Vasectomy Reversal Surgery

What Your Should Know About Fertility After Vasectomy:

Men generally want a vasectomy reversal in order to conceive a child with their partner. It’s important to realize that the sperm count may not return to normal for several months after a vasectomy, because sperm have a 90-day life cycle. It’s also important to realize that it may take a few cycles before the sperm reserve returns to normal, and before the sperm count returns to an ideal level for conception.

Reversal of Vasectomy:

These days, a vasectomy reversal can be performed using microsurgical techniques, with a success rate after reversal of over 90 percent. Dr. Larish is a highly trained urologist, which is a surgeon trained in treatment of genitourinary conditions. Dr. Larish is New York’s best vasectomy reversal doctor, and has performed thousands of vasectomy reversal surgeries, using microsurgical techniques to visualize the cut ends of the tiny vas deferens, which is normally only 0.4 millimeters in diameter.

In order for your vasectomy reversal to be successful, your surgeon should have the experience to join the ends of the vas deferens together without putting undue tension on the tissue. It is also very important that the blood supply remain adequate. When Dr. Larkish performs a vasectomy reversal, he uses an operative microscope to visualize the delicate ends of the vas, suturing them carefully together. Because the entire vas deferens must be visualized, a mini-incision is not the most effective technique. This will allow the surgeon to perform either a vasovasotomy or a epididymovasostomy, depending which is required.

What You Can Expect:

After a vasectomy reversal, it will take several months for your sperm count to return to normal. Dr. Larish typically performs a semen analysis at 3 or 6 months, and if he does not find sperm in the ejaculate after three months, then this reveals an unsuccessful procedure. An epidiymovasostomy is a procedure to reverse a vasectomy that connects the end of the vas deferens directly to the epididymis, and it usually takes six to 12 months to achieve a normal sperm count after this procedure.

A vasectomy reversal will not disrupt your normal sexual performance. You should not experience any new difficulties with either erection or orgasm.

Some Tips After Vasectomy Reversal to Increase Sperm Count:

Stop smoking.
Avoid sexual activity for two weeks.
Stop ibuprofen or similar drugs, which can thin your blood.
Begin taking a multivitamin and vitamin C supplement.
Eat a well-balanced diet.
Rest adequately.
Avoid alcohol.
Avoid sitting in a hot tub.
Avoid placing a warm laptop computer on your upper lap.

If you are considering vasectomy reversal surgery, you should consult Dr. Larish, New York’s top vasectomy reversal doctor. Call us today at 646-862-5500 for your consultation.

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Yaniv Larish, MD

4 East 76th Street
New York, NY 10021

(646) 862-5500


What is Vasectomy Reversal?

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

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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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Vasectomy reversal surgeon nyc right column 03

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