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.
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When it comes to determining the best type of vasectomy reversal, your doctor will work closely with you to make the best decisions possible. There are several types of procedures your doctor may decide to use. Which one he or she selects depends on what happens during the surgical procedure. One of the options is the vasovasostomy. If you are considering a vasectomy reversal, it helps to learn as much as you can about your options as well as about the various types of options your doctor may offer.
During the vasectomy reversal procedure, your doctor will make an incision on both sides of the scrotum He or she will then trim away the edges of the vas where the previous procedure closed them off to create the vasectomy. This procedure is usually completed during microsurgery and is not as invasive as many believe.
During the procedure, your doctor will take the time to determine if the fluid, also known as the vasal fluid, has sperm in it. This is done at the end closest to the testis. After this check, your doctor may decide to go ahead with a vasovasostomy.
During the vasovasostomy, the doctor will have found sperm in the fluid. In other words, the doctor has found that the vasal fluid in the vas between the scarred, closed off area and the testis actually contains sperm. This shows that the path is clear between the area of the cut and the testis. The result of this is that the vas can then be joined at that point creating the clear pathway desired.
When this type of microsurgery is performed, it is about 85 percent effective. That means that 85 out of 100 men in this position are able to have the vas reconnected. That usually translates into a pregnancy chance of 55 percent.
For many men, this is the easiest and best method for having the ability to create children again. There are various other options your doctor may offer if the vasovasotomy does not work. However, for many men, this is the best route to take. If you are considering this procedure, come in to see your urologist. Our team will work closely with you to determine the best level of care possible.
Call to schedule an appointment with the best urologist in New York right now at 646-862-5500.
Vasectomy reversal, whether you require a vasovasostomy or vasoepididymostomy, is a significant procedure and one that requires a careful decision. If you have had a vasectomy and now wish to restore your fertility, you may be considering a vasectomy reversal. All patients who are considering this option should be aware of the potential for successful reversal, and should also be aware of the factors that can influence the success or failure of this operation.
Skill and Expertise
Some factors that influence the rate of success, measured by conception after the vasectomy reversal procedure, include the skill of the surgeon. Because it is impossible to know prior to surgery whether the patient will require the simpler vasovasostomy, in which the vas deferens is reconnected, or a vasoepididymostomy, in which one end of the vas deferens is directly connected to the epididymis, the surgeon you choose should have experience in both procedures. One study showed that almost half of all men who had an unsuccessful vasovasostomy had an obstruction that should have been bypassed with a vasoepididymostomy procedure.
Length of Time Since Vasectomy
In the past, before the development of microsurgical techniques for vasectomy, the length of time between a vasectomy and reversal of the vasectomy had a significant effect on the success or failure of the reversal procedure. Current studies show that the success rates for vasectomy reversals within fifteen years now range from 82 percent to 89 percent, although the rate of pregnancy dropped to 44 percent after fifteen years.
Other Surgeries
Other surgery in the groin area, including earlier attempts to reverse a vasectomy or hernia repair, can reduce by success rate of a vasectomy reversal by obstruction in the vas deferens, frequently the result of scar tissue from the previous surgery.
Partner Factors
Conception is more likely to occur after a vasectomy reversal if the female partner is under the age of 40. For women under the age of 40, the rate of pregnancy is 56 percent, compared with 14 percent for women over the age of 40. Another factor in favor of a successful vasectomy reversal is a previous conception between the couple, most likely because they have shown no other fertility problems,
Vasectomies are meant to be a permanent procedure, although reversals are now frequently successful as a result of microsurgical procedures that allow surgeons to place delicate stitches in the vas deferens, ensuring a good closure and healthy blood supply. Dr. Larish is one of New York’s top vasectomy reversal doctors, and he can advise you of the likelihood of a successful vasectomy reversal, if you have made the decision to attempt this procedure in order to naturally conceive a genetic child. Call 646-862-5500 today for your appointment for a consultation with Dr. Larish, New York’s best vasectomy reversal doctor.
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.
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.
