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: Vasectomy Reversal

Choosing the Right Urologist for a Vasectomy Reversal: Key Factors to Consider

Choosing the right urologist for your vasectomy reversal is a critical decision that can significantly impact the outcome of the procedure. With so many factors to consider, it can be overwhelming to know where to start. In this blog, we will outline the key factors to consider when selecting a urologist for your vasectomy reversal to help you make an informed decision.

Choosing the Right Urologist for a Vasectomy Reversal

Experience and Expertise

Specialization in Vasectomy Reversal

When selecting a urologist, it is essential to choose someone who specializes in vasectomy reversal. A urologist with extensive experience in performing this specific procedure is more likely to achieve successful outcomes. Look for a specialist who has completed numerous vasectomy reversals and has a proven track record of success.

Board Certification and Training

Ensure that the urologist you choose is board-certified and has undergone specialized training in microsurgery and male fertility. Board certification indicates that the urologist has met rigorous standards and possesses the necessary skills and knowledge to perform vasectomy reversals.

Success Rates and Patient Reviews

Proven Success Rates

Ask the urologist about their success rates for vasectomy reversal procedures. Success rates can vary based on factors such as the time elapsed since the vasectomy and the surgical technique used. A reputable urologist should be transparent about their success rates and provide you with realistic expectations.

Patient Testimonials and Reviews

Reading patient testimonials and reviews can provide valuable insights into the urologist’s expertise and patient care. Look for reviews from patients who have undergone vasectomy reversal with the urologist you are considering. Positive reviews and success stories can give you confidence in your choice.

Surgical Techniques and Technology

Advanced Surgical Techniques

Microsurgery is the gold standard for vasectomy reversal, offering higher success rates and minimal tissue damage. Ensure that the urologist is skilled in advanced microsurgical techniques such as vasovasostomy and vasoepididymostomy. These techniques require precision and expertise to reconnect the vas deferens effectively.

State-of-the-Art Technology

A well-equipped surgical facility with state-of-the-art technology is crucial for the success of vasectomy reversal. Advanced microscopes, fine sutures, and specialized instruments enhance the precision of the procedure. Inquire about the technology and equipment used by the urologist and their surgical team.

Communication and Patient Care

Clear Communication

Effective communication between you and your urologist is essential throughout the vasectomy reversal process. The urologist should take the time to explain the procedure, answer your questions, and address any concerns you may have. Clear and open communication ensures that you are well-informed and confident in your decision.

Comprehensive Patient Care

Choosing a urologist who provides comprehensive patient care is vital for a smooth and successful experience. This includes pre-operative consultations, detailed post-operative instructions, and regular follow-up appointments. A urologist who is dedicated to your well-being will support you throughout your fertility restoration journey.

Cost and Insurance

Understanding the Costs

Vasectomy reversal can be a significant financial investment. It’s important to understand the costs involved and what is included in the surgical fee. Some urologists offer package deals that cover pre-operative consultations, the surgery itself, and follow-up appointments.

Insurance Coverage

Check with your insurance provider to determine if vasectomy reversal is covered under your plan. Some insurance policies may cover part or all of the procedure. The urologist’s office may also offer financing options to help manage the cost.

Conclusion: Finding the Right Urologist for a Vasectomy Reversal

Choosing the right urologist for your vasectomy reversal is a crucial step in your journey to restoring fertility. By considering factors such as experience, success rates, surgical techniques, patient care, and cost, you can make an informed decision that aligns with your needs and goals.

For expert guidance and comprehensive care for your vasectomy reversal, contact:

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

Dr. Yaniv Larish is dedicated to providing personalized care and advanced surgical techniques to help you achieve your family planning goals. Schedule a consultation today to explore your options and take the first step toward restoring your fertility.

The Science of Vasectomy Reversal: How It Works and What to Expect

Understanding the Procedure: The Science Behind Vasectomy Reversal

Vasectomy reversal is a surgical procedure designed to restore fertility in men who have previously undergone a vasectomy. This blog will delve into the science behind vasectomy reversal, explaining how it works and what patients can expect throughout the process.

The Science of Vasectomy Reversal

How Vasectomy Reversal Works

A vasectomy reversal involves reconnecting the vas deferens, the tubes that were cut or sealed during a vasectomy. The vas deferens carry sperm from the testicles to the urethra, where it mixes with seminal fluid to form semen. By reconnecting these tubes, sperm can once again be present in the ejaculate, allowing for the possibility of natural conception.

Vasovasostomy

The most common technique for vasectomy reversal is vasovasostomy. This procedure involves microsurgically suturing the two ends of the vas deferens back together. A high-powered microscope and very fine sutures are used to ensure precision and minimize tissue damage. This method is typically chosen when there is no blockage in the vas deferens and the fluid from the testicular end contains sperm.

Vasoepididymostomy

In cases where there is a blockage in the vas deferens or when the fluid from the testicular end does not contain sperm, a more complex procedure called vasoepididymostomy may be required. This technique involves connecting the vas deferens directly to the epididymis, the structure where sperm matures and is stored. Vasoepididymostomy is a more intricate procedure but can be highly effective in bypassing obstructions.

What to Expect Before, During, and After the Procedure

Pre-Operative Consultation

Before undergoing a vasectomy reversal, a thorough consultation with a urologist is essential. This appointment will involve discussing your medical history, previous vasectomy details, and any fertility concerns. The urologist will likely perform a physical examination and may order tests to assess your overall health and fertility status.

The Day of the Surgery

On the day of the surgery, patients can expect the following steps:

  • Anesthesia: Vasectomy reversal is usually performed under general anesthesia, although local anesthesia with sedation may also be an option.
  • Surgical Procedure: The surgery typically takes between 2 to 4 hours, depending on the complexity of the procedure. The surgeon will make a small incision in the scrotum to access the vas deferens and perform either a vasovasostomy or vasoepididymostomy.
  • Recovery Room: After the surgery, patients will spend some time in a recovery room to ensure they are stable and comfortable before being discharged.

Post-Operative Care and Recovery

Recovery from vasectomy reversal involves several important steps:

  • Rest and Activity: Patients are advised to rest and avoid strenuous activities for a few weeks following the surgery. Most can return to light activities and work within a week, but heavy lifting and vigorous exercise should be avoided.
  • Pain Management: Mild to moderate pain and swelling are common after the procedure. Over-the-counter pain relievers and ice packs can help manage discomfort.
  • Follow-Up Appointments: Regular follow-up appointments with the urologist are crucial to monitor healing and evaluate the success of the procedure. A semen analysis is usually performed a few months after surgery to check for the presence of sperm.

Success Rates and Factors Influencing Outcomes

The success of vasectomy reversal is influenced by several factors, including the time elapsed since the vasectomy, the patient’s age and overall health, and the surgical technique used. Generally, the sooner the reversal is performed after the vasectomy, the higher the chances of success. Success rates can range from 40% to over 90%, depending on these factors.

Conclusion: Restoring Fertility Through Vasectomy Reversal

Vasectomy reversal is a complex yet effective procedure that can restore fertility and offer the possibility of natural conception. Understanding the science behind the procedure and what to expect can help patients make informed decisions and prepare for their journey.

If you’re considering vasectomy reversal and wish to learn more about the procedure, contact:

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

Dr. Yaniv Larish provides expert guidance and comprehensive care for individuals seeking to restore their fertility through vasectomy reversal. Schedule a consultation to explore your options and take the first step towards achieving your family planning goals.

Vasectomy Reversal for Veterans: Options and Support

Honoring Service, Expanding Families: Vasectomy Reversal for Veterans

In this blog, we will explore the options and support available for veterans considering vasectomy reversal. Military service often requires significant sacrifices, including decisions about family planning. For veterans who have previously undergone vasectomy but now wish to expand their families, vasectomy reversal can be a viable option.

Vasectomy Reversal for Veterans

Unique Challenges Faced by Veterans

Veterans may face unique challenges when it comes to family planning. Deployments, extended periods of service, and frequent relocations can make it challenging to pursue fertility treatments. Vasectomy reversal can offer a more accessible and cost-effective solution for veterans who desire to have children after their military service.

VA Benefits and Coverage

It’s essential for veterans to explore their options for vasectomy reversal, including any potential benefits and coverage provided by the Department of Veterans Affairs (VA). While coverage can vary, some veterans may be eligible for financial assistance or reimbursement for the procedure. Veterans are encouraged to contact their local VA office to inquire about available benefits.

Private Consultation with Dr. Yaniv Larish

Veterans considering vasectomy reversal can also benefit from private consultation with a specialist who is experienced in vasectomy reversal procedures. The doctor can assess each veteran’s unique situation and provide tailored guidance, including information on the procedure, success rates, and potential financing options.

Supportive Resources

Support is essential for veterans throughout their fertility journey. Many veterans’ organizations and support groups offer assistance, information, and resources related to family planning and fertility treatments. Connecting with these organizations can provide emotional and practical support during the vasectomy reversal process.

Conclusion: Expanding Families with Vasectomy Reversal

Veterans who have served their country should have access to family planning options that align with their post-service goals. Vasectomy reversal is a viable choice for veterans seeking to expand their families, and the support and resources available can help navigate this journey.

Consult with A Specialist

Dr. Yaniv Larish is committed to assisting veterans and providing expert care to help them achieve their family planning goals through vasectomy reversal. Contact his office at 646-862-5500 to schedule a consultation and take the first step toward expanding your family after military service.

Recurrent Vasectomy: Why Some Men Need Re-Reversal

Understanding Recurrent Vasectomy and the Need for Re-Reversal

Vasectomy reversal is a remarkable procedure that offers renewed hope for individuals and couples looking to restore their fertility. However, in some cases, despite the initial success of a vasectomy reversal, men may find themselves in a situation where another reversal, known as re-reversal, becomes necessary. In this blog, we will explore the reasons why some men may require re-reversal and what this procedure entails.

recurrent vasectomy reversal

Recurrent Vasectomy: What Is It?

Before delving into re-reversal, let’s briefly discuss recurrent vasectomy. Recurrent vasectomy occurs when the reconnection of the vas deferens, which was initially achieved through vasectomy reversal, becomes blocked again. This blockage can prevent the natural flow of sperm, potentially leading to infertility once more.

Reasons for Recurrent Vasectomy

Several factors can contribute to the recurrence of a blockage in the vas deferens after a successful vasectomy reversal:

Scar Tissue Formation:

Over time, scar tissue can develop at the site of the vasectomy reversal, potentially causing a re-blockage. This scar tissue formation can vary from person to person.

Infection or Inflammation:

Infections or inflammatory responses within the vas deferens can lead to scarring and blockage, compromising the success of the initial reversal.

Surgical Complications:

Sometimes, surgical complications during the initial vasectomy reversal procedure can result in inadequate reconnection of the vas deferens, increasing the likelihood of recurrence.

The Need for Re-Reversal

When recurrent vasectomy occurs and natural conception is once again hindered, re-reversal becomes a viable option. Re-reversal involves reattempting the surgical reconnection of the vas deferens to reestablish the flow of sperm.

Success Rates and Considerations

The success rates of re-reversal can vary based on individual circumstances and the reasons for recurrence. It’s essential to consult with a skilled urologist who specializes in vasectomy reversal and re-reversal procedures. They can assess your specific situation and provide insights into the likelihood of success.

Conclusion: Reclaiming Fertility with Re-Reversal

Recurrent vasectomy can be a challenging situation for individuals and couples who have already undergone vasectomy reversal. Re-reversal offers renewed hope for those who desire to expand their family. If you or someone you know is considering re-reversal or has questions about the procedure, consult with a specialist who can provide expert guidance and support.

Contact Dr. Larish Today

Dr. Yaniv Larish specializes in vasectomy reversal and re-reversal procedures, helping individuals and couples navigate the path to fertility restoration. Contact his office to schedule a consultation and take the first step toward achieving your family planning goals, even after recurrent vasectomy.

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

Vasectomy Reversal Techniques: Exploring Surgical Options and Advances

Delving into Vasectomy Reversal Techniques and Innovations

Vasectomy reversal is a transformative procedure that restores fertility for individuals who have previously undergone a vasectomy. This blog will explore the various surgical techniques used in vasectomy reversal, including advancements in the field. Understanding these techniques will help individuals considering the procedure make informed decisions about their reproductive health.

Vasectomy Reversal Techniques

Vasovasostomy: Reconnecting the Vas Deferens

Vasovasostomy is the most common technique used in vasectomy reversal. This procedure involves reconnecting the severed ends of the vas deferens, allowing sperm to flow through again. It is typically performed when the vas deferens has a healthy appearance and no blockages are present.

Vasoepididymostomy: Bypassing Obstructions

In cases where a blockage or scarring is present in the vas deferens, vasoepididymostomy may be necessary. This technique involves creating a bypass between the epididymis and the vas deferens, allowing sperm to bypass the obstruction and flow directly into the reproductive tract. Vasoepididymostomy requires exceptional surgical skill and is typically performed when vasovasostomy is not feasible.

Microsurgical Techniques: Precision and Success

Vasectomy reversal procedures rely on microsurgical techniques to achieve optimal outcomes. Microsurgery involves using specialized instruments and high-powered magnification to meticulously reconnect the tiny structures of the vas deferens. This level of precision is crucial for ensuring proper alignment and restoration of sperm flow. Urologists highly skilled in microsurgical techniques will improve chances for high success rates and improved post-operative recovery.

Advancements in Vasectomy Reversal

Continual advancements in vasectomy reversal techniques have led to improved outcomes and patient satisfaction. These advancements include refined suturing techniques, innovative instruments, and the use of high-resolution imaging for enhanced visualization during surgery. Qualified urologists stay at the forefront of these advancements, incorporating the latest techniques and technologies to provide the best possible results for  patients.

Personalized Approach to Vasectomy Reversal

Every individual considering vasectomy reversal is unique, and their specific circumstances will dictate the most suitable technique. Vasectomy reversal specialists understand the importance of a personalized approach, taking the time to evaluate each patient’s medical history, anatomy, and specific needs. This type of individualized care ensures that the chosen technique maximizes the chances of success and provides the best possible outcome for each patient.

Conclusion: Exploring Vasectomy Reversal Techniques with Dr. Yaniv Larish

When considering vasectomy reversal, understanding the surgical techniques involved is essential for making informed decisions. Dr. Yaniv Larish, an experienced urologist specializing in vasectomy reversal, offers expertise in both vasovasostomy and vasoepididymostomy techniques. With his exceptional surgical skills and commitment to personalized care, he can guide you through the process, determining the most appropriate technique for your specific needs.

When you choose Dr. Larish for your vasectomy reversal, you can expect a personalized approach tailored to your unique circumstances. He will thoroughly evaluate your medical history, anatomy, and fertility goals to determine the most suitable technique for your situation. With his compassionate guidance and dedication to achieving exceptional outcomes, you can embark on your vasectomy reversal journey with confidence.

To learn more about vasectomy reversal techniques and to schedule a consultation with Dr. Larish, contact his practice at:

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

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Disclaimer: This blog post is intended for informational purposes only and should not be considered as medical advice. Please consult with a qualified healthcare professional for personalized guidance regarding vasectomy reversal and your specific medical needs.

A Guide To Understanding Vasectomy Reversals

understanding vasectomy reversals

Understanding vasectomy reversals is very important for men who have undergone a vasectomy but now wish to regain their fertility. For these men, a vasectomy reversal offers a viable solution to regain the ability father children. Understanding the intricacies of this procedure is crucial for making an informed decision. In this comprehensive guide, we will delve into the world of vasectomy reversal, discussing its purpose, success rates, considerations, and the role of a skilled urologist.

What Is Vasectomy Reversal?

A vasectomy reversal is a surgical procedure that aims to restore fertility in men who have previously undergone a vasectomy. During a vasectomy, the vas deferens, the tubes responsible for carrying sperm from the testicles to the urethra, are severed or blocked. Vasectomy reversal reconnects the vas deferens, allowing sperm to flow freely again.

Factors to Consider Before Vasectomy Reversal

While vasectomy reversal can be an effective option for restoring fertility, there are important factors to consider before making a decision. One crucial aspect is the time elapsed since the original vasectomy. Generally, the longer the duration between the vasectomy and the reversal, the lower the success rates. Age and overall health also play a role in determining candidacy.

The Role of a Skilled Urologist in Vasectomy Reversal

Choosing the right urologist is paramount when considering vasectomy reversal. Dr. Yaniv Larish brings a wealth of expertise and experience to the field, specializing in male reproductive health and microsurgery. His dedication to patient care and commitment to staying up-to-date with the latest advancements ensure that individuals seeking vasectomy reversal receive the highest quality of care.

The Vasectomy Reversal Procedure

There are two primary surgical techniques for vasectomy reversal: vasovasostomy and vasoepididymostomy. Vasovasostomy involves reconnecting the severed ends of the vas deferens directly, while vasoepididymostomy creates a bypass between the vas deferens and the epididymis, the structure that stores and matures sperm. The choice of technique depends on various factors, including the presence of sperm in the vas deferens and the condition of the epididymis. Your urologist will determine the most suitable approach for your specific case.

Success Rates of Vasectomy Reversals

The success of vasectomy reversal is typically measured by two factors: the patency rate (the restoration of sperm flow) and the pregnancy rate. While success rates can vary based on individual circumstances, factors such as the surgeon’s skill and experience, the technique used, and the time since the vasectomy are critical determinants. Your doctor should provide you with a realistic assessment of the potential outcomes based on your unique situation.

Top vasectomy reversal specialist NYC 2023

Understanding Vasectomy Reversals: Conclusion

If you are considering vasectomy reversal to restore your fertility, it is crucial to have a thorough understanding of the procedure, its success rates, and the factors that can influence the outcome. Dr. Yaniv Larish, an esteemed urologist in New York City, offers comprehensive vasectomy reversal services to help you on your journey towards parenthood.

Dr. Yaniv Larish’s expertise, combined with his compassionate approach to patient care, ensures that you receive the highest level of support and guidance. Begin your path towards parenthood with the help of a skilled urologist who is dedicated to helping individuals like you regain their fertility and become fathers.

Take control of your fertility journey and explore the possibilities of vasectomy reversals. Contact Dr. Yaniv Larish today to schedule a consultation:

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

Disclaimer: This blog post is intended for informational purposes only and should not be considered as medical advice. Please consult with a qualified healthcare professional for personalized guidance regarding vasectomy reversal and your specific medical needs.

Vasectomy Reversal Resources

What are some good vasectomy reversal resources? Many people tend to change their minds about the vasectomy procedure they underwent and opt for a reversal. Believe it or not, this is quite common, and many men choose vasectomy reversal at some point in their lives. This procedure isn’t always successful, and you may still have trouble conceiving afterward. Are you curious about vasectomy reversals and want to learn more about them before you decide if it would be a good option? If so, continue reading…

Vasectomy Reversal Resources
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What Happens During a Vasectomy?

When performing a vasectomy, the doctor blocks or cuts the vas deferens; these tubes transfer sperm from the testes toward the penis. During vasectomy reversal procedures, the surgeon has to reattach the tubes together to ensure sperm can flow into the semen.

How do Surgeons Perform Vasectomy Reversals?

Surgeons can perform vasectomy reversals through 2 main methods. They are:

Vasovasostomy: In this method, the doctor reconnects the detached vas deferens.

Vasoepididymostomy: In a vasoepididymostomy, doctors connect the vas deferens tubes to a small organ. This organ is at the back of the testicles holding the sperm. A vasoepididymostomy is a complex procedure, and doctors only choose it if they don’t think a regular vasovasostomy would work.

Who Can Undergo this Procedure?

People usually opt for a vasectomy because they do not want to conceive kids. However, many people who undergo this procedure have a change of heart at a later stage. They either want to begin a family or have more kids, so they choose a vasectomy reversal. Men who lose a child also consider this option.

This procedure can be quite helpful for a small percentage of men who experience severe pain in their testicles because of a vasectomy.

What is the Most Effective Resource for Performing a Vasectomy Reversal?

Performing a vasectomy or a reversal requires a great deal of skill and experience. The procedure involves several nuances, so it is important to choose someone who has successfully performed this procedure multiple times. Urologists are trained surgeons and know the ins and outs of the reproductive system of males.

Some even have experience performing many vasectomies and are familiar with different techniques used to perform this procedure. While a few primary care doctors may also have experience with vasectomy reversals, it would be best to see a specialist because specialists have high success rates and are familiar with various vasectomy reversal methods suited for different patients and their anatomies.

Where are Vasectomies Performed?

Typically, vasectomies are performed in clinics or the doctor’s office. First, you will need to come in and settle, after which your doctor may give you a numbing medicine to calm you down for the procedure. Some individuals feel a slight pinch and some heat when doctors apply for the numbing medicine. Once the procedure begins, you may feel some pressure in the testicles. That said, the procedure doesn’t last long and doesn’t take more than thirty minutes.

Some patients feel pain in their scrotum after the procedure, but your doctor will most likely prescribe medication to manage it.

Vasectomy Reversal Resources
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Vasectomy Reversal Resources: Final Thoughts

A vasectomy reversal is a complicated and delicate procedure, which is why you must only choose an experienced professional. Dr. Yaniv Larish and his team has years of experience performing vasectomies and are familiar with different ways to execute this surgery. Get in touch with us to book an appointment. Once you do, we will gauge your condition and advise you whether you should get a reversal and how to proceed.

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

The Vasectomy Reversal Operation

Doctors perform the vasectomy reversal operation to undo a vasectomy. When performing this operation, the surgeon attaches each vas deferens (tubes that carry sperm to the semen.) Once a vasectomy reversal procedure is complete, men can reproduce again. The pregnancy rates post vasectomy reversal usually range from thirty to ninety percent, depending on the procedure chosen by the surgeon.

In addition, various factors determine whether an individual can successfully achieve pregnancy after undergoing the reversal operation. Some of the most common factors are:

  • The partner’s age
  • Surgeon’s training and experience
  • Whether the patient had any fertility problems before the vasectomy

The Vasectomy Reversal Operation
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Why do People Undergo this Procedure?

People undergo vasectomy reversal procedures for various reasons like remarriage, change of heart, treating chronic pain in the testicles post vasectomy, loss of a child, etc. Whatever the case, it is worth keeping in mind that vasectomies do not have a 100 percent success rate. Some individuals may think they underwent a successful vasectomy reversal procedure only to discover that they still cannot reproduce.

However, if you are serious about getting a reversal, it’s worth trying this procedure as its success rate is quite high.

Are There Any Risks Associated with Getting a Vasectomy?

While experts can reverse almost every vasectomy, there are no guarantees that you will successfully get your partner pregnant. You can still try this procedure many years after you get your vasectomy. However, the longer you wait for the reversal, the lower the likelihood it will work. It’s also worth mentioning that vasectomy reversals seldom result in serious complications. Some of the risks associated with this procedure are as follows:

Scrotum Bleeding:  Sometimes, a vasectomy reversal can cause the patient to suffer from bleeding in their scrotum. Issues like this can result in hematoma, causing much swelling. If you face such issues, it would be best to follow your surgeon or doctor’s advice to use ice packs post surgery, utilize scrotal support, get enough rest, etc.

Chronic Pain: While chronic pain after a vasectomy reversal isn’t too common, some people may experience it. Individuals who experience chronic pain after a reversal must immediately consult with their physicians.

Possible Infections: People who undergo vasectomy reversal procedures get infections at the surgery site. However, there is still a chance. In such situations, your doctor may prescribe you antibiotic treatments.

How to Prepare for the Procedure

Are you thinking about reversing your vasectomy? If so, you must consider a few things:

  • This procedure can be costly, and it’s important to learn about its cost in advance as most insurance options don’t cover it.
  • The surgery generally has a higher success rate when performed by an expert trained in microsurgical techniques.
  • Occasionally, a vasectomy reversal operation may require a complicated repair, also referred to as vasoepididymostomy. So, ensure your surgeon has the skills and experience to execute this procedure properly.

The Vasectomy Reversal Operation: Final Thoughts

Getting a vasectomy reversal can be a massive decision for most people. While the procedure has high success rates, certain risks are involved, and you may not get the desired results. For this reason, it is vital to consult an expert before getting a procedure.

If you’re unsure whether you should get a vasectomy reversal, get in touch with Dr. Yaniv Larish. He and his team of experts will evaluate whether you are fit for a reversal and perform it with the utmost care. Make sure to follow their pre and post surgery instructions to ensure your procedure goes smoothly and has the best chances for success.

Call today for a consultation.

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

Can a Man Reverse His Vasectomy?

Can a Man Reverse His Vasectomy? A vasectomy reversal can be quite a complicated and delicate procedure and doesn’t come with any guarantees. A vasectomy reversal procedure reconnects the tubes that allow sperm to flow normally and allow a man to conceive again. Testes are the sex glands in males, and their main job is to store and produce sperm.

In vasectomies, the surgeon prevents sperm from reaching the semen by cutting the tubes responsible for carrying the sperm to the urethra. Usually, a vasectomy is considered a permanent type of contraception, as reversing the procedure isn’t always possible. So, if you are thinking about getting a vasectomy, it’s important to remember that the procedure doesn’t have a 100% success rate with reversals. When performing a vasectomy reversal, the surgeon rejoins the blocked or cut tubes, ensuring the sperm can reach your testes so you can impregnate your partner.

Can a Man Reverse His Vasectomy?
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Is it Possible for Men to Reverse Their Vasectomy?

Yes, reversing a vasectomy is possible, and hundreds, if not thousands, of men opt for it every year. That said, this procedure is not always successful. Plus, there are plenty of factors that determine whether the procedure will bear results. Some of those factors include:

  • Age
  • Overall health
  • Preexisting conditions
  • The genetic quality of the sperm

Most people get a vasectomy to avoid having kids or adding more to their family. However, some change their mind later in life and want to be able to have children. That’s where getting a vasectomy reversal could be helpful. With time, there has been a notable increase in vasectomy reversal success rates as more professionals learn how to perform this complex procedure.

Are Vasectomy Reversals Risky?

Generally, a vasectomy reversal is considered quite a safe procedure even if it doesn’t turn out to be successful. People rarely have complaints regarding post surgery pain or other similar issues. That said, a small percentage of men who undergo this procedure report experiencing the following issues:

Swelling: Some people notice swelling in their surgery area after the procedure. While this rarely happens, you must keep an eye out for it. If you experience such an issue, consult your doctor to receive the right treatment.

Chronic Pain: Once again, there are very few instances of people experiencing chronic pain after a vasectomy reversal. If you feel unbearable pain after the reversal procedure, waste no time consulting your surgeon or healthcare professional.

How Successful are Vasectomy Reversal Procedures?

As mentioned earlier, the success of a vasectomy reversal usually depends on the type of surgery you underwent and how when it happened. Of course, if the surgery took place a long time ago, your tubes will have a lot of scar tissue, lowering the likelihood of successful reversal. Here is a look at some vasectomy reversal success rates:

  • Seventy five percent if the reversal is performed within three years
  • Up to forty five percent after ten to fourteen years
  • Thirty percent after fifteen to nineteen years

Can a Man Reverse His Vasectomy | Specialist NYC
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Can a Man Reverse His Vasectomy? Final Thoughts

Deciding to get a vasectomy reversal can be quite a tough decision, especially because there are no guarantees that the process will be successful. If you are unsure whether to opt for this surgery, consider contacting a professional like Dr. Yaniv Larish, who has a great deal of experience with reversals.

Once you contact the doctor’s team and book an appointment, one of the experts in his team will check your medical history and determine if you would be a suitable candidate for a vasectomy reversal. After that, they will counsel you on how to proceed with the surgery and provide post surgery guidance.

Call today to schedule a consultation.

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

Vasectomy Reversals: Another Chance to Have Children

Vasectomy reversals help return fertility to a man after he’s undergone a vasectomy. In this procedure, urologists reattach the tube called vas deferens that carries sperms from testicles to the penis. During a vasectomy, the doctor cuts and seals this tube preventing sperms to mix with semen and leave the body. After a successful vasectomy reversal, you can ejaculate sperms and get your spouse pregnant.

Vasectomy Reversals Another Chance to Have Children
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The pregnancy rate after vasectomy reversal ranges between 30% to more than 90%. However, the success rate depends on many factors such as the partner’s age, type of procedure, and time since vasectomy. Furthermore, the training and experience of the urologists also count. That’s why you should consider a professional urologist to fix fertility issues.

Why Should I Get a Vasectomy Reversal?

Sometimes people after 15 to 20 years of vasectomy or even earlier want another chance to have a baby. Perhaps they have a change of heart or the partner they want to spend their life with, wants a child. Some people also perform vasectomy before they want someone to carry their family name. These are just a few examples and you may have your own. Nonetheless, you can undergo vasectomy reversal to recover your ability and have a child.

What Does the Procedure for Vasectomy Reversals Involve?

Let’s understand how the procedure works to revive your ability to make your partner pregnant:

Before the Procedure

Here is what you will go through upon your visit to a doctor for vasectomy reversal:

·       Physical Examination

When you will visit the doctor for vasectomy reversal, the doctor will take your history and evaluate your health. If you have already taken medication, you should inform the doctor. They will let you know whether the medication disrupts the procedure or not.

·       Sperm Production

After undergoing vasectomy, sperm production continues. But, it doesn’t mix with semen to leave the body. Over time, sperm production reduces in quantity. An unhealthy diet, smoking, and age are some factors that reduce sperm production. Urologists perform various tests to confirm whether your body produces sperms or not.

·       Partner’s Ability to Conceive

A urologist will check your partner to ensure that they produce a healthy ovum. If your partner never had a baby, there is a chance that they might develop fertility problems. The doctor will perform gynecological tests and exams.

When the doctor confirms you are healthy for vasectomy reversal, they will set an appointment for the procedure. Reversals are minimally invasive treatments, performed on an outpatient basis. This indicates that you don’t have to stay overnight in the office. In fact, some doctors perform a vasectomy in their clinics. But, you have to ensure that the doctor is capable of performing this complex surgery.

Depending on your health condition and the complexity of the procedure, a urologist gives local or general anesthesia. So, you may or may not be sleeping during the reversal. So, you should confirm with your doctor before the surgery.

Vasectomy reversal is a complex procedure than vasectomy. In some cases, the doctor might use the microscopic device to perform the surgery. A powerful surgical microscope enables urologists to magnify vas deferens. Cutting vas deferens is simple while stitching the tube is difficult and requires a urologist with expertise and skills.

Vasectomy Reversals Another - Children
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During the Procedure

After injecting local or general anesthesia, the doctor will rub their fingers on the scrotum to identify vas deferens. They will make a small cut or hole on the spot. That way they can see the tube that takes sperms to the penis. The doctor will use a microscope to remove vas deferens from surrounding tissues.

Next, the doctor will cut the sealed ends of the tube. They will take a sample of the fluid for examination. The examination helps them to identify whether the fluid contains sperms or not. If they found sperms in the fluid, they will connect the tube with the other end to reestablish the flow.

In rare cases, when the tube doesn’t contain sperm, the doctor will perform vasoepididymostomy. This is another type of vasectomy reversal, but a urologist will only go for this procedure when the fluid doesn’t contain sperms.

Vasectomy Reversals: Conclusion

Whether you have a change of heart or remarried someone after vasectomy, you have to undergo a reversal. This is the only effective technique to return your fertility when you had a vasectomy. With a high success rate, vasectomy reversal is the only chance for you. Many people also undergo vasectomy reversal because they experience pain in their testicles due to the previous vasectomy. The reversal may help this condition.

A skilled urologist will carefully examine you before the procedure and properly perform the surgery. At, Vasectomy Reversal NYC, our expert urologist, Dr. Yaniv Larish will help you with vasectomy reversals and help you to achieve pregnancy with your partner.

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

Vasectomies & Vasectomy Reversals

Vasectomies & vasectomy reversals are two male genital surgeries that curtail your ability to get your partner pregnant via insemination. Below, we will learn more about these reproductive system surgeries.

What is Vasectomy?

A vasectomy is an outpatient surgery that prevents pregnancy. It is a simple procedure that doesn’t require advanced tools. In this procedure, a professional urologist accesses the vas deferens and severs them. the vas deferens are responsible for carrying sperm into the penis after mixing with seminal fluids. When the doctor cuts this tube, the sperms won’t mix with the semen. Instead, it stays inside the body and dries off.

Vasectomies & Vasectomy Reversals
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This is a quick and easy process and the doctor will take up to 30 to 45 minutes to complete the procedure. Vasectomy is the best method for birth control. Furthermore, the effectiveness and success rate for this treatment is almost 100%. Urologists might choose one out of two processes to perform both control treatments. Here are these types:

  • The incision method
  • No-scalpel method

Many urologists perform scalpel or no-cut methods. This treatment includes lower complication and infection risks. Furthermore, the recovery is also fast. In this procedure, the urologist will make a tiny hole or incision, small than 10 mm. This tiny hole helps them to access the vas deferens and make a cut to disconnect the sperm flow.

Although vasectomies are permanent birth control solutions, you can also reverse them. Many people after getting vasectomy have a change of heart and want to have a child. They can consult a urologist and reverse their vasectomy.

How Do Vasectomies Work?

Vasectomy is a simple birth control procedure that prevents pregnancy. If you want to have a vasectomy, how it’s done.

Upon your visit to the urologist for vasectomy, the doctor will ask you to lie on the bed. Since this is a minimally invasive treatment, you don’t have to be in an operation theatre. The doctor will perform the surgery in their clinic.

The doctor inserts local anesthesia so you won’t feel pain during the surgery. Then the doctor will identify the vas deferens above the scrotum’s skin and place a clamp. They will make a tiny hole or incision to access the tube. The urologist will cut a piece of vas deferens and carefully stitch both ends. Since vas deferens carry sperms from the epididymis to the urethra, cutting this tube will prevent the flow.

Vasectomy is a less invasive treatment and once the doctor stitches the scrotum skin, you can go back home all alone. However, the doctor will recommend not having sex for three months for the recovery of the open vas deferens ends. During this time, you might ejaculate sperms with the semen. Urologists also ask for various follow-up sessions. In these sessions, the doctor will confirm whether your semen contains sperms or not. Once confirmed, you can have sex without worrying about making your partner pregnant.

What is a Vasectomy Reversal?

At any time of your life, you feel like you want to have babies, you can reverse the vasectomy. This procedure is a bit difficult and might require general anesthesia. This means that you will be sleeping throughout the procedure. Like vasectomy, reversal is also an outpatient procedure.

By performing vasectomy reversal, the doctor will reestablish the sperm path by connecting vas deferens. The success rate of vasectomy reversal is around 90% and it decreases according to the number of times you had this surgery. Many people undergo vasectomy and vasectomy reversal multiple times because they can’t make up their minds. For these people, the success rate for reversal will decrease. Thus, you have to have clear thoughts while deciding for the first time.

How Do Vasectomy Reversals Work?

When you will visit a urologist for reversal, they will evaluate your condition and check whether it is worth it or not. They might also diagnose your partner for female reproduction diseases.

Once confirmed, the urologist will inject local or general anesthesia, depending on your condition. The medication will numb your genital. Now the doctor will make tiny incisions or holes on the scrotum skin and drag out both ends.

Vasectomies & Vasectomy Reversals Urology
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Sometimes, the tubes are attached to other organs, especially when you are having reversal after a long time of getting a vasectomy. In this condition, the urologist will perform microsurgery. For that, the doctor has to use a powerful surgical microscope. This helps them to magnify the vas deferens and observe them during treatment.

Keep in mind, a slight mistake can damage the vas deferens and other organs. Thus, you need a professional and experienced urologist experienced in microsurgery. After separating the tubes, the surgeon will reattach the tubes, creating a clear pathway for the sperm to reach the penis.

Vasectomies & Vasectomy Reversals: Conclusion

If you want to consult a professional urologist in New York City, you can consult one of the experienced urologists in the city, Dr. Yaniv Larish.

Schedule an appointment today for a consultation:

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

Important Factors for Vasectomy Reversals

What are the most important factors for vasectomy reversals? As the title may already suggest, we’re going to be talking about vasectomy reversals. Vasectomies are medical procedures that act as a permanent contraceptive method for men. It allows them to enjoy sexual relationships without the worries about accidental pregnancies. On the other hand, some people wish not to have children due to other reasons such as not being financially well-off or experienced enough to handle children.

Factors for Vasectomy Reversals

But, over time, the decisions about vasectomies can change. In reality, that’s the whole idea of vasectomies, i.e., to let you go by your lifestyle without facing the risk of unexpected pregnancies. When you wish to start a family and have children with your partner/spouse, you may have to get the vasectomy reversed. That procedure is fairly complicated but very easily done if you’re taking the help of a professional surgeon.

Vasectomy Reversal: Factors for Considerations

You can easily reach out to a professional healthcare provider who can help you with your vasectomy reversal. However, there are certain things that you and/or your partner/spouse must consider first. The said factors will ensure that you’re making the right decision without any complications.

Time Is a Huge Factor

Most people who are about to get their vasectomies or have already gotten their vasectomy and are thinking about reversing it assume that it won’t succeed. The reason why some people think that is because of the time that has elapsed since the procedure. We’re here to tell you that while time is a huge factor for consideration when it comes to vasectomy reversals, the success rate is usually high. Even after ten years, it can be as high as 90 percent, according to experts.

Some experts believe that 15 years after getting a vasectomy, the success rate of reversal starts declining quite slowly as well. So, if you’re thinking about getting a vasectomy reversal, you must know that time plays a huge role in the procedure’s effectiveness and success. The sooner you get the vasectomy reversed, the higher the chances of you successfully conceiving with your partner/ spouse.

Along with time, other factors also come into play. For instance, the health of your sperm cells, fertility rate, and the age of the partner/spouse you’re trying to get pregnant with.

Fertility Matters Significantly

Although time plays a crucial role in getting pregnant after a vasectomy reversal, you must consider other factors as well. Firstly, the doctor you see for a vasectomy reversal consultation might suggest that you take a fertility test. It’s a precautionary measure aimed at informing a couple whether or not they can conceive effectively. For instance, a couple might reconsider spending their savings on a vasectomy reversal if they have extremely low fertility rates and chances of conceiving.

On the other hand, learning about the fertility rates can suggest whether you should opt for a vasectomy reversal or think about adoption. Besides the patient, their partner’s health matters as well. Your partner or spouse might also undergo fertility tests and age factor consideration before a vasectomy reversal procedure. If time is a huge factor and aging has become an issue that makes the prospect of getting pregnant seem difficult, many doctors recommend vitro fertilization.

While it’s not a natural method, you must consider it when you think that you or your spouse is aging and that the health of your sperms is declining.

Sperm Health Is Restored

Do you know that your testicles never stop making sperm cells after a vasectomy? Your testicles responsible for producing sperms and semen fluid continue the spermatogenesis process. However, the sperms and semen don’t find a way out of the body due to the vas deferens being cut off permanently. Therefore, a vasectomy reversal can restore your fertility.

Top Urologist Factors for Vasectomy Reversals

This is a huge cause of concern because some patients experience low fertility rates in their test results. This causes most couples to panic and moves away from the idea of spending large amounts of their savings on the respective medical procedure. In other words, don’t worry or stress out if your fertility rates appear low at first.

Once a vasectomy reversal enables sperm flow and the testicles produce new sperms, the fertility rate might increase. But, you have to remain cautious and discuss all possibilities with your general healthcare provider or specialist vasectomy reversal surgeon.

Important Factors for Vasectomy Reversals: Conclusion

Yaniv Larish MD offers expert surgical and consultation services. We aim to ensure the most effective procedure possible through the use of updated surgical techniques and state of the art equipment. Dr. Larish has extensive and diversified experience of operating on dozens of patients with urological diseases, disorders, and other issues.

Dr. Larish has successfully helped many couples with vasectomy reversal procedures. The vast majority of his vasectomy reversal patients have also succeeded in conceiving children. Call to schedule a meeting today.

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

Can Vasectomies Be Reversed?

Have you changed your mind about having children and need to know if vasectomies can be reversed? Vasectomy reversals are microsurgical procedures to rectify the effects of a vasectomy. A vasectomy is a contraceptive method to prevent pregnancies while having sexual intercourse. However, you and your partner may decide to have a vasectomy reversal if you want to have children and start your family.

Can Vasectomies Be Reversed?
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It is an important life decision that requires careful planning and consideration. While it is a relatively straightforward procedure, it comprises some of the most complex and intricate microsurgical procedures. Therefore, it is essential to know what happens during the process beforehand.

What to Know Before a Vasectomy Reversal?

One of the first things that your surgeon will do is make sure that none of your previous medical history, conditions, diseases, or disorders interfere with the procedure and complicate it. After reviewing your medical history, the doctor/surgeon will do a sperm analysis.

This analysis saves your time and trouble of getting into a vasectomy reversal if your body is unable to produce healthy and fertile sperm. Hence, there may not be chances of pregnancy from the start. However, if the reports reveal the production of healthy sperm, the surgeon will carry on with further questions and inquiries.

Your partner will also undergo tests and analysis to make sure that she can conceive and form embryos. Old age complicates the reversal procedure, so chances of conceiving significantly reduce with reverse vasectomy when a man/woman ages.

During the Microsurgery Procedure – Vasectomy Reversal

You will have your vasectomy reversal process on an outpatient basis which doesn’t require a long hospital stay.

At your surgeon’s discretion, you will receive either local or general anesthesia. Then the procedure begins with the surgeon making an incision on your scrotum, which reveals the vas deferens. These tubes carry the sperm from the male reproductive organs (testes) to the urinary/ejaculatory duct.

Gently handling the vas from your scrotum, the surgeon will make minor incisions to test if fluid is present in the vein. In case there is water/clear fluid and sperm, the surgeon will carry out a vasovasostomy.

Re-attachment of the severed ends will occur, ensuring the restoration of the pathway for sperms to move from the testes to the penis.

In the case of a dry vas or the lack of sperm in the fluid that may be present in the vas, the surgeon will carry out an epididymovasostomy. This method allows the surgeon to attach one end of the vas directly to the epididymis on the testes.

Note that these are microsurgeries that are complex and much more intricate than a vasectomy itself. In order to perform such an operation, the surgeon will use a microscope, microsurgical instruments, and other precision equipment.

After the Procedure

It can take nearly four weeks for the veins (vas deferens) to heal or more in some cases. It is also possible that your surgeon might perform vasovasostomy on one vas and epididymovasostomy on the other one. Moreover, you should not let your bandages and stitches come in contact with water or anything wet for at least two days/48 hours.

Furthermore, it is advisable to avoid heavy lifting, aerobic exercises, and, more importantly, sexual intercourse for two weeks after the procedure. Using ice packs, antibiotics, painkillers, and other medication can help take care of any bruising, swelling, or pain.

Chances of Pregnancy

Once the procedure takes place, pregnancy might not occur instantly. It can take time for the sperm to get back into the tubes and start mixing with the semen. In reality, sperm carrying ejaculate can form over the course of nearly 4-6 months. Meanwhile, your surgeon will take semen samples to ensure that sperms are healthy and fertile while also capable of mobility.

Can Vasectomies Be Reversed | NYC Urologist
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Pregnancy rates may not be 100 or 99 percent, but they are significantly higher, which is around 60-90 percent on average. Additionally, it is best to consult your doctor or surgeon in case of any unexpected emergencies after the procedure or side effects.

Can Vasectomies Be Reversed: Conclusion

Do you want to consult with one of the best urologists and vasectomy reversal experts? Dr. Yaniv Larish is a urologist and expert in performing microsurgery, especially vasectomy reversals. With extensive experience in the medical process, he can guide you and ensure the effective completion of the procedure.

Give us a call at (646) 862-5500 to schedule a consultation with Dr. Larish today. Visit us at 4 East 76th Street New York, NY 10021 for in-person inquiries. Vasectomy reversals are a sensitive concern and demand high-level expertise and skills for success.

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


Reference Links

https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537
https://urologyaustin.com/male-urology/preparing-for-a-vasectomy-reversal/
https://clearpointhealth.ca/blog/5-facts-you-should-know-before-your-vasectomy-reversal/
https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zc2385

Can All Vasectomies Be Reversed?

Can all vasectomies be reversed when it comes to the vasectomy reversal procedure? Vasectomies are a common medical procedure around the world. It is for those couples or partners who wish to live a romantic life without the risk of getting pregnant. Since a vasectomy deals with the male’s reproductive sperm, it is a highly successful and effective contraception method.

Can All Vasectomies Be Reversed?
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However, after spending some time together, a couple might decide to get a reverse vasectomy. There are many reasons behind a vasectomy reversal, primarily the wish to have children and begin a family. Moreover, a male might feel self-conscious regarding his health, which can lead him to opt for a vasectomy reversal. Hence, it is best to know beforehand what happens in a vasectomy reversal and whether all vasectomies are reversible or not.

Are All Vasectomies Reversible?

Answering the main questions first, you should know that all the vasectomies are reversible but require a lot of consideration. It involves the incision and ligation of the vas deferens in the scrotum of a male. Thus, the reversal involves the re-attachment of the veins.

While all vasectomies have a high chance of success in reversal procedures, certain complications can occur. Often, without adequate care, the results might be unsatisfactory and cause severe implications on health and lifestyle.

Some Risks of the Vasectomy Reversal Procedure

Painful Scrotum

Pain can begin and persist in the scrotum, near the vas deferens, and some close venous parts of the lower body. Although this is highly uncommon and doesn’t hold any medical record, such cases are possible and will require the immediate attention of a skilled medical professional.

Surgical Infection

Infections can happen after a surgical treatment or operation. Cutting a vein open and then incisions and ligation exposes the sensitive internal organs and blood vessels to foreign elements. Hence, chances of infection rise but are treatable through antibiotic therapy.

Internal Scrotum Hemorrhaging

The vasectomy reversal procedure can increase the chances of internal hemorrhaging in the scrotum. This can lead to hematoma (blood collection), and clotting within that is responsible for the painful swelling in the scrotum. However, it is often the result of inadequate care and health preservation. Moreover, using scrotal support, ice packs, antibiotics, and more can help in controlling the risk of progressing pain.

What is a Successful Vasectomy Reversal?

Vasectomy reversal appears to be a relatively straightforward procedure that is no more than rectifying the previous “snip”. However, it can lead to certain complications, often due to improper post-surgery care.

After going through some of the most important factors, a surgeon will determine whether you are fit to have a vasectomy reversal and if there are high chances for any complications. After confirming the chances of reversal being successful, the surgeon will begin the process.

Usually, this procedure occurs as an outpatient service that doesn’t require a hospital night stay or something similar. However, you may have to rest and get medical assistance for a couple of hours post surgery. Regardless, within a day or two, you should be able to get back to work and get on with your routine.

Can Vasectomies be Reversed?
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What is the Procedure?

The procedure involves your surgeon making sure that you are healthy and fit. The surgeon will make precise incisions after providing general and regional anesthesia to sedate you while leaving your scrotum numb.

The incision will expose your vas deferens (the tubes carrying sperm into the ejaculate that forms with the semen) while releasing it from the surrounding tissues. After separating the vas deferens, the surgeon will make incisions to check if there is fluid present.

In case the sperm is present, the surgeon will attach the severed ends of the tubes together. Nevertheless, if the fluid is lacking and the inside of a tube is dry, it might relate to scar tissue (blocking the sperm). In this case, the surgeon will perform a “vasoepididymostomy,” which involves connecting another end of the vas to your epididymis.

Keep in mind that these are highly micro-surgical procedures that require extreme precision and skill. In fact, a surgeon who doesn’t have the experience of using microsurgical instruments and equipment might not be the best fit to perform your vasectomy reversal.

Can All Vasectomies Be Reversed? Conclusion

Are you looking for the best doctors and surgeons for your vasectomy reversal? The decision to begin a family is a rather important decision that also requires plenty of consideration. Therefore, you should only contact a surgeon who has experience in the process of vasectomies/reversals and carries a good reputation in the industry.

Dr. Yaniv Larish is an experienced, skilled, expert, and highly knowledgeable surgeon in vasectomy reversals at Vasectomy Reversal NYC. Contact us today at (646) 862-5500 to schedule an appointment with him. Pay us a visit for personal inquiry at 4 East 76th Street New York, NY 10021.

 


Reference Links:

https://www.urologyhealth.org/urology-a-z/v/vasectomy-reversal
https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537
https://health.clevelandclinic.org/vasectomy-reversal-5-facts-men-need-to-know-2/
https://www.healthgrades.com/right-care/vasectomy/are-vasectomies-reversible

 

Vasectomies & Vasectomy Reversals: Procedures & Results

What is a Vasectomy?

A vasectomy is a surgical procedure. You can also call it a permanent contraception. Contraception aims to prevent fertilization from happening during sexual intercourse. Spouses use different forms of birth control strategies that prevent them from conceiving. As a result, a man is unable to impregnate his spouse after this surgery. Spouses that decide to never have children and do not desire usually opt for the decision of undergoing a vasectomy. This surgical operation is able to achieve maximum surety for the spouses so that they do not have to face unplanned pregnancy.

The Vasectomy Procedure

This is an easy procedure, and does not require a lot of time. This surgical procedure only takes 10 to 30 minutes to operate. A vasectomy prevents the man’s sperm from getting into his semen. This prevents any chances of pregnancy. When the sperm is unable to enter a women’s ovum during copulation, fertilization is not possible and hence chances of pregnancy fall immensely. In this surgery, the surgeon surgically cuts the Vasa deferens and ties or blocks it with heat. The Vasa deferentia are the tubes that carry the semen from the testicles to the penis. This surgery ultimately blocks any semen that is entering from the tubes to the urethra, which is a tube inside the penis.

Vasectomies & Vasectomy Reversals 2021
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Vasectomy Results

A vasectomy is almost a 100 percent effective treatment for preventing pregnancy. It is also a short procedure with very few chances of developing negative side effects. The negative side effects in rare cases will present themselves in the form of infection, redness, or swelling. It also rarely has any long-term effect on your health. It does not lower your hormone levels and so it has no significant effect on your sex drive.

What is a Vasectomy Reversal?

This surgical procedure is self-explanatory by its name. Doctors perform it to undo the vasectomy. People who are indecisive and get the vasectomy half-heartedly are likely to choose reversal. Thankfully, there are surgical procedures that make it possible for people to realize and change the decision of not having children. A vasectomy reversal is a successful microsurgery that can reverse the effects of a vasectomy procedure. There are two types of vasectomy reversals, vasovasostomy and vasoepididymostomy. About 20% of people who get vasectomy are likely to change their mind and get a vasectomy reversal.

The Vasectomy Reversal Procedure

This surgical procedure is a microscopic procedure. It requires microscopes because the surgeon has to deal with really small and delicate internal organs of the human body. Special micro surgeons are hired to perform this surgery. In this surgery the surgeons reconnect the vase defentia tubes back into the urethra, which is a tube present in the penis.  Accomplishing this procedure result’s in the sperm entering the penis from the testicles. The presence of sperm cells in the semen are observed once again and the chances of pregnancy after copulation increases.

Vasectomies & Vasectomy Reversals | Procedure & Results
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Vasectomy Reversal Results

This procedure can be greatly beneficial for couples who want to have children again. It allows them to undergo natural pregnancy. Natural pregnancy is much better than other forms of pregnancy because it requires less frequent visits to the doctors and you don’t have to spend too much on medicine. This makes it a cost-effective choice. Pregnancy rate after a vasectomy reversal can range from 30% to even 90%. It is also a relatively safe surgical procedure with rare chances of mishaps. All these positives of a vasectomy reversal gravitates couples towards making the decision of getting a vasectomy reversal. It not only gives spouses hope for a better future but also gives them an opportunity to a new life.

Vasectomy Reversal: Post surgery

After the vasectomy reversal, the healing process of the person is fairly quick and easy. The pain after the surgery is the same as it is after vasectomy. Some have even claimed that the pain after the vasectomy reversal is comparatively less. Intense pain after vasectomy reversal is rare. However, you can handle that with over-the-counter painkillers. The success of the surgery is evident from the person’s sperm count after the surgery. Post-surgery analysis of the sperm count lasts almost 4 months.

Vasectomies & Vasectomy Reversals: Conclusion

Reversing a vasectomy is now very possible. The reversal of any vasectomy is possible and your age does not matter in most cases for the reversal to be successful. Most men stay fertile even after adulthood. Many alternatives are also present for pregnancy after vasectomy reversal. These include A.R.T technologies and vitro fertilization. However, these methods are artificial, time consuming, and costly.

The success of your vasectomy reversal greatly depends on the experience of your urologist. It is important to get this surgery from a surgeon that specializes in vasectomy reversals in order to mitigate the risks after the surgery. Dr. Yaniv Larish is an experienced urologist in this field and the right surgeon to perform your reversal procedure.

Call Today:

Yaniv Larish, MD
4 East 76th Street
New York, NY 10021

(646) 862-5500

Older Men Are Having Children. Should You Reverse Your Vasectomy?

The rise of the 20th century has changed the levels of healthcare. Drastic improvements in medical science have proven to be the wonders of the age of enlightenment. Global average life expectancy has increased by 5 years between 2000 and 2016. This is the recorded fastest increase since 1960. Life expectancy has risen over the years due to countless healthcare efforts by scientists. The discovery and regulation of vaccines boasted the first ever increase in life expectancy and now people live longer and healthier because of the countless research and breakthroughs by scientists in the field of longevity.

If you are someone who is still on the fence on whether a vasectomy reversal will be good for you, let us clear some of the concerns that people have about older parenthood. We live in the modern age of science where child mortality is not a problem and multiple options are available for us that bring longevity into our lives. Stopping the aging process can have a lot to do with your lifestyle. Along with your lifestyle, there are ways that include therapies and supplementation that you can add to your life that help you maintain the energy levels needed for parenting your children.

A therapy like TRT (testosterone replacement therapy) is also a supplementary therapy that can help you maintain your testosterone levels even at the age of 50. So if you wish to have a vasectomy reversal at an older age, don’t just give up on the dream of fatherhood just yet.

Older Men Children Reverse Vasectomy
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The Rise of Older Fathers

The average age of newly made fathers has increased in recent years; this is an outcome of 20th century attitude towards early marriages. People are getting married at a much earlier stage in their lives now more than ever. Men experiencing fatherhood at an age beyond 40 or even 50 is now more common. The advancements in healthcare and triumphs in biotechnology not only make late fatherhood possible but also desirable.

Benefits of Late-fatherhood

Late-fatherhood counters the mistakes of early-fatherhood. Most men who become fathers at a very early stage in their lives find it difficult to carry out all the expenses of a child. At other times, young fathers are most likely to portray unstable personalities and impulsive emotional characteristics. A father of an older age is a more likely to have a stable personality which is very beneficial for a small child. Small children are tough to parent, they can be stubborn and often times throw tantrums. These problems require calmness and mindfulness, some of the qualities that an older father is more likely to possess.

Older fathers are also more likely to be better financially stable and have developed the personalities and gathered enough experience that they can transfer over to their children. Financial stability can mean you don’t spend too much time at work and so you can be able to give that crucial time to your kids, which is so important. Already having older kids can also prove to be beneficial, the distribution in labor around the house can teach the older kids more responsibility.

Older Men & Children - Reverse your Vasectomy?
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Vasectomy Reversal’s Success

You may be reconsidering a vasectomy reversal because you are skeptic of the procedure. A vasectomy reversal is a highly successful procedure. The sperm count in the semen defines the success of the surgery. The success rate of pregnancy after a vasectomy reversal ranges as high as 67-97%. Not just that, vasectomy reversal has no negative side effects and rarely any complications. When a highly trained micro-surgeon, who is an experienced urologist, executes this surgery, the chances of complications further decrease.

Let us look at some of the benefits that you can have as a couple of conceiving after a vasectomy reversal rather than other alternative procedures like artificial insemination.

Benefits of Conceiving after Vasectomy Reversal

Artificial insemination methods like vitro-fertilization can be very costly. You will have to spend a lot of money on frequent doctor visits. The procedure itself is very costly since it uses modern ART technology. Vasectomy reversal provides you with the joys and experiences of natural childbirth. Seeing your baby develop in an incubator can be an alienating experience for the mother. Natural childbirth invokes the special bond and connection that spouses have with their children.

Conclusion

Older men are now more active and healthy than they were ever before. There is nothing stopping you from getting a vasectomy reversal in order to become a father. Your body does not stop producing sperm cells at any stage of your life; they regenerate after every three months.  The risks and complications of late fatherhood are too minimal to be concerned about. If you have not experienced fatherhood in your life, reconsidering that decision can be totally worth it. Fatherhood is a beautiful learning experience. A vasectomy reversal is an accessible and easy procedure that has minimal drawbacks. If you or anyone you know is considering getting a vasectomy reversal, Visit Dr. Yaniv Larish, an experienced urologist for expert consultation and surgical services.

Are All Vasectomies Reversible?

A vasectomy is a form of contraception that causes permanent sterilization in a man. It is among the many contraceptive measures that people take for birth control. Urologists execute this type of surgery. The name “vasectomy” is a derivative from the name of the internal organ of a male reproductive system called “vas deferens.” This mini tube like structure is responsible for the transfer of the sperm from the testis to the penis. A vasectomy surgically blocks the transfer of sperm into the semen. The sperm, being responsible for the fertilization process in the women’s ova, is then unable to enter into the women’s ova during sexual intercourse. This prevents a man from impregnating a woman and results in permanent contraception.

Vasectomy Procedure

This is a short and easy procedure. It can normally take up to 30 minutes to perform this surgery. A urologist executes this by making small incisions in a man’s scrotum in order cut the vase differentia and seal them with heat. This creates a gap within the reproductive tube ultimately preventing the flow of sperm from the testes to the urethra inside the penis. This procedure has no effects on the man’s sexual performance. A person is able to ejaculate normally after the surgery but the sperm is not present inside the semen and this makes an individual infertile and unable to reproduce.

Are All Vasectomies Reversible?
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Are Vasectomies Reversible?

It is absolutely possible to undo a vasectomy. A vasectomy reversal is also a surgical procedure that reconnects the reproductive tubes in a man’s testes back into the urethra. There are two types of vasectomy reversal surgeries, Vasovasostomy and Vasoepididymostomy. Your urologists will decide which type of surgery to apply to you depending on various factors. The urologist can also apply a combination of both methods. This decision can mostly depend on the time interval between the vasectomy and vasectomy reversal.

Vasovasostomy

A vasectomy reversal surgical procedure in which the urologist will simply rejoin the two ends of the reproductive tube. This will preemptively work against the vasectomy’s effects and restore the fertility inside of man by making the flow of sperm into the urethra possible again.

Vasoepididymostomy

This surgery can be more complex and technically demanding for the urologist. The urologist decides to execute this when there are no traces of sperm found in the vas deferens fluid. The urologist will execute this surgery by connecting the vas deferens to the epididymis, which is a convoluted duct behind the testis responsible for the storage and flow of sperm.

How to Prepare for a Vasectomy Reversal

All the vasectomies are reversible; however, it is always advisable to keep check of a few things before you go into surgery. These include

Your Health

Any underlying conditions that you may have that can cause complications during or after surgery. It is important to notify the doctor about any health concerns you may be facing so he can decide whether it is safe for you to undergo surgery.

Sperm Analysis

It is always beneficial to have your sperm monitored by your urologist before entering into surgery. Making sure that you are still producing healthy sperm cells in numbers can determine whether the surgery will have a successful outcome.

Are All Vasectomies Reversible?
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The Fertility of Your Partner

The urologist will most likely ask whether your partner is fertile enough to reproduce. This will include running tests on your partner to see whether the vasectomy reversal is worth the effort.

Confirm the Credibility of Your Doctor

It is important to ask as much as questions as you can from your doctor. The experience and credibility of your surgeon is also a deterring factor when it comes to the success of your surgery. There is a much higher chance of success if the doctor specializes in this type of surgery. Do not be afraid to ask how frequently he performs vasectomy reversal.

Precautions after Surgery

After a vasectomy reversal, the doctor is most likely to ask you to abstain from any physical activity for at least 1 to 2 weeks. The stitches on your gonads take almost 10 days to heal and so it is important to wear some sort of protective support that relieves any stress or tension on your testicles.  It is also important to refrain from any activity that can possibly create tension of the testicles; these include running, bike riding, horse riding, heavy lifting, sexual activity, sports.

Conclusion

The procedure of vasectomy reversal is much more complicated than a vasectomy. It requires the handling of complex microscopes that magnify the tiny and sensitive parts of the reproductive organs. With the help of these microscopic instruments, vasectomy reversal is now more easily possible than ever. They magnify the tiny reproductive organs to a substantial size. This makes it easier for urologists to perform a vasectomy reversal.

Visit our clinic and meet Dr. Yaniv Larish’s for professional help, if you are in need of any consultation regarding a vasectomy or a vasectomy reversal.

Getting a Vasectomy: What If I Change My Mind After?

You got a Vasectomy. What If you have a change of mind? Vasectomies are quite common these days. You will find many men opting for this procedure. Their reasons could vary. However, the most common one among all of them is the patient’s desire not to produce an offspring. A high number of these patients go through the surgery, but change their minds after several yours. Have you gone through a vasectomy and had a change of heart later on? Do not worry, as you are not alone. There are tons of people who find themselves on the same boat.

So what to do once you change your mind after getting the surgery? Well, there is only one solution- and that is getting a vasectomy reversal. There have been numerous speculations regarding this procedure, but to clear things up and make you feel at ease, vasectomy reversals are not dangerous. In fact, it would be fair to say that they are as simple as the vasectomy itself. That being said, let us delve a little deeper regarding the procedure in order to clear up your doubts.

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Why Do Men Get A Vasectomy Anyway?

In today’s age, most men make their decisions based on circumstances and fate. Because of this, they make rushed decisions, even if they have long term implications. One of these decisions is opting to undergo a vasectomy. What is a vasectomy you ask? Well, it is a surgical procedure for avoiding births permanently. Experienced urologists perform this procedure quite often.

Vasectomy: When Men Change their Minds

As time goes by, men dace different experiences which influence their minds in more ways than one. These experiences have a strong influence on their hasty judgments regarding their decision to get a vasectomy, which is why they decide to get it reversed for good. According to several pieces of research, one out of every twenty individuals opts for a vasectomy reversal surgery.

Age is not a big issue when it comes to vasectomy reversals. You can undergo it whenever you want practically as well as theoretically. However, you do have to keep in mind that the success rate for vasectomy reversals is considerably lower in older men in comparison to younger individuals.

Benefits of Vasectomy Reversals

Once you undergo a tubal reversal surgery, you’ll significantly increase your chances of conceiving. It will also make sure that you do not have to make regular trips to the doctor for conceiving naturally. Once the procedure is complete and successful; you can reproduce whenever you want after the doctor’s recommended rest period. Let us go through some of the best benefits of vasectomy reversal procedures.

1.    It is Permanent

Once you undergo a successful vasectomy reversal surgery, you will not need any extra procedures for restoring your fertility. Your family planning goals will get back on track, and you will live a happy and fulfilling life.

2.    It is Affordable

In comparison to IVF treatments, vasectomy reversal surgeries are significantly cheaper. IVF treatments cause more than 10,000 Dollars and could vary according to your location. The cost could potentially go even higher if you do not have insurance coverage.

3.    Excellent Success Rate

The total time after your procedure is complete is a huge determining factor to decide whether your procedure was successful or not. If you choose to have a vasectomy reversal within ten years of your vasectomy, there is a 95 percent chance that your reversal will be successful. As mentioned earlier, the success rate decreases if you are older or take a longer time to change your mind.

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Recovery Time for Vasectomy Reversals

The vasectomy reversal method that your doctor chooses is a major determining factor for your recovery time. In comparison to tube tying processes, vasectomy reversals can take slightly more time. However, surgical procedures these days are performed with far more finesse and dexterity than before. Surgeons use microsurgical equipment and state of the art techniques to make sure there is no room for error in the surgery. Surgeons will also provide you pain killers to reduce any sort of discomfort and for alleviating the pain.

You might also have heard that your testicles stop producing sperm after a vasectomy. This is not true. Your sperm is unable to navigate a way through your body. So, the reversal procedure essentially brings back your fertility. You should also avoid sexual intercourse for three to four weeks. Take some time to rest and heal, after which, you are free to conceive.

Setting Expectations for Your Vasectomy Reversal

Before the surgeons operate on you, they will require some specifics. Let’s discuss them:

  • First off, they will require a case history of your physical examination. Surgeons need to make sure that you do not have any other health issues that could put your reversal procedure in jeopardy.
  • The surgeons also need to confirm that you are capable of producing healthy sperm. In most cases, men who already have children or even one child is enough proof. Despite that, there are some cases where doctors will ask you to get yourself tested for some other issues to eliminate all uncertainty to make sure you are able to produce healthy sperm after the surgery.

Get in touch with top nyc urologist Dr. Yaniv Larish for first-rate consultancy on all of your vasectomy reversal queries.

Yaniv Larish, MD
4 East 76th Street

New York, NY 10021
(646) 862-5500

Vasectomy Reversal Procedure

During a vasectomy surgery, the surgeons block a tube, namely vas deferens. They do this to stop the sperm from flowing into the patient’s semen. Because of this, patients are able to avoid pregnancy, which is the main reason why patients opt for this surgery.

Do you happen to be someone who underwent a vasectomy? Do you think it wasn’t the best decision, and are you wondering whether you could reverse the procedure or not? Well, the answer to that is yes.

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You can indeed reverse your vasectomy with a standard process known as vasectomy reversal surgery. Quite a lot of people who do know about vasectomy reversal surgery are afraid of opting for it because they are unsure what happens during the procedure. They are also scared that it would damage their body instead of reversing their vasectomy. If you happen to be one of the people wondering about these questions, keep reading to know about the vasectomy reversal procedure in detail.

How Do Doctors Reverse Vasectomy?

There are a couple of methods involved that doctors use for reversing vasectomies, let us discuss them in some detail.

Vasoepididymostomy

This is a standard vasectomy reversal method that quite a lot of doctors use. In this method, the doctors connect the spermatic cord by attaching it with the vas deferens. The spermatic cord is present behind the testicles.

This procedure is quite rare and complex in comparison to other methods, which are slightly more straightforward. Your surgeon will only choose this procedure if they believe that the other ways will not work for your particular case. Surgeons perform a thorough analysis of the vas deference fluid. They check to see sperm presence in it. Once the investigation is complete, they decide, which type of vasectomy would be suitable for their patients. There are even some unique cases where doctors choose to combine different vasectomy surgery types for a patient. However, these kinds of occurrences are quite rare.

In the combination surgeries, the surgeons perform vasoepididymostomy on one side and casovasostomy on the other one. Remember this, the longer you take to decide on your vasectomy reversal, the higher the chances will become to undergo vasoepididymostomy on both or either sides.

Vasovasostomy

More often than not, doctors choose vasovasostomy to reverse their patient’s vasectomy. In this procedure, surgeons connect the vas deference from the testes by sewing them to the penis. Through this method, the sperms present inside the vas deferens are able to reach the penis easily by flowing out. It is significantly more straightforward in comparison to the other methods as all it requires is sewing.

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Side Effects of Vasectomy Reversal

In most cases, vasectomy reversal does not have dangerous side effects. Sure there is a little bit of pain, but it goes away with some rest and precautionary measures. However, there are a handful of unlucky people who could face a few side effects due to this surgery. The side effects include painful scrotum swelling and bleeding. In a few cases, people also had infection as a side effect of their vasectomy reversal.

Keep in mind that chances of getting infected after a vasectomy reversal surgery are very slim. You can reduce the possibilities even further by choosing a highly experienced and trained surgeon for your reversal. In case you have an infection after the reversal, the doctor will give you some prescribed antibiotics. Persistent and severe pains mostly do not occur after vasectomy reversal surgeries. However, if by any chance, you face unbearable pain after the surgery is over, get in touch with your doctor as quickly as you can.

How to Know If the Reversal Was Successful

First of all, avoid sexual acts altogether for some time after a vasectomy reversal surgery. Ideally, waiting for three to four weeks is the perfect time for optimal recovery. However, the recovery time varies from patient to patient and the severity of the surgery. You can easily find out whether your vasectomy reversal surgery was successful or not by checking your sperm. If it appears in the semen after a month or two, your surgery was successful.

You will have to go to your doctor for a few months after the surgery to get your semen checked by them. In case the doctors used Vasoepididymostomy for reversing your vasectomy, your sperm flow might take considerably longer to return. Six to twelve months is the standard time frame in which sperm flow returns after Vasoepididymostomy.

Also, keep in mind that vasectomy reversal procedures do not have a hundred percent pregnancy rate. Sure, you might be able to resume our sexual activity, but remember that there is a small chance that your significant other does not get pregnant after the vasectomy reversal. You can easily reverse your vasectomy several years after undergoing the procedure. However, as mentioned earlier, the longer you wait to get the reversal, the lower the chances of a successful surgery.

Takeaway

You can restore the flow of your sperm through vasectomy reversal procedures. It provides you another opportunity for a successful pregnancy. Remember to choose a qualified and experienced surgeon for your procedure.

Contact us to learn more today:

Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021

(646) 862-5500

Vasectomy & Vasectomy Reversal Procedures

Do you need a Vasectomy or Vasectomy Reversal Procedure? Vasectomy is a small surgery procedure to prevent the sperm from reaching the semen. The semen will  still exist but carries no sperm content. On the other hand, a vasectomy reversal surgery is a process that reverses the vasectomy.

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Keep reading to learn more about Vasectomy and Vasectomy Reversal Procedures:

Vasectomy Procedure

Men undergo vasectomy surgeries in hospitals or at surgery centers. You can discuss with  your urologist whether you need complete sedation for the  surgical procedure.

You will have to sign a form that gives permission to your urologist permission to carry out the procedure.

In the surgical room, your urologist will first shave and then wash your scrotal region thoroughly with an antiseptic solution. The doctor numbs the area by injecting it with local anesthesia. However, you will be aware of the feelings of movement, tension, and touch. This anesthetic will serve to block any acute pain that you might experience otherwise. If, by any chance you do experience pain during the surgical procedure, you can inform your urologist so that he/she can inject you with more anesthesia.

There are two vasectomy procedure types:

No-Scalpel Vasectomy

In the no-scalpel vasectomy procedure , your urologist feels for the vas under your scrotum skin and uses a  small clamp to hold it in place.  He/she then makes a small hole in the skin and stretches the hole open for lifting the vas deferens in a gentle manner. Your surgeon then ties and puts it back in its original place.

Conventional Vasectomy

In this vasectomy procedure, the urologist makes one or two tiny cuts in your scrotum skin. The purpose of this is to be able to reach the vas deferens. The vas is then cut and a minuscule piece can be taken out which leaves a short gap between the vas deferens ends. After this, your urologist may sear the vas ends and then tie up the ends that have been cut with a suture. The doctor then performs the same steps on the other vas. Dissolvable stitches are useful for closing off the scrotal cuts. Alternately, the cuts can seal off on their own.

Vasectomy Reversal

To put in simple terms, vasectomy reversal surgery undoes the effects of a vasectomy. This procedure reconnects the passage for the sperm to get inside the semen. Read on to know about the Vasectomy Reversal procedures.

Vasectomy Reversal Procedures

It is a urologist who usually performs vasectomy reversal surgeries at a surgery center. If using a surgical microscope, the surgery is completed while you (the patient) are sound asleep under the influence anesthesia.

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Microsurgery is the ideal way to perform this vasectomy reversal surgery. A powerful microscope enlarges the small tubes around five to forty times their original size. Your urologist can then join the vas deferens ends by using exceedingly thin stitches.

The urologist will make a minuscule cut on either side of your scrotum after you have fallen asleep. He/she will then clip the vas scarred ends where they were earlier sealed off by the vasectomy. The surgeon will extract the fluid from the vasal end that is closest to the testis. The  doctor will  next check whether the fluid has any sperm in it.

At this stage, you can go with either of the two following reversal procedure types:

Vasoepididymostomy

If no sperm is found in the vasal fluid, this indicates that the back pressure created by the vasectomy lead to a block in the epididymal tube. The urologist has to circumvent this block and join the upper vas end to the epididymis. This is referred to as “vasoepididymostomy”.

Although Vasoepididymostomy fulfils the same purpose as the vasovasostomy procedure( more on this later) , the former is  more complex than the latter. However the results achieved at the end are equally good for both the reversal procedure types

Vasovasostomy

This is the second type of reversal procedure. If it turns out that there is in fact sperm in the vasal fluid, that shows that the passage is clear between the place where the vas was cut and your testis. What this means is that the urologist can then join the ends of the vas. The term “Vasovasostomy” is used to reconnect the vas ends.

For men, the vasovasostomy success rate is about 85 percent when microsurgery is used .The likelihood of pregnancy occurring stands at 55 percent. ( In other words, 55 out of 100 women get pregnant).

Should you go for a Vasoepididymostomy or a Vasovasostomy ?

Unfortunately, you cannot know which procedure works best for you prior to the reversal vasectomy surgery. The urologist is only able to find this out during the surgery procedure itself. A vasovasostomy is performed  if there is presence of sperm inside the vasal fluid. On the other hand, if there is no  sperm in the vasal fluid, your urologist will decide what next to do bearing in mind other factors. If there is an occurrence of a  block in the epididymal tube, the  vasoepididymostomy procedure will be required.

If there is no block, then the look of the vasal fluid might assist the  urologist in deciding  which surgical procedure is best. Usually, if the fluid has a watery look, your urologist  will perform a vasovasostomy even if there is no presence  in the vasal  fluid. Creamy looking fluid in the absence of sperm suggests that vasoepididymostomy is required.

Bottom Line

If you want to reverse your vasectomy, be sure to reach out to us at Vasectomy Reversal NYC.  Feel free to call us at (646) 862-5500 for a consultation with Dr Yaniv Larish, who specializes in vasectomy reversal surgeries.

Change of Heart? Vasectomy Reversals

Quite a lot of men decide to undergo a vasectomy surgery at some point in their lives. Most of them choose it because they do not wish to bear a child. However, later on in their lives, they have a change of heart. Because of this change, they wonder if there a procedure could undo… Continue Reading

What Is a Vasectomy Reversal

What is a vasectomy reversal? One of the most common urological procedures in America is Vasectomy. Many men who are under the age of 45 opt to undergo this procedure for a variety of reasons. Several studies suggest that about 18 percent of men living in America undergo a vasectomy. For those who do not… Continue Reading

Can You Get Pregnant After a Vasectomy Reversal?

During a vasectomy, a surgeon will disconnect the tubes (vans deferens) that carry the sperm from the testes to the semen. The procedure usually involves a few small surgical incisions and can also be performed using a laser. Usually, it takes around two months to determine whether a vasectomy procedure has been successful. But, what… Continue Reading

Multiple Attempts at Vasectomy Reversal

If you have had a vasectomy and have changed your mind about having children, the good news is that 95% of men who have had this procedure are eligible for a successful reversal. However, in some cases, a vasectomy reversal may not always be successful the first time around, for various reasons. It could be… Continue Reading

Success Rate of Vasectomy Reversal

So, you’ve changed your mind about becoming a dad – but the problem is, you have had a vasectomy. The good news is that a vasectomy reversal procedure can be carried out to get things back to how they were. A common question that many guys ask about vasectomy reversal is what the success rate… Continue Reading

What to Expect After a Vasectomy Reversal

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Information about Microsurgical Vasectomy Reversal

Specifics of Microsurgical Vasectomy Reversal Vasovasostomy The vasovasostomy is the standard and most commonly performed vasectomy reversal surgery. The separated ends of the vas deferens are identified. A sample of the vas fluid is examined under a microscope and is considered to be of good quality if its’ consistency is clear and it contains healthy… Continue Reading

Choosing a Vasectomy Reversal Surgeon

Choosing the right surgeon to perform your vasectomy reversal procedure is an important task. Unlike most general urologists that only do a few vasectomy reversal procedures a year, Dr. Larish specializes in vasectomy reversals and performs the most in New York City, often, many per month. With the most experience, Dr. Larish enjoys a very… Continue Reading

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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