Dr. Yaniv Larish specializes in micro-surgery to reverse vasectomies.

Vasectomy Reversal NYC Couple with Baby 10

Dr. Larish performs vasectomy reversal micro-surgery at Gramercy Surgery Center. This state of the art facility utilizes the most modern and advanced high quality surgical microscope, micro-instruments and the most highly trained nurses and support staff.

Dr. Larish has helped many men successfully reverse their vasectomies.

Call today for a consultation:

(646) 862-5500

Blog Posts Are Below:

Category Archives: Vasectomy Reversal Surgery NYC

Undo Vasectomy – What Are My Options?

What are the options to undo a vasectomy? In the beginning, vasectomy may seem permanent, but undoing vasectomies is a proven and popular procedure among men. In fact, more than 15% of men ultimately change their mind about having a child and want vasectomy reversal.

Vasectomy reversal is a surgical process in which vas deferens are reconnected. The success rate of vasectomy reversal mainly depends on the time after your vasectomy. In the U.S., the average cost of vasectomy reversal procedures is between $6,000 and $14,000.

Undo Vasectomy - What Are My Options?

Undo Vasectomy – What Are My Options?

You can restore your fertility after a vasectomy in two ways (i.e., Vasovasostomy and Vasoepididymostomy). One is quite a standard vasectomy reversal procedure, while the other requires a complicated process. Conversely, the fertilization of an egg and injecting it is another process known as sperm aspiration along with ICSI and IVF.

  • Vasovasostomy

A vasovasostomy surgical process refers to reversed procedure the reverses the effects of vasectomy. In simple terms, the ducts or vasa deferentia are discarded or tied from the testicles. Consequently, a vasovasostomy makes an opening between the disjoined ends of every vas deferens. Ultimately, it might mix into the semen before or during ejaculation.

Remember, the objective of vasovasostomy is to bring back a man’s fertility while vasectomy refers to contraception or sterilization (i.e., birth control). In most individuals, a vasectomy it is possible to reverse a vasectomy. However, vasectomy reversal, on the other hand, doesn’t guarantee a successful pregnancy for a couple. The more time a man has had a vasectomy, the harder the reversal and the fewer chances of success.

That said, if your surgeon performs a vasovasostomy within three years of your vasectomy, the success rate of sperm return is 97%. The number would, unfortunately, would reduce to 88% after three to eight years of your vasectomy.

What’s even more interesting is that other elements such as partners’ age, fertility potential, reversal technique, and the surgeon’s experience also come into play when it comes to the success rate of your vasectomy reversal.

  • Vasoepididymostomy

Vasoepididymostomy is a bypass surgery where the internal and external layers of the vas deferens are reconnected to the epididymis.

Both vasovasostomy and vasoepididymostomy procedures are performed on an outpatient basis with general anesthesia. With vasovasostomy, you will need to provide semen samples for analysis after one month of the surgery.

Undo Vasectomy - What Are My Options-02

Subsequently, your semen samples will be required within three months of the gap. The underlying purpose of the continuous monitoring and tracking is to ensure that the scar tissue from the procedure doesn’t create a blockage for epididymis. Your vasovasostomy surgery is deemed unsuccessful if the sperm doesn’t show visible presence during ejaculation within six months

Which One is Better?

The lumen area within the vas deferens is approximately one-third of a millimeter in diameter. And lumen area of the epididymis is usually one-half or even one-third of the size. Therefore, vasovasostomy is the more practical and preferred option among surgeons.

Watch Out for Complications

There’s a high probability that males build antibodies against sperm. Consequently, your body’s immune system threatens and eventually attacks the sperm cells. And when sperms inevitably vanish, it creates infertility.

Since vasovasostomy and vasoepididymostomy are surgical procedures, it makes sense to prepare for possible infections. The good news is that doctors can prescribe you antibiotics that can reduce the severity of the infection instantaneously.

In rare cases, the surgery fails because of the patients’ bodies can’t merely produce quality sperm or even improve the probability of fertilizing an egg. That said, there is low risk associated after a vasovasostomy surgery.

Besides, you may experience mild scrotal bruising after the surgery. Ideally, it shouldn’t lead to infection, but doctors prepare for the worst. Therefore, you will probably have to intake an antibiotics’ dose before the procedure.

The complications of a vasoepididymostomy are solely associated with the length of the surgery. Just like any other surgical procedure, the level of repair of your previous scar tissue might develop venous blood clots. However, the overall risk of blood clots is comparatively small than vasovasostomy. Infection, on the other hand, is also quite rare.

Undo Vasectomy - What Are My Options-03

Results: Patience is the Key

If your vasectomy is, say, three years old, your probability of impregnating your female partner is higher after vasovasostomy. The pregnancy rate practically skyrockets to 76% because men’s sperm return rate amounts to 97%.

What about the “Other” Option?

Failure of pregnancy after tubal reversal procedure often leads patients to the IVF option. In Vitro Fertilization is a procedure where a man’s sperm and partner’s egg are fertilized externally from the womb in a dedicated lab. Typically, the fertilized egg is referred as the embryo. After a specific time, the embryo is placed inside your partner’s womb.

Sperm extraction, on the other hand, is another option to get sperm. Though natural conception is preferable, some patients, however, also choose assisted reproductive techniques (ART).

Conclusion: Grab Your Second Chance in Life

Choosing the right option with your doctor will make all the difference. With careful consideration and planning, it wouldn’t come across as a problem. Your decision, however, will inherently depend on several elements like current weight, or previous abdominal surgeries.

Over the years, Dr. Yaniv Larish has successfully helped a multitude of men to reverse their vasectomies. It’s never too early or late to make an appointment and communicate your concerns about the vasectomy reversal procedure. You can call us right now at (646) 862-5500 or email us.

Find out more about our other professional and experienced urologists at Fifth Avenue Urology to talk about your health issues.

Age Risks with Vasectomy Reversal

What are the age risks with a vasectomy reversal? In this day and age, several men often leap on to a “rushed” judgment and get a vasectomy, which is a method to avoid unwarranted births permanently. In fact, it’s one of the most common procedures that urologists perform.

With time, different experiences shape men in unexpected ways. And those unexpected set of experiences influence your pre-conceived “judgment” to reverse your vasectomy for good. Contrary to misguided perception, 1 out of each 20 men with vasectomy ultimately wants a reversal surgery.

Age Risks With Vasectomy Reversal

Theoretically and practically, you can get a vasectomy reversal at any age. However, your final decision to go through the process requires you to undertake certain considerations. For instance, the vasectomy reversal success rate among older men is similar to younger individuals.

Though a man’s age doesn’t finalize the success or failure, you need to be aware of certain conditions that might apply to you in a vasectomy reversal:

Age Limitation with Vasectomy Reversal

You can be 30 and 50 and still choose to go through a vasectomy reversal process. If you meet the criteria and check all the boxes, you are practically accepted as a patient. However, your age might have an impact on the recovery from the procedure. Most men who have had a vasectomy, on the other hand, can have a reversal at any specific time in their life.

Learn About the Time Factor

A man’s age might not be a primary element for a successful vasectomy reversal surgery, but an extended period can, in fact, affect the recovery and transition. In time, there’s a distinct possibility that you might develop pressure between the vas deferens after your vasectomy reversal surgery.

Mostly, this pressure doesn’t turn into any complications. However, your surgeon might have to utilize a more sophisticated technique for a successful process.

  • How is Vasovasostomy Different?

Vasectomy method is comparatively more common than Vasoepididymostom. It’s applicable when a urologist sees sperm’s presence in the central vassal fluid. Consequently, the procedure is simple and includes the rejoining of the cut vas deferens. If you had a vasectomy ten (10) years ago, urologists could conduct the surgery at a 90% success rate.

  • What about Vasoepididymostom?

When sperm is not present in your vassal fluid because of another blockage, a more complicated procedure is required to rejoin the vas deferens. In simple terms, the blockage in the vassal fluid is spotted and mitigated from the epididymis. It does, however, require an experienced urologist to perform such complex surgery. If you had a vasectomy ten years ago, you’d have a 70% probability of success under Vasoepididymostom in the U.S.

What Older Patients Need to Know

Older patients should consider their health problems before undergoing vasectomy reversal surgery. Find out which factor might lead to a complication after the procedure. Typically, risk elements might be about your bleeding issue, systemic disease, or failed immune system. Now, these complications don’t necessarily exist in older individuals, but the fact remains that older patients pose more health risks as compared to younger individuals.

  • Success Ratio of Your Vasectomy Matters

vasovasostomy has a success rate of 90% in American patients. Vasoepididymostomy, on the other hand, has a success rate between 40 and 50%. For example, if you had your vasectomy ten years ago, there’s a 40% probability that your doctor will recommend a vasoepididymostomy method during a vasectomy reversal.

  • The Age of Your Partner

Although your age does not impact your vasectomy reversal, its transition might get off-balance with increasing age of your partner. The fact is, men should be careful about their partner’s age. In fact, men should pay close attention when a woman’s fertility starts to decrease. And that’s because women in their 30s tend to have weak fertility. It can create even more problems if your partner is reaching into her 40s. Remember, the male biological clock changes from man to man.

  • Analyze Your Collective Health Problems

Many men often have to bear the burden of a disease at some age. Despite the nature and severity of the risk, you must prioritize your decision before the surgery. Also, talk to your doctor about your medical record and try to understand your probability of success before undergoing a vasectomy reversal.



If you are thinking about vasectomy reversal at the age of 50 or older, it’s better to communicate with your urologist. An experienced urologist would ask you to prepare comprehensive documentation of your medical history. Concurrently, you should also devise the questions that you want to ask the doctor. A conversation can help you get a clearer picture of the vasectomy reversal procedure.

Better to Be Safe than Sorry: Schedule an Appointment

Your goal should be to understand different elements that might affect your vasectomy reversal procedure. Accumulate information and analyze the decision again. A professional doctor, for instance, would instantly inform you about any negative result from your vasectomy reversal surgery.

Consult an appointment with Dr. Yaniv Larish and convey your questions about the vasectomy reversal procedure. Call us at (646) 862-5500 or email us. Don’t hesitate to contact other renowned doctors to discuss vasectomy reversals and health problems.

Vasectomy Reversal Complications

Vasectomy Reversal Complications

When you have done your research, sought out answers to your questions and chose the most experienced and highly skilled vasectomy reversal specialist, your chances of developing complications are rare. The reality is complications do happen depending upon how long you waited to have the reversal done after your vasectomy, your age, health the health and fertility of your partner and the success of the post-operative healing.

What Are the Common Complications Associated with Vasectomy Reversals?

Routine complications after the surgery can include infections at the incision sight, excessive bleeding and the side effects from the anesthesia, such as nausea, dizziness, and vomiting. All these complications require medical care and contacting our urology clinic as soon as possible will help to relieve these symptoms and prevent further harm.

Some of the later post-operative side effects can include scar down, moderate swelling, bruising and/or discoloration of the skin. For some they may experience the absence of sperm in their ejaculate, an inability to become pregnant or loss of testicular tissue. The good news is a severe complication which requires further surgery or treatment is rare.

If you had a vasectomy reversal and you are experiencing pain, bleeding, increased swelling, and/or fever contact our urology clinic immediately to schedule an appointment with the best vasectomy reversal specialist in New York City.

Is Vasovasostomy the right procedure for me?

Vasectomy Reversal (Vasovasostomy) Is it Right for Me?

Usually when a man has a vasectomy, it is thought of as a permanent form of birth control, yet it is reversible in many cases, depending upon some variables. Vasectomy reversal also referred to as Vasovasostomy involves the reconnection of the vas deferens tubes which were cut during the vasectomy.

A vasectomy reversal generally doesn’t require an overnight stay in the hospital and general or spinal anesthesia is used so the patient is able to stay still during the procedure.

How successful your vasectomy reversal is depends upon how much time has passed between the time of the vasectomy and the reversal, your physical health, and whether or not a blockage or scar tissue has developed in the vas deferens.

Vasectomy reversals are more complicated than the vasectomy and if there is a blockage then this will require correction, which is called a Vasoepididymostomy.

What to Expect After Vasectomy Reversal Surgery

Vasectomy reversal usually takes from 2 to 4 hours, followed by a few more hours for recovery from the anesthetic. Your blood pressure will be monitored and you can to go home the same day. Your pain level may be mild to moderate, your urologist will give you a prescription for a two day supply of pain medication, after the two day period, you can take an over the counter pain medication, such as Tylenol. Within 3 days you may return to light activity such as short walks, or working at a desk, all strenuous activity should be avoided until your urologist gives you the okay, usually within 3 weeks. After that you should be able to resume normal activities, including sex.

How successful are Vasectomy Reversals?

Chances of a successful vasectomy reversal decline over time. Reversals are more successful during the first 10 years after vasectomy, but there is no absolute timeline for a vasectomy reversal, some have been successful after 15 years.

In general, a vasectomy reversal leads to a pregnancy rate of greater than 50 to 75 percent; you have the greatest chance of success if you have the reversal done within 3 years of the vasectomy. If the reversal is done 10 years after vasectomy the odds of pregnancy success is only about 30 percent, so time is a factor.

What are the Risks of Vasectomy Reversal Surgery?

The surgical risks associated with a vasectomy reversal are low, but they may include: an infection at the site of the incision, fluid buildup and swelling in the scrotum that may require draining and a possible injury to the arteries or nerves in the scrotum. Call our office immediately if you are experiencing increased bleeding, pain or develop a fever.

A vasectomy reversal is an important decision and you need the most experienced and skilled urology surgeon available. So if you are considering a vasectomy reversal and wish some more information, call us today to make an appointment to see the best vasectomy reversal urologist in NYC.

What is Vasovasostomy for vasectomy reversal?

If you are considering a vasectomy reversal surgery in NYC, you may have also heard the term “Vasovasostomy.” Many of our patients wonder what the difference is between a vasectomy reversal and a vasovasostomy. The truth is that these two words are interchangeable.

Who Gets a Vasovasostomy?BestVasectomyReversalDoctorNYC2

Our typical patients are men who are looking to get their partners pregnant. Many had previously decided that they would have no more children after a divorce or separation and then ended up getting remarried. In some cases, sadly, couples opt for a vasectomy reversal after a child has passed away.

BestVasectomyReversalDoctorNYC1What Occurs During a Vasectomy Reversal Surgery?

During the vasovasostomy, a surgeon reconnects the tubes that were previously severed. These tubes, the vas deferens, carry sperm from the testicles. Once they have been reconnected, fertility can be restored.

Men can have a vasectomy reversal surgery as an outpatient procedure. General anesthesia or sedation is typically used, and the surgery typically takes just 2-3 hours. Please allow a few hours recovery time immediately after surgery as well.

After the Vasovasostomy ProcedureBestVasectomyReversalDoctorNYC3

Patients experience mild to medium levels of pain after the procedure and can go back to their regular activities in a few weeks. Risks and complications are low and are discussed in a preoperative consultation.

Vasectomy Reversal Surgery, NYC Success Rates

The vasovasostomy results in countless successful pregnancies. In fact, the success rate is more than 50%. You can discuss your specific chances preoperatively.

Please note that the statistics of success are tied to the length of time that has gone by since the original vasectomy. This is caused by a variety of factors including the fact that blockages may form. Within the 3 years prior to the original surgery, the chances are the highest but that does not mean over 3 years will not be succesful.

If you are considering vasectomy reversal surgery in NYC, contact our office today. Our expert team would be happy to answer any vasovasostomy questions you may have.



Vasectomy Reversal Surgery: Post Operative Care

Dr. Larish will carefully discuss post operative care after your vasectomy reversal. The goal is that you are fully aware of what to expect in the healing process. Ultimately, we find this leads to the most optimal results.

BestVasectomyReversalDoctorNYC1Immediately After Your Vasectomy Reversal Surgery in NYC

Immediately after the procedure, patients stay in the recovery room briefly until they feel up to traveling. You will need to have someone ready and waiting to assist you leaving the surgery center. Dr. Larish recommends for patients to avoid driving for 48 hours after a vasectomy reversal.

If rubber drains are placed during the surgery, patients will return the next day to have them removed from their scrotum. Otherwise, the first appointment after the procedure should be scheduled in two weeks.

What Symptoms Can You Expect After Vasectomy Reversal Surgery?BestVasectomyReversalDoctorNYC2

Some discomfort can be expected for the first 2-3 weeks. Please note that a small amount of blood is normal after your vasectomy reversal. You can also expect some swelling and bruising. If you feel that the level of blood or swelling is excessive, please contact the office.

In the Weeks After Vasectomy Reversal Surgery

Be sure to wear an athletic supporter, even during sleep, for three weeks. Further, no strenuous work or heavy lifting should take place for at least three weeks after your vasectomy reversal surgery. Dr. Larish advises patients to avoid sex for at least four weeks after the surgery.

BestVasectomyReversalDoctorNYC3Vasectomy Reversal Surgery- NYC Offers the Best

When it comes to vasectomy reversal in NYC, Dr. Larish is one of the most highly regarded physicians. Contact us today and we will be happy to answer any questions you might have about vasectomy reversal and the post operative care.


Can I Have a Vasectomy Reversal if My Vasectomy Was Done Many Years Ago?

No matter when you initially had your original vasectomy, it is fine to have a vasectomy reversal surgery. There is no set timeframe during which you will need to have your reversal completed.

A Vasectomy Reversal After TimeBestVasectomyReversalDoctorNYC2

The length of time that has passed may influence your procedure’s effectiveness. For example, one of the largest research studies shows that if there has been less than three years between the vasectomy and vasectomy reversal surgery, the rate of sperm return is 97% and the pregnancy rate is 76%.

On the other end of the spectrum, if it has been 15 or more years since the procedure, the rate of sperm return after a vasectomy reversal surgery is about 71%. The resulting pregnancy rate is about 30%.

Doctors have concluded that one factor influencing the lower success rates is due to the fact that epididymal blockage rates increase over time. However, please note that a vasoepididymostomy can be performed to unblock the epididymis.

You can increase the odds of success of vasectomy reversal surgery.

BestVasectomyReversalDoctorNYC3You can increase the odds of success of your Vasectomy Reversal Surgery by choosing Dr. Larish , the leading vasectomy reversal specialist in NYC.

If you are interested in a vasectomy reversal in NYC, contact our office today. Dr. Larish and his team will be pleased to answer any questions you might have about success rates.


The Microdot Method for Precision Suture Placement in Vasectomy Reversal MicroSurgery.

Microdot Method for Vasectomy Reversal Surgery by top Dr. NYC1Surgeons performing vasovasostomy procedures need to be as very precise. As a result, a microsurgical three layer technique has been developed. The goal is to make sure that sutures are placed the exact correct orientation. The MircroDot technique was originally developed at Cornell University to improve the vasovasostomy procedure. If you are currently considering a vasectomy reversal surgery, you will want to be aware of this advancement.

What is the Microdot Method for vasectomy reversal surgery? Microdot Method for Vasectomy Reversal Surgery by top Dr. NYC2

This special technique places tiny dots on the ends of the vas deferens. These dots are marked with a microtip pen. Once doctors can see these exact points clearly, they can improve accuracy rates for the sutures. The dots are put at 12, 3, 6, and 9’oclock placements with additional dots between.

Dr. Larish ensures that the placement of the sutures is extremely accurate. Through this means, he can focus better on perfecting the procedure.

Vasectomy Reversal Microdot Method Success Rates

Microdot Method for Vasectomy Reversal Surgery by top Dr. NYC4Results at the James Buchanan Brady Foundation Department of Urology at the Weill Cornell Medical College showed that over 194 consecutive procedures, a patency rate of 99.5% was obtained. Resulting pregnancy rates are greater than 70%.

Your Vasectomy Reversal Surgery

Dr. Larish and his team are pleased to answer any questions you might have about the microdot method or vasectomy reversal surgery in general. Contact us today to schedule an appointment with the best vasectomy reversal specialists in NYC.

Microdot Method for Vasectomy Reversal Surgery by top Dr. NYC5

What can I expect after Vasectomy Reversal Surgery?

BestVascetomyReversalDoctorNYC1Recovery after Vasectomy Reversal Surgery

If you are planning a vasectomy reversal surgery, you are also probably wondering about the recovery process. One of the first items on many patients’ minds is what the pain will be like. Let’s take a quick look at what you can expect.

Most of our Vasectomy Reversal Patients Experience Minimal DiscomfortBestVascetomyReversalDoctorNYC2

Due to our careful and meticulous micro-surgery, pain following the surgery is greatly minimized. While we cannot guarantee anything, and what you experience will depend on you, and your exact procedure, most of our patients can expect for the discomfort to be very mild. Often patients describe it as a sensation of “fullness.”

BestVascetomyReversalDoctorNYC3When Can You Resume Normal Activities After a Vasectomy Reversal?

Initially, you will want to stay home and recover for at least 2-3 days. By resting after the surgery, you will increase your overall speed of recovery, reduce discomfort, and minimize swelling. We also advise all patients to avoid heavy lifting for 4-6 weeks. Doctor Larish will carefully go over your vasectomy reversal recovery plan and discuss what is appropriate for your unique circumstances.

Please contact us today to schedule an appointment with the best Vasectomy Reversal team in NYC. We will be happy to answer any questions you might have about recovery after vasectomy reversal.


Vasectomy Reversal Surgery Success Rates

BestVasectomyReversalDoctorNYC1What Defines Vasectomy Reversal Surgery Success?

Different men will interpret achieving success in a variety of ways. While some would consider the return of sperm in their ejaculate a success, others may expect the outcome of a pregnancy unassisted by outside methods. The doctor will carefully discuss your expectations with you before your vasectomy reversal surgery procedure.

Statistics for Vasectomy Reversal SurgeryBestVasectomyReversalDoctorNYC2

Current statistics show that 95% of men can expect the return of mobile sperm in their ejaculate after a year. Various factors, including age of the patient, appear to not impact the outcomes. One large research study observed that pregnancy outcomes are about 76% during the first 3 years after the procedure. It is also important to note that the rates are slightly lower for the vasoepididymostomy than they are for a vasovasostomy.

Other considerations in Vasectomy Reversal Surgery?

When it comes to vasectomy reversal success rates, results depend greatly on the expertise and methods of the surgeon. However, each patient’s particular circumstances will also impact the outcome. For example, is the current blockage caused by a past vasectomy or something else such as a trauma or infection? These types of factors will all play a part in your vasectomy reversal results.

BestVasectomyReversalDoctorNYC3Top Vasectomy reversal surgeon in NYC

If you are seeking a vasectomy reversal, there are many options. Dr. Larish takes the time to discuss vasectomy surgery success rates with all of his patients to ensure that the outcomes meet expectations as much as possible.

Contact us today to set up an appointment with NYC’s top Vasectomy Reversal Doctor.


Yaniv Larish, MD

4 East 76th Street
New York, NY 10021

(646) 862-5500

What is Vasectomy Reversal?

Vasectomy surgery entails cutting the vas deferens to prevent sperm from entering the ejaculate in order to produce long term sterility. (click to enlarge)

Vasectomy reversal surgeon nyc right column 01

Vasectomy reversal micro-surgery entails reconnecting the two ends of the vas deferens utilizing a surgical microscope, micro-instruments and micro-sutures in order to allow the sperm to enter the ejaculate and regain fertility after vasectomy surgery.

Vasectomy reversal surgeon nyc right column 02

Vasectomy reversal surgeon nyc right column 03

Learn More