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.

Call Today for a consultation:
(646) 862-5500


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Category Archives: before vasectomy reversal

How to Talk to Your Partner About Having Another Baby

vasectomy reversalMany couples find it difficult to bring up the prospect of having children. Even if you are already parents, bringing up the prospect of having another baby can be tough, as having another child is an emotional decision which will affect your household in more ways than one. However, talking about your needs regarding family expansion is essential, regardless of the decision that you come to.

Be Patient:

vasectomy reversalIf you want to have another baby and your partner does not, broaching the subject is unlikely to be easy for either of you. Bringing a child into the world affects both parents, so most will agree that it’s important for each party to be in agreement before going forward. Adopting a patient and understanding attitude is a crucial step which will make it easier to talk about having another baby with your partner. This is especially true if your decision to have another child is likely to lead to procedures such as vasectomy reversal or IVF.

Be Specific About Your Expectations:

Whether it’s your first or your fifth child, having another baby is a massive decision that will impact the rest of your life. For families, welcoming another member can affect every member emotionally and financially over the long-term. So, it’s important to be clear about your expectations for having another child; the more specific you are regarding your wishes, the easier it will be for your partner to weigh up the options. Be specific about your expectations for the conversation itself – let your partner know if you don’t want a decision straight away, for example.

Consider Career and Financial Implications:

vasectomy reversalBecoming parents will affect your careers and your finances; most new parents require leave from work once a baby is born and bringing up a small child often means that parents no longer have the time to dedicate themselves as much to their career or work as many hours as they once did. If your partner’s objections tend to be financially motivated, it may be worth taking the time to calculate if you can afford to expand your family right now or come up with a plan to help you achieve this.

Most importantly, both partners should be honest and open with one another about their wishes to expand their family to enable them to reach a compromise that works. If a vasectomy is stopping you and your partner from having another child, get in touch today to book your consultation with NYC’s best vasectomy reversal doctor.

Call our offices today at (646) 862-5500 to discuss your specific case. You’ll work with the best urologist in New York to determine what is best for your needs

What Is Vasectomy Reversal?

Are you thinking about having a vasectomy reversal? Many men who made the decision to have a vasectomy but now want to have children see this procedure as a potential benefit. In many cases, it can be very successful and gives you the ability to help conceive a child in the natural way. However, it is a complex process and one that men need to understand before they elect to go through with it.

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Vasectomy reversal is the process of undoing a vasectomy. In this procedure, doctors will reconnect each of the ends of the vas deferens, often just called the vas, to allow sperm to move through this pathway. The sperm is then able to mix with the semen and can then be ejaculated. It may be possible, after this procedure, to get a partner pregnant.

The need for vasectomy reversal occurs because a man has had a vasectomy in which the vas is cut into two, breaking the connection that allows sperm to enter semen. This is one of the most effective forms of birth control in men available, though it is quite invasive and creates long-term results. If you are just considering having a vasectomy, it is best to forgo doing so if there is any concern that you may in fact wish to have children later. The fact is, vasectomy reversal is not always successful or possible later in life.

How Successful Is Vasectomy Reversal?

Success rates for this type of procedure vary significantly. In general, they range from 40 percent in some people to over 90 percent in others. Many factors play a role in whether or not it will work including your age, who did your previous surgery, and the surgeon’s training and experience. It is always best to discuss your specific situation with your doctor to better understand what your needs are and what he or she believes your best outcome will be.

Vasectomy-reversal-surgeon-nyc-right-column-01.jpgIt’s best to schedule a consultation to begin the discussion about your unique needs and your ability to obtain the results you desire with your doctor. When you come in to see our urologist, you will gain the information and insight you need to find out what your options are. As the best urologist doctor in New York, you can count on us to be here for all of your needs and questions.

 

 

To find out more about your options and risks in vasectomy reversal call our office and make an appointment at (646) 862-5500 for a consultation with the best urologist in New York.

What Are the Side Effects or Risks of Vasectomy Reversal?

vas-reversal_000Vasectomy reversal is overall a very safe procedure. For this reason, it can be a very good option for men who wish to have children. It’s important to know that most vasectomy are very successful. There is no guarantee, though, that this will occur. And, even if the procedure is successful, that does not mean you will have success in conceiving a child. However, it is important to take into consideration any risks and concerns associated with this procedure before making the decision to go forward with it.

What Are Potential Risks?

testes etc. (Shutterstock) [Converted]Vasectomy reversal is a very safe procedure with few threats. However, in rare situations, complications can occur. Your doctor will discuss these risks with you before you go through with the procedure. You should ask any questions you have at that time. Some of the potential risks you should know about include these:

Bleeding: Bleeding in the scrotum can occur. This leads to a hematoma, a collection of blood. This can create swelling in the area and pain. The best way to avoid this complication from occurring is to follow your doctor’s specific directions after your procedure. Rest is necessary to allow the connections to re-grow and for the incisions to heal properly. Even if you do not see blood, it can

Infections: Like any surgery, there is a risk of infection with vasectomy reversal. Generally, this is very uncommon because the incisions are very small and the procedure is done in a surgical unit. However, if you do have an infection, your doctor may recommend medications to treat it.

Chronic pain: For some men, the worst problem resulting from vasectomy reversal is chronic pain. This is not very common, but it can occur in men. It may be treatable or it may not be.

It’s important for you to take the time to talk to your doctor about any other types of medical concerns you may have that could impact your success rate or your safety through this procedure. For most men, it requires only a few weeks of downtime.

To find out more about your options and risks in vasectomy reversal call our office and make an appointment at (646) 862-5500 for a consultation with the best urologist in New York.

What Can You Expect in Costs for Vasectomy Reversal?

vasectomy reversalMost of the time, a vasectomy reversal will not be covered by your health insurance. It is often considered an elective procedure. As a result, most health insurance companies will not cover it. Of course, most health insurance companies also do not cover vasectomies either. It is important for you to take the time to consider the value that this procedure can offer to you and, for many men, it is well worth the investment.

How Much Is a Vasectomy Reversal?

In most cases, the procedure will cost between $5,000 and $15,000, however there are many other fees and a significant amount of range in this. Various factors contribute to how much you can expect to pay including:

  • Where you live (in some areas the cost is higher due to a higher cost of living)
  • The doctor you select (those that are specialists or highly desirable tend to cost more)
  • The amount of time you spend in the hospital, if any
  • The number of appointments you have for the procedure
  • Any risks or complications
  • The other doctors you select to be a part of the procedure, including anesthesiologists

It’s important to note that the procedure can cost more or less than this. However, you will get a good idea of the cost when you visit your doctor’s office. He or she will provide you with the information you need to make this decision.

Considering Other Options?

There are other methods available to men who wish to have children. For example, you may be able to try an artificial insemination procedure. This type of procedure, though, can cost $17,000 or more. Other procedures may also be available and may also apply to your situation.

Take the Time to Learn Your Options

vasectomy reversalMen who feel that a vasectomy reversal is a good idea for their specific needs should meet with an urologist to discuss the procedure, the risks, and the potential success it can provide. This low invasive procedure with good success rates tends to be a safer and more effective way of conceiving. Even if you think it may be too expensive, schedule a consultation to discuss your options with an urologist.

 
Call our offices today at (646) 862-5500 to discuss your specific case. You’ll work with the best urologist in New York to determine what is best for your needs.

How Does Vasectomy Reversal Happen?

The vasectomy reversal procedure is not necessarily the most invasive procedure and overall risks to it are lower than some procedures. However, it is the type of procedure that requires an experienced and well trained doctor. The procedure is one that can be successful in restoring your ability to ejaculate with sperm, but it is important that you understand the procedure, how it happens, and what occurs throughout it before you make the decision to move through it. A consultation with an experienced urologist is the best first step for most people.

What Happens in a Vasectomy Reversal?

reverse-vasectomy-3-300x199The procedure is performed in an outpatient surgical building or a hospital. The surgeon will be done using a microscope and is often called microsurger
y as a result. In some situations, men will need more controlled conditions requiring a hospital setting. In most cases, the patient is asleep with the use of anesthesia.

The doctor will use a microsurgical approach whenever it is possible to do so. This process involves a high powered microscope that allows for the magnification of the vas tubes at as high as 40 times their size. This allows the urologist to locate them and then stitch them together. It’s important to realize that the stitches used are thinner than an eyelash or a hair. These need to be connected to the vas to allow the tube to regain proper and normal flow of sperm.

Once you are asleep, your doctor will make a small cut on each side of the scrotum. Then, he or she will cut the scarred ends of the vas. This is the area where the vas was cut previously. They are scarred because that is the way a vasectomy stops the flow of fluid in the body. Then, the doctor will determine the proper approach for reattachment based on whether or not sperm is present in the fluid. Vasovasostomy and vasoepididymostomy are the two most common reconnection methods.
Most patients will need to spend some time at the hospital to recover, but going home the same day is quite common. The procedure can take some time to recuperate from as well. Your doctor will discuss what you can expect from this at the time of your discharge.

vasectomy reversalAre You Ready?
It’s best to learn what the options are for you specifically by making an appointment with the best urologist in New York to learn more. Contact us at 646-862-5500 to schedule a consultation.

Preparation for a Vasectomy Reversal Procedure

Cost

If you are considering a vasectomy reversal, you probably have a lot of questions. Most patients want to know how much the procedure costs, as it is usually not covered by insurance. In general, a vasectomy reversal is performed at an outpatient surgical center under general anesthesia, and because the procedure can vary in complexity, costs range from $5,000 to $15,000.

Before Your Procedure

Vasectomy reversalIn the period of days before your procedure, from a week to ten days, you should not take drugs or supplements that might thin your blood, including things like ibuprofen, aspirin, warfarin (Coumadin), fish oil supplements, and vitamins C and E. These things can increase your bleeding during surgery or afterwards.

If you are on a medication that does thin your blood, you should not discontinue that medication before you consult with your doctor. Do not stop taking your medications until you discuss this with your physician.

When you see Dr. Larish, New York’s best vasectomy doctor, he will ask you for a complete list of all prescription and over the counter medications that you are taking. It is helpful it you bring all of your medications or a complete list with you when you have your consultation to plan a vasectomy reversal.

Be sure to notify your vasectomy reversal surgeon about any allergies, to either foods or drugs. Your surgeon will also want to know about all of your medical problems and previous surgeries.

The Day of Surgery

When the day of your vasectomy reversal arrives, wear loose-fitting pants, but be sure that you have either an athletic supporter or tight underwear to wear after your procedure. You will have to have someone with you who can drive you home on the day of your surgery, because you can expect to feel woozy for the rest of the day as a result of the medicine used to put you to sleep during the procedure.

vasectomy reversalWhen you arrive for surgery, your scrotum will be thoroughly cleaned and, if you haven’t done so, shaved, for the procedure.  Your doctor may have a mild sedative ordered to relax you before you get into the operating room. You will have to be certain that you have not had anything to eat or drink, usually from the evening before your surgery.

When you have your procedure, you will be asleep under general anesthesia, to keep you from being aware of pain and also to keep you from moving, which could interfere with the delicate work of the surgeon. When you awaken, you will be in the recovery room, and after a few hours, you will be able to return home. Before you return home, your doctor will be certain that you are able to breath easily on your own, that you are alert, and that you can urinate. You will be advised to take it easy for a few days, and to avoid sex and other strenuous physical activity.

Preparation for a Vasectomy Reversal ProcedureIf you are considering a procedure to reverse your vasectomy and restore your fertility call to make an appointment today with Dr. Larish, the best vasectomy reversal doctor in New York.

Our staff is standing by at 646-862-5500 to assist you as you arrange your initial consultation.

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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