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

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 know what vasectomy is, it is a urological procedure that prevents the male sperm from getting to the semen. An easier definition of vasectomy would be that it is a male sterilization procedure for ensuring permanent contraception. Surgeons tie or seal the male vas deferens, which ensures that sperm doesn’t enter the males’ urethra. As a result, it prevents the process of fertilization during sexual intercourse.

What Is a Vasectomy Reversal?

Men make a tough choice when they opt to get a vasectomy, a choice that a lot of them regret later on in their lives. Luckily for them, there is a procedure present to reverse their vasectomy. This procedure is vasectomy reversal. Similar to vasectomy, this surgical procedure is also minor; the only difference being that it reverses the effects of vasectomy by reconnecting the reproductive tract of a male.

Is a Reversal Safe?

A common question that many people seeking vasectomy reversal procedure ask is whether it is safe or not. Well, just like vasectomy, vasectomy reversal is as safe as it can be. Surgeons have been  performing this procedure for many years with success. It is a minor procedure and it does not take long. Eventually, it allows men to restore their sterility.

Important Things to Know About Vasectomy Reversal

Just like having a vasectomy, choosing to have a vasectomy reversal is a big decision. There could be numerous reasons why someone would choose to reverse their vasectomy. However, you should remember a few important things before you make your final decision.

1.     Vasectomy Reversals Have High Rates of Success

People who are afraid of having a vasectomy reversal should know that this procedure is minimally invasive, and there is nothing to be scared of. Additionally, the success rate is high, especially because of the modern equipment and techniques that the surgeons have at their disposal.

Vasectomy surgeons use microsurgical techniques to minimize the scars they leave behind on the patient’s body. Surgeons use surgical microscopes to ensure the finest and smallest of stitches on the vasectomy removal patients. In most cases, the patients have the permission to go home on the very day of the procedure. In fact, they can even go back to work in two or three days.

2.     Your Testicles Continue to Produce Sperm

You might be surprised to discover that your testicles continue producing sperm despite having a vasectomy. However, they do not have any passage to exit the body. This is the reason people restore their fertility after getting a vasectomy reversal. Doctors ask you to steer clear from sex for a few weeks to recover from the surgery.

Note that there are some cases where it takes longer to regain fertility.

Are you or your partner looking to reverse your vasectomy? If yes, get in touch with Dr. Larish and book your appointment now!

Top Reasons Men Undergo Vasectomy Reversal Surgery

What are the top reasons men get vasectomy reversal surgery? There are times in life when you have to make hasty decisions. Perhaps, you thought you were never going to get back on your feet financially. Or the circumstances in your married life went so bad you never thought of starting a relationship. Next thing you know, you are searching for vasectomy on your computer. Perhaps, this might be the solution to your problems. You won’t have a reason to think about your finances or to get back in a relationship again.

Vasectomy Reversal NYC, in this regard is a reliable option when it comes to choosing the best surgery center. We specialize in micro-surgery and use most advanced surgical micro-instruments and microscope. Our highly qualified trained staff makes sure that patients get the best treatment experience with successful recovery.

Why do Men Seek Vasectomy Reversal?

Generally, when men choose to undergo a vasectomy, they consider it permanent sterilization. However, it is a common misconception and men can reverse vasectomy down the line, whenever they change their mind.  Reversing vasectomy is not only possible but increases fertility up to 90 percent in men.

Typically, the surgeon performs a minor surgery to reconnect the vas deferens- tubes that carry sperms from testicles into the semen. After vasectomy surgery, sperm are produced in the semen and men can get their partner pregnant. The successful vasectomy surgery can boost the pregnancy rate from 30 percent to 80 percent.

However, successful pregnancy after vasectomy reversal surgery depends on several factors that includes surgeon’s experience, time after vasectomy reversal, partners age and most importantly, if you had any fertility issues before surgery.

There is a plethora of situations where you might consider undergoing vasectomy reversal surgery.  Some of the top reasons are,

1.    Met a Life Partner and Wants to Start a Family

You never know when you end up finding the person you want to spend the rest of your life with. In fact, you can’t keep yourself from starting a family with them. There is no reason why you should not have a happy life with them.

More importantly, you don’t want your past decisions to haunt you for the rest of your life. If you are reconsidering going back to being a man who can produce babies, you sure should take a step forward. Vasectomy reversal is your option. Consult to our surgeon at Vasectomy Reversal NYC who can guide you about the procedure and what other particulars it entails.

2.    You’re now Financially Stronger and Can Support Kids

In many cases, men make the harshest decision of their life because they are financially distressed. When you can’t feed yourself, you can’t think of producing babies. But, you were not born to live with an empty pocket. You have now found the dream job and can earn enough to support not only yourself but also an entire family. That means you can undergo vasectomy reversal surgery.

3.    Found out There Was a Way to Reverse Vasectomy

If you are worried that your vasectomy treatment has made you infertile, think again. You can opt for vasectomy reversal and be a potential father again. Get in touch with our experts at Vasectomy Reversal NYC to know your options.

Final Thoughts

No matter what life circumstances have made your mind to become a father again, we at Vasectomy Reversal NYC can help you fulfill your dream of fatherhood.

Contact us today to schedule an appointment with the best vasectomy reversal surgeon in NYC

Yaniv Larish, MD
Fifth Avenue Urology
(646) 862-5500

Detailed Description of the Vasectomy Reversal Process

Although vasectomies are incredibly common among men, Vasectomy reversal processes are more so. There is a multitude of reasons for men to get a vasectomy reversal process like remarriage, loss of a child, or to cure problems that arise from getting a vasectomy.

While the reasons for why men get a vasectomy reversal deserves its own list, let’s go over some of the details of a vasectomy reversal process. What happens during the reversal process, risks of getting a vasectomy reversal, and aftercare for the procedure.

Vasectomy Reversal

A vasectomy reversal, as the name implies, is a process to reverse your vasectomy by reconnecting the (vas deferens) tubes; these tubes carry sperm from the testicles into the semen. A successful vasectomy reversal will allow the sperm to be present in the semen, which will allow you to make your partner pregnant. But let’s dive deeper into what happens during the procedure.

During the Procedure

Once the surgeons offer you anesthesia, they will begin the process of reconnecting your tubes (vas deferens) to each other. The surgeons will start by making an incision (small cut) on your scrotum, which should reveal the tubes that carry sperm and release it from surrounding tissue. Once the surgeons make the cut, the real surgery will begin.

After the incision, the surgeons will cut open the tubes (Vas Deferens)and examine the fluid inside. If the fluid contains sperm, they will simply reconnect the tubes that will create a passageway for the sperm. Now it is possible that your Vas deferens do not contain any fluid upon opening due to scar tissue blocking sperm flow, which means that your surgeons will then have to perform a vasoepididymostomy. It is also possible that the hospital of your choice may require robot-assisted surgery, but this is not a very common scenario.

Vasoepididymostomy is a procedure where they attach the Vas Deferens tubes directly to the small organs in the back of each testicle; the epididymis holds sperm in them and is responsible for sending sperm to the Vas Deferns. Vasoepididymostomy is a much more complicated process and is something that surgeons will often choose when a regular vasectomy doesn’t work and is not something that every surgeon can perform.

After The Procedure/Aftercare

As soon as your surgery is complete, your doctor will bandage the incisions and will advise that you wear tight fitting undergarments. There are also athletic supporters that can support your genitals; you’re doctor may also ask you to apply ice for 24 or 48 hours to reduce the swelling. You may be sore for several days, and you will not be able to do any exercise that places strain on your genitals for at least six weeks.

Of course, if you have a job without much physically intensive work, then you can go about your work after just a few days of rest. On the other hand, if your job is very physically demanding, you will have to ask your doctor when it is best to go back to work. Finally, you cannot have any sexual intercourse or ejaculate until your doctor says it’s ok. It is very common for men to have to wait at least three weeks before they can reengage in sexual intercourse or ejaculate.


Reversing a vasectomy is a very difficult decision to make, one that is fueled by just how difficult the procedure is. However, after your vasectomy reversal, your partner’s pregnancy rate will increase by at least 30%, or it can go as high as 90%.

In conclusion, be sure to do proper research on where you are getting your vasectomy from and the surgeon that will perform it, as it is very likely that you may require a vasoepididymostomy.

Call today for a confidential consultation with Dr. Yaniv Larish, an experienced Vasectomy reversal surgeon:
Yaniv Larish, MD
Fifth Avenue Urology
4 East 76th Street
New York, NY 10021
(646) 862-5500

Can You Get Pregnant After a Vasectomy Reversal?

vasectomy reversalDuring 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 do you do if further down the line, you change your mind and decide that it’s time to become a dad? The good news is that it is possible to reverse the procedure and become fertile again. Let’s take a closer look at the facts surrounding getting pregnant after a vasectomy reversal.

Time Frame:

vasectomy reversalThe first thing to consider if you’re trying to conceive after having a vasectomy reversal is the timeframe between the vasectomy and the reversal procedures. The good news is that even if a man underwent a vasectomy over 15 years ago, it may still be possible for them to father a child after having the procedure reversed. The best odds of success are with men who had a vasectomy less than three years before reversal, with a 67% pregnancy rate. This drops down to 44% for men who had the procedure between 9-14 years ago and is 30% for men who wait over fifteen years.

Improving Your Chances:

Although a lot of it is down to biology, there’s no denying that the choices you make can naturally enhance your chance of conceiving. During the healing period, it’s vital to take care of the area to allow for optimal recovery. For example, the man wearing supportive underwear, which can be obtained from your doctor or a medical supply store can help to improve the chances of getting pregnant after vasectomy reversal surgery. After the six-week healing period, wearing loose-fitting underwear will allow more air to circulate around the testicles, keeping them cool and encouraging sperm count.

Alternative Options:

vasectomy reversalIn certain cases, getting pregnant is simply not possible, even after a vasectomy reversal procedure. However, there are several alternative options that you may wish to consider, such as IVF or donor sperm. It is also advisable for both parties to take a fertility test to ensure that the problem lies with the vasectomy reversal process rather than female fertility levels. Bear in mind that it can also take some time to get pregnant so don’t be disheartened if it doesn’t happen right away.

Contact us today to schedule your appointment with NYC’s best vasectomy reversal specialist.


Call our offices today at (646) 862-5500 to discuss your specific case. You’ll work with the best urologist in New York to determine what is best for your needs

Multiple Attempts at Vasectomy Reversal

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 that you do not have enough healthy vans deferens for it to be re-joined. Sperm count may also be an issue, or it could simply be down to an unskilled physician. So, if you’ve had no luck the first time around, you might be considering trying again. Is it worth trying to get a vasectomy reversed multiple times?

Factors to Consider:

A healthy and successful vasectomy reversal procedure depends on a number of factors, the main three being sperm count, sufficient healthy vans deferens remaining, and the skill of the surgeon. However, other factors may also affect the reversal process, particularly the length of time between the vasectomy and the reversal procedures. However, a second attempt may still be worth it if there has been a long period of time since the vasectomy was performed. You may wish to speak to a microsurgeon about your options.

Further Testing:

vasectomy reversal Before attempting a second vasectomy reversal procedure, you will need to undergo a range of tests to ensure that you are a suitable candidate. For example, tests will be made on seminal fluids to ensure the presence of healthy sperm, and the vans deferens may be further tested for scar tissue. Note that scar tissue from the previous procedure can be a common factor in unsuccessful vasectomy reversal procedures. You may need to consult with a surgeon who specializes in trickier cases.


More Complex Procedures:

vasectomy reversal You should be prepared for further unsuccessful attempts at reversing your vasectomy. If the regular procedure is not successful for you, you may wish to consider alternative options. A vasoepididymostomy is often an effective approach in cases where vasectomy reversal has been unsuccessful. This is a more complex procedure which usually requires a specialist. Other options that you may wish to consider include In vitro Fertilization (IVF), donor sperm, or adoption.

Most vasectomy reversal procedures are successful, but a small percentage will fail. If you are considering a second or third attempt at reversing your vasectomy, get in touch today to book your consultation with the best vasectomy reversal doctor in New York City.

Call our offices today at (646) 862-5500 to discuss your specific case. You’ll work with the best urologist in New York to determine what is best for your needs

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 is. Naturally, you’ll want to know your chances of success before putting your body through surgery and recovery, not to mention the cost. Success relies on three main factors – sperms, tube, and surgical expertise. This means that whilst choosing an experienced and reputable surgeon will increase your chance of success, your genes or health could get in the way. Let’s take a look at what’s necessary for a successful vasectomy reversal.


vasectomy reversalBefore a vasectomy reversal procedure, tests will be carried out to ensure that sperms are present. If they are not, this could be caused by blow out – a rupture of the extremely thin epididymis tube which is found on top of the testis. Blow out is caused by back pressure of fluid build-up trapped in the tubes below the vasectomy, peaking during ejaculation. It is painless, so you may be unaware that it has occurred. Statistically, the chance of a man developing a blow out after undergoing a vasectomy procedure starts at zero and increases by approximately 2% each following year.


vasectomy reversalDuring a vasectomy reversal procedure, the surgeon will re-join the tube (vas deferens), allowing it to transport sperm to the penis again. For the procedure to be a success, there will need to be enough healthy vas remaining after the vasectomy procedure for the surgeon to join at least one back together. Unfortunately, if there is not sufficient healthy vas, it’s usually not possible to have a vasectomy reversed. However, the good news is that almost all men (95%) will have at least one tube which is suitable for reversal.

Surgical Expertise and Skill:

vasectomy reversalLastly, the one factor that you’ll have more control over when getting a vasectomy reversal is the surgeon who carries out the procedure. Since most men who have undergone a vasectomy will be able to have it reversed, choosing a reputable and highly skilled doctor increases your chance of success. Choose a surgeon who specializes in vasectomy reversal and has a proven high success rate.

Don’t delay – get in touch today to book your consultation with NYC vasectomy reversal experts.


Call our offices today at (646) 862-5500 to discuss your specific case. You’ll work with the best urologist in New York to determine what is best for your needs

What to Expect After a Vasectomy Reversal

vasectomy reversalAfter undergoing a vasectomy reversal procedure, you may experience some pain in your groin area for around one to three weeks. You may also experience swelling and/or bruising of the groin and scrotum, which usually subsides within one to two weeks. Here’s what else you can expect from the recovery process:

Returning to Work:

vasectomy reversalIt’s important to take some leave from work for at least a couple of weeks following your vasectomy reversal surgery to allow yourself the time and rest you need to make a full recovery. Depending on your job, you will probably be able to think about returning to work after around one week. Those with more strenuous job roles, for example a job that involves a lot of lifting or physical labor, may need to wait up to two weeks before going back to work. Speak to your doctor if you’re not sure how much time to take off.


During the healing process, self-care strategies can help you get back to normal as quickly as possible. For the first 24 hours after the procedure, try to lie down and rest as often as you can. You may be allowed to stay at the hospital or clinic during this time to aid recovery. After the first 24 hours, try to take a short walk each day and increase the amount you walk on a daily basis. Gentle walking will boost your blood flow and help prevent issues such as pneumonia or constipation. Avoid any strenuous activities or lifting anything that will cause strain. You should keep the wound clean by showering and patting dry. Avoid bathing for at least five days.


You will usually be able to return to eating your normal diet after the surgery, however, a healthy and balanced diet is the best option for a healthy and speedy recovery. If you experience an upset stomach when eating after your procedure, try to stick to low-fat, bland foods such as plain rice, toast, or yoghurt. Unless you have received specific instructions not to from your doctor, you should make sure to drink plenty of fluids – particularly water – throughout the day.

Getting Back to Normal:

vasectomy reversalEvery guy is different, so it’s good to speak to your doctor to get personalized timeframes for your recovery. Speak to your doctor about how long you should wait before driving, having sex, or participating in any other activity that may be affected.

Contact us today to schedule your appointment with the best vasectomy reversal doctor in New York!

Call our offices today at (646) 862-5500 to discuss your specific case. You’ll work with the best urologist in New York to determine what is best for your needs

Vasectomy Reversal FAQs

BestVasectomyReversalDoctorNYC2What is a vasectomy?

A vasectomy is a simple procedure where the vas deferens is cut to prevent sperm from entering the ejaculate and serves as a method of male sterilization.

What is a vasectomy reversal?

In a typical vasectomy reversal, the two cut ends of the vas deferens are rejoined to once again allow sperm to enter the ejaculate. It is a procedure used to restore male fertility.

Can any vasectomy be reversed?BestVasectomyReversalDoctorNYC3

Men are typically cautioned that a vasectomy procedure is permanent. The truth, however, is that most vasectomies can be reversed. Success rates are critically linked to the skill and experience of the surgeon. Macroscopic vasectomy reversals typically have low success rates. Vasectomy reversals performed by skilled and experienced urologists utilizing a high-powered surgical microscope have high success rates.

How do you choose the right surgeon for vasectomy reversal?

Most general urologists perform less than five vasectomy reversals per year. Obviously, their limited experience in this procedure will negatively affect their success rates. It is important to determine if the surgeon you select actually specializes in microscopic vasectomy reversals. Relevant questions to ask include whether the surgeon has had specialty training in microscopic vasectomy reversals and what the extent of his or her experience is in the complicated vasdoepididymostomy procedure. Ask for permission to speak to a few of their patients who have had the reversal performed. Dr. Larish has performed thousands of vasectomy reversals and, for him, even the more complex vasoepididymostomy is routine.

What if my vasectomy was performed 15 years ago?BestVasectomyReversalDoctorNYC4

Evidence does suggest slightly better results with more recent vasectomy procedures, but the success rate with vasectomies performed over 15 years ago is at least 70% with a 30% pregnancy success rate. Dr. Larish has successfully reversed vasectomies performed up to 30 years ago with pregnancies occurring in as little as a few months. Regardless of the length of time since vasectomy, vasectomy reversal remains the most effective and least expensive means of restoring male fertility.

I have already had a vasectomy reversal with no success. Does it make any sense to try again?

Vasectomy reversals typically fail for one of two reasons. At the time of the first surgery, a vasovasostomy may have been performed when, in actuality, a vasoepididymostomy procedure was indicated. The other reason for failure is poor surgical technique in reconnecting the two cut ends of the vas deferens leading to scarring. Success rates following repeat reversals are slightly lower than for first reversals but are not so low that a repeat reversal should be avoided. It remains the procedure of first choice for restoring male fertility. Dr. Larish has performed numerous revisions of failed vasectomy reversals and is justifiably proud of his rate of success.

What is the difference between a vasovasostomy and a vasoepididymostomy?

A vasovasostomy is the standard vasectomy reversal procedure. It consists of simply reconnecting the two cut ends of the vas deferens and restoring sperm flow into the ejaculate. A vasoepididymostomy is where the vas deferens is connected directly to the epididymis on the testicles. This procedure is necessary when a “blockage” is identified in the vas deferens coming from the testicle. This blockage may be due to scarring or inflammation. The blockage prevents sperm from exiting the testicle through the epididymis to the vas deferens and must be bypassed. A vasoepididymostomy is a highly demanding and complex surgical procedure. Only a highly qualified urologic microsurgeon should attempt this procedure. Therein lies the importance of choosing an excellent surgeon.

BestVasectomyReversalDoctorNYC5What will the vasectomy reversal surgery be like?

The surgery is performed on an outpatient basis at the Gramercy Surgery Center. You will be at the center anywhere from three to five hours. The surgery itself is performed under general anesthesia. You must be accompanied by a responsible adult in order to be released from the center. You cannot drive yourself home. The post-operative pain is not unlike the pain you experienced following your vasectomy. You may notice swelling, bruising or discoloration of the scrotum. Pain medication will be prescribed for the first two days after surgery. After that, over-the-counter analgesics such as Tylenol or Motrin should suffice in alleviating any discomfort. Ice packs applied to the scrotal area will also help relieve any soreness.

What are the possible complications of vasectomy reversal surgery?

Severe complications following vasectomy reversal are rare. They include infection or hematoma. If your incision becomes warm, swollen or painful or you develop a fever, or if you notice excessive bleeding under the skin (black and blue swelling), you will need to contact Dr. Larish immediately.

How soon after the vasectomy reversal will I have sperm in my semen?

After a simple vasovastomy procedure, sperm typically reappear within three months. The first semen analysis is usually performed six to eight weeks after surgery. It may take up to six months for the sperm count and motility to stabilize. A semen analysis is performed every three to four months thereafter. After a vasoepididymostomy, it normally takes at least six months for sperm to reappear in the semen but may take as long as 12 to 18 months.

How soon can I have sex after surgery?

We normally advise patients to wait four weeks before resuming sexual activity.

When can I go back to work?

If your work is performed in an office setting, you will be able to return to work after three days. If your work involves strenuous labor, you will back on the job after four weeks. Patients are advised to avoid heavy lifting or strenuous exertion for four weeks after surgery.

Does my insurance pay for a vasectomy reversal?

Most medical insurances do not cover the cost of a vasectomy reversal. Dr. Larish has chosen to offer a fixed, all-inclusive price for the standard vasectomy reversal as well as for the more complicated vasoepididymostomy procedure. Patients can thus rely on clear, up front pricing with no surprising hidden costs.

What are my options if the vasectomy reversal is unsuccessful?BestVasectomyReversalDoctorNYC6

If surgery is unsuccessful, you may consider reoperation or in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI). In most cases, repeat vasectomy reversal offers the best chance of success. Assisted reproduction (IVF and ICSI) should not be considered as an alternative to vasectomy reversal, but rather, an option in the event of vasectomy reversal failure or when there is a female factor contributing to infertility. The cost of assisted reproduction (IVF and ICSI) is up to three times as high as vasectomy reversal surgery. For the female partner, it involves hormonal therapy. For the male, it involves “sperm harvesting” or extraction of sperm from the testicle by needle aspiration. With IVF, mature human eggs and sperm are incubated in a culture dish. ICSI involves injecting a single sperm into an egg. This procedure greatly enhances the success of IVF. Once the fertilized egg is develops into an embryo, it is implanted into the uterus.

If you are interested in learning more about vasectomy reversal microsurgery, call Dr. Larish , the most experienced micro-surgeon for vasectomy reversal in NYC.


Information about Microsurgical Vasectomy Reversal

Specifics of Microsurgical Vasectomy Reversal


BestVasectomyReversalDoctorNYC1The 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 sperm. The finding of motile sperm is an even better sign. The cut ends of the vas deferens are then stitched together.

Dr. Larish uses a high-powered surgical microscope and six sutures of 10-0 or 11-0 diameter (finer than a human hair) to reconnect the inner lumen and the outer layer of the vas deferens. This is called the Multi-layer Microdot technique. This advanced technique has contributed to Dr. Larish’s high success rates and low rate of scarring. It has also minimized the patient’s recovery time. See Dr. Larish perform a vasovasectomy.


In about 30% of Dr. Larish’s vasectomy reversal cases, no fluid can be expressed from the vas deferens or there are no sperm in the fluid. It must then be concluded that there is a blockage in the epididymis closer to the testicle. The blockage will not allow sperm to pass through to the vas deferens. Blockage in the vas deferens may be due to inflammation, high pressure in the epididymis or scarring following the vasectomy. This blockage must be bypassed by connecting the other end of the vas deferens directly to the epididymis. This procedure is called a vasoepididymostomy.

Dr. Larish currently employs the state-of-the-art Microsurgical Longitudinal Intussusception Vasoepdidymostomy technique. This technique is also referred to as the “two-suture longitudinal intussusception” technique and requires two 10-0 or 11-0 sutures. The technique permits a larger opening between the extremely small epididymal tubule and the larger vas deferens tubule permitting the two to be connected.

This procedure is one of the most complex and demanding in all of microsurgery. Only physicians who perform vasoepididymostomies on a regular basis should attempt the surgery. For Dr. Larish , this procedure is routine. His success rates are equivalent to those of the world’s leading male fertility microsurgeons. He has achieved 87% patency rate in his vasoepididymostomy patients. See Dr. Larish perform a vasoepididymostomy.

BestVasectomyReversalDoctorNYC3Regarding Laser Vasectomy Reversals

This technique was popularized in the 1990s. Laser surgery works well for select blood vessel surgeries in cardiovascular medicine. However, research shows that laser vasectomy reversals have lower success rates. Laser vasectomy reversals may, in fact, cause more complications and damage to the vasectomy reversal site. Dr. Larish does not use this method of reversal.

Contact us about vasectomy reversal:

If you are interested in learning more about vasectomy reversal microsurgery, call Dr. Larish, the most experienced micro-surgeon for vasectomy reversal in NYC.


Choosing a Vasectomy Reversal Surgeon

Choosing the right surgeon to perform your vasectomy reversal procedure is an important task.

Choosing a vasectomy reversal surgeonUnlike 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 high rate of success preforming this technically challenging procedure.

The following topics should be considered when you choose which doctor to perform your vasectomy reversal.

Board Certified Urologist for vasectomy reversal:

Choosing a vasectomy reversal surgeon While there are many good surgeons that are not board certified, board certification ensures that your surgeon has passed strenuous testing of his/her knowledge and surgical ability. Dr. Larish is board certified by the American Board of Urology. Additionally, Dr. Larish holds the prestigious titles of Fellow of American Urological Association, and member of the American Society for Reproductive Surgeons.

Vasectomy Reversal specialty:

Dr. Larish specializes his urology practice to focus on mail fertility. Very few urologists in the country can claim this, and even fewer in New York City can claim to be specialists in vasectomy reversal. Dr. Larish has a success rate of over 90% for micro-surgical vasectomy reversals which are difficult procedures to perform.

Operating microscope and micro-instruments for vasectomy reversal:

Choosing a vasectomy reversal surgeonDr. Larish performs vasectomy reversal surgery at Gramercy Surgery Center. Gramercy Surgery Center is an ultra-modern operating facility that provides the most advanced operating microscope and equally important, micro-instruments and micro-sutures. Gramercy Surgery also employs physicians’ assistants and nurses that are highly trained in assisting surgeons. Additionally, Dr. Larish guarantees that he will perform your procedure in its entirety, no medical students, residents or fellows preform any part of the surgery, unlike some teaching hospitals in New York City.

Anesthesia for vasectomy reversal:

The anesthesiologists at Gramercy Surgery Center are board certified and highly trained, ensuring a safe experience while undergoing vasectomy reversal surgery.

Experience performing vasectomy reversals:

Dr. Larish performs the most vasectomy reversal surgeries in NYC. Just like professional athletes and musicians that practice their craft over and over again to get better and better, Dr. Larish has the experience to be the best in his field. No other urologist in NYC has the experience and numbers of successful procedures compared to Dr. Larish.

Unfortunately, no surgeon can guarantee the outcome of any surgery, but choosing a doctor with the most experience can significantly increase your chances for success, especially with such a challenging microsurgery to reverse vasectomy.

Contact Dr. Larish today to schedule a consultation to discuss your vasectomy reversal procedure.

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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Vasectomy reversal surgeon nyc right column 03

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