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:
Yes, in most circumstances your urologist may want to have your semen checked after your vasectomy reversal procedure. Often your urologist will recommend your return within 4-8 weeks after the surgery if a standard vasectomy reversal was done. If a Vasoepididymostomy was performed it is preferable to wait 8-12 weeks after surgery before the semen is checked. Refrain from ejaculation for about 2-3 days prior to any type of post-operative semen testing.
The first thing to do after your procedure is make an appointment to see your vasectomy specialist in his clinic in New York City, for your postoperative semen check. At your appointment you will be asked to collect a semen sample, and you may be able to look at the sample under a microscope with your urologist. . At this appointment we will only check for the existence of sperm; we will not estimate an exact sperm count or its motility.
How long it will take for your sperm to return or increase in numbers depends upon many factors such as your general health, medications you are taking can have an effect on sperm function and fertility. Smoking cigarettes has shown to reduce sperm function which can damage the sperm, so it is wise to stop smoking before you undergo a vasectomy reversal. Great care during your recovery period, following your urologist surgeon’s recommendations plus adequate rest is an important factor to increase your chances of developing viable sperm, for a promising fertile future for you and your family. The estimated length of time for a return of mobile sperm in your ejaculate is estimated to occur within 1 year after the procedure. One study found that pregnancy outcomes are about 76 percent during the first 3 years after the surgery. This is good news!
Please make an appointment today to have your semen check performed after your recovery period is complete. Our staff is here for you to make this experience less embarrassing and more pleasant; for your urology reversal specialist this is just a part of his daily work and is a very important aspect of your post-operative time.
Here at our urology clinic here in New York City, we have performed many successful vasectomy reversals where our patients have experienced a return of sperm to their ejaculate within two months after the procedure and healing period. The vasectomy reversal rates are usually quite high, but there is always the chance that it may take up to 12 months to report a stable semen analysis test result. In rare cases there was no return of sperm at all, these of course are considered unsuccessful cases.
The successful results of a procedure are affected mainly by the quality of the previous vasectomy. Damaged sperm can also contribute to the unsuccessful production of viable sperm. Studies also substantiate that the more recent the vasectomy, the more likely a patient is to have a successful reversal, after ten years the chances for success is minimal.
Circumstances for a successful vasectomy reversal may be hindered by other factors and should be carefully considered before deciding on the procedure. These factors may include an elevated follicle stimulating hormone level, which may be a sign of testicular failure. In addition, factors like testicular degenerate, infertility of the female partner and possible complications during or after the vasectomy reversal may affect your ability to conceive after the procedure.
Before deciding whether you would like to have a vasectomy reversal, your female partner and you will need to make an appointment to discuss the pros and cons of having a vasectomy reversal. So call us today to schedule an appointment with the best urologist in New York City and get the answers you need.
What is it?
Vasoepididymostomy is a surgical procedure which is performed to reverse a vasectomy, which has some complications, such as a blockage. This surgical procedure involves the connection of the severed vas deferens to the epididymis and is much more technically demanding than the Vasovastomy.
A Vasovastomy involves a simple incision, while the Vasoepididymostomy involves the testis, by exposing the outer testis covering (tunica vaginalis) to correct an obstruction of the epididymis layer
Vasovasostomy is the standard procedure and most commonly performed vasectomy reversal surgery used today. During the procedure the separated ends of the vas
deferens are reconnected. This is done after an examination of the vas fluid. The vas fluid is examined under a microscope and it is determined if the fluid is of good quality, clear and non-opaque with completely formed, healthy and active sperm.
Vasoepididymostomy is performed when a patient undergoes a vasectomy reversal and there is no vas fluid or the vas fluid is of low quality or the sperm flow is blocked. In this event a Vasoepididymostomy will be required which is a complex and more demanding procedure.
Our urogical surgeons will use the Microsurgical Two Suture Longitudinal Intussusceptions Technique which means the surgeon will need to work with a larger opening between the tiny epididymal tubule and the larger vasal tubule. Your urological surgeon will inspect the epididymis then the individual tubes are selected to enter and connect to the vas deferens to allow semen flow to return. The opening is then replaced and sutured in place. This technique takes approximately 2 to 4 hours to perform. The benefit of having this surgery is the higher success rates associated with this procedure.
Our urological surgeon performs vasoepidiymostomies on a regular basis; inexperienced urological surgeons should not attempt this surgery. For our physician here in our New York City clinic- this procedure is routine and has outstanding success rates as a vasectomy reversal specialist.
Do you have more questions about this procedure? Please call us today to schedule a consultation with the best surgeon in NYC for a Vasectomy Reversal. Our patients are our top priority.
Vasectomy Reversal Complications
When you have done your research, sought out answers to your questions and chose the most experienced and highly skilled vasectomy reversal specialist, your chances of developing complications are rare. The reality is complications do happen depending upon how long you waited to have the reversal done after your vasectomy, your age, health the health and fertility of your partner and the success of the post-operative healing.
What Are the Common Complications Associated with Vasectomy Reversals?
Routine complications after the surgery can include infections at the incision sight, excessive bleeding and the side effects from the anesthesia, such as nausea, dizziness, and vomiting. All these complications require medical care and contacting our urology clinic as soon as possible will help to relieve these symptoms and prevent further harm.
Some of the later post-operative side effects can include scar down, moderate swelling, bruising and/or discoloration of the skin. For some they may experience the absence of sperm in their ejaculate, an inability to become pregnant or loss of testicular tissue. The good news is a severe complication which requires further surgery or treatment is rare.
If you had a vasectomy reversal and you are experiencing pain, bleeding, increased swelling, and/or fever contact our urology clinic immediately to schedule an appointment with the best vasectomy reversal specialist in New York City.
Vasectomy Reversal (Vasovasostomy) Is it Right for Me?
Usually when a man has a vasectomy, it is thought of as a permanent form of birth control, yet it is reversible in many cases, depending upon some variables. Vasectomy reversal also referred to as Vasovasostomy involves the reconnection of the vas deferens tubes which were cut during the vasectomy.
A vasectomy reversal generally doesn’t require an overnight stay in the hospital and general or spinal anesthesia is used so the patient is able to stay still during the procedure.
How successful your vasectomy reversal is depends upon how much time has passed between the time of the vasectomy and the reversal, your physical health, and whether or not a blockage or scar tissue has developed in the vas deferens.
Vasectomy reversals are more complicated than the vasectomy and if there is a blockage then this will require correction, which is called a Vasoepididymostomy.
What to Expect After Vasectomy Reversal Surgery
Vasectomy reversal usually takes from 2 to 4 hours, followed by a few more hours for recovery from the anesthetic. Your blood pressure will be monitored and you can to go home the same day. Your pain level may be mild to moderate, your urologist will give you a prescription for a two day supply of pain medication, after the two day period, you can take an over the counter pain medication, such as Tylenol. Within 3 days you may return to light activity such as short walks, or working at a desk, all strenuous activity should be avoided until your urologist gives you the okay, usually within 3 weeks. After that you should be able to resume normal activities, including sex.
How successful are Vasectomy Reversals?
Chances of a successful vasectomy reversal decline over time. Reversals are more successful during the first 10 years after vasectomy, but there is no absolute timeline for a vasectomy reversal, some have been successful after 15 years.
In general, a vasectomy reversal leads to a pregnancy rate of greater than 50 to 75 percent; you have the greatest chance of success if you have the reversal done within 3 years of the vasectomy. If the reversal is done 10 years after vasectomy the odds of pregnancy success is only about 30 percent, so time is a factor.
What are the Risks of Vasectomy Reversal Surgery?
The surgical risks associated with a vasectomy reversal are low, but they may include: an infection at the site of the incision, fluid buildup and swelling in the scrotum that may require draining and a possible injury to the arteries or nerves in the scrotum. Call our office immediately if you are experiencing increased bleeding, pain or develop a fever.
A vasectomy reversal is an important decision and you need the most experienced and skilled urology surgeon available. So if you are considering a vasectomy reversal and wish some more information, call us today to make an appointment to see the best vasectomy reversal urologist in NYC.
Doctors believed for many years that after 10 years a vasectomy reversal would not be successful and this is still a strong belief for many.
A study has now shown that vasectomies can be reversed even after lengthy periods of time; even after more than 25 years, we have seen successful reversals which result in pregnancy for the couple. Sperm are constantly being produced in men even after a vasectomy and the sperm should be viable even after many years. The true success of the reversal is reliant upon the experience of the surgeon, and fertility age of the female partner, and the passage of time since the vasectomy.
The occurrence of male infertility is not well known, however, just about 15 percent of couples in the United States have fertility problems and half of those are related to the male dynamic. For that reason, in any couple that is having fertility problems, there is a 50 percent probability that the male may be involved and as a result he should be evaluated, before a vasectomy reversal is done. Choosing the correct reversal method increases the odds of success; a thorough examination, an accurate check of the vas fluid to determine sperm content and viability and the skill and expertise of the urologic surgeon and his findings will aid in selecting the method which will work for you.
During the reversal, the surgeon will check for sperm within the vas deferens, if sperm is present, then the vas deferens can be surgically reattached, and the success rate should be fairly high. Nonetheless, if there is no sperm located in the vas deferens, there is more than likely a blockage is located closer to the testicle. Then, a more complex surgery may be performed, but this procedure has a lower success rate. Vasectomy reversal specialists often will stress the need for an immediate Vasoepididymostomy when no sperm is seen in the vas fluid; removal of this blockage can correct the problem in many cases. This is an area you will discuss with your urologist before the surgery, so you will know what to expect and be prepared for it.
Only your urologist knows which method is right for you and which procedure will have a good outcome. Contact us today to schedule an appointment with the best vasectomy reversal specialist in NYC.
If you have experienced the disappointment of an unsuccessful vasectomy reversal, you may want to ask your urologist microsurgeon whether another attempt might be worth it.
This is why it is above all important to choose your surgeon carefully. Another frequent reason for failure is that a hidden epididymal blockage was present, and the wrong type of procedure such as a Vasovasostomy rather than an Vasoepididymostomy was performed.
Most vasectomy reversals are in generally successful, however, sometimes there can be an event when there may be difficulty connecting the vas deferens during the surgery or there was a large segment of the vas deferens removed during the vasectomy. If you experienced an unsuccessful vasectomy reversal, you will need to review the record of your previous procedure with your urology reversal specialist. He will guide you to the right decision and the proper procedure to be done to correct the problem.
You will be checked to see if there is sperm present, if there is viable sperm a repeat Vasovasostomy can be performed. If not then it may become necessary for your urologist surgeon to perform a Vasoepididymostomy which is a more complicated procedure, but has a better success rate.
Success rates for a second reversal are slightly lower than for first-time procedures. Additionally, some patients are more prone to heavier scarring, and the
vas deferens can narrow and scar at the location of the reversal. The following information can help you understand the reasons why a first reversal might have been unsuccessful and lays out some factors to consider if you are thinking about giving it another go.
If you experienced the disappointment of an unsuccessful vasectomy reversal, you need to contact our office and schedule an appointment with our vasectomy reversal specialist here in NYC; your success is our top priority.
You have had your pre-op appointment with your urologist; necessary tests done, you have talked with the urology surgeon and the anesthetist concerning your Vasectomy Reversal. You were wondering how long the procedure may take and what the recovery period will entail. Through your consultations you learned what is expected, but let’s review the post-op process, just to make sure you clearly understand it and are well prepared.
The good news is a vasectomy reversal doesn’t require an overnight stay in the hospital; it is generally an outpatient procedure. After the surgery is completed you will be taken to the outpatient surgery center, so you can recover from the affects of the anesthesia, your vitals can be checked and pain management begun.
The pain associated with a vasectomy reversal is much like the discomfort you may have experienced after your vasectomy. The pain is easy to manage, by placing an ice pack on your scrotum area, to reduce the swelling and pain; you will feel less discomfort and heal faster. Your urologist may prescribe a pain medication for the first two days of your recovery, which can be taken as needed. After that you may take any over the counter medication such as Tylenol, to ease any minor pain on the third day and beyond. Consult with your urologist concerning the use of aspirin; for some it can increase bleeding.
You will be able to return to work after 3 days of recovery- if you have a job in an office setting. Strenuous activity should be avoided until your urologist gives you the okay. If your job involves lifting, bending, pulling, pushing or climbing you will be able to return to work after 4 weeks.
Call us immediately if you should experience any excessive bleeding, pain, fever or difficulty urinating or any other concerns. Don’t forget to schedule a follow-up post-op appointment with the best vasectomy reversal surgeon in NYC- remember good post-op care can determine the success of future pregnancies and having the baby of your dreams.
Before you undergo a Vasectomy Reversal your urologist will discuss with you what you should expect before and after the surgery, your concerns and worries and your post operative care. When you have a clear understanding of the procedure and after care it will help your healing process to go much more smoothly.
After the procedure you will remain in the recovery room for a few hours or until you feel up to traveling. Be sure to have someone there to assist you and drive you home. Avoid driving for at least 48 hours after the surgery. In some cases a patient may go home with some drains placed in your scrotum during the reversal. These drains will be removed the next day by your urologist. If there are no drains, then your first appointment will be scheduled for follow up care will be within two weeks.
You may feel some mild to moderate pain and discomfort for the first 2 to 3 weeks. Pain medication prescribed by your urologist and ice packs will help to ease the pain and swelling.
Don’t be alarmed if you notice a small amount of blood in your urine for a day or two, this is normal. Excessive levels of blood in your urine will require immediate attention, please contact the clinic, so you can be seen right away.
You will receive and be asked to wear an athletic support which you will wear day and night, even while sleeping, for 3 weeks. Lifting heavy objects, climbing stairs and strenuous work should be avoided for 3 weeks and avoid sex for 4 weeks. Following your urology surgeons directions will help you towards a complication free and more comfortable recovery period.
Contact us today to make an appointment to see our highly experienced vasectomy reversal specialist to discuss the best options for you!
You aren’t alone when it comes to the question concerning vasectomy reversal approximately 10 percent of men who have a vasectomy change their minds and want their vasectomy reversed? Have you gone through a divorce and remarried or has your wife and you changed your mind and wish to have another baby? Then the answer to your question; can a Vasectomy be reversed- is yes it can.
The best way to make a decision about a vasectomy reversal is to consult your vasectomy reversal surgeon in New York City- he can help you both make the right choice.
Usually a vasectomy is considered a permanent method of birth control, but it isn’t a total end to the possibility of being versed and giving you back your fertility. Vasovasostomy is the clinical name for just one of the procedures used to reverse a vasectomy; it is a vasectomy reversal technique.
With a Vasovasostomy your urologist reconnects the vas deferens (the tubes) which was cut during the vasectomy. Vasovasostomy is an outpatient procedure which can take from 2 to 4 hours to perform, with a recovery time of a few hours, so you can recover from the anesthetic, and you usually will go home the same day of the procedures.
If your wife and you are considering a vasectomy reversal, you will have a lot to consider before you can make this extremely important decision. Only you in consultation with your urologist can make the decision to proceed. Make sure you have all the facts. Get answers to all your questions. Please contact us today to schedule an appointment with the best urologic surgeon in New York City for Vasectomy Reversal information. You both deserve peace of mind and the attention and support of a clinical staff that cares!
When it comes to a Vasovasostomy you will need a well trained, highly skilled urology microsurgeon to obtain the most successful results possible. Our urology microsurgeon here in New York City can give you the answers and guidelines you need to decide if this procedure is right for you.
The Microdot method is a special method where the skilled urology surgeon places tiny dots on the ends of the vas deferens while performing a Vasovasostomy. These dots are marked with a microtip pen so the urology surgeon can see exactly where the sutures need to be placed. The microdots are placed at 12, 3, 6 and 9 o’clock, with additional dots in between. The goal of these microdots is ensure an accurate placement of each suture, preventing any mishaps.
Our urologist is the best Vasovasostomy microsurgeon in New York City for this procedure, ensuring an extremely accurate suture placement with a high rate of success and happy outcomes for our patients. Avoid the disappointment of a failed vasectomy reversal, the future of your family depends upon this success rate.
Our caring, understanding staff is pleased to answer any questions you may have about the microdot method or vasectomy reversal surgery. Contact us today to schedule an appointment with the best vasectomy reversal specialist in New York City.
There are circumstances where your urologist may prompt against Vasectomy reversal and propose different choices, for example, IVF (in vitro treatment) as the favored technique for having a baby. In a few cases, if your wife has had her tubes tied, has a blockage, or in the event that she is of advanced reproductive age, IVF would be the savvy decision. Our urologist works with fertility centers in New York City to accomplish effective sperm recovery systems in combo with IVF treatment.
A treatment choice to a vasectomy reversal is to utilize sperm recovery as a part of vitro fertilization to increase the odds of becoming pregnant. The woman’s eggs and the man’s sperm are recovered to be joined in the lab through intracytoplasmic sperm infusion (ICSI).
Sperm recovery rates are exceptional at 95% success rate, particularly if the male has had former pregnancies in the past. Pregnancy rates are roughly half 
in fertile females depending upon their age. There are a few diverse sperm recovery strategies besides Sperm recovery and IVF are much more extravagant and expensive alternatives. At the point when female fertility is a real concern or when convenience is requested, sperm recovery joined with in-vitro treatment is an excellent option, with great success.
We understand your desire to start or add to your family and we are here to help you during this important time. Our patients have numerous decisions to make with regards to selecting a vasectomy reversal specialist. Our clinic has urologists who are highly trained and experienced when it comes to your urologic needs; call us today to schedule an appointment with the very best urologists in NYC.
When you opt for Dr. Larish for your vasectomy reversal surgery in NYC, you can expect the best treatment and fast recovery. The doctor utilizes only the most advanced technology and will put his many years of expertise to work for you. We always put safety first, and you will find that the entire team is expertly trained and dedicated to optimal results.
What is the Recovery Process Like?
After your vasectomy reversal surgery in NY, you will likely find that you feel quite similar to the way you felt after your vasectomy. Directly after the procedure, you will want to rest at the hospital for a few hours. Make sure that you have scheduled someone to assist you on the drive home.
Once they are home, most patients rest for 2-3 days. After taking pain medication for a few days, you may feel it is no longer necessary. Dr. Larish also recommends the constant use of icepacks.
Complications after vasectomy reversal surgery are rare. However, be sure to watch for signs of issues, such as a fever and/or painful incision.
The Consultation for your Vasectomy Reversal in NYC
Dr. Larish will carefully go over all of his guidelines and recommendations for care and activities after your vasectomy reversal surgery. Generally, he tells patients to avoid heavy lifting for 4 -6 weeks.
Just one year after surgery, 95% of men receive have mobile sperm return to their ejaculate. The doctor will discuss his success rates and what you can expect as far as the potential ability to achieve pregnancy. Various factors will impact your exact results, including the time since your vasectomy and your personal situation.
Our Dedication to Success
Dr. Larish and his team are committed to providing the best treatment for all patients who select vasectomy reversal surgery in NYC.
Don’t hesitate to contact our team to ask any questions and set up an initial consultation.
How long will it take? Where are the incisions? What are possible complications? Can I expect a lot of pain?
Let’s take a look at what you can expect from a vasectomy reversal in our NYC office. Our patients ask a wide array of questions, so we’ve outlined some of the most frequent ones in this article.
How Long Will a Vasectomy Reversal Take?
The procedure will take between 2-3 hours. After the surgery, you can expect to recover for a few more hours at the hospital. Please be aware that the exact procedure time depends on elements impacting the procedure itself. For example, the doctor may encounter scarring or inflammation from the original vasectomy.
Where are the Incisions?
The incisions for your vasectomy reversal in NYC will be on the front of each side of your scrotum. These are done vertically. In some cases, the incisions reach up to the lower abdominal region if your vasectomy was performed in a certain manner.
What are the Possible Vasectomy Reversal Complications?
Patients want to know first and foremost about potential complications from a vasectomy reversal surgery in NYC. Dr. Larish informs patients that complications are, in fact, rare.
Those who do run into issues may experience symptoms like infections in the wound or a scrotal hematoma. Watch carefully for signs such as a fever or a red, painful incision. Those who develop hematomas will experience excessive bleeding under the skin, which will reveal itself in a bulging and throbbing pain.
Should I Expect a Lot of Pain?
Each vasectomy reversal patient will experience pain and discomfort slightly differently. Usually you can expect the pain to be similar to what it was after your original procedure. Patients usually find they only need pain medication for a few days after their vasectomy reversal in NYC. Icepacks can also be very helpful.
Additional Questions?
Feel free to contact our vasectomy reversal surgery in NYC office with any additional questions. Dr. Larish and his team are pleased to offer the best services in the city, and look forward to assisting you as well.
If you are considering a vasectomy reversal surgery in NYC, you may have also heard the term “Vasovasostomy.” Many of our patients wonder what the difference is between a vasectomy reversal and a vasovasostomy. The truth is that these two words are interchangeable.
Our typical patients are men who are looking to get their partners pregnant. Many had previously decided that they would have no more children after a divorce or separation and then ended up getting remarried. In some cases, sadly, couples opt for a vasectomy reversal after a child has passed away.
What Occurs During a Vasectomy Reversal Surgery?During the vasovasostomy, a surgeon reconnects the tubes that were previously severed. These tubes, the vas deferens, carry sperm from the testicles. Once they have been reconnected, fertility can be restored.
Men can have a vasectomy reversal surgery as an outpatient procedure. General anesthesia or sedation is typically used, and the surgery typically takes just 2-3 hours. Please allow a few hours recovery time immediately after surgery as well.
Patients experience mild to medium levels of pain after the procedure and can go back to their regular activities in a few weeks. Risks and complications are low and are discussed in a preoperative consultation.
The vasovasostomy results in countless successful pregnancies. In fact, the success rate is more than 50%. You can discuss your specific chances preoperatively.
Please note that the statistics of success are tied to the length of time that has gone by since the original vasectomy. This is caused by a variety of factors including the fact that blockages may form. Within the 3 years prior to the original surgery, the chances are the highest but that does not mean over 3 years will not be succesful.
If you are considering vasectomy reversal surgery in NYC, contact our office today. Our expert team would be happy to answer any vasovasostomy questions you may have.
Dr. Larish will carefully discuss post operative care after your vasectomy reversal. The goal is that you are fully aware of what to expect in the healing process. Ultimately, we find this leads to the most optimal results.
Immediately after the procedure, patients stay in the recovery room briefly until they feel up to traveling. You will need to have someone ready and waiting to assist you leaving the surgery center. Dr. Larish recommends for patients to avoid driving for 48 hours after a vasectomy reversal.
If rubber drains are placed during the surgery, patients will return the next day to have them removed from their scrotum. Otherwise, the first appointment after the procedure should be scheduled in two weeks.
Some discomfort can be expected for the first 2-3 weeks. Please note that a small amount of blood is normal after your vasectomy reversal. You can also expect some swelling and bruising. If you feel that the level of blood or swelling is excessive, please contact the office.
Be sure to wear an athletic supporter, even during sleep, for three weeks. Further, no strenuous work or heavy lifting should take place for at least three weeks after your vasectomy reversal surgery. Dr. Larish advises patients to avoid sex for at least four weeks after the surgery.
When it comes to vasectomy reversal in NYC, Dr. Larish is one of the most highly regarded physicians. Contact us today and we will be happy to answer any questions you might have about vasectomy reversal and the post operative care.
It is quite important to keep track of your sperm counts after your vasectomy reversal surgery. Most patients are attempting to achieve pregnancy, and so it is necessary for Dr. Larish to assess the results of his work in the months after each procedure.
Vasectomy Reversal Surgery in NYC Sperm AnalysisDr. Larish recommends a sperm analysis after 1 months, 3 months, and then 6 months. After that time, patients can return for testing every 3-6 months. Please note that your sperm antibody levels can also be determined through a blood test, so this can also take place to supplement the sperm count.
Ongoing Patient Assessment after Vasectomy Reversal SurgeryThese tests will continue in our NYC office until a pregnancy successfully occurs. It typically takes between 3 months to a year for sperm counts to normalize.
When it comes to your vasectomy reversal surgery, NYC has many options. However, Dr. Larish and his team achieve among the best semen success rates due to their high level of experience, and professionalism.
Contact us to book your consultation about Vasectomy Reversal Surgery in NYC.
Over the years, there has been impressive progress in the field of reproductive surgery. What you can now achieve with vasectomy reversal reflects these advancements. Dr. Larish possesses not only the latest equipment, but also expertise at performing the most advanced techniques.
Vasovasostomy and vasoepididymostomy are two techniques involving the microsurgical reconstruction of the male reproductive system. These and other advancements including ICSI (or intracytoplasmic sperm injection) and techniques involving surgical sperm retrieval from the epididymis ensure that all men who have encountered obstructions can now become fathers.
A vasoepididymostomy is a surgery that deals with repairing obstructions of the epididymis. Experts consider this to be one of the most advanced microsurgical procedures. Years of experience and top-notch skills are necessary. As a result, if you are seeking vasectomy reversal surgery in NYC, be very diligent in selecting only the most accomplished surgeons.
There are a wide variety of reasons why men may need this procedure. Reasons range from everything from issues like Young’s Syndome and abnormalities from birth to an infection or accidental injuries. Men also regularly receive a vasoepididymostomy to reverse vasectomies.
Surgeons select the vasoepididymostomy procedure for patients when either low vas fluid or no vas fluid is found during a vasectomy reversal. In this situation, this additional surgery is required to express fluid from the vas deferens. The surgeon then connects the vas deferens directly to the epididymal tubule and this directs the sperm around the blockage.
Once this procedure has been successfully performed, men have a very high likelihood of being able to get their partner pregnant. Sperm rates can return between 52%-92%.
It is also interesting to note that during the microsurgical procedure, sperm can be collected and frozen for use at a later date. This can be useful in the rare chance that the procedure fails completely.
Pregnancy rates improve when a highly advanced surgeon performs this procedure. Technical perfection makes a big difference. Vasoepididymostomy is the most difficult to perform surgery for male infertility.
Dr. Larish has achieved expertise at performing the Vasoepididymostomy as well as other vasectomy reversal surgery.
Contact our office today and we will be pleased to offer you a consultation.
When you are opting for a vasoepididymostomy, selecting the best urologist for vasectomy reversal in NYC is essential.
No matter when you initially had your original vasectomy, it is fine to have a vasectomy reversal surgery. There is no set timeframe during which you will need to have your reversal completed.
The length of time that has passed may influence your procedure’s effectiveness. For example, one of the largest research studies shows that if there has been less than three years between the vasectomy and vasectomy reversal surgery, the rate of sperm return is 97% and the pregnancy rate is 76%.
On the other end of the spectrum, if it has been 15 or more years since the procedure, the rate of sperm return after a vasectomy reversal surgery is about 71%. The resulting pregnancy rate is about 30%.
Doctors have concluded that one factor influencing the lower success rates is due to the fact that epididymal blockage rates increase over time. However, please note that a vasoepididymostomy can be performed to unblock the epididymis.
You can increase the odds of success of your Vasectomy Reversal Surgery by choosing Dr. Larish , the leading vasectomy reversal specialist in NYC.
If you are interested in a vasectomy reversal in NYC, contact our office today. Dr. Larish and his team will be pleased to answer any questions you might have about success rates.
Surgeons performing vasovasostomy procedures need to be as very precise. As a result, a microsurgical three layer technique has been developed. The goal is to make sure that sutures are placed the exact correct orientation. The MircroDot technique was originally developed at Cornell University to improve the vasovasostomy procedure. If you are currently considering a vasectomy reversal surgery, you will want to be aware of this advancement.
This special technique places tiny dots on the ends of the vas deferens. These dots are marked with a microtip pen. Once doctors can see these exact points clearly, they can improve accuracy rates for the sutures. The dots are put at 12, 3, 6, and 9’oclock placements with additional dots between.
Dr. Larish ensures that the placement of the sutures is extremely accurate. Through this means, he can focus better on perfecting the procedure.
Results at the James Buchanan Brady Foundation Department of Urology at the Weill Cornell Medical College showed that over 194 consecutive procedures, a patency rate of 99.5% was obtained. Resulting pregnancy rates are greater than 70%.
Dr. Larish and his team are pleased to answer any questions you might have about the microdot method or vasectomy reversal surgery in general. Contact us today to schedule an appointment with the best vasectomy reversal specialists in NYC.
Recovery after Vasectomy Reversal Surgery If you are planning a vasectomy reversal surgery, you are also probably wondering about the recovery process. One of the first items on many patients’ minds is what the pain will be like. Let’s take a quick look at what you can expect. Most of our Vasectomy Reversal Patients Experience… Continue Reading
What Defines Vasectomy Reversal Surgery Success? Different men will interpret achieving success in a variety of ways. While some would consider the return of sperm in their ejaculate a success, others may expect the outcome of a pregnancy unassisted by outside methods. The doctor will carefully discuss your expectations with you before your vasectomy reversal… Continue Reading
What is a vasectomy? A vasectomy is a simple procedure where the vas deferens is cut to prevent sperm from entering the ejaculate and serves as a method of male sterilization. What is a vasectomy reversal? In a typical vasectomy reversal, the two cut ends of the vas deferens are rejoined to once again allow… Continue Reading
The Vasectomy Reversal Surgery: The vasectomy reversal procedure will take place in an outpatient surgery center. You can expect to be at the center for anywhere from three to five hours. Please follow the pre-operative instructions provided to you and be prepared to undergo general anesthesia. Dr. Larish will use microsurgical technique to reconnect the… Continue Reading
After Vasectomy Reversal Failure Vasectomy reversal is one of the most technically challenging surgeries in all of medicine. The skill and experience of the microsurgeon is critical. If no sperm are present in the semen by six months after vasovasostomy or by 12 to 18 months after vasoepididymostomy, then the reversal surgery is considered a… Continue Reading
Success Rates Depend on the Type of Reversal Procedure The 2008 report of the American Society for Reproductive Medicine cites current research indicating that microsurgical vasovasostomy results in sperm return to the semen in 85% to 90% of men and successful pregnancy in 50 to 70% of their partners. In men treated with microsurgical end-to-side… Continue Reading
Specifics of Microsurgical Vasectomy Reversal Vasovasostomy The vasovasostomy is the standard and most commonly performed vasectomy reversal surgery. The separated ends of the vas deferens are identified. A sample of the vas fluid is examined under a microscope and is considered to be of good quality if its’ consistency is clear and it contains healthy… Continue Reading
What to Consider Before Deciding to undergo a Vasectomy Reversal Surgery What Is a Vasectomy? A vasectomy is a surgical procedure that disrupts the flow of sperm through the vas deferens. What Is a Vasectomy Reversal? A vasectomy reversal is a surgical procedure that restores the flow of sperm through the vas deferens. How Common… Continue Reading
Choosing the right surgeon to perform your vasectomy reversal procedure is an important task. Unlike most general urologists that only do a few vasectomy reversal procedures a year, Dr. Larish specializes in vasectomy reversals and performs the most in New York City, often, many per month. With the most experience, Dr. Larish enjoys a very… Continue Reading
Vasectomy is the most common form of permanent contraception used in the US; almost 500,000 vasectomies are performed each year nationwide. Data collected since the economic downturn since 2008 indicate that the number of vasectomies is on the rise. It is estimated that 5 % of people who have elected a vasectomy will go on… Continue Reading
My name is Dr. Yaniv Larish; I am a urologist specializing in male sexual health and infertility at NYU Langone Medical Center. You can hear me on the Men’s Health Show on Dr. Radio Sirius XM Channel 81 on Wednesdays from 6-8 PM Eastern time; I usually host the show twice a month. Happy to… Continue Reading
Vasectomy surgery entails cutting the vas deferens to prevent sperm from entering the ejaculate in order to produce long term sterility. (click to enlarge)
Vasectomy reversal micro-surgery entails reconnecting the two ends of the vas deferens utilizing a surgical microscope, micro-instruments and micro-sutures in order to allow the sperm to enter the ejaculate and regain fertility after vasectomy surgery.
