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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Vasectomy Reversal Procedure

What is Vasectomy Reversal?

top-nyc-vasectomy-reversal-surgeon-01In general, a vasectomy is performed when a man decides that he no longer wants to be able to have children. However, people and circumstances change over time, and there are several factors which may affect your decision and cause you to have a change of heart in the future. If you have had a vasectomy in the past and have recently decided that you’d like to become a father, you may want to consider undergoing a vasectomy reversal procedure. Read on to find out more about what to expect from this procedure.

How is a Vasectomy Reversed?


A vasectomy reversal procedure can be done using one of two different methods. The first and most popular option is through vasovasostomy, a procedure where the surgeon sews the tubes, or vas deferens, back together from the testes to the penis. The vas deferens transports sperm from the testes to the penis, where it is ejaculated during sexual intercourse. The second method is known as vasoepididymostomy, which is more complex and involves the vas deferens being attached to a small organ at the back of each testicle, which contains sperm. The latter option tends to be reserved for men who are unlikely to experience success with vasovasostomy.

What Does the Procedure Include?

Vasectomy reversal procedures are typically carried out in a hospital or clinic. During the procedure, you will be given anesthesia to ensure that you are not conscious throughout. The entire procedure will usually last for around two to four hours, and most men will return home the same day. In general, the recovery takes around two weeks, although you should allow around six weeks to resume life as normal.

Who Should Consider the Procedure?

male-tubal-reversal-children-family-03If you’ve had a vasectomy in the past but have had a change of heart regarding your family life, you may want to consider having the procedure reversed. Vasectomy reversal is usually considered by men who have changed their mind about becoming a father or adding to their family, along with men who have experienced the loss of a child after undergoing the procedure. A small percentage of men may find vasectomy reversal useful for relieving pain in the testicles and groin area caused by a past vasectomy.

If you’ve had a vasectomy in the past and want to turn back time, call us today at (646) 862-5500 to book a free consultation with one of the best urologists in NYC.

Vasectomy Reversal

Vasectomy-reversal-surgeon-nyc-right-column-01_thumb.jpgFor many men, decisions previously made can be undone. If you’ve had a vasectomy, you may wish to reverse it. The goal of this procedure is to reverse what occurred during the vasectomy, a surgery in which semen is unable to be ejaculated from the penis. That procedure does not change a man’s ability to produce sperm. As a result, for some men, it is still possible to conceive children by reversing the previous procedure. That is what vasectomy reversal is.

Why Do You Need It?

In a vasectomy, the pathway by which sperm travels is cut. This is called the vas. When it is cut, sperm cannot get into the semen that is produced. As a result, sperm cannot travel out of the penis during ejaculation. However, vasectomy reversal may help to reconnect the two ends of the vas to allow for sperm to flow successfully through the pathway again.

If you are a man that has had a vasectomy and you wish to conceive children, potentially, in the natural way, you will need to consider a reversal. Once the tubes are rejoined, the process is considered normal. However, there are some limitations to this procedure and it does not work in all cases. For many men who wish to start having a family again, such as in a new marriage or later in life, it may be possible to do so.

Making the Big Decision

Vasectomy-reversal-surgeon-nyc-right-column-03_thumb.jpgThere is no doubt this is a big decision to make. The procedure itself is considered safe for most men. And, while it is not a very invasive procedure, it is a delicate one that may not be effective. If you are considering having a vasectomy and there is any chance in the future that you may want to have children, it is best to avoid vasectomy in the first place. However, if you have already had it done, it may be possible to reverse it.

Vasectomy reversal isn’t the type of procedure you should take lightly. It is best to sit down and talk to your doctor about it, why you want it, and what your chances of success are, as these can differ from one person to the next. When you call our offices to schedule a consultation with the best urologist in New York City, you’ll gain the information and insight you need to make the best decisions for your future needs.

Erectile Dysfunction

What is Erectile Dysfunction?

Erectile dysfunction is an inability to achieve and sustain an erection that is adequately firm to engage successfully in sexual intercourse. Erectile dysfunction may affect half of American men between the ages of 40 and 70. Occasional erection difficulties do not constitute erectile dysfunction, and are experienced about 20% of the time by all men, but inability to achieve and maintain a firm erection 50% or more of the time signifies erectile dysfunction.

What are the Causes of Erectile Dysfunction?

Erectile dysfunctionErectile dysfunction can be caused by a variety of physical or psychological problems. Many times, erectile dysfunction is caused by diseases that affect the blood flow to the penis, which is how an erection takes place. These chronic diseases, like atherosclerosis, diabetes, and vascular disease, are responsible for 70% of cases of erectile dysfunction. Neurological causes of erectile dysfunction include things like Parkinson’s disease, multiple sclerosis, or as injury to the spinal cord. Some men experience erectile dysfunction after nerves and blood vessels in the pelvis are damaged during prostate or bladder surgery.

Peyronie’s disease, an inflammatory disorder that results in scar tissue in the penis, can cause erectile dysfunction. Between 1% and 4% of all men with may have some degree of Peyronie’s disease, which usually occurs in middle age.

Alcoholism and cigarette smoking are both associated with erectile dysfunction. Sometimes, men with erectile dysfunction have low levels of testosterone, which can be easily corrected. Psychological problems, like stress or depression, can result in erectile dysfunction. If you are experiencing an inability to achieve or sustain an erection that is preventing your from enjoying sexual intercourse, you should call Dr. Larish, a top New York urology doctor, today.

Determining the Cause of Erectile Dysfunction

If you are experiencing problems achieving or maintaining an erection, the first step in treatment is finding the cause. Dr. Larish will take an extensive medical history at your consultation, which include questions about physical, social, and psychological aspects of your life. He will also ask questions about stressors, habits, and your relationship with your partner. After obtaining a thorough medical history, Dr. Larish will complete a physical examination. A simple exam of the penis can reveal many clues through characteristics like sensory responses of the penis to touch, pulses, and hair growth patterns. Unusual characteristic of the penis may reveal a problem like, for example, Peyronie’s disease.Erectile Dysfunction

Dr. Larish will also obtain blood tests that measure hormone levels, blood sugar, cholesterol, thyroid function, and function of the liver and kidney, to search for conditions that impact normal erectile function. An ultrasound examination will evaluate blood flow to the penis and any leaks from the veins or signs of atherosclerosis. You will be tested to see if you have nocturnal erections, and there are several highly specialized tests that can be performed by an experienced urology doctor to check the state of the blood vessels in the penis, if further investigation is required.

Treatment Options

Depending upon the results of your examination and diagnostic tests, there are a variety of treatment options available for the treatment of erectile dysfunction. You can be successfully treated for your problem, so you can once again enjoy sexual intercourse.

Call 646-862-5500 today to schedule your consultation with Dr. Larish, one of the top New York urology doctors, to begin your evaluation and treatment of erectile dysfunction.

Comparison of Vasectomy Reversal With Other Methods of Conception After Vasectomy

Assisted Reproductive Technologiesart comparison

Millions of couples with fertility problems have been able to conceive with the help of assisted reproductive techniques. These technologies require harvest of both sperm from the male partner and the eggs from the female partner to succeed. After collection, the sperm and egg are examined to ensure that they are healthy, and then, one of four techniques is utilized to fertilize the egg.

In Vitro Fertilization

When a couple decides to undergo in vitro fertilization, she typically takes hormones to stimulate production of eggs. After the eggs are harvested, they are placed in a Petri dish with sperm, and natural fertilization can then occur. After fertilization, between one and three healthy embryos are transplanted into the woman’s uterus, through the cervical os (opening).

Gamete Intrafallopian Transfer (GIFT)

This procedure mixes the sperm and eggs, which are then placed into the woman’s fallopian tubes, using a fiber-optic laparascope. The procedure is performed through small incisions in the low abdomen of the female partner, and it has a higher success rate than in vitro fertilization. However, it does require that the male partner has an adequate sperm count, and the woman must have normal fallopian tubes. The advantage of this procedure is that multiple eggs are not fertilized, so ethical concerns about transfer or creation of an embryo are avoided.

Zygote Intrafallopian Transfer (ZIFT)

A zygote is a fertilized egg, and in a ZIFT procedure, the fertilized eggs are placed directly into a woman’s fallopian tubes.comparison vasectomy reversal

Intracytoplasmic Sperm Injection (ICSI)

This procedure relies upon fertilization of each egg with a sperm, after collection of both eggs and sperm. The fertilized egg is subsequently transferred to the uterus, as with IVF. The microscopic technique used in this procedure may render it more effective than IVF, but it is also more expensive.

Success Rates Associated With Assisted Reproduction Techniques

The CDC reports that in 2009, 37 percent of assisted reproduction technique procedures led to pregnancy, with 30 percent leading to a live birth.

Success Rates Associated With Vasectomy Reversal

Vasectomy reversal has a higher success rate than in vitro fertilization or assisted reproduction techniques. The rate of success for reversals is between 40 percent and seventy five percent, and it appears that the length of time since the vasectomy may correlate negatively with the success of a reversal.

If you have had a vasectomy, and now are considering a reversal in order to conceive your own genetic child, you should call Dr. Larish, New York’s leading vasectomy reversal doctor, for an evaluation today. Dr. Larish can advise you of the best available option to restore our fertility. Call 646-862-5500 to schedule a consultation.

How To Prepare for a Vasectomy Reversal

Finding the Right Doctor

If you decide to reverse a previous vasectomy, you should be aware that it is a more complicated procedure than a vasectomy. A vasectomy reversal procedure usually requires the use of general anesthesia, and may take place in an outpatient surgical center or in a hospital. If the procedure is not successful, you may have to pay for the repeat procedure again, should you decide to have a second attempt. These are all reasons that it is particularly important for you to look for a skilled vasectomy reversal surgeon. Dr. Yaniv Larish is the best vasectomy doctor in New York, and performs many successful vasectomies and reversals for his patients.

Experience and training are two key indicators of potential success when you are deciding upon the right doctor for your vasectomy reversal. Although a general surgeon may be able to perform a vasectomy reversal procedure, a board-certified urology specialist has additional training through fellowship in male genitourinary surgery. If you are looking for a surgeon with specialized microsurgery training and a sound knowledge of male infertility issues, you should choose a board-certified urologist for your vasectomy reversal.

Microsurgery is similar to other kinds of surgeries that use a hand-held microscope loupe, but intraoperative use of a surgical microscope has been shown to result in better outcomes in successful vasectomy reversal rates. Doctors who have had experience with vasovasostomy and epididymovasostomy surgeries are generally more able to successfully complete a vasectomy reversal, and since the surgeon will not know which procedure you require until you are already in surgery, it is extremely important to choose a doctor with experience in both procedures.

Know What to Expect

It’s important to have reasonable expectations when you undertake a procedure like a vasectomy reversal. Your doctor will tell you that it will take several sperm cycles before your semen reaches the optimal sperm count for conception. If you are hoping to quickly achieve conception, then you may want to consider other options, like sperm retrieval and in vitro fertilization.

The Recovery Period

There are several tips that you can take in order to more rapidly return to fertility. These include simple measures like eating a healthy diet and avoiding stress. Your doctor will also tell you to avoid certain things that might result in a lower sperm count, including exposure to heat by sitting in a hot tub or by resting your hot laptop near your testicles.

If you have had a vasectomy and have made the decision to try a reversal in order to regain your fertility, you will want to be certain to have all possible factors working in your favor. By choosing New York’s best vasectomy doctor, Dr. Larish, you will have an excellent opportunity to successfully reverse your vasectomy and to achieve conception with your partner. Call 646-862-5500 today for your consultation with Dr. Larish, New York’s top vasectomy reversal doctor.

Factors That Influence Success of Vasectomy Reversal

Length of Time Since Vasectomy

The length of time since a vasectomy is probably the most important factor when trying to estimate the potential for a successful vasectomy reversal procedure. Because there are several important factors that must be taken into consideration, just this one factor will not necessarily determine your success, but research does suggest that the greater the amount of time that has elapsed between the vasectomy and reversal, the lower the chance of successful restoration of fertility.

Skill and Experience of the Surgeon

The skill and expertise of the urologic surgeon is important, and this includes the surgeon who initially Vasectomy Reversal Successperformed the vasectomy as well as the surgeon who will attempt to reverse that procedure. The procedure requires special training and experience using microsurgical techniques with a surgical microscope that allows good visualization of the tiny (0.4 millimeter) vas deferens during the operation. Dr. Yaniv Larish is New York’s best vasectomy reversal doctor, and has the experience to give you the best opportunity for a vasectomy reversal.
Restoration of Sperm Count

It will take at least two cycles of sperm production to produce a normal amount of healthy and motile sperm in the semen. Patients will usually have a semen analysis at three to six months after their procedure for vasectomy reversal. Things that can increase the likelihood of successful healthy sperm production include good nutrition and avoiding heat or trauma to the testicles, where sperm is made. Men who have previously had a healthy sperm count are more likely to have a sperm count that returns to normal after their vasectomy reversal. Normal sperm counts vary between individuals, but below a certain percentage of healthy, motile sperm, conception may be difficult.

Success of vasectomy reversal

If you are interested in vasectomy reversal, a consultation with Dr. Larish, New York’s top vasectomy reversal specialist, can help you decide if the procedure is likely to result in restored fertility and conception. While no one can determine the exact outcome before the procedure, it is worthwhile to determine if you have any problems that decrease the likelihood of your success. Call Dr. Larish today at 646-862-5500 for your appointment for a vasectomy reversal consultation. A careful review of factors that impact the likelihood of return of your fertility will allow you to make an informed decision about whether or not you should attempt a vasectomy reversal.

Vasectomy Reversal in New York City

Although a vasectomy is considered a permanent method of birth control, if you have had a vasectomy in the past you may have reasons to consider a reversal of this procedure. There are many good reasons to decide to reverse a vasectomy, including remarriage, or the desire to have another child after the loss of a child. If you have had a vasectomy and circumstances of your life are causing reconsideration of that decision, don’t despair – there are options available to restore fertility. Dr. Yaniv Larish , the best vasectomy reversal doctor in New York City, can discuss the many options for reversal of your vasectomy to restore your fertility.

Vasectomy Reversal Options

When you have a vasectomy, the sperm duct is cut, preventing fertility. A sperm duct, known as the vas deferens, is located in each side of your scrotum, and can be reconnected. There are other surgical options available, including the connection of the sperm duct to the epididymis, a small testicular organ where sperm mature. There are a number of procedures available to restore fertility after a vasectomy, and an experienced urologist, like Dr. Larish, the best vasectomy reversal doctor in NYC, can guide you to the best option for your situation.Vasectomy Reversal

Vasectomy reversal is usually performed in an outpatient clinic, and is performed under general anesthesia, depending upon the surgeon and patient preference. Typically, a small opening on each side of the scrotum will allow the urologist to remove the scarred portions of the vas deferens that result from a vasectomy. A fluid sample will be obtained by the urologist to ensure that sperm is present, and that there is no blockage between testicle and sperm duct, or in the epididymis. If sperm is present, the ends of the cut vas deferens can be re-connected to allow the sperm passage, and this procedure, called vasectomy, restores fertility. If there is no sperm in the fluid, other approaches to restoration of fertility by vasectomy reversal are utilized. It is important to find an experienced top vasectomy reversal doctor for your vasectomy reversal. Dr. Larish is a top vasectomy reversal doctor in New York City, and has successfully treated hundreds of men who have decided to reverse a previous vasectomy.

Dr. Larish, a top New York vasectomy reversal doctor, can use a microsurgical approach, with a high-powered microscope to magnify the structures of the vas deferens up to 40 times the original size, allowing him to restore fertility to 70 to 95 percent of patients who have had a previous vasectomy. If you are considering a vasectomy reversal, call us today at 646-862-5500 to schedule your consultation with Dr. Larish, the best vasectomy reversal doctor in New York City.

Vasectomy Reversal

What To Expect After Vasectomy Reversal Procedure

What to Expect After a Vasectomy Reversal

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 Odds of SuccessVasectomy Reversal

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.

Conditions Which Can Affect Male Fertility

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.


My Wife and I Changed Our Minds, Can a Vasectomy Be Reversed?

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.

What is a Vasovasostomy? Is it the same as a Vasectomy Reversal?

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.Vasectomy Reversal

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.

Are You Considering a Vasovasostomy?

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!

The Microdot Method for Precision Suture Placement

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.

What is the Microdot Method?

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.Microdot-Method-for-Vasectomy-Reversal-Surgery-by-top-Dr.-NYC1.jpg

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.

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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