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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Category Archives: Male Tubal Reversal

What is Male Tubal Reversal?

Male tubal reversal, or “vasectomy reversal,” is a process in which your surgeon attaches the vas deferens back together. This allows the tubes, vas deferens, to carry sperm into the urethra and become part of the ejaculate.

Vasectomy is a better contraceptive than various other methods. Vasectomy surgeons tie the sperm ducts (vas deferens) or use a ring to prevent sperm from becoming part of the semen. Thus, male sterilization allows you to have sexual intercourse with your partner while avoiding unwanted pregnancies.

Most men prefer to reverse their vasectomy because they have a change of heart. They might have passed through a rough patch, or they simply want to start a family. Another reason is to alleviate the pain that occurs after a vasectomy.  For the reversal of vasectomy (male tubal reversal), a qualified and professional urologist is a must.

What is Male Tubal Reversal?

For this reason, Dr. Yaniv Larish is one of the best urologists in New York City. You can visit the website here to learn more about the vasectomy reversal procedure and about what Dr. Larish has to offer.

Before Vasectomy Reversal

Before giving the green light on a vasectomy reversal, a urologist may check a few things to ensure a successful procedure.

  • Firstly, they take a medical history, which includes medication, treatment, and any physical complications. It ensures that no aspects of your medical history complicate the reversal procedure.
  • Secondly, before performing the procedure, your urologist will make sure that your partner/ spouse is capable of having children. Besides checking their age, he might suggest conducting gynecological tests to prove fertility.
  • Lastly, before the reversal procedure, the urologist will suggest certain tests to ensure that you are capable of producing healthy and fertile sperm.

The Procedures in Vasectomy Reversal


This vasectomy reversal procedure involves sewing back the severed ends of both vas deferens ducts. The surgeon will do this by utilizing exceptional micro-surgical instruments such as a microscope, sutures, and other equipment. Sometimes, a surgeon might use hair-thin stitches to sew back the sperm ducts.


This procedure involves countering the blockage that forms in the epididymal tube when the surgeon severs the vas deferens ducts. This procedure has the same role as the one above. However, the micro-surgeon joins the upper parts of the vas directly to the tiny organ holding sperm at the back of each testicle (epididymis). This procedure is prone to complications and requires thorough expertise in the micro-surgery field.

Risks Involved

Risks are minimal, and the side-effects are rare. Nevertheless, you may experience post-procedure pain, which can make daily tasks uncomfortable. Visit Vasectomy Reversal NYC’s website to learn about Dr.Larish MD’s extensive skills.

  • Infections; a common risk like in any other surgery
  • Bleeding and pain; might occur in the scrotum. Painful swelling due to accumulation of blood during the procedure can occur. To avoid this, get sufficient rest after the procedure and avoid taking blood-thinning medication.
  • Chronic pain, highly uncommon but may occur due to severe complications in the procedure.

 Post-Surgery and Risk of Pregnancy

The incisions on the scrotum during the procedure might have bandages, and it usually takes seven to ten days before the stitches dissolve. Therefore, the surgeon may advise refraining from any activities that involve the excessive movement of the testicles.

Info About Tubal Reversal for Males

Moreover, apply ice packs for the next twenty-four to forty-eight hours of the surgery. This reduces the swelling and eases pain. You can contact your surgeon or urologist if you experience any pain in the pelvic area.

After the surgery, you might have to incorporate some changes for the time being.

  • Avoid sedentary lifestyles (sitting in office or home)
  • Keep moisture away from the surgical area
  • Avoid sexual intercourse and ejaculation until the doctor gives an “all clear”
  • Wear a tight supporter as an undergarment

The success rates of conceiving after vasectomy reversal vary depending on your and your partner’s age and fertility. Evidence shows that most men are able to impregnate (30% – 90%) their spouse after vasectomy reversal. Thus, they conceive without any complications.

Male Tubal Reversal: Conclusion

At Vasectomy Reversal NYC, Dr. Yaniv Larish relies on years of expertise in micro-surgery to enable a smooth and painless surgical procedure to reverse vasectomies. Dr. Larish works to improve the well-being of his patients, ensuring excellent quality services.

4 East 76th Street New York, NY 10021

Give us a call today at (646) 862-5500 to schedule a consultation. View our contact details here.


  1. https://www.webmd.com/infertility-and-reproduction/guide/reversing-a-vasectomy#1
  2. https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537
  3. https://health.clevelandclinic.org/vasectomy-reversal-5-facts-men-need-to-know-2/
  4. https://www.urologyhealth.org/urology-a-z/v/vasectomy-reversal
  5. https://www.healthline.com/health/vasectomy-reversal#efficacy
  6. https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/vasectomy-reversal
  7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854082/
  8. https://www.healthline.com/health/pregnancy-after-vasectomy#takeaway
  9. https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537

Male Tubal Reversal: Is It Worth it?

Is male tubal reversal, also known as vasectomy reversal surgery worth it? Men, who have had a vasectomy surgery, might want to reverse it for several reasons. For instance, your innate desire to have more children is one of the primal reasons behind it. However, when you have a change of heart, you do not need any more reasons to find a solution to your problem. In some cases, men have a vasectomy reversal to treat their testicular pain that they thought was a result of a vasectomy.

Technically, Vasectomy reversal is a surgical process where your vas deferens is reconnected. In simple terms, vasectomy reversal restores the presence of your sperm during ejaculation. Mostly, the surgery is performed within three (3) hours, and you will have to take 3-4 days rest from the work.

Statistically, 6-10% of vasectomy patients eventually change their decision and go through a reversal. Though your life circumstances and perceptions may change over time, male tubal reversal is inherently beneficial. Here are some of the considerations that you should take into account:

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Learn about the Tubal Reversal Process

Male tubal reversal requires you to go to an outpatient facility or hospital without staying an entire night once the surgery is complete. The surgery is painless because of the general anesthesia and won’t wake you up in the middle of the operation.

Your surgeon puts a small laparoscope via the belly button and into your pelvic region. It allows the surgeon to check your fallopian tubes to assess the probability of reversal surgery. Once he decides everything checks out, your surgeon makes a small incision called bikini cut close to your pubic hair.

The microscopic equipment attached to the laparoscope allows the surgeon to cut out any rings that could block your tubes, and rejoin the ends of the tubes with small stitches. Typically, the surgery can last from 2 to 3 hours.

How Long Does It Take to Recover After a Tube Reversal

The surgical method your doctor decides ultimately becomes the main factor for recovery time. Male tubal reversal can, in fact, take longer than the other tube-tying processes. However, in this day and age, male tubal reversal is performed with the help of microsurgical techniques. Your surgeon will prescribe painkillers to alleviate pain and reduce any discomfort.

Contrary to misguided perception, your testicles never stopped producing sperm; it only can’t find a way out of your body. Male tubal reversal practically restores your fertility. Also, you must avoid sex for at least three weeks. Give yourself enough time to heal, and then you can begin to conceive.

male tubal reversal reversal surgery-02

Added Benefits

Male tubal reversal allows an opportunity to conceive. Once you go through a successful vasectomy reversal surgery, you don’t have to make extraneous doctor’s appointments or seek treatment to conceive naturally.

Permanent State

Once men go through a successful tubal reversal procedure, you won’t need other added procedures to restore fertility. Instead, you will be able to get your family planning objectives back on track.

It’s Affordable

Comparatively, tubal reversal is affordable than IVF. IVF treatment, for instance, costs roughly $12,000 and may vary depending on your geographical location.

Furthermore, without insurance coverage and modern fertility clinic, the cost can go even higher. That said, a vasectomy reversal surgery for male fertility costs around $7,000.

High Success Rate

The success rate of your vasectomy reversal depends on the total time since your vasectomy. Usually, success rates can go over 95% so long as the vasectomy was performed within ten (10) years. The success rate begins to decrease when a man has had his vasectomy more than ten years ago.

Preparation Matters

If you have decided to undergo a tubal reversal surgery, get examined by your surgeon first for any fertility problems. It would be advisable to look for a professional surgeon such as Dr. Larish, who performs vasectomy reversal microsurgery through modern quality surgical equipment.

male tubal reversal reversal vasectomy reversal surgery-03

And that’s because vasectomy reversal surgeons have a higher success ratio. They have required experience, training, and utilize microsurgical techniques such as a surgical microscope. It is better to look for a surgeon who performs the surgery frequently and has done it plenty of times before.

For instance, your surgery might need a more complicated method, such as vasoepididymostomy. Therefore, make sure that your surgeon is capable of undergoing this process. When you select a surgeon, don’t hesitate to ask as many questions as you’d like about your vasectomy reversal.

So long as you are knowledgeable and understand your case history, the tubal reversal for men is worth it. Now, don’t forget to ask your doctor about any attached risks. Also, find out about possible complications of the surgery beforehand.

Set Realistic Expectations

Before the vasectomy reversal procedure, your surgeon will need specifics that may involve:

Provide Your Case History for Physical Examination

Your surgeon will need to ensure that you don’t have health issues that might complicate your procedure.

The Assessment of Your Sperm

Your surgeon will need to make sure that you can produce healthy sperm. Mostly, men who have had a child before is sufficient enough proof. However, you might be recommended to undergo more tests if your surgeon is uncertain whether or not you can produce healthy sperm.

Contact Dr. Yaniv Larish for professional consultancy and communicate all your vasectomy reversal concerns. You can call at (646) 862-5500 or check our website:  https://vasectomyreversal-nyc.com/. You can also reach out to our other experienced urologists.

What Are the Success Rates with Male Tubal Reversal

What are the success rates with male tubal reversal? Also known as vasectomy reversal, tubal reversal is a procedure that is becoming more common by the day. Men often decide to get a vasectomy at some point in their lives. However, there are certain situations and circumstances that lead these men to rethink their decision. According to numerous credible reports, up to 20 percent of men opt for a tubal reversal surgery for reversing their vasectomy.

It is strange to think that vasectomy reversals were not possible in the primitive days of vasectomies. However, as time flew by, things changed, and with the advancement, in medicine and healthcare, we are lucky enough to have tubal reversals.

What Is a Tubal Reversal

Tubal reversal is a procedure for reversing a vasectomy. Vasectomy is a urological procedure that a lot of men go through for contraception. Surgeons block the vas deferens from supplying semen to the testes, which in turn makes sure that you do not reproduce.

Often, men have a change of heart, which prompts them to go through a tubal reversal surgery. There are plenty of professional doctors who perform this urological procedure.

However, you should opt for doctors who have years of experience seeing as it is a delicate procedure and requires a high level of skill.

Is Tubal Reversal Safe

This is a question that a lot of men who are contemplating vasectomy reversal surgery ask. Rightly so, it is a delicate surgery after all, and the wrong surgeon could easily make matters worse.

Other than that, vasectomy reversal surgeries are extremely safe. These surgeries are minimally invasive. Doctors perform these surgeries under a microscope to ensure precision and accuracy. They also make sure that you do not have any big or permanent scars and use only the finest tools and equipment for the surgery.

Success Rates For Male Tubal Reversal Surgery

The success rates of vasectomy reversals are on the higher side. It is extremely rare to find a vasectomy reversal case gone wrong. Surgeons are the main deciding factors of tubal reversal surgery. The surgery itself takes about 3 to 4 hours at max. Doctors usually let the patients go to their house within 24 hours. Patients are often permitted to resume their jobs within 2 or 3 days, especially if their jobs are sedentary.

You will be pleased to find out that the success rate of reconnecting the vas deference is about 90%. Although reconnection of the vas deferens reflects on the surgeries’ success, it doesn’t guarantee results for the important outcome that carries more importance, which is pregnancy.

Note that tubal reversal surgery or vasectomy reversals do not have anything to do with pregnancies most of the time. The fertility of your partner plays a major role in pregnancy. You should always take your partner for a fertility test before undergoing a vasectomy reversal surgery.

Is There a Time Limit for Vasectomy Reversal Surgery

Although there isn’t any time limit that you should adhere to for tubal reversal surgery, you should try to have it as early as possible. Age and changes in the body of you and your partner over the years can affect pregnancy.

If you are looking to get a tubal reversal surgery, contact us today:

Fifth Avenue Urology
Dr. Yaniv Larish
(646) 862-5500

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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