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:
Vasectomy Reversal by New York’s Top Vasectomy Reversal Doctor
When a vasectomy is performed to prevent fertility, the duct that carries sperm from the epididymis to the testicle is cut, and over time, scar tissue can develop. This has generally been considered a permanent procedure, but for many reasons, men sometimes decide they want a reversal of the vasectomy, or a vasovasotomy, which is a microsurgical procedure that was first successfully performed in 1971. During this procedure, the cut ends of the vas deferens are reattached, and this will sometimes restore fertility. An experienced urologist, like Dr. Larish, a top New York vasectomy reversal specialist, is a surgeon who specializes in surgeries of the male genitourinary tract. Dr. Larish can assist you to determine if this procedure can reverse your vasectomy.
Vasoepididymostomy May Restore Fertility
Sometimes, a vasovasotomy may not be successful to restore fertility, particularly if autoantibodies have formed that disrupt the normal activity of sperm, or in cases where blockages have formed in the vas deferens. If there is a blockage at the epididymis, then you may require a vasoepididymostomy to restore your fertility. Antisperm antibodies can develop during the period of time after a vasectomy, and they reduce the motility of sperm, thus resulting in diminished fertility. For this reason, Dr. Larish, New York’s Top Vasectomy Reversal Doctor, often recommends a vasoepididymostomy for patients who may have experienced these problems.
Presence of Sperm in the Vas Deferens
During a vasovasotomy, a urologist should always examine the vas deferens to determine if there is sperm present. This can be done under a microscope during surgery. If sperm is present in either end of the vas deferens, the vasectomy can be successfully reversed with a return to fertility, as long as the surgeon makes a watertight seal when completing the reconnection. However, some surgeons do not check for sperm during the procedure, and this is a significant cause of failure of vasectomy reversals. This typically occurs when surgeons do not perform many vasectomy reversals, but an experienced urologist will always check for the presence of sperm during a vasectomy reversal. As the length of time since a vasectomy increases, fertility restoration more frequently requires vasoepididymostomy to bypass areas of “blowout” or obstruction in the epididymis, which may occur as a result of trauma or infection. During a vasoepididymostomy, the surgeon attaches the vas deferens to part of the epididymis.
What is it?
Vasoepididymostomy is a surgical procedure which is performed to reverse a vasectomy, which has some complications, such as a blockage. This surgical procedure involves the connection of the severed vas deferens to the epididymis and is much more technically demanding than the Vasovastomy.
A Vasovastomy involves a simple incision, while the Vasoepididymostomy involves the testis, by exposing the outer testis covering (tunica vaginalis) to correct an obstruction of the epididymis layer
Vasovasostomy is the standard procedure and most commonly performed vasectomy reversal surgery used today. During the procedure the separated ends of the vas
deferens are reconnected. This is done after an examination of the vas fluid. The vas fluid is examined under a microscope and it is determined if the fluid is of good quality, clear and non-opaque with completely formed, healthy and active sperm.
Vasoepididymostomy is performed when a patient undergoes a vasectomy reversal and there is no vas fluid or the vas fluid is of low quality or the sperm flow is blocked. In this event a Vasoepididymostomy will be required which is a complex and more demanding procedure.
Our urogical surgeons will use the Microsurgical Two Suture Longitudinal Intussusceptions Technique which means the surgeon will need to work with a larger opening between the tiny epididymal tubule and the larger vasal tubule. Your urological surgeon will inspect the epididymis then the individual tubes are selected to enter and connect to the vas deferens to allow semen flow to return. The opening is then replaced and sutured in place. This technique takes approximately 2 to 4 hours to perform. The benefit of having this surgery is the higher success rates associated with this procedure.
Our urological surgeon performs vasoepidiymostomies on a regular basis; inexperienced urological surgeons should not attempt this surgery. For our physician here in our New York City clinic- this procedure is routine and has outstanding success rates as a vasectomy reversal specialist.
Do you have more questions about this procedure? Please call us today to schedule a consultation with the best surgeon in NYC for a Vasectomy Reversal. Our patients are our top priority.
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.
