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 Success Rates

Vasectomy Reversal Success Rates

What are the general vasectomy reversal success rates? When you regret your decision to get a vasectomy, you can opt for reversal surgery. Vasectomy reversal is one of the best techniques with the highest success rate out of all. In the procedure, the surgeon reconnects vas deferens. This is the tube carrying the sperm to the semen from the testicles. After a successful vasectomy reversal process, you and your partner can conceive.

Vasectomy Reversal Success Rates
(Source)

The rate of pregnancy after undergoing vasectomy reversal ranges from 30 percent to 90 percent or more. The success rate depends on the procedure and the surgeon performing your surgery. Numerous other factors also affect the reversal surgery’s success at improving fertility. For instance, the success rate depends on the surgeon’s training and experience and how long it has been since the vasectomy. . Your partner’s age and your fertility also play a role.

Procedure for Vasectomy Reversal

The surgeon will perform vasectomy reversal using any one of these methods:

1.    Vasovasostomy

When you choose vasovasostomy for the reversal, the doctor will sew both the ends of the vas deferens together, stretching it back to the penis from the testes. This will enable the flow of sperm so it can mix with semen.

2.    Vasoepididymostomy

Another method for vasectomy reversal is vasoepididymostomy. During this method, the doctor will attach the vas deferens at the back of your testicles to the small organ holding the sperm. This technique is invasive and more difficult than a vasovasostomy. For surgeons, a vasovasostomy is the first option. But if it fails for any reason, they will perform vasoepididymostomy. The surgeon will perform the reversal method in a clinic or the hospital. The doctor will give you anesthesia, so you remain unconscious throughout the procedure. This way, you won’t feel any pain, and the surgeon can easily perform the reversal. This reversal technique will take about two to four hours. After the surgery, you can go back home the same day. Of course, you need almost two weeks to recover from the surgery. You can reverse a vasectomy numerous times, but as the number increases, the success rate decreases.

Success Rates of Vasectomy Reversals

Here are some of the factors affecting the success rate of vasectomy reversal:

·       Time

While some experts suggest that this is a misconception, others say that your reversal won’t succeed if you had vasectomy years ago. The reversal’s success rate depends on how much time has passed since your vasectomy. For instance, if you are getting vasectomy reversal after ten years of vasectomy, your success rate will be higher than if you decide on a reversal 15 years later. Of course, your partner’s chances of getting pregnant and the health of your sperm will influence the success rate as well.

·       Type of Vasectomy

The success rate of the vasectomy reversal also depends on the technique that you prefer for your vasectomy. The surgeon will ask you about the technique that you choose.

·       Sperm Antibodies

When a lot of time has passed between vasectomy and reversal, the body starts developing antibodies to eliminate sperm within the body. If that happens, the surgeon must diagnose the condition and perform other surgeries.

Success Rate By Numbers

Pregnancy and fertility depend upon the number of years it took for you to decide on reversing the surgery. The success rate will be around 75% if you go through reversal after the first surgery. However, the rate will decrease to 25 to 30% after 19 years.

After the Surgery

After performing vasectomy reversal, the doctor will examine the semen under the microscope to determine if the surgery was effective. They will continue to examine your semen samples until your partner conceives. This is the only way your doctor can ensure that the reversal was successful.

General Vasectomy Reversal Success Rates
(Source)

After a successful vasectomy reversal, your doctor will be able to detect sperm in the semen sample. This usually takes a few weeks, but it can take a year or more. Furthermore, numerous other factors, such as the number and quality of the sperm, influence the reversal surgery’s success.

Vasectomy Reversal Success Rates: Conclusion

If you want to learn more about the success rates of vasectomy reversals and what technique you should choose, contact us at (646) 862-5500. At Vasectomy Reversal NYC, we ensure that you receive the best treatment under the supervision of an expert and professional urologits and surgeon, Dr. Yaniv Larish. He has years of experience in performing successful vasectomy reversals.

Success Rates for Vasectomy Reversal

What are the success rates for vasectomy reversal? Tubal reversal and vasectomy reversal are one and the same. The procedure is gaining more popularity with each passing day. Several men choose to undergo vasectomy at a certain point in their life. However, many of them start regretting that decision.

In most cases, they regret it because they decide to have a child. So, they start looking for procedures that would undo their vasectomy. This is where vasectomy reversal comes into play. It is a famous procedure to reverse a vasectomy and restore a man’s sexual functions as they were before the surgery.

Success Rates for Vasectomy Reversal

You may be surprised to find out that about twenty percent of men think of getting a vasectomy reversal surgery because of their regret or dissatisfaction of getting a vasectomy. In the earlier days, when vasectomy was new, there was no such thing as vasectomy reversals. This meant that once you underwent a vasectomy, you could not do anything to undo the impact or effects of that surgery. But luckily, as time passed, healthcare industry saw considerable changes, so much so that people are now lucky enough to have a vasectomy or tubal reversal surgery at their disposal.

What Is a Vasectomy Reversal

In case you don’t know, the purpose of a vasectomy reversal is to undo or reverse a vasectomy. Vasectomy is a complicated urological procedure that several men undergo for contraceptive purposes. In this procedure, the surgeons block the vas deferens, stopping its semen supply to the testes. This, in turn, ensures that the person who went through the vasectomy is unable to reproduce.

There are countless cases where men have a change of plans. They decide that they do want to reproduce and give birth, which prompts them to look for ways that reverse their vasectomy. Luckily, there is tubal or vasectomy reversal surgery there to do the trick. Tons of experienced professional doctors are there who deal with vasectomy reversals and have all the knowledge to perform this complicated urological procedure.

Nonetheless, you should always choose experienced doctors. The vasectomy surgeon you choose should have multiple years of performing this surgery as it is a delicate and complex procedure that requires a high skill level.

Is Vasectomy Reversal Safe?

Quite a lot of men who want to have vasectomy reversals contemplate whether the reversal procedure is safe or not. Of course, this surgery deals with a delicate part of the body, and one small mistake by an inexperienced surgeon could make things far worse.

Success rates for repeat vasectomy reversals with obstructive interval <10 vs. ≥10 years:
Obstructive interval Repeat reversal
VV VV-EV EV Total Patency rates Natural pregnancy rates
<10 yrs 11 3 5 19 16/18 (89%) 7/12 (58%)
≥10 yrs 17 6 5 28 20/25 (80%) ( P=.6797) 7/18 (39%) ( P=.2641)
Total 40/47 (85%) 14/32 (44%)
Note: EV = vasoepididymostomy; VV = vasovasostomy.

Hollingsworth. Outcomes of repeat vasectomy reversals. Fertil Steril 2007.

*Source: https://www.fertstert.org/article/S0015-0282(06)04562-6/fulltext

If the surgeon has a lot of experience, there is no need to worry about vasectomy reversal surgeries. They are as safe as they get. Rarely will you come across botched vasectomy reversal cases. Plus, the procedure is minimally invasive, so no need t worry about getting elaborate tears or bruises on your body. Also, the surgeon performs vasectomy reversals under first-rate microscopes to ensure that everything is done with accuracy and precision. The equipment used for performing the surgery is some of the modern ones that you will find anywhere. However, the type of equipment that the doctors use depends upon where you get your surgery. If the place is well known for its top quality doctors, then rest assured, the equipment they use will be of high quality as well.

Success Rates of Tubal Reversal Surgeries

If you are thinking about going for a tubal reversal surgery but are afraid because it is too dangerous, think again. The success rates of vasectomy reversal are on the higher side. You will be hard-pressed to find cases where a vasectomy reversal went utterly wrong. As mentioned earlier, the most significant deciding factor on whether a surgery goes well or not are the people who perform them. If the surgeons are professional and experienced, then most likely, your surgery will go fine as well. The operation does not take too long.

In most cases, the procedure ends in three to four hours. In some rare cases, it could go for five hours. The doctors will allow you to go home on the same day as the surgery. You can even resume your job after 4 days of rest. You can continue it even earlier if your job is entirely sedentary.

The success rates of vas deferens reconnecting without any troubles are very high. More than 90% of the deferens connect without complains or complications. However, keep in mind that although your surgery might be successful due to the vas deferens’ reconnection, there is no guarantee whether you still will be able to reproduce. Your sexual health and activity could be excellent after surgery, but there is a probability that you might not be able to get pregnant. Cases like these, however, are far and few.

Also, remember that in most cases, tubal reversal or vasectomy reversal surgery does not impact pregnancy. Your partner’s fertility is also a huge determining factor that decides whether they can get pregnant or not. Therefore, you must have your partner take a fertility test before you go for tubal reversal surgery.

Tubal Reversal Surgery Time Limit

There is no particular time limit set for tubal reversal surgeries. However, you must undergo the process as early as possible. The reason for choosing a vasectomy reversal procedure early is because success rates are higher for younger patients. With age, our bodies undergo physiological changes that impact and affect whether you could get pregnant with your partner.

Dr Yaniv Larish at Fifth Avenue Urology is an expert at performing vasectomy reversals.

Contact us today to schedule an in person or online confidential consultation. 

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

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.

BestVasectomyReversalDoctorNYC4

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.

BestVasectomyReversalDoctorNYC7

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.

Vasectomy reversal surgeon nyc right column 02

Vasectomy reversal surgeon nyc right column 03

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