Dr. Yaniv Larish specializes in micro-surgery to reverse vasectomies.
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.
Can all vasectomies be reversed when it comes to the vasectomy reversal procedure? Vasectomies are a common medical procedure around the world. It is for those couples or partners who wish to live a romantic life without the risk of getting pregnant. Since a vasectomy deals with the male’s reproductive sperm, it is a highly successful and effective contraception method.
However, after spending some time together, a couple might decide to get a reverse vasectomy. There are many reasons behind a vasectomy reversal, primarily the wish to have children and begin a family. Moreover, a male might feel self-conscious regarding his health, which can lead him to opt for a vasectomy reversal. Hence, it is best to know beforehand what happens in a vasectomy reversal and whether all vasectomies are reversible or not.
Are All Vasectomies Reversible?
Answering the main questions first, you should know that all the vasectomies are reversible but require a lot of consideration. It involves the incision and ligation of the vas deferens in the scrotum of a male. Thus, the reversal involves the re-attachment of the veins.
While all vasectomies have a high chance of success in reversal procedures, certain complications can occur. Often, without adequate care, the results might be unsatisfactory and cause severe implications on health and lifestyle.
Some Risks of the Vasectomy Reversal Procedure
Pain can begin and persist in the scrotum, near the vas deferens, and some close venous parts of the lower body. Although this is highly uncommon and doesn’t hold any medical record, such cases are possible and will require the immediate attention of a skilled medical professional.
Infections can happen after a surgical treatment or operation. Cutting a vein open and then incisions and ligation exposes the sensitive internal organs and blood vessels to foreign elements. Hence, chances of infection rise but are treatable through antibiotic therapy.
Internal Scrotum Hemorrhaging
The vasectomy reversal procedure can increase the chances of internal hemorrhaging in the scrotum. This can lead to hematoma (blood collection), and clotting within that is responsible for the painful swelling in the scrotum. However, it is often the result of inadequate care and health preservation. Moreover, using scrotal support, ice packs, antibiotics, and more can help in controlling the risk of progressing pain.
What is a Successful Vasectomy Reversal?
Vasectomy reversal appears to be a relatively straightforward procedure that is no more than rectifying the previous “snip”. However, it can lead to certain complications, often due to improper post-surgery care.
After going through some of the most important factors, a surgeon will determine whether you are fit to have a vasectomy reversal and if there are high chances for any complications. After confirming the chances of reversal being successful, the surgeon will begin the process.
Usually, this procedure occurs as an outpatient service that doesn’t require a hospital night stay or something similar. However, you may have to rest and get medical assistance for a couple of hours post surgery. Regardless, within a day or two, you should be able to get back to work and get on with your routine.
The procedure involves your surgeon making sure that you are healthy and fit. The surgeon will make precise incisions after providing general and regional anesthesia to sedate you while leaving your scrotum numb.
The incision will expose your vas deferens (the tubes carrying sperm into the ejaculate that forms with the semen) while releasing it from the surrounding tissues. After separating the vas deferens, the surgeon will make incisions to check if there is fluid present.
In case the sperm is present, the surgeon will attach the severed ends of the tubes together. Nevertheless, if the fluid is lacking and the inside of a tube is dry, it might relate to scar tissue (blocking the sperm). In this case, the surgeon will perform a “vasoepididymostomy,” which involves connecting another end of the vas to your epididymis.
Keep in mind that these are highly micro-surgical procedures that require extreme precision and skill. In fact, a surgeon who doesn’t have the experience of using microsurgical instruments and equipment might not be the best fit to perform your vasectomy reversal.
Can All Vasectomies Be Reversed? Conclusion
Are you looking for the best doctors and surgeons for your vasectomy reversal? The decision to begin a family is a rather important decision that also requires plenty of consideration. Therefore, you should only contact a surgeon who has experience in the process of vasectomies/reversals and carries a good reputation in the industry.
Dr. Yaniv Larish is an experienced, skilled, expert, and highly knowledgeable surgeon in vasectomy reversals at Vasectomy Reversal NYC. Contact us today at (646) 862-5500 to schedule an appointment with him. Pay us a visit for personal inquiry at 4 East 76th Street New York, NY 10021.
A vasectomy is a surgical procedure. You can also call it a permanent contraception. Contraception aims to prevent fertilization from happening during sexual intercourse. Spouses use different forms of birth control strategies that prevent them from conceiving. As a result, a man is unable to impregnate his spouse after this surgery. Spouses that decide to never have children and do not desire usually opt for the decision of undergoing a vasectomy. This surgical operation is able to achieve maximum surety for the spouses so that they do not have to face unplanned pregnancy.
The Vasectomy Procedure
This is an easy procedure, and does not require a lot of time. This surgical procedure only takes 10 to 30 minutes to operate. A vasectomy prevents the man’s sperm from getting into his semen. This prevents any chances of pregnancy. When the sperm is unable to enter a women’s ovum during copulation, fertilization is not possible and hence chances of pregnancy fall immensely. In this surgery, the surgeon surgically cuts the Vasa deferens and ties or blocks it with heat. The Vasa deferentia are the tubes that carry the semen from the testicles to the penis. This surgery ultimately blocks any semen that is entering from the tubes to the urethra, which is a tube inside the penis.
A vasectomy is almost a 100 percent effective treatment for preventing pregnancy. It is also a short procedure with very few chances of developing negative side effects. The negative side effects in rare cases will present themselves in the form of infection, redness, or swelling. It also rarely has any long-term effect on your health. It does not lower your hormone levels and so it has no significant effect on your sex drive.
What is a Vasectomy Reversal?
This surgical procedure is self-explanatory by its name. Doctors perform it to undo the vasectomy. People who are indecisive and get the vasectomy half-heartedly are likely to choose reversal. Thankfully, there are surgical procedures that make it possible for people to realize and change the decision of not having children. A vasectomy reversal is a successful microsurgery that can reverse the effects of a vasectomy procedure. There are two types of vasectomy reversals, vasovasostomy and vasoepididymostomy. About 20% of people who get vasectomy are likely to change their mind and get a vasectomy reversal.
The Vasectomy Reversal Procedure
This surgical procedure is a microscopic procedure. It requires microscopes because the surgeon has to deal with really small and delicate internal organs of the human body. Special micro surgeons are hired to perform this surgery. In this surgery the surgeons reconnect the vase defentia tubes back into the urethra, which is a tube present in the penis. Accomplishing this procedure result’s in the sperm entering the penis from the testicles. The presence of sperm cells in the semen are observed once again and the chances of pregnancy after copulation increases.
This procedure can be greatly beneficial for couples who want to have children again. It allows them to undergo natural pregnancy. Natural pregnancy is much better than other forms of pregnancy because it requires less frequent visits to the doctors and you don’t have to spend too much on medicine. This makes it a cost-effective choice. Pregnancy rate after a vasectomy reversal can range from 30% to even 90%. It is also a relatively safe surgical procedure with rare chances of mishaps. All these positives of a vasectomy reversal gravitates couples towards making the decision of getting a vasectomy reversal. It not only gives spouses hope for a better future but also gives them an opportunity to a new life.
Vasectomy Reversal: Post surgery
After the vasectomy reversal, the healing process of the person is fairly quick and easy. The pain after the surgery is the same as it is after vasectomy. Some have even claimed that the pain after the vasectomy reversal is comparatively less. Intense pain after vasectomy reversal is rare. However, you can handle that with over-the-counter painkillers. The success of the surgery is evident from the person’s sperm count after the surgery. Post-surgery analysis of the sperm count lasts almost 4 months.
Vasectomies & Vasectomy Reversals: Conclusion
Reversing a vasectomy is now very possible. The reversal of any vasectomy is possible and your age does not matter in most cases for the reversal to be successful. Most men stay fertile even after adulthood. Many alternatives are also present for pregnancy after vasectomy reversal. These include A.R.T technologies and vitro fertilization. However, these methods are artificial, time consuming, and costly.
The success of your vasectomy reversal greatly depends on the experience of your urologist. It is important to get this surgery from a surgeon that specializes in vasectomy reversals in order to mitigate the risks after the surgery. Dr. Yaniv Larish is an experienced urologist in this field and the right surgeon to perform your reversal procedure.
Yaniv Larish, MD 4 East 76th Street
New York, NY 10021
The rise of the 20th century has changed the levels of healthcare. Drastic improvements in medical science have proven to be the wonders of the age of enlightenment. Global average life expectancy has increased by 5 years between 2000 and 2016. This is the recorded fastest increase since 1960. Life expectancy has risen over the years due to countless healthcare efforts by scientists. The discovery and regulation of vaccines boasted the first ever increase in life expectancy and now people live longer and healthier because of the countless research and breakthroughs by scientists in the field of longevity.
If you are someone who is still on the fence on whether a vasectomy reversal will be good for you, let us clear some of the concerns that people have about older parenthood. We live in the modern age of science where child mortality is not a problem and multiple options are available for us that bring longevity into our lives. Stopping the aging process can have a lot to do with your lifestyle. Along with your lifestyle, there are ways that include therapies and supplementation that you can add to your life that help you maintain the energy levels needed for parenting your children.
A therapy like TRT (testosterone replacement therapy) is also a supplementary therapy that can help you maintain your testosterone levels even at the age of 50. So if you wish to have a vasectomy reversal at an older age, don’t just give up on the dream of fatherhood just yet.
The average age of newly made fathers has increased in recent years; this is an outcome of 20th century attitude towards early marriages. People are getting married at a much earlier stage in their lives now more than ever. Men experiencing fatherhood at an age beyond 40 or even 50 is now more common. The advancements in healthcare and triumphs in biotechnology not only make late fatherhood possible but also desirable.
Benefits of Late-fatherhood
Late-fatherhood counters the mistakes of early-fatherhood. Most men who become fathers at a very early stage in their lives find it difficult to carry out all the expenses of a child. At other times, young fathers are most likely to portray unstable personalities and impulsive emotional characteristics. A father of an older age is a more likely to have a stable personality which is very beneficial for a small child. Small children are tough to parent, they can be stubborn and often times throw tantrums. These problems require calmness and mindfulness, some of the qualities that an older father is more likely to possess.
Older fathers are also more likely to be better financially stable and have developed the personalities and gathered enough experience that they can transfer over to their children. Financial stability can mean you don’t spend too much time at work and so you can be able to give that crucial time to your kids, which is so important. Already having older kids can also prove to be beneficial, the distribution in labor around the house can teach the older kids more responsibility.
You may be reconsidering a vasectomy reversal because you are skeptic of the procedure. A vasectomy reversal is a highly successful procedure. The sperm count in the semen defines the success of the surgery. The success rate of pregnancy after a vasectomy reversal ranges as high as 67-97%. Not just that, vasectomy reversal has no negative side effects and rarely any complications. When a highly trained micro-surgeon, who is an experienced urologist, executes this surgery, the chances of complications further decrease.
Let us look at some of the benefits that you can have as a couple of conceiving after a vasectomy reversal rather than other alternative procedures like artificial insemination.
Benefits of Conceiving after Vasectomy Reversal
Artificial insemination methods like vitro-fertilization can be very costly. You will have to spend a lot of money on frequent doctor visits. The procedure itself is very costly since it uses modern ART technology. Vasectomy reversal provides you with the joys and experiences of natural childbirth. Seeing your baby develop in an incubator can be an alienating experience for the mother. Natural childbirth invokes the special bond and connection that spouses have with their children.
Older men are now more active and healthy than they were ever before. There is nothing stopping you from getting a vasectomy reversal in order to become a father. Your body does not stop producing sperm cells at any stage of your life; they regenerate after every three months. The risks and complications of late fatherhood are too minimal to be concerned about. If you have not experienced fatherhood in your life, reconsidering that decision can be totally worth it. Fatherhood is a beautiful learning experience. A vasectomy reversal is an accessible and easy procedure that has minimal drawbacks. If you or anyone you know is considering getting a vasectomy reversal, Visit Dr. Yaniv Larish, an experienced urologist for expert consultation and surgical services.
A vasectomy is a form of contraception that causes permanent sterilization in a man. It is among the many contraceptive measures that people take for birth control. Urologists execute this type of surgery. The name “vasectomy” is a derivative from the name of the internal organ of a male reproductive system called “vas deferens.” This mini tube like structure is responsible for the transfer of the sperm from the testis to the penis. A vasectomy surgically blocks the transfer of sperm into the semen. The sperm, being responsible for the fertilization process in the women’s ova, is then unable to enter into the women’s ova during sexual intercourse. This prevents a man from impregnating a woman and results in permanent contraception.
This is a short and easy procedure. It can normally take up to 30 minutes to perform this surgery. A urologist executes this by making small incisions in a man’s scrotum in order cut the vase differentia and seal them with heat. This creates a gap within the reproductive tube ultimately preventing the flow of sperm from the testes to the urethra inside the penis. This procedure has no effects on the man’s sexual performance. A person is able to ejaculate normally after the surgery but the sperm is not present inside the semen and this makes an individual infertile and unable to reproduce.
It is absolutely possible to undo a vasectomy. A vasectomy reversal is also a surgical procedure that reconnects the reproductive tubes in a man’s testes back into the urethra. There are two types of vasectomy reversal surgeries, Vasovasostomy and Vasoepididymostomy. Your urologists will decide which type of surgery to apply to you depending on various factors. The urologist can also apply a combination of both methods. This decision can mostly depend on the time interval between the vasectomy and vasectomy reversal.
A vasectomy reversal surgical procedure in which the urologist will simply rejoin the two ends of the reproductive tube. This will preemptively work against the vasectomy’s effects and restore the fertility inside of man by making the flow of sperm into the urethra possible again.
This surgery can be more complex and technically demanding for the urologist. The urologist decides to execute this when there are no traces of sperm found in the vas deferens fluid. The urologist will execute this surgery by connecting the vas deferens to the epididymis, which is a convoluted duct behind the testis responsible for the storage and flow of sperm.
How to Prepare for a Vasectomy Reversal
All the vasectomies are reversible; however, it is always advisable to keep check of a few things before you go into surgery. These include
Any underlying conditions that you may have that can cause complications during or after surgery. It is important to notify the doctor about any health concerns you may be facing so he can decide whether it is safe for you to undergo surgery.
It is always beneficial to have your sperm monitored by your urologist before entering into surgery. Making sure that you are still producing healthy sperm cells in numbers can determine whether the surgery will have a successful outcome.
The urologist will most likely ask whether your partner is fertile enough to reproduce. This will include running tests on your partner to see whether the vasectomy reversal is worth the effort.
Confirm the Credibility of Your Doctor
It is important to ask as much as questions as you can from your doctor. The experience and credibility of your surgeon is also a deterring factor when it comes to the success of your surgery. There is a much higher chance of success if the doctor specializes in this type of surgery. Do not be afraid to ask how frequently he performs vasectomy reversal.
Precautions after Surgery
After a vasectomy reversal, the doctor is most likely to ask you to abstain from any physical activity for at least 1 to 2 weeks. The stitches on your gonads take almost 10 days to heal and so it is important to wear some sort of protective support that relieves any stress or tension on your testicles. It is also important to refrain from any activity that can possibly create tension of the testicles; these include running, bike riding, horse riding, heavy lifting, sexual activity, sports.
The procedure of vasectomy reversal is much more complicated than a vasectomy. It requires the handling of complex microscopes that magnify the tiny and sensitive parts of the reproductive organs. With the help of these microscopic instruments, vasectomy reversal is now more easily possible than ever. They magnify the tiny reproductive organs to a substantial size. This makes it easier for urologists to perform a vasectomy reversal.
Visit our clinic and meet Dr. Yaniv Larish’s for professional help, if you are in need of any consultation regarding a vasectomy or a vasectomy reversal.
You got a Vasectomy. What If you have a change of mind? Vasectomies are quite common these days. You will find many men opting for this procedure. Their reasons could vary. However, the most common one among all of them is the patient’s desire not to produce an offspring. A high number of these patients go through the surgery, but change their minds after several yours. Have you gone through a vasectomy and had a change of heart later on? Do not worry, as you are not alone. There are tons of people who find themselves on the same boat.
So what to do once you change your mind after getting the surgery? Well, there is only one solution- and that is getting a vasectomy reversal. There have been numerous speculations regarding this procedure, but to clear things up and make you feel at ease, vasectomy reversals are not dangerous. In fact, it would be fair to say that they are as simple as the vasectomy itself. That being said, let us delve a little deeper regarding the procedure in order to clear up your doubts.
In today’s age, most men make their decisions based on circumstances and fate. Because of this, they make rushed decisions, even if they have long term implications. One of these decisions is opting to undergo a vasectomy. What is a vasectomy you ask? Well, it is a surgical procedure for avoiding births permanently. Experienced urologists perform this procedure quite often.
Vasectomy: When Men Change their Minds
As time goes by, men dace different experiences which influence their minds in more ways than one. These experiences have a strong influence on their hasty judgments regarding their decision to get a vasectomy, which is why they decide to get it reversed for good. According to several pieces of research, one out of every twenty individuals opts for a vasectomy reversal surgery.
Age is not a big issue when it comes to vasectomy reversals. You can undergo it whenever you want practically as well as theoretically. However, you do have to keep in mind that the success rate for vasectomy reversals is considerably lower in older men in comparison to younger individuals.
Benefits of Vasectomy Reversals
Once you undergo a tubal reversal surgery, you’ll significantly increase your chances of conceiving. It will also make sure that you do not have to make regular trips to the doctor for conceiving naturally. Once the procedure is complete and successful; you can reproduce whenever you want after the doctor’s recommended rest period. Let us go through some of the best benefits of vasectomy reversal procedures.
1. It is Permanent
Once you undergo a successful vasectomy reversal surgery, you will not need any extra procedures for restoring your fertility. Your family planning goals will get back on track, and you will live a happy and fulfilling life.
2. It is Affordable
In comparison to IVF treatments, vasectomy reversal surgeries are significantly cheaper. IVF treatments cause more than 10,000 Dollars and could vary according to your location. The cost could potentially go even higher if you do not have insurance coverage.
3. Excellent Success Rate
The total time after your procedure is complete is a huge determining factor to decide whether your procedure was successful or not. If you choose to have a vasectomy reversal within ten years of your vasectomy, there is a 95 percent chance that your reversal will be successful. As mentioned earlier, the success rate decreases if you are older or take a longer time to change your mind.
The vasectomy reversal method that your doctor chooses is a major determining factor for your recovery time. In comparison to tube tying processes, vasectomy reversals can take slightly more time. However, surgical procedures these days are performed with far more finesse and dexterity than before. Surgeons use microsurgical equipment and state of the art techniques to make sure there is no room for error in the surgery. Surgeons will also provide you pain killers to reduce any sort of discomfort and for alleviating the pain.
You might also have heard that your testicles stop producing sperm after a vasectomy. This is not true. Your sperm is unable to navigate a way through your body. So, the reversal procedure essentially brings back your fertility. You should also avoid sexual intercourse for three to four weeks. Take some time to rest and heal, after which, you are free to conceive.
Setting Expectations for Your Vasectomy Reversal
Before the surgeons operate on you, they will require some specifics. Let’s discuss them:
First off, they will require a case history of your physical examination. Surgeons need to make sure that you do not have any other health issues that could put your reversal procedure in jeopardy.
The surgeons also need to confirm that you are capable of producing healthy sperm. In most cases, men who already have children or even one child is enough proof. Despite that, there are some cases where doctors will ask you to get yourself tested for some other issues to eliminate all uncertainty to make sure you are able to produce healthy sperm after the surgery.
Get in touch with top nyc urologist Dr. Yaniv Larish for first-rate consultancy on all of your vasectomy reversal queries.
During a vasectomy surgery, the surgeons block a tube, namely vas deferens. They do this to stop the sperm from flowing into the patient’s semen. Because of this, patients are able to avoid pregnancy, which is the main reason why patients opt for this surgery.
Do you happen to be someone who underwent a vasectomy? Do you think it wasn’t the best decision, and are you wondering whether you could reverse the procedure or not? Well, the answer to that is yes.
You can indeed reverse your vasectomy with a standard process known as vasectomy reversal surgery. Quite a lot of people who do know about vasectomy reversal surgery are afraid of opting for it because they are unsure what happens during the procedure. They are also scared that it would damage their body instead of reversing their vasectomy. If you happen to be one of the people wondering about these questions, keep reading to know about the vasectomy reversal procedure in detail.
How Do Doctors Reverse Vasectomy?
There are a couple of methods involved that doctors use for reversing vasectomies, let us discuss them in some detail.
This is a standard vasectomy reversal method that quite a lot of doctors use. In this method, the doctors connect the spermatic cord by attaching it with the vas deferens. The spermatic cord is present behind the testicles.
This procedure is quite rare and complex in comparison to other methods, which are slightly more straightforward. Your surgeon will only choose this procedure if they believe that the other ways will not work for your particular case. Surgeons perform a thorough analysis of the vas deference fluid. They check to see sperm presence in it. Once the investigation is complete, they decide, which type of vasectomy would be suitable for their patients. There are even some unique cases where doctors choose to combine different vasectomy surgery types for a patient. However, these kinds of occurrences are quite rare.
In the combination surgeries, the surgeons perform vasoepididymostomy on one side and casovasostomy on the other one. Remember this, the longer you take to decide on your vasectomy reversal, the higher the chances will become to undergo vasoepididymostomy on both or either sides.
More often than not, doctors choose vasovasostomy to reverse their patient’s vasectomy. In this procedure, surgeons connect the vas deference from the testes by sewing them to the penis. Through this method, the sperms present inside the vas deferens are able to reach the penis easily by flowing out. It is significantly more straightforward in comparison to the other methods as all it requires is sewing.
Side Effects of Vasectomy Reversal
In most cases, vasectomy reversal does not have dangerous side effects. Sure there is a little bit of pain, but it goes away with some rest and precautionary measures. However, there are a handful of unlucky people who could face a few side effects due to this surgery. The side effects include painful scrotum swelling and bleeding. In a few cases, people also had infection as a side effect of their vasectomy reversal.
Keep in mind that chances of getting infected after a vasectomy reversal surgery are very slim. You can reduce the possibilities even further by choosing a highly experienced and trained surgeon for your reversal. In case you have an infection after the reversal, the doctor will give you some prescribed antibiotics. Persistent and severe pains mostly do not occur after vasectomy reversal surgeries. However, if by any chance, you face unbearable pain after the surgery is over, get in touch with your doctor as quickly as you can.
How to Know If the Reversal Was Successful
First of all, avoid sexual acts altogether for some time after a vasectomy reversal surgery. Ideally, waiting for three to four weeks is the perfect time for optimal recovery. However, the recovery time varies from patient to patient and the severity of the surgery. You can easily find out whether your vasectomy reversal surgery was successful or not by checking your sperm. If it appears in the semen after a month or two, your surgery was successful.
You will have to go to your doctor for a few months after the surgery to get your semen checked by them. In case the doctors used Vasoepididymostomy for reversing your vasectomy, your sperm flow might take considerably longer to return. Six to twelve months is the standard time frame in which sperm flow returns after Vasoepididymostomy.
Also, keep in mind that vasectomy reversal procedures do not have a hundred percent pregnancy rate. Sure, you might be able to resume our sexual activity, but remember that there is a small chance that your significant other does not get pregnant after the vasectomy reversal. You can easily reverse your vasectomy several years after undergoing the procedure. However, as mentioned earlier, the longer you wait to get the reversal, the lower the chances of a successful surgery.
You can restore the flow of your sperm through vasectomy reversal procedures. It provides you another opportunity for a successful pregnancy. Remember to choose a qualified and experienced surgeon for your procedure.
Contact us to learn more today:
Dr. Yaniv Larish 4 East 76th Street
New York, NY 10021
Do you need a Vasectomy or Vasectomy Reversal Procedure? Vasectomy is a small surgery procedure to prevent the sperm from reaching the semen. The semen will still exist but carries no sperm content. On the other hand, a vasectomy reversal surgery is a process that reverses the vasectomy.
Keep reading to learn more about Vasectomy and Vasectomy Reversal Procedures:
Men undergo vasectomy surgeries in hospitals or at surgery centers. You can discuss with your urologist whether you need complete sedation for the surgical procedure.
You will have to sign a form that gives permission to your urologist permission to carry out the procedure.
In the surgical room, your urologist will first shave and then wash your scrotal region thoroughly with an antiseptic solution. The doctor numbs the area by injecting it with local anesthesia. However, you will be aware of the feelings of movement, tension, and touch. This anesthetic will serve to block any acute pain that you might experience otherwise. If, by any chance you do experience pain during the surgical procedure, you can inform your urologist so that he/she can inject you with more anesthesia.
There are two vasectomy procedure types:
In the no-scalpel vasectomy procedure , your urologist feels for the vas under your scrotum skin and uses a small clamp to hold it in place. He/she then makes a small hole in the skin and stretches the hole open for lifting the vas deferens in a gentle manner. Your surgeon then ties and puts it back in its original place.
In this vasectomy procedure, the urologist makes one or two tiny cuts in your scrotum skin. The purpose of this is to be able to reach the vas deferens. The vas is then cut and a minuscule piece can be taken out which leaves a short gap between the vas deferens ends. After this, your urologist may sear the vas ends and then tie up the ends that have been cut with a suture. The doctor then performs the same steps on the other vas. Dissolvable stitches are useful for closing off the scrotal cuts. Alternately, the cuts can seal off on their own.
To put in simple terms, vasectomy reversal surgery undoes the effects of a vasectomy. This procedure reconnects the passage for the sperm to get inside the semen. Read on to know about the Vasectomy Reversal procedures.
Vasectomy Reversal Procedures
It is a urologist who usually performs vasectomy reversal surgeries at a surgery center. If using a surgical microscope, the surgery is completed while you (the patient) are sound asleep under the influence anesthesia.
Microsurgery is the ideal way to perform this vasectomy reversal surgery. A powerful microscope enlarges the small tubes around five to forty times their original size. Your urologist can then join the vas deferens ends by using exceedingly thin stitches.
The urologist will make a minuscule cut on either side of your scrotum after you have fallen asleep. He/she will then clip the vas scarred ends where they were earlier sealed off by the vasectomy. The surgeon will extract the fluid from the vasal end that is closest to the testis. The doctor will next check whether the fluid has any sperm in it.
At this stage, you can go with either of the two following reversal procedure types:
If no sperm is found in the vasal fluid, this indicates that the back pressure created by the vasectomy lead to a block in the epididymal tube. The urologist has to circumvent this block and join the upper vas end to the epididymis. This is referred to as “vasoepididymostomy”.
Although Vasoepididymostomy fulfils the same purpose as the vasovasostomy procedure( more on this later) , the former is more complex than the latter. However the results achieved at the end are equally good for both the reversal procedure types
This is the second type of reversal procedure. If it turns out that there is in fact sperm in the vasal fluid, that shows that the passage is clear between the place where the vas was cut and your testis. What this means is that the urologist can then join the ends of the vas. The term “Vasovasostomy” is used to reconnect the vas ends.
For men, the vasovasostomy success rate is about 85 percent when microsurgery is used .The likelihood of pregnancy occurring stands at 55 percent. ( In other words, 55 out of 100 women get pregnant).
Should you go for a Vasoepididymostomy or a Vasovasostomy ?
Unfortunately, you cannot know which procedure works best for you prior to the reversal vasectomy surgery. The urologist is only able to find this out during the surgery procedure itself. A vasovasostomy is performed if there is presence of sperm inside the vasal fluid. On the other hand, if there is no sperm in the vasal fluid, your urologist will decide what next to do bearing in mind other factors. If there is an occurrence of a block in the epididymal tube, the vasoepididymostomy procedure will be required.
If there is no block, then the look of the vasal fluid might assist the urologist in deciding which surgical procedure is best. Usually, if the fluid has a watery look, your urologist will perform a vasovasostomy even if there is no presence in the vasal fluid. Creamy looking fluid in the absence of sperm suggests that vasoepididymostomy is required.
If you want to reverse your vasectomy, be sure to reach out to us at Vasectomy Reversal NYC. Feel free to call us at (646) 862-5500 for a consultation with Dr Yaniv Larish, who specializes in vasectomy reversal surgeries.
Quite a lot of men decide to undergo a vasectomy surgery at some point in their lives. Most of them choose it because they do not wish to bear a child. However, later on in their lives, they have a change of heart. Because of this change, they wonder if there a procedure could undo the effects of their vasectomy surgery. If you find yourself in a similar predicament, consider yourself lucky because there are vasectomy reversal procedures that can undo the impact of a vasectomy.
People who do know about vasectomy reversal surgeries are unsure whether they are safe or not. They are afraid that it could potentially be risky and cause them further damage. Let us clear the notion up, once and for all. First of all, vasectomy reversal surgeries are as safe as the regular vasectomies. The process is fairly simple and does not take too long, especially when the surgeon is experienced.
Vasectomy Reversal Procedure
Depending on the type of vasectomy, doctors have a couple of methods for reversing them. The most common method to do it is known as Vasoepididymostomy. It is a regular method for reversing a vasectomy that most doctors use. Doctors join the vas deferens with the spermatic cord in this method. This cord is located behind the testicles. It is a unique procedure in comparison to other methods as they are straightforward. Surgeons only choose Vasoepididymostomy if they believe that other methods would not work in your case.
Before performing the surgery, doctors thoroughly analyze the fluid present inside your vas deferens. They check it to determine sperm presence. As soon as the investigation is over, they choose the type of procedure that would suit their patients the most. In some rare cases, surgeons choose to combine different procedures to get optimum results out of a vasectomy reversal surgery. However, such occurrences are far and few. Whenever, surgeon opts for a combination surgery, they perform vasovaspstomy on one side, and vasoepidymostomy on the other side. Make sure that you change your heart earlier rather than later, because the later you undergo a vasectomy reversal, the lesser the chances are for it to be successful.
Common Vasectomy Reversal Method
In most cases, doctors prefer vasovasostomy for reversing a vasectomy. It is a remarkably simpler procedure in comparison to the one mentioned above. The surgeons attach the vas deference to the penis from the testes. In this method, the fluid inside the vas deferens flows to the penis easily. Since this method mostly requires sewing, it is a preferred choice for surgeons because of its success rates and straightforwardness.
Do Vasectomy Reversals Have Side Effects?
A lot of people are also concerned with vasectomy reversals because they believe that it has side effects. However, there are very few cases where people who underwent this surgery faced any kind of side effect. If you follow all of the precautionary measures that the surgeons tell you to, you will be back to normal in no time. Of course, you might feel a little pain for the first few days, but it is not intolerable.
In the few cases where people do fall victim to side effects, they face scrotum bleeding and swelling, especially on the operated areas. Infection is another rare side effect of vasectomy reversal procedures. Once again, remember that side effect infections after vasectomy reversals are extremely rare. You could trim down the chances even further by going for a highly trained and experience doctor to perform your surgery. If you happen to have an infection after the procedure, the doctor will provide you with a few prescribed antibiotics. You do not need to worry about severe and persistent pains after your reversal procedure. However, in case, you do face unmanageable pain once the surgery is complete, contact your doctor immediately.
Successful Vasectomy Reversal Surgeries
It would be wise to avoid participation in sexual acts soon after your vasectomy reversal surgery. Although the waiting time varies from person to person, it would be wise to wait for a week or two for proper recovery. The surgery’s severity also plays a role in the recovery time. If you want to find out whether your procedure was successful or not, check your sperm. If the sperm is present in your semen after one or two months, congratulations, and your surgery was a success.
Despite the successful surgery, you will still need to go for follow up visit to your doctor for a couple of months. If the surgeon chose Vasoepidimostomy or your reversal, you might have to wait for a slightly longer period for your sperm to return. Usually, it takes 6 to 12 months.
It would also be wise to remember that pregnancy rates after vasectomy reversal procedures are not a hundred percent. Yes, you can absolutely return to your regular sexual activities, but there is a possibility that your partner might not become pregnant despite your vasectomy reversal procedure. Nowadays, vasectomy reversals are not that big of a deal. You can even choose it several years after going through a vasectomy.
You will find no problem in restoring your sperm’s flow after a reversal procedure. It will give you another chance for a victorious pregnancy. Make sure that you choose an experienced surgeon who works in a renowned healthcare institute. You will find more than competent nurses at Vasectomy Reversal NYC for first rate vasectomy related services. Contact us through our website and take advantage of our consultancy.
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!
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.
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
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.
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
During a vasectomy, a surgeon will disconnect the tubes (vans deferens) that carry the sperm from the testes to the semen. The procedure usually involves a few small surgical incisions and can also be performed using a laser. Usually, it takes around two months to determine whether a vasectomy procedure has been successful. But, what 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.
The 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.
In 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
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.
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:
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
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.
Before 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.
During 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:
Lastly, 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
After 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:
It’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:
Every 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
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?
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?
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.
What 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?
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.
The vasovasostomy is the standard and most commonly performed vasectomy reversal surgery. The separated ends of the vas deferens are identified. A sample of the vas fluid is examined under a microscope and is considered to be of good quality if its’ consistency is clear and it contains healthy 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.
Regarding 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 the right surgeon to perform your vasectomy reversal procedure is an important task.
Unlike most general urologists that only do a few vasectomy reversal procedures a year, Dr. Larish specializes in vasectomy reversals and performs the most in New York City, often, many per month. With the most experience, Dr. Larish enjoys a very 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:
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:
Dr. 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.
Vasectomy is the most common form of permanent contraception used in the US; almost 500,000 vasectomies are performed each year nationwide. Data collected since the economic downturn since 2008 indicate that the number of vasectomies is on the rise.
It is estimated that 5 % of people who have elected a vasectomy will go on to undergo vasectomy reversal; this is a procedure that I specialize in and has a better than 95% success rate if performed within 15 years of the initial procedure.
People elect vasectomy reversal for reasons such as change of heart regarding children or more children, change in relationship, or loss of a child. Almost everyone surveyed regarding the decision to pursue fertility after vasectomy states that they didn’t anticipate the change in circumstance or change of heart that brought them to this decision.
That being said I always remind patients considering a vasectomy to remember that its an excellent procedure with a low likelihood of complications and that it works! And if people change their mind about their vasectomy, I am always ready to help them with their reversal!
Check me out as a frequent guest on DoctorRadio SiriusXM Channel 81 Wednesdays at 6PM Eastern on the “Men’s Health Show.” Last show we spoke about Omega 3 Fatty Acids and Prostate Cancer with Dr. Eric Klein of the Cleveland Clinic. We will also had a great interview with award winning musician and producer Nile Rodgers; Nile is a prostate cancer survivor and managed to collaborate on the huge hit single “Get Lucky” with Daft Punk in his SPARE TIME while recovering from cancer. Truly inspirational stuff!
All the best and stay healthy!
Yaniv Larish, MD
4 East 76th Street
New York, NY 10021
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 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.