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

Vasectomy Reversal NYC Couple with Baby 10

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

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

Call today for a consultation:

(646) 862-5500

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Vasectomies & Vasectomy Reversals

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

What is Vasectomy?

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

Vasectomies & Vasectomy Reversals

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

  • The incision method
  • No-scalpel method

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

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

How Do Vasectomies Work?

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

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

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

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

What is a Vasectomy Reversal?

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

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

How Do Vasectomy Reversals Work?

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

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

Vasectomies & Vasectomy Reversals Urology

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

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

Vasectomies & Vasectomy Reversals: Conclusion

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

Schedule an appointment today for a consultation:

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

Urology: Vasectomies

urology vasectomies best NYC

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

How Does a Vasectomy Work?

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

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

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

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

Types of Vasectomies

Vasectomies are of three types:

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

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

1.     Conventional Vasectomy

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

2.     No-Scalpel Vasectomy

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

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

3.     Minimally Invasive Vasectomy

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

Urology and vasectomies NYC

Why You Should Get Vasectomy?

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

1.     Effective Birth Control Procedure

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

2.     Highly Convenient

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

3.     Better Sex Life

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

Vasectomies: Conclusion

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

Schedule an appointment today:

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

Should I Reverse My Vasectomy?

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

Should I Reverse My Vasectomy?

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

Potential Procedural Risks

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

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

·       Scrotum Internal Bleeding

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

·       Chronic Pain

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

·       Surgical Site Infection

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

Micro Surgery for Vasectomy Reversal: The Procedure

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

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

Should I Reverse My Vasectomy | Top Vas Reversal Surgeon NYC

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


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

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


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

Post Procedure Checking

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

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

Should I Reverse My Vasectomy: Conclusion

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

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

Parenting in Your 50’s and Beyond

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

Parenting in Your 50’s and Beyond

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

Why Do Some People Have Children Later in Life?

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

1.     Achieve Your Goal

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

2.     Couldn’t Find a Partner

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

3.     Looking for Financial Stability

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

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

4.     Want to Enjoy Sexual Life

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

5.     Don’t Want Stressful Routine

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

Parenting in Your 50’s and Beyond | Top Urologist NYC

Why Parenting in your 50’s and Beyond is Difficult

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

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

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

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

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

How You Can Get Pregnant in your 50’s?

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

1.     Using Frozen Eggs

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

2.     Using a Gestational Carrier

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

Parenting in Your 50’s and Beyond: Conclusion

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

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

Older Men Having Children

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

Older Fathers Having Children

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

Paternal Age Factors Affecting Baby’s Health

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

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

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

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

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

Can Older Men Have Children Even After 40?

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

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

Older Fathers Having Children | Vasectomy Reversal

Older Men Having Children: Conclusion

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

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

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

Who Is Eligible for Vasectomy Reversal Surgery?

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

Who is Eligible for Vasectomy Reversal Surgery?

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

What Does the Procedure Involve?

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

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

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

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


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


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

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

What to Think About Before a Vasectomy Reversal?

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

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

Who’s Eligible to Get a Vasectomy Reversal?

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

Eligible for Vasectomy Reversal Surgery Ages Limitation | Urologist

Physical Exam and Medical History

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

Fertility Rate and Health Sperm Production

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

Partner’s Fertility Test

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

Who Is Eligible for Vasectomy Reversal Surgery? Conclusion

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

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

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

The Mechanics of Male Genitalia & Reproduction

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

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

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

External Male Genital and Reproduction Parts

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

1.     Penis

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

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

Male Genitalia and Reproduction

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

2.     Scrotum

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

3.     Testicles (testes)

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

4.     Epididymis

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

Internal Male Genital and Reproduction Parts

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

1.     Vas Deferens

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

2.     Ejaculatory Ducts

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

3.     Urethra

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

4.     Seminal Vesicles

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

Male Genitalia and Reproduction Urology NYC

5.     Prostate Gland

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

6.     Bulbourethral Glands

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

Male Genitalia and Reproduction: Conclusion

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

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

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

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

Reasons Men Get Vasectomies

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

Reasons Men Get Vasectomies

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

Top Reasons Why Men Get Vasectomies

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

Low-Risk Medical Procedure

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

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

Better Recovery Time

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

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

Effective Birth Control Method

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

Reasons Men Get Vasectomies top urologist NYC

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

Less Burden on Partner

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

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

No Sexual Health Issues or Risks

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

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

Reasons Men Get Vasectomies: Conclusion

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

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

Call Today:

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

Important Factors for Vasectomy Reversals

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

Factors for Vasectomy Reversals

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

Vasectomy Reversal: Factors for Considerations

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

Time Is a Huge Factor

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

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

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

Fertility Matters Significantly

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

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

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

Sperm Health Is Restored

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

Top Urologist Factors for Vasectomy Reversals

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

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

Important Factors for Vasectomy Reversals: Conclusion

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

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

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

Did You Have a Change of Mind About Your Vasectomy?

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

Change of Mind About Your Vasectomy

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

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

Why Get a Vasectomy Reversal?

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

·       Loss of a Child

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

·       Change of Heart

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

·       Remarriage

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

·       Testicular Pain

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

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

What Happens During a Vasectomy Reversal?

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

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

Change of Mind About Your Vasectomy Urologist

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

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

Change of Mind About Your Vasectomy: Conclusion

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

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

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


Getting Pregnant After a Vasectomy Reversal

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

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

Getting Pregnant After a Vasectomy Reversal

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

What Happens During a Vasectomy Reversal Procedure?

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

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

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

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

Pregnancies- Are Vasectomy Reversals Successful?

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

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

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

Pregnant after a vasectomy reversal | Success rates

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

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

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

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

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

Pregnant After a Vasectomy Reversal: Conclusion

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

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

Call Today:

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


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What Age is a Man Too Old to Have Children?

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

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

When is Man Too Old to Have Children ?

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

What Age is a Man Too Old to Have Children?

Effects of Old Age on Fertility

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

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

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

What Might be the Best Age to Become a Father?

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

What Age is Man Too Old to Have Children?

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

Pay Attention to Certain Factors

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

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

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

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

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

Yaniv Larish, MD
4 East 76th Street

New York, NY 10021
(646) 862-5500


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Recovery Time for a Vasectomy Reversal

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

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

Recovery time for vasectomy reversal procedure

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

Vasectomy Reversal in Simple Words

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

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

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

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

What is the Recovery Time for a Vasectomy Reversal?

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

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

recovery time for vasectomy reversal

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

Risk Factors of a Vasectomy Reversal

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

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

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

Caution to take Post-Procedure

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

Recovery Time for a Vasectomy Reversal: Conclusion

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

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

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

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Microsurgery for Vasectomy Reversals

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

Microsurgery for vasectomy reversals

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

What Happens During a Vasectomy Reversal?

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

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

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


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

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


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

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

What Happens Post Microsurgery?

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

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

Urologist for microsurgery for vasectomy reversals

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

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

Microsurgery for Vasectomy Reversals: Conclusion

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

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

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



Male Vasectomy Reversal Process

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

Male Vasectomy Reversal Process

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

What is the Procedure of Vasectomy Reversal?

Here is the complete procedure of vasectomy reversal:

Before Vasectomy

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

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

During the Procedure

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

After the Procedure

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

Vasectomy Reversal Process urologist | New York

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

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

Vasectomy Reversal Process: Conclusion

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

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

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

Can Vasectomies Be Reversed?

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

Can Vasectomies Be Reversed?

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

What to Know Before a Vasectomy Reversal?

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

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

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

During the Microsurgery Procedure – Vasectomy Reversal

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

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

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

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

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

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

After the Procedure

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

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

Chances of Pregnancy

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

Can Vasectomies Be Reversed | NYC Urologist

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

Can Vasectomies Be Reversed: Conclusion

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

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

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

Reference Links


Are Urologists Qualified to Perform Vasectomies and Vasectomy Reversals?

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

Urologists Vasectomy Reversals

Who are Urologists?

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

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

Vasectomy and Vasectomy Reversals

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

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

Are Urologists Qualifies to perform Vasectomy Reversals

How to Choose the Best Urologists for Vasectomies and Vasectomy Reversals

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

Their Qualifications

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

Ask For Referrals

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

Check Online Reviews

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

Book a Consultation

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

Urologists & Vasectomy Reversals: Final Thoughts

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

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

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

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

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

changed mind about vasectomy

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

Who Gets a Vasectomy Reversal?

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

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

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

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

What Is Vasectomy Reversal?

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

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

How Is a Vasectomy Reversed?

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

changed mind about vasectomy options

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

Changed Mind About Vasectomy? Conclusion

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

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

Can All Vasectomies Be Reversed?

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

Can All Vasectomies Be Reversed?

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

Are All Vasectomies Reversible?

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

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

Some Risks of the Vasectomy Reversal Procedure

Painful Scrotum

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

Surgical Infection

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

Internal Scrotum Hemorrhaging

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

What is a Successful Vasectomy Reversal?

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

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

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

Can Vasectomies be Reversed?

What is the Procedure?

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

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

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

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

Can All Vasectomies Be Reversed? Conclusion

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

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


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Why Do Men Reverse Their Vasectomies?

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

Why Do Men Reverse Their Vasectomies?

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

·      Regret

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

Why Do Men Reverse Their Vasectomies

·      Change in Perspective

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

·      Having a Vasectomy in an Unstable Marriage

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

·      Benefits of Vasectomy Reversal

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

·      The Success Rates of Vasectomy Reversal

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

Why Do Men Reverse Their Vasectomies?

Why Do Men Reverse Their Vasectomies? Conclusion

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

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

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

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Do Urologists Perform Vasectomies?

Do urologists perform vasectomies as one of their typical services? The vas deferens is a tube that transmits sperm to the penis through the testes. In a vasectomy, the urologist blocks or cuts the tube via surgery. This surgery will help avoid unwanted pregnancies. Experts think that a vasectomy is a fantastic option for permanent… Continue Reading

What is Male Tubal Reversal?

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All About Vasectomies

Are you looking for information all about vasectomies? A vasectomy is a contraceptive method that blocks the sperm from reaching the penis when you ejaculate. After the procedure, you will experience regular semen secretion, but it will no longer include sperm. This will help prevent unwanted pregnancies. Your testes will continue to produce sperm, but… Continue Reading

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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… Continue Reading

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… Continue Reading

Yaniv Larish, MD

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New York, NY 10021

(646) 862-5500

What is Vasectomy Reversal?

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

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

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