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

Vasectomy Reversal NYC Couple with Baby 10

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

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

Call today for a consultation:

(646) 862-5500

Blog Posts Are Below:

Microsurgery for Vasectomy Reversal

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

Microsurgery for Vasectomy Reversals

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

Microsurgery for a Vasectomy Reversal

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

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

Before the Procedure

While going through vasectomy reversal surgery, the surgeon will:

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

During the Procedure

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

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

After the Procedure

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

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

Vasectomy Reversals Microsurgery

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

Benefits of Vasectomy Reversals

Here are some benefits of vasectomy reversals:

1.    Fewer Complications

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

2.    Smaller Incision

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

3.    Reduced Cost

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

Microsurgery for Vasectomy Reversal: Conclusion

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

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

Do You Regret Your Vasectomy?

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

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

Why People Choose Vasectomy at First Place

1.    Vasectomies are Effective

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

2.    They have Lower Risk

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

3.    A Vasectomy Simplifies Sex

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

Do You Regret Your Vasectomy?

Why Men Sometimes Regret Their Vasectomy

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

1.    Change of Mind

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

2.    New Partner

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

3.    Non-Invasive

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

4.    Simple Procedure

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

5.    Family Name

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

Other Reason for Vasectomy Reversal

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

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

What’s a Vasectomy Reversal?

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

Vasectomy Regret? NYC Urologist

Conclusion: Consult An Experienced Urologist if You regret Your Vasectomy

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

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

All About Vasectomies & Vasectomy Reversals

Vasectomy treatment is a birth control method that prevents the body from releasing sperm along with semen during ejaculation. A surgeon will block or cut your vas deferens. This duct helps the sperm reach the urethra from the testicles. It is possible to reverse a vasectomy, but it does not always work. Hence, make up your mind about having children before opting for a vasectomy. The chances of conceiving, even after a reversal, are low.

Vasectomies & Vasectomy Reversals Urologist

The sperm travels to the urethra from the testicles. So when the doctor cuts or seals the vas deferens, you will no longer ejaculate sperm. As a result, you can avoid unwanted pregnancies. Today, a vasectomy is an effective method for birth control. American Urological Associations suggests that only two out of 1000 couples get pregnant again after a vasectomy.

Effectiveness of Vasectomy

Vasectomies are 100% effective, but in some exceptions, the tubes rejoin, causing sperm to leave the body. After a vasectomy, your body doesn’t stop releasing sperm right away. You need to schedule follow-up appointments with the doctor, so they can check and ensure that you are completely sperm-free. If a vasectomy isn’t effective in providing the results you need, try opting for another birth control procedure.

Side Effects of a Vasectomy

Vasectomy is a safe procedure. However, you might experience some pain afterward. Furthermore, your scrotum might swell as well. It is quite possible that you may bleed a little, but since these side effects only occur rarely, a vasectomy procedure does not include serious complications. Only 1 to 2 percent of men will experience severe pain, which does go away that easily.

The complications are not common, but they might occur. Here are some possible side effects you might suffer after the treatment:

  • Infection
  • Inflammation
  • Bruising

These complications can go away with time, but if you think your condition is getting worse, you should visit a doctor and discuss your symptoms. Here are some other rare side effects:

  • Sperm granuloma (Inflammation or a hard lump you might develop after leaking sperm)
  • Pressure, ache, and discomfort in your testicles.
  • Hydrocele (This is the sac of fluid that starts to swell the scrotum.
  • Spermatocele (a cyst that you might develop in the sperm collecting tube)

Is it Possible to Reverse Vasectomy

It is possible to reverse a vasectomy, but not always. Vasectomy reversal is not easy, and it won’t work for everyone. You should not consider the procedure if you are unsure about having children in the future.

But suppose you opted for a vasectomy and now you want to reverse the procedure. In that case, you can talk to the doctor about getting the reversal.

In a vasectomy, the doctor cuts the sperm-carrying tube, vas deferens. While performing a reversal, the doctor rejoins the tubes, enabling the semen to pass through the testes to the penis while ejaculating.

Methods for Vasectomy Reversal

The doctor will perform vasectomy reversal from one out of two methods. Vasovasostomy is the first treatment that the doctor will recommend. In this technique, the doctor will sew both the ends of vas deferens. By connecting the vas deferens, the penis and testes join together.

NYC Urologist Vasectomies & Vasectomy Reversals

Vasoepididymostomy is the second method your doctor might suggest. The doctor will attach the vas deferens with a small organ. This organ holds the sperm. Vasoepididymostomy is difficult and riskier than Vasovasostomy. Doctors only choose this method if a Vasovasostomy fails.

The doctor will perform the treatment in a clinic or hospital. They will provide anesthesia, so you are unconscious throughout the procedure and do not feel any pain. The procedure will take around two to four hours. However, you can go back home once the doctor performs the treatment. You will need two weeks to recover completely. You can reverse a vasectomy as many times as you want, but each time, the success rate decreases.

Preparing for Vasectomy Reversal

Here are some things that you need to know before undergoing vasectomy reversal:

  • The treatment can be expensive, and your insurance policy may not cover it. You need to confirm costs before the treatment so you can arrange for the funds.
  • Vasectomy reversals are highly successful when a professional surgeon performs them. You need to ensure the surgeon has extensive experience executing microsurgical techniques, especially one that includes a surgical microscope.
  • The Vasoepididymostomy procedure is complex, so discuss the procedure and complications with a specialist prior to the surgery.


Thoroughly consult your specialist before opting for a vasectomy or vasectomy reversal. Furthermore, you can also ask about the complication and risks of the treatment. An in-depth discussion helps you determine if it’s the right procedure for you.

To learn more about these procedures, call Dr. Yaniv Larish at (646) 862-5500.

What Is the Vasectomy Reversal Recovery Time?

What is the recovery time for a vasectomy reversal? A vasectomy is a surgical procedure that a person undergoes in order to undo the effects of vasectomy. A vasectomy permanently makes a person infertile. The couples that do not desire conceiving children prefer getting a vasectomy. Other options of birth control are also available; these include condoms and birth control pills. The success rate of a vasectomy overshadows different measures. As a result, more and more people are opting for this procedure.

Vasectomy Reversal

Vasectomy reversal uses advanced microscopes in order to undo the lasting effects of a vasectomy.  Some people are against a vasectomy because it can break certain moral and ethical codes. A vasectomy reversal helps people who develop regretful thoughts about their decisions. This surgical procedure reconnects the tubes that connect the testicles to the urethra in the penis. This results in the presence of sperm cells in the semen once again. When the sperm cells enter the semen, the chances of giving birth rise once again. Vasectomy reversal surgery usually takes 2-4 hours. In some rare cases, the time range can also exceed.

Vasectomy Reversal Recovery Time

Pain after Vasectomy Reversal

Vasectomy reversal surgery can last for a couple of hours. During the surgery, Anesthesia prevents any sort of pain. After the surgery, the healing process is rather quick and easy. The pain is the same that you experience after a vasectomy. Some people even claim that their post-surgery pain was less than what they experienced after a vasectomy. In some rare occasions, a person can undergo severe post-surgery pain. Medications like painkillers and sedatives help relieve this pain.  You may experience some pain in your groin for 1-3 weeks but this diminishes in just 2 weeks. It is also a very bearable pain so if you have a desk job, you can return to work within one week of surgery.

How Long until You Can Get Back to Regular Routine

The doctor advises you to refrain from heavy lifting or any type of work that puts a lot of strain on your muscles. People with regular desk jobs can probably return to work a week after the surgery. If your job is physically demanding then it is favorable to ask your doctor before returning to work. Your urologist can also ask you to wear protective gear for your scrotum. People mostly wear a jockstrap. It is important not to exert any kind of pressure on the scrotum after the surgery because the stitches need time to dissolve. It is also important to avoid any type of situation that can lead to an infection.  The doctor is also most likely to tell you to avoid any sexual activity for 2 to 3 weeks.

Vasectomy Reversal Recovery Time

How Long until You Can Expect Pregnancy

The time it could take until you can expect pregnancy is going to range between 4 months to even a year. Certain variables come into play that decides the time until one can get pregnant after a vasectomy reversal. The main variable is the time interval between a vasectomy and a vasectomy reversal. The sperm cells return faster into the semen when the time between vasectomy and reversal is the shortest.  Other variables include the fertility and age of a man. The sperm can take a few months after the surgery to be present again in the semen.  Your urologist will ask for samples of your semen for the first 3-4 months in order to monitor the levels of sperm in it. This analysis will be the sole decider of whether or not you will be able to get your partner pregnant or not.

Why Is It Better than Alternative Methods?

A successful vasectomy reversal surgery can result in you staying fertile for the rest of your life. The abundance of benefits that it has outweighs the little complications you will face post-surgery. Alternative methods of conceiving after a vasectomy include artificial insemination methods like vitro fertilization. These ART technologies are not only costly but also time consuming. They also lack the fruits of natural pregnancy. Vasectomy reversal is the most cost effective and easiest way for spouses to attain natural pregnancy. It also saves you from more-than-usual trips to the hospital and comparatively much cheaper than artificial methods.

Vasectomy Reversal Recovery Time: Conclusion

The availability of skilled micro-surgeons who possess experience in this field is of critical importance. If it were not for them, the benefits of this microscopic procedure would have not existed. Not everyone can have that level of insight and the precision in their hand that changes people’s lives for the better.

If you or anyone you know are looking to get their lives changes and want to experience the joys of starting a family, do not think twice and contact Dr. Yaniv Larish. The success of the vasectomy reversal can depend on the choice of the urologist, so it is important that you chose wisely.

What Are The Chances Of Getting Pregnant After A Vasectomy Reversal?

Will you get pregnant after a vasectomy reversal? Vasectomies have become more common than ever their purpose is to permanently sterilize a man. The decision of undergoing a vasectomy can be a difficult one. The people’s attitude towards extreme contraceptive measure is now more progressive since the start of the 20th century. However, this progressive thinking can sometimes cause you to make decisions in a hurry. Approximately 20 percent of men reconsider going back after a vasectomy surgery. This is an astoundingly huge number and so you should think carefully before making this decision. Of course, you can always visit us and talk about your options with our specialists.

Thankfully, the vasectomy reversal procedure is now more varied and accessible to the general population. Professional micro-surgeons equipped with the skill and knowledge make it possible for the people to reverse vasectomy and perform the procedure without having to face complications. These micro surgeons have made the lives of many men easier by providing services that give them another chance at life.

Getting pregnant after vasectomy reversal?

Chances of Getting Pregnant after Vasectomy Reversal

Changes of getting pregnant after vasectomy reversal may vary according to certain factors. These factors include.

·      Time Since Vasectomy

This can predict the fertility in a person who went through a vasectomy. The fertility of a man can drop depending on how long it has been since the surgery. This factor is an important one along with other factors that decide whether it is a good idea to get a vasectomy reversal. This factor is also a strong determinant for the type of surgery method used.

·      Partner Age

A man’s testosterone levels begin to drop at a certain age. First, it becomes stable after the age of 25 and soon as one reaches old age, depending on his lifestyle, the testosterone level can either stay stable or drop significantly. Doctors can measure testosterone, which is a hormone that helps in sperm production, in someone by their age. Therefore, whether you will be able to make your partner pregnant can depend on how old you are. A young person will have a much better chance of impregnating their partner than someone who is older.

·      Fertility Issues

A person with previous fertility issues will have a lower chance of impregnating their partner. This is because impregnation of their partner will require a certain amount of sperm count in their semen. Falling short can result in low chances of impregnating their partner and so it is important to get frequent analysis of your semen.

·      Surgeon’s Experience

A vasectomy reversal is a very complex procedure. It requires a certain amount of skill and experience. It is a microsurgery, which means that the surgery requires the use of microscopic equipment and well-trained hands that will use them. The blood vessels and vasa deferens are incredibly small organs. Operating them requires dexterity and precision. An unsuccessful surgery could lead to many complications. It can also decide whether impregnation after vasectomy reversal is possible or not.

What are the chances of getting pregnant after vasectomy reversal?


Statistics have shown that in a spousal relationship, where men got a vasectomy reversal within 10 years of their vasectomy, the pregnancy rate was approximately 44 percent and then decreased to 30 percent after 15 years. The statistics also showed that the pregnancy rate of couples who were less than 30 years old was 64 percent and for those who were 45 years old was 28 percent. These statistics correlate the percentage of successful pregnancies to the ages of the spouses and the intervals between the surgeries.

Vasectomy Reversal Procedure

There are two methods to perform this procedure.


This method is a straightforward procedure. The doctor simply sews the vas deferens tube from the testes to the penis back again. This allows the sperm to enter into the urethra. This allows the flow of sperm in the semen again.


This method is far more complex than Vasovasostomy. The doctor has to connect the vas deferens tube at the back of each testis that holds sperm.

The doctor decides which surgery will work best for you. They can also decide to use a combination of both methods. The decision of using vasoepididymostomy depends on how long ago you had your vasectomy. The chances of a vasoepididymostomy procedure increase with the number of years you had our first surgery.

Chances of Getting Pregnant After Vasectomy Reversal: Conclusion

Vasectomy reversal is an accessible procedure that has low risks overall. A person who is looking for another chance to have children can benefit from this procedure. It is also important to have all the necessary information before considering a vasectomy reversal. Don’t be afraid to ask all the questions from your general physicians or doctors about this procedure.

If you are looking to get a vasectomy reversal from a professional in the field, contact Dr. Yaniv Larish. Dr. Yanish is a urologist who specializes in vasectomy reversals and possesses the necessary skills and sophistication in complex surgeries performed at a microscopic level.

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

What Are the Average Costs of a Vasectomy Reversal?


Vasectomy is a surgical procedure. It is a form of male sterilization. It permanently disables a man from impregnating any women. Conventional vasectomy is when the doctor cuts the male vasa deferentia and ties it, this prevents the sperm from entering the urethra and without the sperm, the ejaculated semen cannot cause pregnancy in the women. This male sterilization prevents unplanned pregnancies. This form of procedure has become widely popular in the world because of its effectiveness and its quick and safe implications.

No Scalpel Vasectomy

This vasectomy does not involve making deep incisions in your scrotum. The doctor uses hands to spot the vas deferens under your scrotum and holds it in place with a clamp. They will then cut it and seal it using sears or stitches. This procedure will not require any stitches after it’s performed.

Average costs of Vasectomy Reversal

Side Effects

This procedure is generally safe. Uncommon complications can include swelling, inflammation or infections. This procedure also has zero affect on your testosterone levels and does not make you vulnerable to other complications.


Vasectomies are generally very effective; the chances of impregnating after getting a vasectomy are very slim. In very rare occasions, the vas deferens tubes can rejoin and some sperm can enter the urethra. This will result in impregnation despite the surgical vasectomy.


A person can engage in sexual intercourse a week after the procedure. It is important to have the levels of sperm count monitored post-surgery. A sperm level of above 1 can result conception. After the vasectomy, it is advisable to use contraception until the two semen analyses in the span of three to four months is confirmed.

Vasectomy Reversal

Vasectomy reversal is a procedure that undoes the vasectomy. It rejoins the vas deferens to the urethra so that the sperm can enter the semen again. This makes the male fertile again and able to impregnate a women. There are certain procedures that reverse the results of the vasectomy. This reversal surgical procedure is vasovasostomy. Only microsurgeons perform this kind of surgery. This surgery demands abundant skills and precision in order to perform it. Professionals that have spent their lives practicing this craft can only be trusted for it. Doctors and surgeons that perform this procedure need to have experience in this field along with extensive knowledge on vasectomy reversals.

What are average costs of vasectomy reversal in NY?

Why Men Choose Vasectomy Reversal

Vasectomy reversals are usually a result of the change of heart that people undergo. A person might chose to reverse his vasectomy if he meets a suitable partner and that can change his decision into starting a family. Advancements in microsurgery and surgical procedures like vasovasostomy make it possible for men to reconsider their decisions. Professional micro-surgeons have made the reversal procedure possible for many men who change their minds.

How Must Does a Vasectomy Reversal Cost?

The total cost of a vasectomy reversible includes a surgeon’s fee along with the hospital’s fee and the fee of the anesthesiologist. The surgeon’s fee can range from $4000 to $10,000 and the hospitals fee and anesthesiologists fee combined can range from $4000 to $10,000 as well. Therefore, the average cost of the whole procedure can vary depending on which hospital you get the procedure, in which state and the physician that you will appoint.

Average Costs of a Vasectomy Reversal: Conclusion

We humans are indecisive at times, we make mistakes and learn to let go of them and live with them. Most of the times, the mistakes we make are not reversible. We can do nothing about them except contemplate on our misdoings and lead a regretful life. If you think getting a vasectomy was a mistake, you do not need to worry. There is absolutely no need to be regretful of that decision. Do not think twice about reconsidering the restoration of your fertility. Modern advancements in microsurgery have made it possible for you to reverse your Vasectomy with ease.

If you are looking for professional and experienced vasectomy reversal surgeon, schedule a private consultation with Dr. Yaniv Larish.

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

Vasectomies & Vasectomy Reversals: Procedures & Results

What is a Vasectomy?

A vasectomy is a surgical procedure. You can also call it a permanent contraception. Contraception aims to prevent fertilization from happening during sexual intercourse. Spouses use different forms of birth control strategies that prevent them from conceiving. As a result, a man is unable to impregnate his spouse after this surgery. Spouses that decide to never have children and do not desire usually opt for the decision of undergoing a vasectomy. This surgical operation is able to achieve maximum surety for the spouses so that they do not have to face unplanned pregnancy.

The Vasectomy Procedure

This is an easy procedure, and does not require a lot of time. This surgical procedure only takes 10 to 30 minutes to operate. A vasectomy prevents the man’s sperm from getting into his semen. This prevents any chances of pregnancy. When the sperm is unable to enter a women’s ovum during copulation, fertilization is not possible and hence chances of pregnancy fall immensely. In this surgery, the surgeon surgically cuts the Vasa deferens and ties or blocks it with heat. The Vasa deferentia are the tubes that carry the semen from the testicles to the penis. This surgery ultimately blocks any semen that is entering from the tubes to the urethra, which is a tube inside the penis.

Vasectomies & Vasectomy Reversals 2021

Vasectomy Results

A vasectomy is almost a 100 percent effective treatment for preventing pregnancy. It is also a short procedure with very few chances of developing negative side effects. The negative side effects in rare cases will present themselves in the form of infection, redness, or swelling. It also rarely has any long-term effect on your health. It does not lower your hormone levels and so it has no significant effect on your sex drive.

What is a Vasectomy Reversal?

This surgical procedure is self-explanatory by its name. Doctors perform it to undo the vasectomy. People who are indecisive and get the vasectomy half-heartedly are likely to choose reversal. Thankfully, there are surgical procedures that make it possible for people to realize and change the decision of not having children. A vasectomy reversal is a successful microsurgery that can reverse the effects of a vasectomy procedure. There are two types of vasectomy reversals, vasovasostomy and vasoepididymostomy. About 20% of people who get vasectomy are likely to change their mind and get a vasectomy reversal.

The Vasectomy Reversal Procedure

This surgical procedure is a microscopic procedure. It requires microscopes because the surgeon has to deal with really small and delicate internal organs of the human body. Special micro surgeons are hired to perform this surgery. In this surgery the surgeons reconnect the vase defentia tubes back into the urethra, which is a tube present in the penis.  Accomplishing this procedure result’s in the sperm entering the penis from the testicles. The presence of sperm cells in the semen are observed once again and the chances of pregnancy after copulation increases.

Vasectomies & Vasectomy Reversals | Procedure & Results

Vasectomy Reversal Results

This procedure can be greatly beneficial for couples who want to have children again. It allows them to undergo natural pregnancy. Natural pregnancy is much better than other forms of pregnancy because it requires less frequent visits to the doctors and you don’t have to spend too much on medicine. This makes it a cost-effective choice. Pregnancy rate after a vasectomy reversal can range from 30% to even 90%. It is also a relatively safe surgical procedure with rare chances of mishaps. All these positives of a vasectomy reversal gravitates couples towards making the decision of getting a vasectomy reversal. It not only gives spouses hope for a better future but also gives them an opportunity to a new life.

Vasectomy Reversal: Post surgery

After the vasectomy reversal, the healing process of the person is fairly quick and easy. The pain after the surgery is the same as it is after vasectomy. Some have even claimed that the pain after the vasectomy reversal is comparatively less. Intense pain after vasectomy reversal is rare. However, you can handle that with over-the-counter painkillers. The success of the surgery is evident from the person’s sperm count after the surgery. Post-surgery analysis of the sperm count lasts almost 4 months.

Vasectomies & Vasectomy Reversals: Conclusion

Reversing a vasectomy is now very possible. The reversal of any vasectomy is possible and your age does not matter in most cases for the reversal to be successful. Most men stay fertile even after adulthood. Many alternatives are also present for pregnancy after vasectomy reversal. These include A.R.T technologies and vitro fertilization. However, these methods are artificial, time consuming, and costly.

The success of your vasectomy reversal greatly depends on the experience of your urologist. It is important to get this surgery from a surgeon that specializes in vasectomy reversals in order to mitigate the risks after the surgery. Dr. Yaniv Larish is an experienced urologist in this field and the right surgeon to perform your reversal procedure.

Call Today:

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

(646) 862-5500

Procedures Performed By Urologists

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

Procedures Performed By Urologists

Furthermore, urologists can treat disorders related to the prostate, testes, seminal vesicles, epididymis, and penis. You can visit a urologist for many reasons. When you visit a urologist, they will diagnose and treat your condition through various urology procedures. Here are some procedures that a urologist can perform:

1.    Vasectomy

This procedure is very common among men. The American Urological Association suggests that almost 500,000 men undergo vasectomies every year just in the United States of America. This surgical procedure for men acts as an effective form of permanent birth control. In this procedure, a urologist will cut the supply of sperm from reaching the semen through cutting a sealing the vas deferens, which is responsible for carrying the sperms from the testicles. This procedure is an outpatient method, so you do not have to get yourself admitted to the hospital. A urologist will take only 10 to 30 minutes to complete the procedure.

2.    Vasectomy Reversal

If men who underwent a vasectomy want to have a child with their partner, they can opt for reversal surgery. This will increase their fertility and allow them to conceive a child with their partner in the traditional manner. However, there is no guarantee that a vasectomy reversal you will get back your ability to conceive a child. Various factors affect your ability to conceive after a reversal. Hence, you need to consider different factors to ensure a successful vasectomy reversal. A urologist will perform microsurgical methods to repair the vas deferens that was cut and sealed during a vasectomy.

3.    Cystoscopy

With this procedure, a urologist examines and diagnoses the lining of the urethra and bladder. In a cystoscopy, the urologist inserts a cystoscope inside the urethra, so it reaches the bladder. This instrument comprises a thin, long tube with a camera and a light at the end. This method helps diagnose and treat bladder-related conditions. A urologist can also use this device to diagnose an enlarged prostate.

4.    Prostate Procedures

To treat and diagnose prostate-related conditions, urologists use the following procedures:

·      Prostate Biopsy

With this procedure, a urologist can remove tissue samples from your prostate so that they can be examined in the lab.

·       UroLift

To treat prostate enlargement, whether matter the condition is moderate or mild, a urologist uses an invasive procedure.

·       Transurethral Needle Ablation

In this procedure, urologists use radiofrequency ablation to shrink the tissues of the prostate that cause urinary symptoms by pressing the urethra.

·       Transurethral Resection

Urologists rely on this invasive procedure to treat an enlarged prostate. Urologists use a special instrument known as a resectoscope to trim and seal the tissues of the prostate. They will perform this procedure if you are experiencing prostate enlargement symptoms.

·       Transurethral Incision

Urologists rely on this procedure to treat benign prostatic hyperplasia or BPH. To perform this procedure, urologists insert a small and special instrument, called an endoscope, in the bladder through the urethra. Urologists will then create a small opening in the neck of the bladder on the region where it connects with the prostate. This will open the urinary channel, allowing urine to pass.

5.    Ureterostomy

Urologists perform a ureterostomy to diagnose and treat kidney stones. They perform the process using a ureteroscope. This instrument is a thin and long tube that consists of a camera and a light. Urologists insert this instrument inside the urethra, passing through the bladder, and heading up to the ureter to reach the location where the kidney stone is present. If the stones are small, they remove them immediately. But if the stones are bigger, urologists first break those stones and then remove the pieces. The procedure in which a urologist breaks down larger stones is lithotripsy.

Top Procedures Performed By Urologists

What Should You Expect from a Urologist?

A urologist will contact your doctor and ask for notes to understand your condition in a better way. However, they will still ask you some questions to get an idea about your medical history to perform a physical examination. They may also ask you to go through some tests, such as:

  • Imaging tests, such as MRI scans, CT scans, or ultrasound. This way, they can understand your condition better
  • With a urine test, urologists can check for the presence of bacteria or any other cause of the disease
  • With a biopsy, they can check if you have cancer or any other disease

Procedures Performed By Urologists: Conclusion

Dr. Yaniv Larish at Vasectomy Reversal NYC and Fifth Avenue Urology is highly experienced at treating urological diseases. If you are suffering from any related disease, contact us at 646-862-5500 or visit our website.

Older Men Are Having Children. Should You Reverse Your Vasectomy?

The rise of the 20th century has changed the levels of healthcare. Drastic improvements in medical science have proven to be the wonders of the age of enlightenment. Global average life expectancy has increased by 5 years between 2000 and 2016. This is the recorded fastest increase since 1960. Life expectancy has risen over the years due to countless healthcare efforts by scientists. The discovery and regulation of vaccines boasted the first ever increase in life expectancy and now people live longer and healthier because of the countless research and breakthroughs by scientists in the field of longevity.

If you are someone who is still on the fence on whether a vasectomy reversal will be good for you, let us clear some of the concerns that people have about older parenthood. We live in the modern age of science where child mortality is not a problem and multiple options are available for us that bring longevity into our lives. Stopping the aging process can have a lot to do with your lifestyle. Along with your lifestyle, there are ways that include therapies and supplementation that you can add to your life that help you maintain the energy levels needed for parenting your children.

A therapy like TRT (testosterone replacement therapy) is also a supplementary therapy that can help you maintain your testosterone levels even at the age of 50. So if you wish to have a vasectomy reversal at an older age, don’t just give up on the dream of fatherhood just yet.

Older Men Children Reverse Vasectomy

The Rise of Older Fathers

The average age of newly made fathers has increased in recent years; this is an outcome of 20th century attitude towards early marriages. People are getting married at a much earlier stage in their lives now more than ever. Men experiencing fatherhood at an age beyond 40 or even 50 is now more common. The advancements in healthcare and triumphs in biotechnology not only make late fatherhood possible but also desirable.

Benefits of Late-fatherhood

Late-fatherhood counters the mistakes of early-fatherhood. Most men who become fathers at a very early stage in their lives find it difficult to carry out all the expenses of a child. At other times, young fathers are most likely to portray unstable personalities and impulsive emotional characteristics. A father of an older age is a more likely to have a stable personality which is very beneficial for a small child. Small children are tough to parent, they can be stubborn and often times throw tantrums. These problems require calmness and mindfulness, some of the qualities that an older father is more likely to possess.

Older fathers are also more likely to be better financially stable and have developed the personalities and gathered enough experience that they can transfer over to their children. Financial stability can mean you don’t spend too much time at work and so you can be able to give that crucial time to your kids, which is so important. Already having older kids can also prove to be beneficial, the distribution in labor around the house can teach the older kids more responsibility.

Older Men & Children - Reverse your Vasectomy?

Vasectomy Reversal’s Success

You may be reconsidering a vasectomy reversal because you are skeptic of the procedure. A vasectomy reversal is a highly successful procedure. The sperm count in the semen defines the success of the surgery. The success rate of pregnancy after a vasectomy reversal ranges as high as 67-97%. Not just that, vasectomy reversal has no negative side effects and rarely any complications. When a highly trained micro-surgeon, who is an experienced urologist, executes this surgery, the chances of complications further decrease.

Let us look at some of the benefits that you can have as a couple of conceiving after a vasectomy reversal rather than other alternative procedures like artificial insemination.

Benefits of Conceiving after Vasectomy Reversal

Artificial insemination methods like vitro-fertilization can be very costly. You will have to spend a lot of money on frequent doctor visits. The procedure itself is very costly since it uses modern ART technology. Vasectomy reversal provides you with the joys and experiences of natural childbirth. Seeing your baby develop in an incubator can be an alienating experience for the mother. Natural childbirth invokes the special bond and connection that spouses have with their children.


Older men are now more active and healthy than they were ever before. There is nothing stopping you from getting a vasectomy reversal in order to become a father. Your body does not stop producing sperm cells at any stage of your life; they regenerate after every three months.  The risks and complications of late fatherhood are too minimal to be concerned about. If you have not experienced fatherhood in your life, reconsidering that decision can be totally worth it. Fatherhood is a beautiful learning experience. A vasectomy reversal is an accessible and easy procedure that has minimal drawbacks. If you or anyone you know is considering getting a vasectomy reversal, Visit Dr. Yaniv Larish, an experienced urologist for expert consultation and surgical services.

My Husband Got A Vasectomy Reversal. Can I Get Pregnant?

Can you get pregnant after your partner’s vasectomy reversal? It is possible for a male to become fertile after performing a vasectomy reversal. 90 percent of average males will regain their ability to ejaculate sperm within four to seven months. On the other hand, around 73 percent of males can impregnate their spouses after a year.

However, the procedure’s success rate significantly depends on the time passed since a vasectomy. It also depends on the surgeon’s procedure, what skills they have, and if the patient had a child.

Vasectomy reversal is just an option for having children again after a vasectomy. If your husband isn’t willing to get a reversal, ICSI, short for Intracytoplasmic sperm injection, is an alternative way to get pregnant. Similarly, IVF is a suitable option for many couples, as well.

Change of Mind

While many considered a vasectomy to be a permanent procedure, to their surprise, it is also reversible. More than 10 percent of men that have gone through vasectomy change their minds in the future about not having a child. This change of heart can be for various reasons:

  • Marrying another partner who wants to have a child
  • Deciding to have more children
  • Regretting the choice of going through vasectomy

Individuals interested in having children after a vasectomy usually ask about when they can conceive a child again. As the procedure takes time to heal, patience is key to the reversal procedure.

Pregnant after vasectomy reversal

Duration for Getting Pregnant After Getting Vasectomy Reversal

There are various factors that affect the timeframe of insemination after a vasectomy reversal. For men, these factors involve:

  • How skillfully the surgeon has performed the procedure
  • The method they used to repair the vasectomy
  • Time since your vasectomy
  • The fertility of your partner and their age?

All these factors significantly affect the duration in which you can conceive a child again. In the standard procedure for vasectomy reversal, vasovasostomy, the urologist will reconnect the ends of the vas deferens cut during the procedure. After this procedure, it normally takes a few months before you can ejaculate semen with sperm gain. However, the time to recover from the procedure is different for everyone. Some men who go through this procedure also recover before four weeks, whereas some take up to six months. After a month, when you go through the procedure, the urologist will examine and analyze your semen to check if the sperms are back or not. If the result is negative, they will call you for another test after two to three months.

If Normal Method for Vasectomy Reversal Fails

In some of the cases, it is not appropriate to connect the ends of vas deferens due to any blockage in the epididymis. A blockage occurs if the vasectomy occurred many years before deciding to reverse. In this condition, the surgeon will connect the vas deferens directly to the tube, making the second blockage void. This process is called vasoepididymostomy.

A vasoepididymostomy is a detailed process procedure, including the tubes that contain sperms called epididymis tubules. These tubes are smaller and more delicate than vas deferens. Therefore it is a time-consuming procedure. The success rate of vasoepididymostomy may be lower than its contemporaries.

Moreover, it takes more time for the sperms to return ejaculating after the procedure is complete. Mostly you will require six months or even a year to recover from this method of reversal. In some cases, men also have to wait for longer than a year. The recovery from the procedure may take two to three weeks. However, during this process, you have to avoid ejaculation until you have completed healed from the procedure.

Getting pregnant after a vasectomy reversal

Improving the Motility, Quality, and Sperm Counts after Going through Vasectomy Reversal

No matter if your partner has gone through a vasectomy or not, they should take steps to increase the quality, count, and motility of their sperms. If they have gone through vasectomy and a reversal, they need to rest and allow their body to heal in a proper way. Furthermore, they can follow these tips:

  • Getting enough sleep
  • Losing weight
  • Exercising daily
  • Avoiding hot tubs
  • Limiting or avoiding the consumption of alcohol
  • Eating a nutrient-rich diet
  • Quit smoking cigarette


To increase the success rate for vasectomy reversal, you need to consult with a urologist who has extensive experience in performing this procedure. They will give you a proper guidance about how you can recover and increase your chances of success. If insemination still concerns you, then you should schedule an appointment with our urologists, who will guide you in detail.

For appointments, contact us at 646-862-5500, or if you require any further information about our urologists or conditions related to urology, you can visit our website.

Are All Vasectomies Reversible?

A vasectomy is a form of contraception that causes permanent sterilization in a man. It is among the many contraceptive measures that people take for birth control. Urologists execute this type of surgery. The name “vasectomy” is a derivative from the name of the internal organ of a male reproductive system called “vas deferens.” This mini tube like structure is responsible for the transfer of the sperm from the testis to the penis. A vasectomy surgically blocks the transfer of sperm into the semen. The sperm, being responsible for the fertilization process in the women’s ova, is then unable to enter into the women’s ova during sexual intercourse. This prevents a man from impregnating a woman and results in permanent contraception.

Vasectomy Procedure

This is a short and easy procedure. It can normally take up to 30 minutes to perform this surgery. A urologist executes this by making small incisions in a man’s scrotum in order cut the vase differentia and seal them with heat. This creates a gap within the reproductive tube ultimately preventing the flow of sperm from the testes to the urethra inside the penis. This procedure has no effects on the man’s sexual performance. A person is able to ejaculate normally after the surgery but the sperm is not present inside the semen and this makes an individual infertile and unable to reproduce.

Are All Vasectomies Reversible?

Are Vasectomies Reversible?

It is absolutely possible to undo a vasectomy. A vasectomy reversal is also a surgical procedure that reconnects the reproductive tubes in a man’s testes back into the urethra. There are two types of vasectomy reversal surgeries, Vasovasostomy and Vasoepididymostomy. Your urologists will decide which type of surgery to apply to you depending on various factors. The urologist can also apply a combination of both methods. This decision can mostly depend on the time interval between the vasectomy and vasectomy reversal.


A vasectomy reversal surgical procedure in which the urologist will simply rejoin the two ends of the reproductive tube. This will preemptively work against the vasectomy’s effects and restore the fertility inside of man by making the flow of sperm into the urethra possible again.


This surgery can be more complex and technically demanding for the urologist. The urologist decides to execute this when there are no traces of sperm found in the vas deferens fluid. The urologist will execute this surgery by connecting the vas deferens to the epididymis, which is a convoluted duct behind the testis responsible for the storage and flow of sperm.

How to Prepare for a Vasectomy Reversal

All the vasectomies are reversible; however, it is always advisable to keep check of a few things before you go into surgery. These include

Your Health

Any underlying conditions that you may have that can cause complications during or after surgery. It is important to notify the doctor about any health concerns you may be facing so he can decide whether it is safe for you to undergo surgery.

Sperm Analysis

It is always beneficial to have your sperm monitored by your urologist before entering into surgery. Making sure that you are still producing healthy sperm cells in numbers can determine whether the surgery will have a successful outcome.

Are All Vasectomies Reversible?

The Fertility of Your Partner

The urologist will most likely ask whether your partner is fertile enough to reproduce. This will include running tests on your partner to see whether the vasectomy reversal is worth the effort.

Confirm the Credibility of Your Doctor

It is important to ask as much as questions as you can from your doctor. The experience and credibility of your surgeon is also a deterring factor when it comes to the success of your surgery. There is a much higher chance of success if the doctor specializes in this type of surgery. Do not be afraid to ask how frequently he performs vasectomy reversal.

Precautions after Surgery

After a vasectomy reversal, the doctor is most likely to ask you to abstain from any physical activity for at least 1 to 2 weeks. The stitches on your gonads take almost 10 days to heal and so it is important to wear some sort of protective support that relieves any stress or tension on your testicles.  It is also important to refrain from any activity that can possibly create tension of the testicles; these include running, bike riding, horse riding, heavy lifting, sexual activity, sports.


The procedure of vasectomy reversal is much more complicated than a vasectomy. It requires the handling of complex microscopes that magnify the tiny and sensitive parts of the reproductive organs. With the help of these microscopic instruments, vasectomy reversal is now more easily possible than ever. They magnify the tiny reproductive organs to a substantial size. This makes it easier for urologists to perform a vasectomy reversal.

Visit our clinic and meet Dr. Yaniv Larish’s for professional help, if you are in need of any consultation regarding a vasectomy or a vasectomy reversal.

 Should You Get A Vasectomy?

What Is a Vasectomy?

A vasectomy is a surgical procedure that permanently makes a man unable to reproduce. You can call it a permanent form of contraception – a form of birth control that is responsible for male sterilization. Other methods of birth control or contraception include condoms or birth control pills.

How Is It Performed

Firstly, you should look for an experienced and qualified urologist to perform this treatment. In this procedure, the urologist/ surgeon spots the area on your gonads where the vas deferens are located and makes small incisions on that area. The vas deferens is the transport tube that carries your sperm from your testicles to your urethra in the penis. The surgeon cuts the pair of vas deferens located on each side of the testicle so that they both hang separately. The urologist is responsible for cutting the tube and sealing it so that no sperm escapes; this stops the flow of sperm to the ejaculatory tubes in the penis. When there is no sperm present in a man’s semen, the vasectomy is successful because a man will be unable to reproduce without sperm.

Should You Get A Vasectomy?


A vasectomy usually proves to be 100% successful. The chances of pregnancy after a vasectomy are close to none. Only one or two out of a 1000 women get pregnant after the first year of vasectomy. It is a highly reliable surgical procedure.


Besides being 99 percent effective in preventing pregnancy, a vasectomy is a very easy procedure to execute. When we think of surgery, the thoughts of scalpels and scissors might begin to scare us. Another aspect of surgery that intimidates most people is post-surgical pain and the thought of being in the hospitals for hours and even days. A vasectomy is unlike most surgical procedures. It does not require long overdue stays. It mostly lasts a couple of minutes and the doctor can have you sent home on the same day.

The post-surgical pain is bearable and recovery time should only take a couple of days or a week. Complications like swelling, infections or inflammation are rare, in the case of any complication the doctor can prescribe you medication that should take care of it. During the procedure, local anesthesia prevents any pain. It’s very accessible and a doctor can perform this procedure in their office. It has zero effects on a man’s hormones levels and so sexual performance is not affected.  Another great thing about getting a vasectomy is that a vasectomy reversal is usually possible.

Should You Get A Vasectomy?

Why Do People Get a Vasectomy?

A vasectomy suits people who make a specific choice of not wanting children. Some people want to exclude children from being a part of their lives while others already have children and do not want to risk an unplanned childbirth. Reasons vary from each individual and their situation.

Free choice

A vasectomy is a symbolic representation free choice and liberty, values that resonate with our country’s societal structure. People who get a vasectomy are exercising their power of free choice and so should anyone.  Some lean towards the option of a vasectomy because they wish not to contribute to already existing population crises, while others just want to live their lives to the fullest without risking any unwanted accidents.

Should You Get a Vasectomy?

Generally, the people who opt for vasectomies are very certain about not wanting kids. It is important that you are certain before undergoing a vasectomy. Even though the possibility of a vasectomy reversal exists, it is always better not to risk any complications. If you are certainly convinced that you do not want to reproduce, only then should you consider getting a vasectomy. In terms of couples, a vasectomy should be a choice for you if BOTH of you agree on not having children, you or your partner have some sort of genetic disorder that can be inherited by your offspring, or maybe your partner has a condition that makes her health vulnerable when she’s pregnant.

What You Should Consider

The best candidates for a vasectomy are normally the people who fall on the younger age spectrum. That does not mean that you should not get a vasectomy at an older age. It is important to note that sterilization does not happen instantly after a vasectomy so refrain from sex after the surgery until the doctor has confirmed that your semen contains no sperm.


If your decision of getting a vasectomy is rash and uncertain, it is better if you reconsider. Whether or not you should get a vasectomy is completely on you. It is best that you seek professional and experience consulting which provides you with the best answers and services.

If you or any of your peers seek expert consultation, visit our clinic and explain your condition to Dr. Yaniv Larish. He is an experienced urologist who provides the best urology-related services including vasectomies.

Male Vasectomies

What are male vasectomies? Vasectomy is a type of birth control that prevents sperm from reaching the semen and consequently, causing an unwanted pregnancy during ejaculation. During this process, a surgeon will block or cut the vas deferens, a duct carrying sperms to the urethra from the testicles. Men can opt for vasectomy reversal with the help of a urologist, but it may not always work. You should opt for a vasectomy if you are sure you do not want any child your entire life.

Pregnancy only occurs because a sperm cell fuses with an egg. For this, it’s necessary that sperm travels to a man’s urethra from the testicles. Cutting and sealing the vans deferens prevents sperm cells from reaching the urethra. The main purpose of a vasectomy is to prevent the presence of sperm in semen during ejaculation. This way, couples can avoid unwanted pregnancies without using other forms of contraception.

This method for birth control is very effective. The American Urological Association suggests that after a vasectomy, only two out of a thousand couples can get pregnant.

What are male vasectomies?

Reasons for Performing Vasectomies

This method is an effective and safe birth control option for men who do not want children in the future. Here are some reasons why couples are choosing vasectomy as a birth control option:

  • For avoiding pregnancy, vasectomy is almost 100 percent effective
  • There are lower risk, complications, and side effects of vasectomy
  • This method is an outpatient surgery
  • Vasectomy is cost-effective for males compared to the cost of tubal ligation or sterilization in females ( using birth control medications, in the long run, can be very costly for women)
  • With a vasectomy, you do not have to worry about using birth control such as a condom during sex

Types of Vasectomy

1.    Conventional Vasectomy

For a conventional vasectomy, doctors need to make cuts in the scrotum to reach the tubes. These tubes are the vas deferens, and each tube is attached to each testicle. The doctor will cut the tubes and leave some gaps in between. The urologist can even seal the tube, but mostly, they tie the end of the tube with a stitch. The stitch will dissolve with some time, and the ends will close. Sperms will not leave your body and reach the semen after the procedure.

2.    No-Scalpel Vasectomy

The doctor will feel both the vas deferens below your scrotum and use clamps to hold these in place. Then, they make tiny holes in the skin. The urologist will then stretch the hole and lift the vas outside. They will then cut the vas deferens and stitch both the ends. After completing the procedure, you will not need any stitches.

Effectiveness of Vasectomies

This method is almost 100 percent effective. However, in rare cases, the tubes reattach, causing the partner to get pregnant. You should know that right after the surgery, semen still contains some sperm cells. You need to make occasional visits to your doctor to make sure zero sperm cells are in the tube.

Male Vasectomies - Information | Top Urologists NYC

Benefits of a Male Vasectomy

1.    Vasectomy is very Effective

As per the U.S Office of Population Affairs, only one out of 100 women become pregnant after their partner has gone through a vasectomy.

2.    Lower Risks

The risk involved in getting this procedure is significantly low than any other method, such as tubal ligation. Vasectomy is also less invasive, which means there are lower chances of infection and bleeding. When we compare this method to tubal ligation, vasectomies don’t impact any vital organs.

3.    Lower Cost

The average vasectomy costs thousands of dollars less than sterilization methods for women. Tubal ligation will cost you $4,500 to $8000. Compared to these methods, a vasectomy is less expensive.

4.    One Time Cost

You should also remember that this method is permanent, so you do not have to spend your money again and again. Unlike other methods for birth control, such as condoms or pills, vasectomies are a one-time expense. While condoms are inexpensive, considering that you have to purchase a condom every time you have sex means you will be paying a lot more in the long run.

5.    No Effect on Sexual Pleasure

You may experience some discomfort after the procedure for a few days. However, you will not experience any difference in orgasms. According to medical professionals, this method does not reduce your intensity or libido. Furthermore, it does not affect the sensitivity of your penis.

6.    Fast Procedure and Recovery

In most cases, this process only takes seven minutes, and patients can go back home immediately. Tubal ligation takes seven days, but it only takes 48 hours to recover from a vasectomy.

What are Male Vasectomies: Conclusion

Your urologist’s experience matters for a successful vasectomy. If you are looking for an expert and experienced urologist, you can visit our website for complete details.

For tele and in-person appointments, contact our office at 646-862-5500.

Can Urologists Perform Vasectomy Reversals?

Do Urologists perform vasectomy reversals? If men change their minds about a vasectomy after opting for the procedure, surgeons recommend vasectomy reversal. In this procedure, a surgeon reconnects all the tubes (vas deferens). These tubes are responsible for carrying sperm into the semen from testicles. Once a professional successfully performs the procedure, semen will start carrying sperms, and couples can opt to get pregnant.

Pregnancy rates will increase from 30 percent to 90 percent after you are done with vasectomy reversal. However, the pregnancy rate depends mainly on the procedure for the reversal. Moreover, there are other factors that affect the success of reversal and achieving pregnancy. These factors include the age of the partner, time since vasectomy, experience and training of a surgeon, and fertility issues before the vasectomy.

Do Urologists Perform Vasectomy Reversals?

Normal Conditions Before Vasectomy

Testes are located at the base of the penis inside the scrotum. A coiled tube called epididymis helps sperm to leave the testes. Epididymis connects with the prostate through a long tube known as vas or vas deferens. Vas leads to the inguinal canal starting from the lower region of the scrotum. Then it reaches behind the bladder into the pelvis. At this point, it forms an ejaculatory duct by joining with the seminal vesicle. When you are ejaculating, seminal vesicles and seminal fluids mix with the sperm and form semen. The semen then comes out of your penis, following through the urethra.

Treatment Through Vasectomy Reversal

Reversals are mostly performed by a urologist on come and go basis. Surgeons may perform the reversals in the surgery center or the outpatient area of the hospital. If a urologist is using a surgical microscope, they will perform the surgery after giving you anesthesia. Before performing the surgery, an anesthesiologist and urologist will discuss with you about the choices.

Performing this surgery through microsurgery is the best method. A urologist can examine the small tubes by up to 40 times when using a high powered microscope performing the surgery.

Once you are asleep, the urologist will make tiny cuts on the sides of your scrotum. Then the urologist trims the vas deferens’ ends, which was closed during the process of vasectomy. The urologist will then take some vassal fluid near the testis from the vassal end. They will then test if it includes the sperms or not. After that, the urologist will take any of the two methods for reversal. Here are those two procedures:

1.    Vasovasostomy

If sperm is available in the vassal fluid, this means that the path is now clear between the area of the cut in the vas deferens and testis. Now the urologist can join the ends from the cuts. The term used for connecting the ends is called vasovasostomy. When a surgeon performs the procedure through microsurgery, almost 85 out of 100 male patients find it effective, and there are chances of pregnancy in almost 55 out of 100 couples.

2.    Vasoepididymostomy

If the surgeon cannot find the sperms in the fluid, there are chances that because of vasectomy, a blowout in the epididymal tube is formed. In this case, the urologist will go back to the vas and join them from the upper end to the tube. Vasoepididymostomy has the same purpose as vasovasostomy. However, vasoepididymostomy has more complexity than vasovasostomy, and the results are the same. In some cases, urologist my perform vasoepididymostomy on one side and vasovasostomy on the other.

Urologists & Vasectomy Reversals

Choosing a Doctor for Vasectomy Reversal

There are various factors that you need to consider before choosing a fertility male health care or urologist. These factors include technology they are using, their support staff, and surgical abilities. As vasectomy reversal is a specialized procedure, the experience and training of a surgeon will have the biggest effect on complete outcomes. Surgeons with training for treating infertility in male patients are urologists. They have received proper training for male fertility and microsurgery.

Even though most vasectomy reversals need surgery only in the scrotum, sometimes the patient requires reconstruction inside the abdomen. This happens when the vas experiences a blockage due to any reason other than that of vasectomy. For instance, after you have gone through a hernia repair. When this case occurs, the urologist will avoid repairing the vas. Instead, they will perform the most complex procedure: robot-assisted intra-abdominal repair. Very few surgeons can perform this and have experience of both robot assistance and traditional microscopic techniques for repairing the vas successfully.


When you are choosing a doctor, you should not hesitate to ask questions about the experience of the urologist and how many reversals they have done, what techniques they are experienced in, and what is the effectiveness rate of pregnancy after they perform vasectomy reversal.

To speak with professional and experienced NYC urologists that perform vasectomy reversals, you can contact us at (646) 862-5500.

Visit our website for information about how we can help you with your condition.

Success Rates for Vasectomy Reversal

What are the success rates for vasectomy reversal? Tubal reversal and vasectomy reversal are one and the same. The procedure is gaining more popularity with each passing day. Several men choose to undergo vasectomy at a certain point in their life. However, many of them start regretting that decision.

In most cases, they regret it because they decide to have a child. So, they start looking for procedures that would undo their vasectomy. This is where vasectomy reversal comes into play. It is a famous procedure to reverse a vasectomy and restore a man’s sexual functions as they were before the surgery.

Success Rates for Vasectomy Reversal

You may be surprised to find out that about twenty percent of men think of getting a vasectomy reversal surgery because of their regret or dissatisfaction of getting a vasectomy. In the earlier days, when vasectomy was new, there was no such thing as vasectomy reversals. This meant that once you underwent a vasectomy, you could not do anything to undo the impact or effects of that surgery. But luckily, as time passed, healthcare industry saw considerable changes, so much so that people are now lucky enough to have a vasectomy or tubal reversal surgery at their disposal.

What Is a Vasectomy Reversal

In case you don’t know, the purpose of a vasectomy reversal is to undo or reverse a vasectomy. Vasectomy is a complicated urological procedure that several men undergo for contraceptive purposes. In this procedure, the surgeons block the vas deferens, stopping its semen supply to the testes. This, in turn, ensures that the person who went through the vasectomy is unable to reproduce.

There are countless cases where men have a change of plans. They decide that they do want to reproduce and give birth, which prompts them to look for ways that reverse their vasectomy. Luckily, there is tubal or vasectomy reversal surgery there to do the trick. Tons of experienced professional doctors are there who deal with vasectomy reversals and have all the knowledge to perform this complicated urological procedure.

Nonetheless, you should always choose experienced doctors. The vasectomy surgeon you choose should have multiple years of performing this surgery as it is a delicate and complex procedure that requires a high skill level.

Is Vasectomy Reversal Safe?

Quite a lot of men who want to have vasectomy reversals contemplate whether the reversal procedure is safe or not. Of course, this surgery deals with a delicate part of the body, and one small mistake by an inexperienced surgeon could make things far worse.

Success rates for repeat vasectomy reversals with obstructive interval <10 vs. ≥10 years:
Obstructive interval Repeat reversal
VV VV-EV EV Total Patency rates Natural pregnancy rates
<10 yrs 11 3 5 19 16/18 (89%) 7/12 (58%)
≥10 yrs 17 6 5 28 20/25 (80%) ( P=.6797) 7/18 (39%) ( P=.2641)
Total 40/47 (85%) 14/32 (44%)
Note: EV = vasoepididymostomy; VV = vasovasostomy.

Hollingsworth. Outcomes of repeat vasectomy reversals. Fertil Steril 2007.

*Source: https://www.fertstert.org/article/S0015-0282(06)04562-6/fulltext

If the surgeon has a lot of experience, there is no need to worry about vasectomy reversal surgeries. They are as safe as they get. Rarely will you come across botched vasectomy reversal cases. Plus, the procedure is minimally invasive, so no need t worry about getting elaborate tears or bruises on your body. Also, the surgeon performs vasectomy reversals under first-rate microscopes to ensure that everything is done with accuracy and precision. The equipment used for performing the surgery is some of the modern ones that you will find anywhere. However, the type of equipment that the doctors use depends upon where you get your surgery. If the place is well known for its top quality doctors, then rest assured, the equipment they use will be of high quality as well.

Success Rates of Tubal Reversal Surgeries

If you are thinking about going for a tubal reversal surgery but are afraid because it is too dangerous, think again. The success rates of vasectomy reversal are on the higher side. You will be hard-pressed to find cases where a vasectomy reversal went utterly wrong. As mentioned earlier, the most significant deciding factor on whether a surgery goes well or not are the people who perform them. If the surgeons are professional and experienced, then most likely, your surgery will go fine as well. The operation does not take too long.

In most cases, the procedure ends in three to four hours. In some rare cases, it could go for five hours. The doctors will allow you to go home on the same day as the surgery. You can even resume your job after 4 days of rest. You can continue it even earlier if your job is entirely sedentary.

The success rates of vas deferens reconnecting without any troubles are very high. More than 90% of the deferens connect without complains or complications. However, keep in mind that although your surgery might be successful due to the vas deferens’ reconnection, there is no guarantee whether you still will be able to reproduce. Your sexual health and activity could be excellent after surgery, but there is a probability that you might not be able to get pregnant. Cases like these, however, are far and few.

Also, remember that in most cases, tubal reversal or vasectomy reversal surgery does not impact pregnancy. Your partner’s fertility is also a huge determining factor that decides whether they can get pregnant or not. Therefore, you must have your partner take a fertility test before you go for tubal reversal surgery.

Tubal Reversal Surgery Time Limit

There is no particular time limit set for tubal reversal surgeries. However, you must undergo the process as early as possible. The reason for choosing a vasectomy reversal procedure early is because success rates are higher for younger patients. With age, our bodies undergo physiological changes that impact and affect whether you could get pregnant with your partner.

Dr Yaniv Larish at Fifth Avenue Urology is an expert at performing vasectomy reversals.

Contact us today to schedule an in person or online confidential consultation. 

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

What Is a Microsurgeon?

What Is a Microsurgeon? A microsurgeon performs microsurgery procedures on the body through a microscopic technology. It allows microsurgeons to view and operate on nerves, small blood vessels, or tubes. Microsurgery can be performed on different parts of the body that have sensitive structures.

Moreover, a microsurgeon uses a high-powered magnification system for the procedure. Interestingly, it is useful for solving other complicated reconstructive problems of the body.

What Is a Microsurgeon?

Microsurgical vasectomy reversal, for instance, is one of the most sensitive and complicated processes that reconnects the pathway of sperm into ejaculation. It allows men to re-gain their fertility and ultimately makes it possible for couples to conceive a child naturally.

Why Perform Microsurgery?

This microsurgery reverses the underlying impact of a vasectomy, which disconnects the vas deferens. A vasectomy builds a block in the tube, and a vasectomy reversal surgery removes that blockage.

Historical Relevance

Microsurgical methods have been popular since the early 1960s. The significance of modern microsurgery can be traced back to old techniques. However, the advent of digital tech integration sealed the fate of the microsurgery.

The Right Course of Action after Your Treatment

Once your vasectomy reversal surgery is complete, you will be on a liquid diet for an entire day. A microsurgeon would offer rigorous support and recommend you to be cautious after surgery.

The surgery also needs you to remain warm hydrated after the surgery. Primarily, the part of your body where the surgery was done should have a higher position to get rid of the extra fluids. You can expect minor pain after the surgery. However, you can take prescribed medications to alleviate the pain.

After a vasectomy reversal procedure, the skin around your penis may feel warm or look red. Besides, don’t hesitate to report any color, tissue, or temperature change to your doctor immediately.

Skills: What Ergonomics a Microsurgeon Should Have?

A professional microsurgeon will have an attentive mindset, relaxed posture, stable equipment, and flexible hand movements. For example, to achieve exact controlled movements of the hand, a microsurgeon’s wrist and forearm must be supported. Furthermore, it should have a dorsiflexion angle at 20° to decrease muscle tremors.

Moreover, a microsurgeon understands the vitality of all movements. Every movement has its usefulness, deliberation, and purposefulness. Pen grip, for instance, is the best precision grip for microsurgical procedures. For example, your microsurgeon should have the skill to perform a complicated method like epididymovasostomy for men.

Different Procedures, Different Tools

The instruments utilized for microsurgery magnify the operating area. As a result, microsurgeon makes movements that are more precise. The magnification, for instance, facilitates microsurgeons to see micro-structures that are usually impossible to see.

Contemporarily, the essential microsurgery tools are microscopic mat, microscope, and microsurgical equipment. Similarly, different microscopes have different features and surgeons can use them as per patients’ needs. Though most of the microscopes are stand-alone, microsurgeons change the position of a microscope through ceiling-mounted microscopes.

An experienced microsurgeon also takes care of the operating room with low lighting to make the lighting of a microscope stand out. Simultaneously, the microsurgeons can see the visual display of the information through the video camera placed in the operating area.

Vasectomy Reversal: What Is a Microsurgeon? What Is a Microsurgeon?

For microsurgical repair, a relatively higher magnification is needed. Conversely, microsurgeons can use lower magnifying lenses in the form of eyeglasses. Remember, most of the microsurgical equipment is explicitly designed for microsurgery. Common microsurgical instruments involve forceps, needle holders, scissors, clamps, irrigators, vessel dilators, and vascular clamps.

The complicated nature of a vasectomy reversal procedure, for instance, may require different kinds of surgery, a multitude of considerations, and other elements that would usually be won’t be included in a traditional process. The procedural area, size, and microscope lenses can all play a different role during the surgery.

The Role of Robots for Microsurgery

Robotic technology in the hands of the microsurgeons has had a significant positive impact on patients. In fact, it’s a win-win for hospitals and clinics. Most importantly, the technological advancement of robotic control provides specific advantages for patients who experience grave nerve-related injuries.

The objective of the robotic microsurgery is to prevent large-scale incisions. Microsurgeons, on the other hand, sometimes use large incisions to conduct extensive surgeries within the body. However, robotic control is capable of making small accurate incisions within the body. Furthermore, robotic control allows different dimensions of moments, such as the 3-D vision of the body and providing impeccable optical magnification.

Why You Should Select a Microsurgeon for Your Vasectomy Reversal

Several urologists can provide their expertise to perform a vasectomy reversal procedure. Remember, a urologist without training usually has only a 30% chance of success with the surgery. Additionally, some urologists take fellowship-training and distinct courses to study experienced professionals for a couple of weeks.

You should thoroughly interview potential physicians for your vasectomy reversal procedure because most of the urologists don’t have any training background. Besides, the success of a vasectomy reversal is higher when a urologist performs it microsurgically. Therefore, select a microsurgeon who has a vast knowledge and experience with reputable track-record to increase your chances of success. It’s high time you realize your dream to have a child naturally.

Schedule an Appointment

It would be wise to discuss the vasectomy reversal process with your surgeon in detail. Apart from benefits, ask your surgeon about possible risks and complications. Help is just around the corner and a phone call away.

Contact Dr. Yaniv Larish for a consultation at (646) 862-5500 or read more about the vasectomy reversal process here.

What Doctors Can Perform a Vasectomy Reversal?

What doctors can perform a vasectomy reversal? The outcome of the vasectomy reversal procedure inherently depends on the experience of the surgeon who will have to handle a variety of surgical instruments. Contrary to misguided perception, a trained doctor can even repair a failed vasectomy reversal.

Your job is to find out the competency and technical skills of the doctor to ensure a higher success rate. Apart from training, you need to make sure that your selective surgeon performs the procedure frequently with a high success ratio. You can ask around and converse with his patients that have had the vasectomy reversal experience.

What Doctors Can Perform a Vasectomy Reversal?

The Effectiveness of the Vasectomy Reversal Procedure

The first vasectomy reversal attempt is always simple. Furthermore, it is affordable enough for men to seize the best opportunities in life. Today, vasectomy reversal surgery has become a realistic option for men to conceive a child.

Though it depends on numerous elements, reverse vasectomy surgery is one of the most cost-effective and ideal choices for conception. You can practically guarantee the outcome of your reverse vasectomy by choosing the best available doctor.

Vasectomy Reversal Procedure Requires Specialty

Different surgical processes are not routine, like others. Now, it is not because they are simple but common. Any general surgeon has experience with gallbladder and appendix removals. A cardiologist has likely done hundreds and thousands of cardiac catheterizations.

In addition, the majority of the urologists have performed vasectomies, but the same rules do not apply when it comes to the vasectomy reversal surgery. In addition, that is because a reverse vasectomy is rare as compared to a vasectomy.

You should understand the fact that not every urologist is qualified to perform a vasectomy reversal procedure. However, the market does not have many urologists with experience and expertise to handle the equipment. However, the less demand means more exclusivity and better service. Your quest to find the best doctor does not have to be tumultuous.

Why is the Vasectomy Reversal Procedure More Challenging?

In a vasectomy, the surgeon finds vas deferens through palpation. He ties the tubes to both ends and then closes the incision.

A vasectomy reversal procedure, on the other hand, requires a more efficient surgeon because the process can be complicated. Now, it does not mean that the procedure is complex for everyone, but some patients require more technically superior proficiency than others do.

Your surgeon should have a lab testing to monitor before, during, and after surgery success status of your semen. In simple terms, there are two different kinds of reverse vasectomy procedures: vasovasostomy and vasoepididymostomy.

Your doctor will have to select a suitable process and advise you to move toward the best option after a thorough examination of your vas deferens. What is even more interesting is that both surgeries are microsurgical methods. It means your surgeon should have sufficient understanding to operate a microscope and perform small sutures. Most surgeons, in fact, use sutures that are the same size as one strand of human hair.

Consequently, vasectomy reversal leaves little to no room for human error. It is no wonder that training and experience are of utmost importance. So long as you know the specifics and can answer the fundamental questions about your needs, you will be able to find the right surgeon for your vasectomy reversal procedure.

What Qualities You Should Look in a Doctor

Extensive Experience

You should value the experience of a surgeon as a priority. Experience, after all, makes up the expertise when it comes to the significant microsurgical technique. You can find out about the total number of times your surgeon has performed vasectomy reversals and microsurgical procedures. Simultaneously, make sure that the surgeon has performed vasovasostomy and as well as vasoepididymostomy surgeries.

As a result, you should be able to find your preferred surgeon’s success rate. Small things matter. Therefore, see if your surgeon is responsive and answers all your questions. He should be able to explain different aspects of the surgery to put your mind at ease.

Primarily, doctors can have two different vasectomy reversal success rates. The standard success ratio represents the percentile of men who achieve potency or return of sperm. The successful outcome of this procedure means that patients’ sperm ultimately turns semen again.

What Doctors Can Perform a Vasectomy Reversal? 02

You can, on the other hand, check the success rate based on the pregnancy ratio. In hindsight, it represents the percentile of patients who conceived successfully with their partners. Comparatively, the percentage will be relatively lower than the patency rate.


You will require a urology expert or someone who intricately understands reproductive medicine to perform your vasectomy reversal surgery. Look for the doctor who is trained and board-certified in both vasectomy reversal processes. Lastly, look at their curriculum vitae, history, and website.

You should not hesitate to ask questions about the respective surgeon’s training, background, and experience. Furthermore, conduct additional research and ask third parties about the professional associations of the surgeon.

You will meet plenty of urologists who specialize in microsurgical techniques and perform vasectomy reversal procedures. However, make sure that your choice of surgeon understands modern standards of microsurgical instruments and methods to perform the surgery successfully.

Take the First Step and Schedule an Appointment

Your best course of action would be to start light research and finalize a surgeon. You can make a list of questions and then evaluate the qualifications of your preferable surgeon.

Vasectomy reversal surgery offers men the chance to become fertile again. Contact Dr. Yaniv Larish and talk about your male infertility treatment choices. Dr. Larish is a skilled vasectomy reversal surgeon with years of experience.

For more information and for a confidential consultation in person or online, call Dr. Yaniv Larish at (646) 862-5500. 

Getting a Vasectomy: What If I Change My Mind After?

You got a Vasectomy. What If you have a change of mind? Vasectomies are quite common these days. You will find many men opting for this procedure. Their reasons could vary. However, the most common one among all of them is the patient’s desire not to produce an offspring. A high number of these patients go through the surgery, but change their minds after several yours. Have you gone through a vasectomy and had a change of heart later on? Do not worry, as you are not alone. There are tons of people who find themselves on the same boat.

So what to do once you change your mind after getting the surgery? Well, there is only one solution- and that is getting a vasectomy reversal. There have been numerous speculations regarding this procedure, but to clear things up and make you feel at ease, vasectomy reversals are not dangerous. In fact, it would be fair to say that they are as simple as the vasectomy itself. That being said, let us delve a little deeper regarding the procedure in order to clear up your doubts.

Vasectomy Change of Mind 01

Why Do Men Get A Vasectomy Anyway?

In today’s age, most men make their decisions based on circumstances and fate. Because of this, they make rushed decisions, even if they have long term implications. One of these decisions is opting to undergo a vasectomy. What is a vasectomy you ask? Well, it is a surgical procedure for avoiding births permanently. Experienced urologists perform this procedure quite often.

Vasectomy: When Men Change their Minds

As time goes by, men dace different experiences which influence their minds in more ways than one. These experiences have a strong influence on their hasty judgments regarding their decision to get a vasectomy, which is why they decide to get it reversed for good. According to several pieces of research, one out of every twenty individuals opts for a vasectomy reversal surgery.

Age is not a big issue when it comes to vasectomy reversals. You can undergo it whenever you want practically as well as theoretically. However, you do have to keep in mind that the success rate for vasectomy reversals is considerably lower in older men in comparison to younger individuals.

Benefits of Vasectomy Reversals

Once you undergo a tubal reversal surgery, you’ll significantly increase your chances of conceiving. It will also make sure that you do not have to make regular trips to the doctor for conceiving naturally. Once the procedure is complete and successful; you can reproduce whenever you want after the doctor’s recommended rest period. Let us go through some of the best benefits of vasectomy reversal procedures.

1.    It is Permanent

Once you undergo a successful vasectomy reversal surgery, you will not need any extra procedures for restoring your fertility. Your family planning goals will get back on track, and you will live a happy and fulfilling life.

2.    It is Affordable

In comparison to IVF treatments, vasectomy reversal surgeries are significantly cheaper. IVF treatments cause more than 10,000 Dollars and could vary according to your location. The cost could potentially go even higher if you do not have insurance coverage.

3.    Excellent Success Rate

The total time after your procedure is complete is a huge determining factor to decide whether your procedure was successful or not. If you choose to have a vasectomy reversal within ten years of your vasectomy, there is a 95 percent chance that your reversal will be successful. As mentioned earlier, the success rate decreases if you are older or take a longer time to change your mind.

Vasectomy What If Change of Mind?

Recovery Time for Vasectomy Reversals

The vasectomy reversal method that your doctor chooses is a major determining factor for your recovery time. In comparison to tube tying processes, vasectomy reversals can take slightly more time. However, surgical procedures these days are performed with far more finesse and dexterity than before. Surgeons use microsurgical equipment and state of the art techniques to make sure there is no room for error in the surgery. Surgeons will also provide you pain killers to reduce any sort of discomfort and for alleviating the pain.

You might also have heard that your testicles stop producing sperm after a vasectomy. This is not true. Your sperm is unable to navigate a way through your body. So, the reversal procedure essentially brings back your fertility. You should also avoid sexual intercourse for three to four weeks. Take some time to rest and heal, after which, you are free to conceive.

Setting Expectations for Your Vasectomy Reversal

Before the surgeons operate on you, they will require some specifics. Let’s discuss them:

  • First off, they will require a case history of your physical examination. Surgeons need to make sure that you do not have any other health issues that could put your reversal procedure in jeopardy.
  • The surgeons also need to confirm that you are capable of producing healthy sperm. In most cases, men who already have children or even one child is enough proof. Despite that, there are some cases where doctors will ask you to get yourself tested for some other issues to eliminate all uncertainty to make sure you are able to produce healthy sperm after the surgery.

Get in touch with top nyc urologist Dr. Yaniv Larish for first-rate consultancy on all of your vasectomy reversal queries.

Yaniv Larish, MD
4 East 76th Street

New York, NY 10021
(646) 862-5500

Vasectomy Reversal Procedure

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

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

Vasectomy Reversal Procedure

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

How Do Doctors Reverse Vasectomy?

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


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

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

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


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

Vasectomy Reversal Procedure Dr NYC 02

Side Effects of Vasectomy Reversal

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

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

How to Know If the Reversal Was Successful

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

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

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


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

Contact us to learn more today:

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

(646) 862-5500

Vasectomy Reversal Recovery

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

The Procedure

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

Vasectomy reversal recovery post op 01

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

Precautions before the Vasectomy Reversal Procedure

1)  Diet

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

2)  Medication

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

3)  Apply a Sandbag

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

Vasectomy Reversal Recovery Guidelines

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

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

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

Vasectomy reversal post op 02

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

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

What You Should Know in Advance

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

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

What about Recovery Time Period

v  One Week after the Procedure

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

v  One Week after the Procedure

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

v  Two Weeks after the Procedure

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

v  Eight Weeks after the Procedure

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

v  Six Months after the Procedure

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

Wrap Up

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

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

Vasectomy & Vasectomy Reversal Procedures

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

Change of Heart? Vasectomy Reversals

Quite a lot of men decide to undergo a vasectomy surgery at some point in their lives. Most of them choose it because they do not wish to bear a child. However, later on in their lives, they have a change of heart. Because of this change, they wonder if there a procedure could undo… Continue Reading

Male Tubal Reversal: Is It Worth it?

Is male tubal reversal, also known as vasectomy reversal surgery worth it? Men, who have had a vasectomy surgery, might want to reverse it for several reasons. For instance, your innate desire to have more children is one of the primal reasons behind it. However, when you have a change of heart, you do not… Continue Reading

Undo Vasectomy – What Are My Options?

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

Age Risks with Vasectomy Reversal

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

What Is a Vasectomy Reversal

What is a vasectomy reversal? One of the most common urological procedures in America is Vasectomy. Many men who are under the age of 45 opt to undergo this procedure for a variety of reasons. Several studies suggest that about 18 percent of men living in America undergo a vasectomy. For those who do not… Continue Reading

What Are the Success Rates with Male Tubal Reversal

What are the success rates with male tubal reversal? Also known as vasectomy reversal, tubal reversal is a procedure that is becoming more common by the day. Men often decide to get a vasectomy at some point in their lives. However, there are certain situations and circumstances that lead these men to rethink their decision.… Continue Reading

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What is Vasectomy Reversal?

Vasectomy surgery entails cutting the vas deferens to prevent sperm from entering the ejaculate in order to produce long term sterility. (click to enlarge)

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Vasectomy reversal micro-surgery entails reconnecting the two ends of the vas deferens utilizing a surgical microscope, micro-instruments and micro-sutures in order to allow the sperm to enter the ejaculate and regain fertility after vasectomy surgery.

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