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 Surgery NYC

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)

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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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