical needs.
Why would you choose a microsurgeon for a vasectomy reversal? Vasectomies remain the most popular form of birth control among men since it allows them to enjoy intercourse without taking other birth control measures. Since it disconnects the sperm from the semen, it is almost impossible for men to impregnate their sexual partners after the procedure.
However, many people who undergo the procedure will often want it reversed for personal reasons. According to a study, of all the men that get a vasectomy, 6% of them want to reverse it for personal reasons.
But unlike a vasectomy, reversal, often also called a vasovasostomy, is a much more complicated process. Therefore, it will often be more expensive, and you will need the right kind of surgeon to help with the procedure.
Most surgeons will also take the help of robots to perform the procedure, which can significantly drive up the cost.
To understand the complicated nature of a vasectomy reversal, it is worth looking into the basic procedure of a vasectomy.
A vasectomy is a fairly quick procedure that a urologist or surgeon often performs. Despite being relatively simple, having a surgeon perform it is often the best action. By relying on them, you can significantly reduce the chances of any complications.
The first step of the procedure is locating the Vas Deferens. The Vas Deferens are two very thin tubes that transfer sperm to the sperm during ejaculation. The epididymis, a small sack behind the testicles, stores sperm, making it readily available to transfer to the semen.
During the procedure, the surgeon will sever the vas deferens from the epididymis, ensuring that no sperm can reach the semen.
While the objective of the vasectomy remains the same, how a surgeon decides to go about it can differ. They can perform the surgery by making an incision or poking a hole through the scrotum.
Making an incision means they will cut the scrotum, locate the vas deferens, sever them, and apply stitches. But if the surgeon pokes a hole through the scrotum, then it is likely that they will try to find the vas deferens through the scrotum first, poke a hole through the scrotum, pull the vas deferens through the hold, severing them, and then stitching them.
No procedure is particularly safer or better than the other and usually comes down to personal preference.
The first major distinction between vasectomy and a vasectomy reversal is that there are no two ways of performing the procedure. The surgeon will make an incision to access the vas deferens in the scrotum.
The surgeon will administer local anesthesia and usually complete the procedure in as little as 2 to 3 hours.
The surgery aims to connect the vas deferens again to allow sperm to reach the semen. A vasovasostomy reconnects the vas deferens after the surgeon checks the vas fluid. It contains healthy sperm; then, they will move forward with the procedure.
The vas deferens are very thin tubes that can be difficult to reconnect unless you work with a microsurgeon. They have the technology and the necessary experience to perform the procedure.
If you’re looking for an excellent microsurgeon to reverse a vasectomy, consider going to Dr. Larish, who has helped plenty of men reverse their 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 vasectomy reversal.
Yaniv Larish, MD
4 East 76th Street
New York, NY 10021
(646) 862-5500
What is the healing time after getting a vasectomy reversal? Getting a vasectomy reversal can be a decision that requires a lot of consideration. Other than being expensive, it comes with a lot of responsibility. Being able to father a child again often motivates people to get a vasectomy reversal since they often want to start a family.
However, if you’re finally getting your vasectomy reversal, here are a few things that you need to consider first:
Recovery after a vasectomy reversal is often the hardest part of the entire procedure. For at least 14 days, your genitals will hurt, and walking might even be very uncomfortable. For at least 14 days, until the stitches heal, you should avoid lifting anything heavy or doing some form of intense exercise.
Lifting something heavy or stretching your legs could lead to the stitches opening, leading to further complications. Even after the initial 14 days, you should wait an extra 2 weeks before you can get back to exercising.
It would help if you also avoided intercourse during the recovery phase since pressure near the genitals could lead to issues. You should also avoid ejaculating, especially unless your urologist tells you it is safe.
If you have a professional microsurgeon to help with the procedure, you don’t have to worry about possible nerve damage. A vasectomy reversal is a delicate operation since the surgeon has to join the vas deferens together, requiring microscopic stitches and specialized tools.
A surgeon with the right qualifications will be able to perform the procedure with ease and will not cause any damage to the surrounding area.
As for nerve damage after the procedure, make sure that you follow the surgeon’s instructions. It would help if you didn’t move as much, as that could cause internal damage, which can often lead to serious problems in the long run.
Following a vasectomy reversal, the pain can be very manageable, especially with the medication that your urologist will prescribe. You can specify the types of painkillers that you want to avoid and tell them if you have any allergies or conditions that could interfere with the current medication.
If you rest properly for up to a week, you can feel the pain slowly fade away. Finally, along with the different pain medications, you will likely have to wear a jockstrap to support the scrotum. Your urologist might recommend it for a few weeks, but this will usually vary depending on the person’s age and response to medication.
Everyone responds to vasectomy reversal differently, so it is difficult to determine how soon a couple can conceive. For the first month following surgery, you will not be able to have sex.
Some couples could conceive in a few months following their operation, while others could struggle to conceive for years. Again, the time between the reversal and the vasectomy can play a major role in how quickly sperm returns to the ejaculate.
If you’re looking for an excellent surgeon to reverse a vasectomy, consider going to Dr. Yaniv Larish, who has helped many men reverse their vasectomy. With state of the art technology and years of experience in the field, he has the required skills and experience to perform a successful procedure.
Call us today to book an appointment.
Yaniv Larish, MD
4 East 76th Street
New York, NY 10021
(646) 862-5500
What are some good vasectomy reversal resources? Many people tend to change their minds about the vasectomy procedure they underwent and opt for a reversal. Believe it or not, this is quite common, and many men choose vasectomy reversal at some point in their lives. This procedure isn’t always successful, and you may still have trouble conceiving afterward. Are you curious about vasectomy reversals and want to learn more about them before you decide if it would be a good option? If so, continue reading…
When performing a vasectomy, the doctor blocks or cuts the vas deferens; these tubes transfer sperm from the testes toward the penis. During vasectomy reversal procedures, the surgeon has to reattach the tubes together to ensure sperm can flow into the semen.
Surgeons can perform vasectomy reversals through 2 main methods. They are:
Vasovasostomy: In this method, the doctor reconnects the detached vas deferens.
Vasoepididymostomy: In a vasoepididymostomy, doctors connect the vas deferens tubes to a small organ. This organ is at the back of the testicles holding the sperm. A vasoepididymostomy is a complex procedure, and doctors only choose it if they don’t think a regular vasovasostomy would work.
People usually opt for a vasectomy because they do not want to conceive kids. However, many people who undergo this procedure have a change of heart at a later stage. They either want to begin a family or have more kids, so they choose a vasectomy reversal. Men who lose a child also consider this option.
This procedure can be quite helpful for a small percentage of men who experience severe pain in their testicles because of a vasectomy.
Performing a vasectomy or a reversal requires a great deal of skill and experience. The procedure involves several nuances, so it is important to choose someone who has successfully performed this procedure multiple times. Urologists are trained surgeons and know the ins and outs of the reproductive system of males.
Some even have experience performing many vasectomies and are familiar with different techniques used to perform this procedure. While a few primary care doctors may also have experience with vasectomy reversals, it would be best to see a specialist because specialists have high success rates and are familiar with various vasectomy reversal methods suited for different patients and their anatomies.
Typically, vasectomies are performed in clinics or the doctor’s office. First, you will need to come in and settle, after which your doctor may give you a numbing medicine to calm you down for the procedure. Some individuals feel a slight pinch and some heat when doctors apply for the numbing medicine. Once the procedure begins, you may feel some pressure in the testicles. That said, the procedure doesn’t last long and doesn’t take more than thirty minutes.
Some patients feel pain in their scrotum after the procedure, but your doctor will most likely prescribe medication to manage it.
A vasectomy reversal is a complicated and delicate procedure, which is why you must only choose an experienced professional. Dr. Yaniv Larish and his team has years of experience performing vasectomies and are familiar with different ways to execute this surgery. Get in touch with us to book an appointment. Once you do, we will gauge your condition and advise you whether you should get a reversal and how to proceed.
Yaniv Larish, MD
4 East 76th Street
New York, NY 10021
(646) 862-5500
Do children of older fathers have more health problems? Men who plan to start a family during the latter part of their lives must know about the possible health risks their children could suffer. According to many doctors, older fathers’ children are more likely to develop medical issues than those born to men in their twenties. Men in their forties have a higher chance of encountering babies born prematurely. Plus, kids born to males aged forty or above had a low average score on Apgar, a health test for newborns.
While most evidence suggests that older men have higher chances of kids being born with health problems, it doesn’t mean they should avoid starting a family entirely. However, those who are still young shouldn’t wait to reach their mid thirties or forties to start a family. Remember, when you have kids at a young age, they are less likely to be born with health problems. Of course, if you are past your thirties, you can still have a child, but there could be issues.
Contrary to popular belief, women are not the only ones with a biological clock, as men have one too. Sure, women’s biological clock may run out early, but men should not ignore theirs. There are many reasons why kids of older fathers have more chances of being born with health issues. First, when men become old, the genetic quality of their sperm goes down.
The declined sperm quality can result in issues like infertility or health problems in the newborn. Pre existing health conditions in men can also cause their children to develop health issues. This problem especially happens to kids born to older fathers, which is why starting a family at a young age is always ideal.
Some people decide they do not want to have kids or add more to their family and opt for a vasectomy. As time passes, however, they may want to have kids and want to reverse their vasectomy. If you find yourself in such a situation, it would be best not to waste time with this. That’s because the more you delay the procedure, the older you will get, and the likelihood of your kids getting health problems will increase.
There are several reasons why older dads could impart certain health problems to their unborn kids. Since men continue producing sperm after puberty, there is a chance of mutations accumulating in the DNA of the cells forming the sperm. Exposure to certain environments can also cause sperm genes to change. Changes like these can impact the embryo and placenta and impart health issues in the kids.
If you are an older individual and want to have kids, getting a seasoned healthcare professional to evaluate your condition would be best. Doing so will help you determine how fit you are to be a parent and if your kids could have health problems.
It is important to note that while the risks are slightly higher for children of older fathers, they are still relatively small. The majority of children born to older fathers are healthy and do not experience any of the health problems associated with advanced paternal age.
In addition, other factors, such as the mother’s age, overall health, and lifestyle, also play a role in determining a child’s health. For example, a mother who smokes, has poor nutrition, or is obese is more likely to have a child with health problems, regardless of the father’s age.
It is also worth mentioning that the benefits of having children later in life may outweigh the slight increased risk of certain health problems. Older fathers may be more financially stable and better able to provide for their families, and they may also have more life experience and emotional maturity, which can be beneficial for their children.
In conclusion, while children of older fathers may have a slightly increased risk of certain health problems, the majority of children born to older fathers are healthy. Other factors, such as the mother’s age, overall health, and lifestyle, also play a role in determining a child’s health. If you are considering having children later in life, it is important to discuss any concerns with your healthcare provider and to make informed decisions based on your personal circumstances and priorities.
Are you planning to start a family but not sure whether it would be okay to do so at your age? If so, get in touch with Dr. Yaniv Larish, who has the expertise to evaluate his patients and suggest the best course of action. Once you book your appointment with us, we will check your medical history thoroughly to see the likelihood that your progeny may face health problems. Plus, if you had a vasectomy and want it reversed, we can do so safely and effectively, making sure you can get a shot at conceiving again.
Yaniv Larish, MD
4 East 76th Street
New York, NY 10021
(646) 862-5500
Doctors perform the vasectomy reversal operation to undo a vasectomy. When performing this operation, the surgeon attaches each vas deferens (tubes that carry sperm to the semen.) Once a vasectomy reversal procedure is complete, men can reproduce again. The pregnancy rates post vasectomy reversal usually range from thirty to ninety percent, depending on the procedure chosen by the surgeon.
In addition, various factors determine whether an individual can successfully achieve pregnancy after undergoing the reversal operation. Some of the most common factors are:
People undergo vasectomy reversal procedures for various reasons like remarriage, change of heart, treating chronic pain in the testicles post vasectomy, loss of a child, etc. Whatever the case, it is worth keeping in mind that vasectomies do not have a 100 percent success rate. Some individuals may think they underwent a successful vasectomy reversal procedure only to discover that they still cannot reproduce.
However, if you are serious about getting a reversal, it’s worth trying this procedure as its success rate is quite high.
While experts can reverse almost every vasectomy, there are no guarantees that you will successfully get your partner pregnant. You can still try this procedure many years after you get your vasectomy. However, the longer you wait for the reversal, the lower the likelihood it will work. It’s also worth mentioning that vasectomy reversals seldom result in serious complications. Some of the risks associated with this procedure are as follows:
Scrotum Bleeding: Sometimes, a vasectomy reversal can cause the patient to suffer from bleeding in their scrotum. Issues like this can result in hematoma, causing much swelling. If you face such issues, it would be best to follow your surgeon or doctor’s advice to use ice packs post surgery, utilize scrotal support, get enough rest, etc.
Chronic Pain: While chronic pain after a vasectomy reversal isn’t too common, some people may experience it. Individuals who experience chronic pain after a reversal must immediately consult with their physicians.
Possible Infections: People who undergo vasectomy reversal procedures get infections at the surgery site. However, there is still a chance. In such situations, your doctor may prescribe you antibiotic treatments.
Are you thinking about reversing your vasectomy? If so, you must consider a few things:
Getting a vasectomy reversal can be a massive decision for most people. While the procedure has high success rates, certain risks are involved, and you may not get the desired results. For this reason, it is vital to consult an expert before getting a procedure.
If you’re unsure whether you should get a vasectomy reversal, get in touch with Dr. Yaniv Larish. He and his team of experts will evaluate whether you are fit for a reversal and perform it with the utmost care. Make sure to follow their pre and post surgery instructions to ensure your procedure goes smoothly and has the best chances for success.
Call today for a consultation.
Yaniv Larish, MD
4 East 76th Street
New York, NY 10021
(646) 862-5500
Are you looking for resources on vasectomy reversal success rates? Vasectomies have become one of the most effective ways for couples to avoid pregnancies. It is a very effective procedure with few side effects or complications. Therefore, people who get a vasectomy can go on to live a full life, with the only exception being that they cannot have children.
However, there comes a time when couples want to start a family, so they need to reverse their vasectomy first. Only after they reverse their vasectomy can a couple conceive again.
Couples will always have second thoughts about undergoing a vasectomy reversal since it is a major decision. There are a lot of factors that go into a vasectomy reversal, and understanding all of them can help you make a more educated decision.
One of these very important factors worth considering is the success rate of vasectomy reversal, or as you may hear, your urologist refers to it as a vavosostamy.
A vasectomy reversal can be a complicated process requiring a microsurgeon’s skilled hands to help with the procedure. These professionals have the skills and training to perform the procedure effectively and have you ready to conceive.
Two factors can often dictate the success rate of a vasectomy reversal. The first factor is the surgeon performing operation. For the operation to have a very high success rate, a microsurgeon must be performing it. A urologist needs to gain the necessary skills to perform the procedure, which could decrease the success rate significantly.
The second factor worth considering is the time that has passed since the vasectomy. The longer the time passes from when you got your vasectomy, the less successful the operation will be. A vasectomy’s success rate can start declining if it has been more than 15 years since the procedure.
However, the success rate of a procedure before the 15 year threshold can go as high as 95%. Therefore, there is at least a 60% to 95% chance that sperm will start to return to your ejaculate.
Other than the time since the procedure and the surgeon that you should enlist, other factors can affect the success rate of your partner’s pregnancy. These factors include the age of your partner as well as your sperm’s health.
Although very rare, there is still a small chance that a successful operation does not lead to the individual producing healthy sperm. One of the major reasons this happens is because of the individual’s age and time since the procedure.
If your partner is having health complications affecting their ability to conceive, that can also affect the pregnancy success rate. It would help if you also visited a relevant medical professional to get help for your condition.
Results of 1,469 microsurgical vasectomy reversals
https://pubmed.ncbi.nlm.nih.gov/1997700/
Vasectomy reversal highly effective, even after 15 years
https://news.cornell.edu/stories/2004/02/vasectomy-reversal-highly-effective-even-after-15-years
Vasectomy Reversal: Purpose, Procedure & Success Rate
https://my.clevelandclinic.org/health/treatments/15459-vasectomy-reversal
Vasectomy Reversal: Success Rate, Risks, Cost and More
https://www.healthline.com/health/vasectomy-reversal
ScienceDaily: Men over 50 have same success with vasectomy reversal outcomes as younger men
https://www.sciencedaily.com/releases/2020/12/201217090429.htm
Others:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854082/
https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537
https://stanfordhealthcare.org/medical-treatments/v/vasectomy-reversal.html
https://uihc.org/health-topics/vasectomy-reversals-frequently-asked-questions
A vasectomy reversal can be a very difficult procedure to commit to, especially if you don’t know how successful the outcome will be. Fortunately, vasectomy reversals are generally very effective and successful, especially if you have the right surgeon to help you with the operation.
If you’re looking for an excellent microsurgeon to reverse a vasectomy, consider going to Dr. Yaniv Larish, who has helped many men reverse their vasectomy. With state of the art technology and years of experience in the field, he has everything necessary to perform a successful procedure.
Yaniv Larish, MD
4 East 76th Street
New York, NY 10021
(646) 862-5500
Is it possible to reverse a vasectomy? Vasectomies were once a very controversial procedure, as many believed it had many risks. However, over the years, not only has the procedure become much safer, but it has also become significantly more effective at reducing the possibility of a couple conceiving.
With how the procedure is performed, the chances of people conceiving become almost impossible. While there are instances of an individual possibly impregnating their partner despite the procedure, that will usually happen due to the surgeon’s mistake.
However, that is not to say that a vasectomy is not reversible. It is more than possible to reverse a vasectomy, especially if you have the right microsurgeon to perform the procedure. Here is a more detailed look at if you can reverse a vasectomy.
The process of reversing a vasectomy is the exact opposite of a vasectomy. A surgeon will access your vas deferens and reconnect to allow the sperm to travel to the semen, allowing it to be part of the ejaculate.
The vas deferens connect to a small sack behind the testes called the epididymis, where the body stores the sperm. When the body is about to ejaculate, the epididymis will send sperm to mix with the semen, allowing it to be part of the ejaculate.
The vasectomy will sever this connection, meaning only semen will be part of the ejaculate. On the contrary, reversing a vasectomy means connecting both of these organs again.
While this procedure may seem simple initially, it can be difficult and requires a surgeon. Without a surgeon with unique experience and training with these types of operations, the risks of possible side effects can rise exponentially.
The surgeon will add micro stitches to the vas deferens after connecting them. Although, first, the surgeon will have to check if the individual has healthy sperm. If they do, then they can move forward with the operation.
Suppose you have recently changed your mind about starting a family or having kids. Vasectomies can often be a final solution for birth control, but people can have a change of heart about wanting kids. They might have lost their child in an accident or want to try again.
In some cases, there is also the possibility of a person feeling an ache because of a bad surgery. Sometimes a vasectomy does not go according to plan, leading to people wanting to get a vasectomy reversal to help with the pain.
There can be possible side effects to getting a vasectomy reversal. Although rare, it is important to talk about the side effects that could result from a vasectomy reversal since you should know the best course of action to take if you see any symptoms.
It is likely with almost every operation, and the best course of action after it is to get the necessary antibiotics to treat it.
It is usually the result of a patient needing to follow through on the recommended aftercare. You should visit your urologist immediately and follow their instructions after surgery.
If you’re looking for an excellent surgeon to reverse a vasectomy, consider going to Dr. Yaniv Larish, who has helped many men reverse their vasectomy. With state of the art technology and years of experience in the field, he has everything necessary to perform a successful procedure.
Schedule a consultation today.
Yaniv Larish, MD
4 East 76th Street
New York, NY 10021
(646) 862-5500
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 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.
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.
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.
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.
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.
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? 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.
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.
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.
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.
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.
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
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.
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:
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.
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.
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:
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
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.
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).
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:
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:
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.
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.
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.
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.
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
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.
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.
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:
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:
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.
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.
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
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.
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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 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:
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.
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.
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.
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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.
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
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.
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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 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 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 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 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 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 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.
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Urologists perform numerous prostate procedures for men. This helps diagnoses and treat prostate conditions. Some of the procedures include:
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? 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.
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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.
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:
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.
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.
Urologists receive training to treat various common and rare diseases in men and women. Some diseases are:
Urologists also treat the following diseases such as:
You can consult a urologist if you want to undergo vasectomy or vasectomy reversal. Also, visit a urologist if you experience:
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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:
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:
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.
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.
You might also undergo imaging tests such as computed tomography scans or ultrasound.
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 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.
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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.
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.
Let’s understand how the procedure works to revive your ability to make your partner pregnant:
Here is what you will go through upon your visit to a doctor for vasectomy reversal:
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.
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.
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.
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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.
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 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.
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.
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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:
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.
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.
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.
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.
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
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:
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.
Vasectomies are of three types:
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:
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.
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.
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.
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Here are some reasons why you might want to get a vasectomy:
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.
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.
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.
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
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.
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:
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.
Although it’s common to experience pain after a vasectomy reversal procedure, persistent pain is quite uncommon.
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.
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.
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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.
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.
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.
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.
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!
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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 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.
