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: Microsurgery

Microsurgery for Vasectomy Reversal

What is microsurgery and how is it used for a vasectomy reversal? People still believe that vasectomy is a permanent method for birth control. But this is not true, as you can undergo various procedures to reverse a vasectomy. Due to continuous advances in healthcare, you can restore your fertility through microsurgical vasectomy reversal. When you opt for a vasectomy, the surgeon will clamp or cut the tube connecting your testicles to your penis. This tube helps transfer the sperm out of the body. After a vasectomy, the sperm will not mix with semen when you ejaculate.

Microsurgery for Vasectomy Reversals
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The vasectomy reversal means that during ejaculation, sperm combines with semen. You can restore the tube through the vasovasostomy method. Furthermore, another technique bypass the tube’s deficit, a vasoepididymostomy. When you choose a microsurgical vasectomy reversal, the surgeon will diagnose the condition and spot the tube. Then they will use two specialized instruments to perform the surgery. These instruments are unique, and the surgeon only uses them for vasectomy and vasectomy reversal techniques.

Microsurgery for a Vasectomy Reversal

Dr. Yaniv Larish performs both vasectomy reversal and microsurgical procedures. Not all physicians are microsurgeons. You need to choose the best surgeon with extensive experience and a high success rate to perform a vasectomy reversal.

Microsurgical vasectomy reversal is a treatment method in which the doctor rejoins the pathway for sperm when you ejaculate. This is a complex and delicate operation. Microsurgery will help reverse a vasectomy. While undergoing a vasectomy, the surgeon will cut the vas deferens that stop the ejaculation of the sperms. In other words, a vasectomy prevents sperm from leaving your body, and vasectomy reversals bypass the blockage.

Before the Procedure

While going through vasectomy reversal surgery, the surgeon will:

  • Check your medical history so they can examine your condition by performing a physical exam. The doctor will ensure that you don’t suffer from any condition that can exacerbate due to surgery.
  • Inspect your ability to produce healthy sperm. If the surgeon identifies any disability in producing sperm, they will recommend additional testing and treatments.
  • Examine your partner to check if they can give birth. If your spouse has any condition or problem regarding infertility, the doctor will perform gynecological exams.

During the Procedure

Going through surgery, the doctor will make a small incision on the scrotum. This way, the sperm carrying tube, vas deferens are visible to them. They will release the tube from the tissues covering it. Now, the doctor will cut the vas deferens and inspect the fluid. If they find any sperm in the fluid, they will reconnect the vas deferens to allow the sperm to pass through.

If the doctor does not detect the presence of sperm, they will perform vasoepididymostomy. This usually happens because scar tissue blocks the flow of sperms.

After the Procedure

After the surgery, the doctor will use a bandage and cover the opening on your scrotum. You need to apply ice on the incision for 24 to 48 hours. This will reduce the swelling. Furthermore, you need to wear tight undergarments.

You will experience soreness for some days. If the doctor applies bandages on your cuts, ask when you should remove them. If they stitch the incision, it will take almost seven days for stitches to disappear.

Vasectomy Reversals Microsurgery
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You can leave for home after the surgery, but limit your activities as your testicles might move excessively. Once the effect of anesthesia wears off, you will experience swelling and pain. Some men do not experience a lot of pain, but if they do, it goes away in few days.

Benefits of Vasectomy Reversals

Here are some benefits of vasectomy reversals:

1.    Fewer Complications

Microsurgical vasectomy reversal is less invasive than the traditional method. By choosing this technique, you reduce your risk for bleeding and infection. Moreover, this technique has a higher success rate.

2.    Smaller Incision

In the microsurgical technique, incisions will not be bigger than a centimeter. You will feel less pain after undergoing a procedure with a smaller incision.

3.    Reduced Cost

Microsurgery for vasectomy reversal isn’t more expensive than the traditional method.

Microsurgery for Vasectomy Reversal: Conclusion

If you want to undergo the vasectomy or vasectomy reversal procedure, contact our clinic in New York City. Our urological experts and world class staff ensure that you receive the best treatment. For appointments and other information about the procedure, call us.

Yaniv Larish, MD
4 East 76th Street
New York, NY 10021
(646) 862-5500

What Is a Microsurgeon?

What Is a Microsurgeon? A microsurgeon performs microsurgery procedures on the body through a microscopic technology. It allows microsurgeons to view and operate on nerves, small blood vessels, or tubes. Microsurgery can be performed on different parts of the body that have sensitive structures.

Moreover, a microsurgeon uses a high-powered magnification system for the procedure. Interestingly, it is useful for solving other complicated reconstructive problems of the body.

What Is a Microsurgeon?

Microsurgical vasectomy reversal, for instance, is one of the most sensitive and complicated processes that reconnects the pathway of sperm into ejaculation. It allows men to re-gain their fertility and ultimately makes it possible for couples to conceive a child naturally.

Why Perform Microsurgery?

This microsurgery reverses the underlying impact of a vasectomy, which disconnects the vas deferens. A vasectomy builds a block in the tube, and a vasectomy reversal surgery removes that blockage.

Historical Relevance

Microsurgical methods have been popular since the early 1960s. The significance of modern microsurgery can be traced back to old techniques. However, the advent of digital tech integration sealed the fate of the microsurgery.

The Right Course of Action after Your Treatment

Once your vasectomy reversal surgery is complete, you will be on a liquid diet for an entire day. A microsurgeon would offer rigorous support and recommend you to be cautious after surgery.

The surgery also needs you to remain warm hydrated after the surgery. Primarily, the part of your body where the surgery was done should have a higher position to get rid of the extra fluids. You can expect minor pain after the surgery. However, you can take prescribed medications to alleviate the pain.

After a vasectomy reversal procedure, the skin around your penis may feel warm or look red. Besides, don’t hesitate to report any color, tissue, or temperature change to your doctor immediately.

Skills: What Ergonomics a Microsurgeon Should Have?

A professional microsurgeon will have an attentive mindset, relaxed posture, stable equipment, and flexible hand movements. For example, to achieve exact controlled movements of the hand, a microsurgeon’s wrist and forearm must be supported. Furthermore, it should have a dorsiflexion angle at 20° to decrease muscle tremors.

Moreover, a microsurgeon understands the vitality of all movements. Every movement has its usefulness, deliberation, and purposefulness. Pen grip, for instance, is the best precision grip for microsurgical procedures. For example, your microsurgeon should have the skill to perform a complicated method like epididymovasostomy for men.

Different Procedures, Different Tools

The instruments utilized for microsurgery magnify the operating area. As a result, microsurgeon makes movements that are more precise. The magnification, for instance, facilitates microsurgeons to see micro-structures that are usually impossible to see.

Contemporarily, the essential microsurgery tools are microscopic mat, microscope, and microsurgical equipment. Similarly, different microscopes have different features and surgeons can use them as per patients’ needs. Though most of the microscopes are stand-alone, microsurgeons change the position of a microscope through ceiling-mounted microscopes.

An experienced microsurgeon also takes care of the operating room with low lighting to make the lighting of a microscope stand out. Simultaneously, the microsurgeons can see the visual display of the information through the video camera placed in the operating area.

Vasectomy Reversal: What Is a Microsurgeon? What Is a Microsurgeon?

For microsurgical repair, a relatively higher magnification is needed. Conversely, microsurgeons can use lower magnifying lenses in the form of eyeglasses. Remember, most of the microsurgical equipment is explicitly designed for microsurgery. Common microsurgical instruments involve forceps, needle holders, scissors, clamps, irrigators, vessel dilators, and vascular clamps.

The complicated nature of a vasectomy reversal procedure, for instance, may require different kinds of surgery, a multitude of considerations, and other elements that would usually be won’t be included in a traditional process. The procedural area, size, and microscope lenses can all play a different role during the surgery.

The Role of Robots for Microsurgery

Robotic technology in the hands of the microsurgeons has had a significant positive impact on patients. In fact, it’s a win-win for hospitals and clinics. Most importantly, the technological advancement of robotic control provides specific advantages for patients who experience grave nerve-related injuries.

The objective of the robotic microsurgery is to prevent large-scale incisions. Microsurgeons, on the other hand, sometimes use large incisions to conduct extensive surgeries within the body. However, robotic control is capable of making small accurate incisions within the body. Furthermore, robotic control allows different dimensions of moments, such as the 3-D vision of the body and providing impeccable optical magnification.

Why You Should Select a Microsurgeon for Your Vasectomy Reversal

Several urologists can provide their expertise to perform a vasectomy reversal procedure. Remember, a urologist without training usually has only a 30% chance of success with the surgery. Additionally, some urologists take fellowship-training and distinct courses to study experienced professionals for a couple of weeks.

You should thoroughly interview potential physicians for your vasectomy reversal procedure because most of the urologists don’t have any training background. Besides, the success of a vasectomy reversal is higher when a urologist performs it microsurgically. Therefore, select a microsurgeon who has a vast knowledge and experience with reputable track-record to increase your chances of success. It’s high time you realize your dream to have a child naturally.

Schedule an Appointment

It would be wise to discuss the vasectomy reversal process with your surgeon in detail. Apart from benefits, ask your surgeon about possible risks and complications. Help is just around the corner and a phone call away.

Contact Dr. Yaniv Larish for a consultation at (646) 862-5500 or read more about the vasectomy reversal process here.

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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