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


Blog Posts Are Below:


Category Archives: Microsurgery

Vasectomy Reversals: What Training Do Microsurgeons Receive?

Who are and what training to microsurgeons receive? Microsurgeons have to follow some of the strictest surgical disciplines to perform procedures using specialized tools and different operating techniques. Microsurgery is quite important when it comes to transplanting tissues from one part of the body to another. It is essential to join amputated parts of the body. Microsurgery doesn’t just involve the use of the microscope: there’s much more involved.

It’s not easy becoming a microsurgeon, as you need to complete years of training and studying first. Many institutes and medical schools around the world offer training for microsurgeons. Read further below to learn what training microsurgeons receive.

What Training Do Microsurgeons Receive? Vasectomy Reversal
(Source)

Who are Microsurgeons?

Microsurgeons are professionals in the healthcare industry who perform some of the most delicate and advanced surgeries. This includes plastic surgery, reconstructive surgery, and many other types of surgical procedures. Microsurgeons help patients deal with different types of injuries and perform most procedures by looking through a microscope. It allows them to transplant muscles, tissues, and veins.

These procedures require thorough practice and technique, which is why it is so important for microsurgeons to undergo effective training. Microsurgeons can perform an endless array of surgeries, but they play a major role when it comes to plastic surgery, as well as vasectomy reversals.

Microsurgeons Training Steps

Microsurgeons go through two types of training. One is the hands-on training, and the other involves theoretical lectures. Mentioned below are the steps involved in hands-on training for microsurgeons:

1.     The Microscope

The first stage involves using the microscope. This is one of the main things and techniques used during microsurgery, but not the only one. Using the microscope to focus and how to position it correctly are the few main things taught during this stage. There are different retro preparation and retro filling techniques taught and practiced to get firm with the use of a microscope.

2.     Microsurgery

The second stage of the training involves microsurgery, which is usually the interesting but difficult part. During this, candidates practice ultrasonic retro preparation, osteotomy, apicoectomy, and retro fillings, all of which are practiced on dental mannequins. Before practice, participants are showed live demonstrations as part of their training, and the surgeons dictate every step of the training to the candidates understand what’s going on.

The microsurgery is observed on a TV monitor that is usually kept in a conference room, and students are usually encouraged to interact with the surgical team during the surgery through a proper audio system. This is one of the most interesting steps as it helps you understand the core of microsurgery, which is performing one as there is a lot of that Microsurgeons will be doing.

3.     Microsurgery Practice on Mannequins

The third stage involves practicing microsurgery on mannequins. Whatever learned in the second stage will now be applied on mannequins, and to see how much you have observed and understood during this live surgery. They always say practice makes perfect, and by doing this, you gain efficiency and the confidence to perform real-life microsurgery. There are numerous different techniques and placements carried out during microsurgery, especially with the use of a microscope. To perfect all of this, you have to practice it thoroughly.

What Training Do Microsurgeons Receive?
(Source)

Microsurgeons Lectures

Attending lectures is another part of training, as microsurgeons usually do this before the hands-on phase of training and education. Sometimes, professors provide lectures during the hands-on part. The lectures include different training exercises that are specifically for candidates to understand different surgical tools and how to use the microscope. The lectures are the gist of microsurgery and are actually very important to understand before you jump into the surgical part.

The first thing introduced is the criteria based on which professors will instructor demonstrate. There are many instruments involved in microsurgery, and they will demonstrate how to use each one. When it comes to microsurgery, instructors will help the student understand the purpose of each type of microsurgery and provide surgical tips in real-time.

They will also teach advanced microsurgery concepts, such as molar surgery and the management of sinus perforation. Candidates will come across many techniques, such as the tooth replantation technique, guided bone regeneration techniques, effective metastatic techniques, and much more. Once they implement these techniques, candidates can get to the hands-on stage and start practicing what they have learned.

What Training Do Microsurgeons Receive? Final Words

As you can see, it’s not easy becoming a microsurgeon, as it requires a lot of training and years of practice. Now that you’re aware of the different procedures microsurgeons specialize in, you can rest assured that you’re getting the best of care. Microsurgeons perform most vasectomy reversals. Dr. Yaniv Larish is among the best microsurgeons in NYC that performs vasectomy reversals.

Call us for more information and to book a consultation.

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

Microsurgery for Vasectomy Reversals

What is microsurgery for vasectomy reversals and how and why is it required? Vasectomy reversal is the process of re-attaching the vas deferens with the epididymis again. The vas deferens is the long tube that carries the sperm from the male reproductive organs (testes) to the urinary/ejaculatory tract, later fertilizing a female’s egg to form a child.

Microsurgery for vasectomy reversals
(Source)

What’s important to learn is that vasectomies are effective contraception methods. In fact, they are 99 percent successful after your sperm analysis ensures that you don’t have any sperm in your semen. However, couples may decide to begin their families by having children, which calls for vasectomy reversals. You should note that the success rates of microsurgical vasectomy reversals depend on several different reasons and factors. Hence, the chances of pregnancy can vary substantially.

What Happens During a Vasectomy Reversal?

In a vasectomy reversal procedure, the main objective of the surgeon is to make sure that the vas deferens (long tubes carrying sperm to the penis) is reconnected either on the severed ends or with the epididymis. Since it is a microsurgical procedure, the qualities of the urologist and micro-surgeon will matter significantly.

In reversing the effects of the vasectomy, i.e., contraception and blockage of sperm from entering the semen that leaves a man’s penis, the surgeon ensures to bypass the blockage that initially stopped the sperm.

The procedure itself begins when the surgeon uses local or general anesthesia. The restoration of the pathway of sperm into a man’s penis is a complex one. Hence, the procedure can take well up to 3 or four hours. On top of that, here are the two most common vasectomy reversal microsurgical procedures that take place.

Vasovasostomy

When your surgeon begins the procedure, they make an incision on the scrotum from which they separate and gently handle the vas. The surgeon will incise the vas to check whether there is fluid inside or not. If there is fluid and sperm present in the vas, the surgeon will re-attach the severed ends of the vas deferens together.

The surgeon might perform the same re-attachment even when there is watery and clear vassal fluid present. These are the right conditions for sperm production and therefore hint towards potential chances of pregnancy post-procedure. This microsurgical procedure is “vasovasostomy.” For some people, the chances of pregnancy after the procedure are as high as 95 percent.

Epididymovasostomy

Epididymovasostomy is a complex and detailed microsurgical medical procedure that is similar to vasovasostomy. Like the previous ones, this procedure also uses microsurgical instruments and equipment. Moreover, your surgeon may perform this microsurgery when there is either no fluid/sperm present in your vas or pasty and thick fluid in the vas.

Abundant pasty fluid in the vas points towards poor quality of the severed vas end and possible scar tissue interference. Hence, in this procedure, the surgeon will directly attach the end of the vas to the epididymis (sperm-producing tissues and cells in the male reproductive organs, testes).

What Happens Post Microsurgery?

Your surgeon might decide to perform vasovasostomy on one vas and epididymovasostomy on the other, depending on the conditions. After the procedure, the surgeon will use bandages to cover the incision. You may also need stitches.

Your surgeon will instruct you to avoid wetting the area for nearly two days and inform you that it will take at least two weeks for the stitches to dissolve. Moreover, you might not have to stay at the hospital for longer. In fact, you may be able to carry on with your everyday life after 1 or 2 days except for certain activities.

Urologist for microsurgery for vasectomy reversals
(Source)

Pain, numbing, and swelling can persist but are a cause for general concern. Further, it can take up to 4 weeks before your surgeon may allow you to have sexual intercourse. In regard to that, your surgeon will also demand semen samples within 2-3 weeks of the procedure to check on the sperm count and quality.

In case of any persistent chronic pain, you have to consult your surgeon and primary healthcare provider. This will ensure that any previous medical conditions will not interfere with the success rate of the vasectomy reversal.

Microsurgery for Vasectomy Reversals: Conclusion

If you need to have the best microsurgeon take care of your vasectomy reversal procedure, schedule an appointment with Dr. Yaniv Larish. Dr. Larish is a top vasectomy reversal expert and urologist. Boasting an impeccable record and experience, he is a top choice if you’re in need of a skilled surgeon to achieve a high success rate for a vasectomy reversal.

Give him a call at (646) 862-5500 to book an appointment today. Visit us in person at 4 East 76th Street New York, NY 10021.

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


References

https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537#:~:text=Vasectomy%20reversal%20is%20surgery%20to,to%20get%20your%20partner%20pregnant
https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/vasectomy-reversal
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854082/
https://med.virginia.edu/urology/for-patients-and-visitors/mens-health/vasectomy-how-it-works/vasectomy-reversal-at-uva/vasectomy-reversal-recovery-guidelines/

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
(Source)

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
(Source)

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)

Vasectomy reversal surgeon nyc right column 01

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.

Vasectomy reversal surgeon nyc right column 02

Vasectomy reversal surgeon nyc right column 03

Learn More