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

All About Vasectomies

Read on to learn all about vasectomies. Few medical procedures are as stigmatized as that vasectomies, with men often having dated views of what the procedure entails. However, vasectomies are very safe procedures and are some of the best forms of male birth control that people can find. The procedure focuses on separating sperm and semen, making it impossible for men to reproduce.

All About Vasectomies | Top Urologst NYC

Through the procedure, a surgeon or urologist will cut and seal the tubes carrying the sperm that mixes with other fluids to produce semen. So even though your body will still produce sperm, it will absorb it instead of adding it to the sperm.

You should always consider your decision to ensure you do not want to have children. Although it is possible to reverse a vasectomy, the reversal can sometimes be unsuccessful. Therefore, you should consider it as a more permanent solution to birth control.

However, you should also understand that vasectomies do not offer protection from STDs (sexually transmitted diseases) or STIs (sexually transmitted infections).

Why Do People Choose to Have the Operation Done

Vasectomies remain the most effective method the birth control among men. Since the semen does not contain sperm, nothing will be deposited during intercourse. The tubes that transfer sperm into the semen are called the vas deferens.

During the procedure, a urologist cut the vas deferens, separating the sperm and the semen.

Some other reasons why people will often get a vasectomy include the following:

  • It is a procedure with very little risk and very few side effects
  • It is much cheaper than female birth control pills over the long term or sterilization surgery
  • The operation allows couples to skip various birth control steps before intercourse, such as wearing a condom
  • Individuals can reverse the procedure at any time if they want to have children

All About Vasectomies | Top Urologsts New York

Myths Surrounding Vasectomies

Despite being one of the most effective methods of birth control among men, men have many unfounded concerns before getting the procedure. Some of the most important ones that are worth discussing include the following:

Increased Risk of Heart Disease

This claim has no basis other than some patients complaining that they feel a burning sensation in their chest following the surgery. However, besides a superficial connection, there is no scientific link between vasectomies and heart diseases.

Does Permanent Damage to Sex Organs

Unlike the claim about heart disease, this myth does hold some water. There is a slight risk that the surgeon could damage an individual’s sex organs during the procedure. However, this is a risk that you can easily move past if you have a good surgeon performing the procedure. In rare cases, individuals could lose a testicle if the blood supply is damaged during the surgery.

However, you can handle this if you have a skilled surgeon.

Affecting Your Sexual Performance

A vasectomy does not affect anything other than a man’s ability to father children. But other than that, it does not affect your sex drive or performance.

Possible Risks

One of the most important things to understand about vasectomies is that they can be difficult, expensive, and ineffective to reverse. Therefore, although the option is certainly available, people going forward with the surgery should know that it takes a skilled surgeon to reverse the procedure.

All About Vasectomies: Conclusion

Vasectomies are very effective methods of birth control that have very few risks and are very safe if you have the right surgeon.

However, if you’re looking for an excellent surgeon for a vasectomy or to reverse a vasectomy, consider going to Dr. Larish, who has helped plenty of men reverse a vasectomy. With state of the art technology and years of experience in the field, he has everything necessary to perform a successful procedure. Book an appointment with us if you are considering these procedures.

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

Vasectomies & Vasectomy Reversals

Vasectomies & vasectomy reversals are two male genital surgeries that curtail your ability to get your partner pregnant via insemination. Below, we will learn more about these reproductive system surgeries.

What is Vasectomy?

A vasectomy is an outpatient surgery that prevents pregnancy. It is a simple procedure that doesn’t require advanced tools. In this procedure, a professional urologist accesses the vas deferens and severs them. the vas deferens are responsible for carrying sperm into the penis after mixing with seminal fluids. When the doctor cuts this tube, the sperms won’t mix with the semen. Instead, it stays inside the body and dries off.

Vasectomies & Vasectomy Reversals

This is a quick and easy process and the doctor will take up to 30 to 45 minutes to complete the procedure. Vasectomy is the best method for birth control. Furthermore, the effectiveness and success rate for this treatment is almost 100%. Urologists might choose one out of two processes to perform both control treatments. Here are these types:

  • The incision method
  • No-scalpel method

Many urologists perform scalpel or no-cut methods. This treatment includes lower complication and infection risks. Furthermore, the recovery is also fast. In this procedure, the urologist will make a tiny hole or incision, small than 10 mm. This tiny hole helps them to access the vas deferens and make a cut to disconnect the sperm flow.

Although vasectomies are permanent birth control solutions, you can also reverse them. Many people after getting vasectomy have a change of heart and want to have a child. They can consult a urologist and reverse their vasectomy.

How Do Vasectomies Work?

Vasectomy is a simple birth control procedure that prevents pregnancy. If you want to have a vasectomy, how it’s done.

Upon your visit to the urologist for vasectomy, the doctor will ask you to lie on the bed. Since this is a minimally invasive treatment, you don’t have to be in an operation theatre. The doctor will perform the surgery in their clinic.

The doctor inserts local anesthesia so you won’t feel pain during the surgery. Then the doctor will identify the vas deferens above the scrotum’s skin and place a clamp. They will make a tiny hole or incision to access the tube. The urologist will cut a piece of vas deferens and carefully stitch both ends. Since vas deferens carry sperms from the epididymis to the urethra, cutting this tube will prevent the flow.

Vasectomy is a less invasive treatment and once the doctor stitches the scrotum skin, you can go back home all alone. However, the doctor will recommend not having sex for three months for the recovery of the open vas deferens ends. During this time, you might ejaculate sperms with the semen. Urologists also ask for various follow-up sessions. In these sessions, the doctor will confirm whether your semen contains sperms or not. Once confirmed, you can have sex without worrying about making your partner pregnant.

What is a Vasectomy Reversal?

At any time of your life, you feel like you want to have babies, you can reverse the vasectomy. This procedure is a bit difficult and might require general anesthesia. This means that you will be sleeping throughout the procedure. Like vasectomy, reversal is also an outpatient procedure.

By performing vasectomy reversal, the doctor will reestablish the sperm path by connecting vas deferens. The success rate of vasectomy reversal is around 90% and it decreases according to the number of times you had this surgery. Many people undergo vasectomy and vasectomy reversal multiple times because they can’t make up their minds. For these people, the success rate for reversal will decrease. Thus, you have to have clear thoughts while deciding for the first time.

How Do Vasectomy Reversals Work?

When you will visit a urologist for reversal, they will evaluate your condition and check whether it is worth it or not. They might also diagnose your partner for female reproduction diseases.

Once confirmed, the urologist will inject local or general anesthesia, depending on your condition. The medication will numb your genital. Now the doctor will make tiny incisions or holes on the scrotum skin and drag out both ends.

Vasectomies & Vasectomy Reversals Urology

Sometimes, the tubes are attached to other organs, especially when you are having reversal after a long time of getting a vasectomy. In this condition, the urologist will perform microsurgery. For that, the doctor has to use a powerful surgical microscope. This helps them to magnify the vas deferens and observe them during treatment.

Keep in mind, a slight mistake can damage the vas deferens and other organs. Thus, you need a professional and experienced urologist experienced in microsurgery. After separating the tubes, the surgeon will reattach the tubes, creating a clear pathway for the sperm to reach the penis.

Vasectomies & Vasectomy Reversals: Conclusion

If you want to consult a professional urologist in New York City, you can consult one of the experienced urologists in the city, Dr. Yaniv Larish.

Schedule an appointment today for a consultation:

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

Urology: Vasectomies

urology vasectomies best NYC

Urologists are the main types of doctors that perform vasectomies. A vasectomy is a birth control procedure that will block your sperm from leaving the body. It is an effective treatment with a high success rate. Let’s learn more about vasectomies and how they work:

How Does a Vasectomy Work?

The male body produces sperms in the testicles and carries them to the penis through tubes called vas deferens. When the sperms reach into the female body and mix with the egg, it causes pregnancy. But, when a male doesn’t want to have a child, they undergo vasectomy. In this procedure, a professional urologist cuts the vas deferens to prevent sperms from reaching the penis. Semen without sperms won’t complete the reproduction process.

Vasectomy is an effective birth control procedure with a high success rate. If you want to keep your sperm from leaving the body, you should undergo this treatment procedure. Vasectomy doesn’t affect your ability to produce sperms, which means that the reversal is also possible.

An experienced urologist will perform a vasectomy on a single visit. But, it takes about three months for your body to not cause pregnancy. Meanwhile, your doctor will ask you to visit their clinic for follow–up sessions.

Having a vasectomy doesn’t mean that you won’t ejaculate or have an orgasm. Also, the feel, look, and taste of semen won’t change. The only thing that changes is your ability to get anybody pregnant.

Types of Vasectomies

Vasectomies are of three types:

  • Minimally invasive vasectomy
  • Conventional vasectomy
  • No-scalpel vasectomy

All these procedures result in permanent vas deferentia blockage. But, the procedure for each technique is different. Some vasectomies have a higher complication rate, but the result is the same that is the inability to make your partner pregnant. Let’s understand these types, so you can make an informed decision. However, a professional doctor will explain the procedures in detail:

1.     Conventional Vasectomy

During a conventional vasectomy, the urologist will use a scalpel to make a tiny cut on the scrotum. The doctor might make one or two incisions since there are two tubes at each end. Incisions expose tubes to the doctor, so they can complete the procedure. The incision size is usually between 1.5 cm and 3.0 cm. When the incisions are large, urologists have to use sutures. However, smaller incisions can stitch the holes in the scrotum. Conventional vasectomy has a high complication rate.

2.     No-Scalpel Vasectomy

This is a minimally invasive procedure and uses specially designed instruments. In this type of vasectomy, the doctor makes a small size opening on the scrotum to access vas deferens. The incision shouldn’t be more than 10mm and doesn’t require skin sutures. The doctor will use two special instruments including a vas dissector and vas ring clamp.

The only difference between conventional and no-scalpel vasectomies is the opening or incision on the scrotum. Unlike conventional vasectomies, the small incisions make it a minimally invasive procedure. A doctor will make one or two skin openings on the scrotum to access vas deferens. Once they see the tube, they will cut it into two and seal both endings.

3.     Minimally Invasive Vasectomy

Urologists use the same instruments for minimally invasive vasectomy and no-scalpel vasectomy. Minimally invasive vasectomy has lower complications risks. It doesn’t require segments or scalpels. Also, the doctor will make only a single incision to remove the vas deferens.

Urology and vasectomies NYC

Why You Should Get Vasectomy?

Here are some reasons why you might want to get a vasectomy:

1.     Effective Birth Control Procedure

A vasectomy is one of the effective ways of birth control. Although it is a permanent procedure, there are ways to reverse it, if you change your mind in the future. Vasectomy has almost 100% effectiveness to prevent pregnancy. A vasectomy prevents sperms from mixing with the semen. As a result, your ejaculation can’t make your partner pregnant.

2.     Highly Convenient

After having vasectomy, your semen won’t contain any sperm for the rest of your life until you reverse it. It is the most convenient way to prevent pregnancy, especially when compared to other birth control methods such as birth control pills. Your partner doesn’t have to take measures to prevent pregnancy. Also, you will save your trips to the pharmacy to buy condoms and pills. Vasectomy is a set-it-and-forget-it procedure for birth control.

3.     Better Sex Life

After getting a vasectomy, you no longer have to pay attention to an unwanted pregnancy. The procedure allows you to get into the heat of the moment and forget about accidentally having a child. Also, vasectomy won’t influence your sex drive or hormones. Your ejaculation and orgasm will feel the same.

Vasectomies: Conclusion

Do you want to undergo vasectomy and not worry about the possibility of getting your partner pregnant? If yes, then consult with Dr. Yaniv Larish, an experienced and skilled urologist and micro-surgeon.

Schedule an appointment today:

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

Reasons Men Get Vasectomies

What are some of the main reasons men get vasectomies? A vasectomy is an effective birth control method that ensures minimal risks of unwanted pregnancy despite unprotected sexual intercourse. It’s a form of birth control most couples opt for to make sure that they can go about their lives and enjoy sex without considering the prospect of raising children. While some couples wish to live care-free until they’re willing to have children, others assume that they’re not ready to care for younglings due to a lack of experience.

Reasons Men Get Vasectomies

While those two are the major reasons men opt for vasectomies, we will discuss several other reasons below as well. Now and then, people wish to enjoy sex but don’t want to face the risk of an accidental pregnancy. So, they consider going for vasectomies. But is that the only reason for it? Let’s find out!

Top Reasons Why Men Get Vasectomies

Here, we will take a look at various reasons why men get vasectomies:

Low-Risk Medical Procedure

The medical procedure surgeons follow to perform a vasectomy is highly risk-free. There are extremely rare chances of surgeons messing up a procedure since it’s so straightforward. However, you must find a urologist with surgical skills to operate effectively with fine medical equipment and surgical tools. The chances of bleeding or getting an infection are very low, so you don’t have to worry about any after-procedure health risks.

Most expert urologists carry out vasectomies under extremely well-defined environments. Generally, the procedure takes no more than 10-20 minutes, especially when you see an expert urological microsurgeon.

Better Recovery Time

Excellent recovery time is another reason most men consider opting for vasectomies. For instance, when men want to engage in sex with little to zero chances of getting their partner pregnant, they opt for contraception such as birth control pills and condoms. However, those require multiple investments, and the user has to keep buying them while checking for their expiration.

However, through a medical surgery that completely ties of the vas deferens, the chances of getting the partner pregnant are extremely low. Plus, with all those benefits, the procedure isn’t hard on the health. It’s easy to recover, and most patients do so within 7-10 days. This means that men can get back to exercising, working, and having sex without any risks of pregnancy.

Effective Birth Control Method

All you have to do is avoid heavy lifting or having sex to eliminate any possible pressure on your pelvic muscles, tissues, and nerves that could also break off the stitches to your vas deferens (tubes that carry sperm). Once you wait 7-10 days after the procedure, you can start having sex again and carry on with heavy lifting.

Reasons Men Get Vasectomies top urologist NYC

The plus side to that is the procedure is extremely effective in restricting the flow of semen and sperm out of the penis. It’s an effective birth control measure that reduces the chances of getting pregnant after sexual intercourse down to 1%. To put things into perspective, condoms have a lower efficacy rate than that and require the user to put them on carefully every time!

Less Burden on Partner

You will be helping out your partner/spouse who’s taking birth control pills to prevent pregnancies by getting a vasectomy. And that’s the thought that most responsible men have when they’re planning to get a vasectomy. When you’re not ready to have children but wish to indulge in sexual activities with your partner/spouse, you may have to go for contraception methods like condoms.

But, when your female partner opts for birth control pills, they can experience several hormonal changes as well as other side effects. Men can help out their partners/ spouses by getting a vasectomy.

No Sexual Health Issues or Risks

For your information, a vasectomy procedure doesn’t involve operating or adjusting any part or region of the penis. There are no damages to the penis during a vasectomy procedure. Furthermore, once you get a vasectomy, the chances of experiencing any side effects are critically low. In simple words, getting a vasectomy doesn’t have anything to do with sexual or erectile dysfunction. Also, it doesn’t interfere with hormone production, e.g., testosterone.

Also, once the procedure is complete, the testicles continue producing sperm and semen fluid inside the body. However, the only difference is that due to the veins being tied off, the sperms won’t find a way out. Hence, extremely low chances of getting pregnant.

Reasons Men Get Vasectomies: Conclusion

Whatever the reason you’re getting the vasectomy, Dr. Yaniv Larish can help you go through the procedure comfortably.  He is among the top urologists and surgeons providing vasectomy and reversal procedures in NYC. Operating through our fully-equipped and modern offices, Dr. Larish provides impeccable care to patients.

Giving a considerable amount of time out of his schedule to his patients, Dr. Larish keeps all patients on effective treatment courses. Overall mental and physical health improvement is the goal at Vasectomy Reversal NYC. So, call us today and schedule an appointment for a consultation.

Call Today:

Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021

All About Vasectomies

Are you looking for information all about vasectomies? A vasectomy is a contraceptive method that blocks the sperm from reaching the penis when you ejaculate. After the procedure, you will experience regular semen secretion, but it will no longer include sperm. This will help prevent unwanted pregnancies. Your testes will continue to produce sperm, but they remain inside the scrotum until the body reabsorbs them. Every year, almost 500,000 men undergo a vasectomy as a means of birth control. Vasectomy is the best method to avoid pregnancy and has a higher success rate than any other technique.

Testicles produce the male sex hormone and sperm cells. Testes are at the base of the penis in the scrotum. Sperm cells are male reproductive cells that leave the testicles and fertilize the female partner’s eggs, resulting in a child. When the sperm leaves the testes, it passes through the epididymis, which is a coiled tube. The sperm remains in this tube until it is ready to leave the body—epididymis links with the vas deferens. The vas deferens is a long tube that connects to the ejaculatory duct.

All About Vasectomies

The vas deferens leave the lower scrotum region into the groin region or inguinal canal. From there, it reaches the pelvis region behind the bladder. The vas deferens forms an ejaculatory duct by joining with the seminal vesicle. During ejaculation, the seminal vesicle releases seminal fluid by mixing the semen with the sperm. Then, the semen passes to the urethra, leaving the body through the penis. When teh semen includes sperm, it can induce a pregnancy.

All About Vasectomies: How the Process Works

After a vasectomy, you can ejaculate without worrying about causing an unwanted pregnancy. The microsurgeon will block, seal, or cut the vas deferens, so the sperm does not reach the urethra.

Procedure for Vasectomy

A vasectomy is a painless and quick surgical procedure. In most cases, you can return home on the same day after the surgery. Here are two types of Vasectomy that you might undergo:

  • A conventional vasectomy with a surgical knife or scalpel
  • Vasectomy without scalpel

When you consult with a urologist, they will help you decide the best vasectomy technique for your condition. Let’s understand both vasectomy techniques:

1.    Conventional Vasectomy

In this technique, the doctor will numb the scrotum by injecting local anesthesia. They will then make two tiny cuts on the scrotum, over the skin. This helps them reach the vas deferens. The surgeon will take the tube out of the testicles. They will cut a small section of the tube and remove it. They will then close both ends of the tube by sealing or stitching. They might also use heat to seal vas deferens. The surgeon will then stitch the scrotum’s skin. The stitches usually dissolve after a week or two.

2.    No-scalpel Vasectomy

During no-scalpel vasectomy, the surgeon will first numb the scrotum with the help of local anesthesia. They will puncture the scrotum’s skin by making tiny holes. This will help them access the tubes easily. In contrast to a conventional vasectomy, a no-scalpel vasectomy does not use a scalpel.

The surgeon will then take the tube out of the hole and cut it. They will use the same technique to cut and seal the vas deferens. This technique is less painful and involves fewer complications. Furthermore, the surgeon will not stitch the holes in this technique.

How Effective is the Vasectomy?

No birth control method is 100% effective, except for celibacy. After a vasectomy, sperm will only travel to the other end of the vas deferens in rare conditions. In numbers, that’s one in 10,000. That is why this technique has the lowest failure rate. Surgeons have been using this technique for many years, and the results are most effective and safe.

All About Vasectomies | Top Urologist

A professional surgeon will regularly check the semen sample to ensure that it does not include sperm. Once the surgeon confirms that you no longer ejaculate sperm, you can have sexual intercourse without the need for contraceptive methods. If they identify the presence of the sperm, you need to undergo another vasectomy procedure.

Benefits of Vasectomy

There are numerous benefits of undergoing a vasectomy as a birth control technique. Vasectomies have an efficacy rate of more than 99%. Similar to female tubal ligation, Vasectomy is the one-time method proving permanent contraception. In contrast to tubal ligation, you will find that a vasectomy:

  • Is effective
  • Is simple
  • Performed on an outpatient basis.
  • Include fewer complications
  • Is budget-friendly

All About Vasectomies: Conclusion

If you prefer a birth control method with greater efficacy than a condom or tubal ligation, choose a vasectomy. Once you discuss the benefits of a vasectomy with the surgeon, you will learn how effective this procedure can be. Consult with Dr. Yaniv Larish, top NYC urologist & microsurgeon.

Call to schedule an appointment at (646) 862-5500.

All About Vasectomies & Vasectomy Reversals

Vasectomy treatment is a birth control method that prevents the body from releasing sperm along with semen during ejaculation. A surgeon will block or cut your vas deferens. This duct helps the sperm reach the urethra from the testicles. It is possible to reverse a vasectomy, but it does not always work. Hence, make up your mind about having children before opting for a vasectomy. The chances of conceiving, even after a reversal, are low.

Vasectomies & Vasectomy Reversals Urologist

The sperm travels to the urethra from the testicles. So when the doctor cuts or seals the vas deferens, you will no longer ejaculate sperm. As a result, you can avoid unwanted pregnancies. Today, a vasectomy is an effective method for birth control. American Urological Associations suggests that only two out of 1000 couples get pregnant again after a vasectomy.

Effectiveness of Vasectomy

Vasectomies are 100% effective, but in some exceptions, the tubes rejoin, causing sperm to leave the body. After a vasectomy, your body doesn’t stop releasing sperm right away. You need to schedule follow-up appointments with the doctor, so they can check and ensure that you are completely sperm-free. If a vasectomy isn’t effective in providing the results you need, try opting for another birth control procedure.

Side Effects of a Vasectomy

Vasectomy is a safe procedure. However, you might experience some pain afterward. Furthermore, your scrotum might swell as well. It is quite possible that you may bleed a little, but since these side effects only occur rarely, a vasectomy procedure does not include serious complications. Only 1 to 2 percent of men will experience severe pain, which does go away that easily.

The complications are not common, but they might occur. Here are some possible side effects you might suffer after the treatment:

  • Infection
  • Inflammation
  • Bruising

These complications can go away with time, but if you think your condition is getting worse, you should visit a doctor and discuss your symptoms. Here are some other rare side effects:

  • Sperm granuloma (Inflammation or a hard lump you might develop after leaking sperm)
  • Pressure, ache, and discomfort in your testicles.
  • Hydrocele (This is the sac of fluid that starts to swell the scrotum.
  • Spermatocele (a cyst that you might develop in the sperm collecting tube)

Is it Possible to Reverse Vasectomy

It is possible to reverse a vasectomy, but not always. Vasectomy reversal is not easy, and it won’t work for everyone. You should not consider the procedure if you are unsure about having children in the future.

But suppose you opted for a vasectomy and now you want to reverse the procedure. In that case, you can talk to the doctor about getting the reversal.

In a vasectomy, the doctor cuts the sperm-carrying tube, vas deferens. While performing a reversal, the doctor rejoins the tubes, enabling the semen to pass through the testes to the penis while ejaculating.

Methods for Vasectomy Reversal

The doctor will perform vasectomy reversal from one out of two methods. Vasovasostomy is the first treatment that the doctor will recommend. In this technique, the doctor will sew both the ends of vas deferens. By connecting the vas deferens, the penis and testes join together.

NYC Urologist Vasectomies & Vasectomy Reversals

Vasoepididymostomy is the second method your doctor might suggest. The doctor will attach the vas deferens with a small organ. This organ holds the sperm. Vasoepididymostomy is difficult and riskier than Vasovasostomy. Doctors only choose this method if a Vasovasostomy fails.

The doctor will perform the treatment in a clinic or hospital. They will provide anesthesia, so you are unconscious throughout the procedure and do not feel any pain. The procedure will take around two to four hours. However, you can go back home once the doctor performs the treatment. You will need two weeks to recover completely. You can reverse a vasectomy as many times as you want, but each time, the success rate decreases.

Preparing for Vasectomy Reversal

Here are some things that you need to know before undergoing vasectomy reversal:

  • The treatment can be expensive, and your insurance policy may not cover it. You need to confirm costs before the treatment so you can arrange for the funds.
  • Vasectomy reversals are highly successful when a professional surgeon performs them. You need to ensure the surgeon has extensive experience executing microsurgical techniques, especially one that includes a surgical microscope.
  • The Vasoepididymostomy procedure is complex, so discuss the procedure and complications with a specialist prior to the surgery.


Thoroughly consult your specialist before opting for a vasectomy or vasectomy reversal. Furthermore, you can also ask about the complication and risks of the treatment. An in-depth discussion helps you determine if it’s the right procedure for you.

To learn more about these procedures, call Dr. Yaniv Larish at (646) 862-5500.

Vasectomies & Vasectomy Reversals: Procedures & Results

What is a Vasectomy?

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.

Vasectomies & Vasectomy Reversals 2021

Vasectomy Results

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.

Vasectomies & Vasectomy Reversals | Procedure & Results

Vasectomy Reversal Results

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.

Call Today:

Yaniv Larish, MD
4 East 76th Street
New York, NY 10021

(646) 862-5500

 Should You Get A Vasectomy?

What Is a Vasectomy?

A vasectomy is a surgical procedure that permanently makes a man unable to reproduce. You can call it a permanent form of contraception – a form of birth control that is responsible for male sterilization. Other methods of birth control or contraception include condoms or birth control pills.

How Is It Performed

Firstly, you should look for an experienced and qualified urologist to perform this treatment. In this procedure, the urologist/ surgeon spots the area on your gonads where the vas deferens are located and makes small incisions on that area. The vas deferens is the transport tube that carries your sperm from your testicles to your urethra in the penis. The surgeon cuts the pair of vas deferens located on each side of the testicle so that they both hang separately. The urologist is responsible for cutting the tube and sealing it so that no sperm escapes; this stops the flow of sperm to the ejaculatory tubes in the penis. When there is no sperm present in a man’s semen, the vasectomy is successful because a man will be unable to reproduce without sperm.

Should You Get A Vasectomy?


A vasectomy usually proves to be 100% successful. The chances of pregnancy after a vasectomy are close to none. Only one or two out of a 1000 women get pregnant after the first year of vasectomy. It is a highly reliable surgical procedure.


Besides being 99 percent effective in preventing pregnancy, a vasectomy is a very easy procedure to execute. When we think of surgery, the thoughts of scalpels and scissors might begin to scare us. Another aspect of surgery that intimidates most people is post-surgical pain and the thought of being in the hospitals for hours and even days. A vasectomy is unlike most surgical procedures. It does not require long overdue stays. It mostly lasts a couple of minutes and the doctor can have you sent home on the same day.

The post-surgical pain is bearable and recovery time should only take a couple of days or a week. Complications like swelling, infections or inflammation are rare, in the case of any complication the doctor can prescribe you medication that should take care of it. During the procedure, local anesthesia prevents any pain. It’s very accessible and a doctor can perform this procedure in their office. It has zero effects on a man’s hormones levels and so sexual performance is not affected.  Another great thing about getting a vasectomy is that a vasectomy reversal is usually possible.

Should You Get A Vasectomy?

Why Do People Get a Vasectomy?

A vasectomy suits people who make a specific choice of not wanting children. Some people want to exclude children from being a part of their lives while others already have children and do not want to risk an unplanned childbirth. Reasons vary from each individual and their situation.

Free choice

A vasectomy is a symbolic representation free choice and liberty, values that resonate with our country’s societal structure. People who get a vasectomy are exercising their power of free choice and so should anyone.  Some lean towards the option of a vasectomy because they wish not to contribute to already existing population crises, while others just want to live their lives to the fullest without risking any unwanted accidents.

Should You Get a Vasectomy?

Generally, the people who opt for vasectomies are very certain about not wanting kids. It is important that you are certain before undergoing a vasectomy. Even though the possibility of a vasectomy reversal exists, it is always better not to risk any complications. If you are certainly convinced that you do not want to reproduce, only then should you consider getting a vasectomy. In terms of couples, a vasectomy should be a choice for you if BOTH of you agree on not having children, you or your partner have some sort of genetic disorder that can be inherited by your offspring, or maybe your partner has a condition that makes her health vulnerable when she’s pregnant.

What You Should Consider

The best candidates for a vasectomy are normally the people who fall on the younger age spectrum. That does not mean that you should not get a vasectomy at an older age. It is important to note that sterilization does not happen instantly after a vasectomy so refrain from sex after the surgery until the doctor has confirmed that your semen contains no sperm.


If your decision of getting a vasectomy is rash and uncertain, it is better if you reconsider. Whether or not you should get a vasectomy is completely on you. It is best that you seek professional and experience consulting which provides you with the best answers and services.

If you or any of your peers seek expert consultation, visit our clinic and explain your condition to Dr. Yaniv Larish. He is an experienced urologist who provides the best urology-related services including vasectomies.

Male Vasectomies

What are male vasectomies? Vasectomy is a type of birth control that prevents sperm from reaching the semen and consequently, causing an unwanted pregnancy during ejaculation. During this process, a surgeon will block or cut the vas deferens, a duct carrying sperms to the urethra from the testicles. Men can opt for vasectomy reversal with the help of a urologist, but it may not always work. You should opt for a vasectomy if you are sure you do not want any child your entire life.

Pregnancy only occurs because a sperm cell fuses with an egg. For this, it’s necessary that sperm travels to a man’s urethra from the testicles. Cutting and sealing the vans deferens prevents sperm cells from reaching the urethra. The main purpose of a vasectomy is to prevent the presence of sperm in semen during ejaculation. This way, couples can avoid unwanted pregnancies without using other forms of contraception.

This method for birth control is very effective. The American Urological Association suggests that after a vasectomy, only two out of a thousand couples can get pregnant.

What are male vasectomies?

Reasons for Performing Vasectomies

This method is an effective and safe birth control option for men who do not want children in the future. Here are some reasons why couples are choosing vasectomy as a birth control option:

  • For avoiding pregnancy, vasectomy is almost 100 percent effective
  • There are lower risk, complications, and side effects of vasectomy
  • This method is an outpatient surgery
  • Vasectomy is cost-effective for males compared to the cost of tubal ligation or sterilization in females ( using birth control medications, in the long run, can be very costly for women)
  • With a vasectomy, you do not have to worry about using birth control such as a condom during sex

Types of Vasectomy

1.    Conventional Vasectomy

For a conventional vasectomy, doctors need to make cuts in the scrotum to reach the tubes. These tubes are the vas deferens, and each tube is attached to each testicle. The doctor will cut the tubes and leave some gaps in between. The urologist can even seal the tube, but mostly, they tie the end of the tube with a stitch. The stitch will dissolve with some time, and the ends will close. Sperms will not leave your body and reach the semen after the procedure.

2.    No-Scalpel Vasectomy

The doctor will feel both the vas deferens below your scrotum and use clamps to hold these in place. Then, they make tiny holes in the skin. The urologist will then stretch the hole and lift the vas outside. They will then cut the vas deferens and stitch both the ends. After completing the procedure, you will not need any stitches.

Effectiveness of Vasectomies

This method is almost 100 percent effective. However, in rare cases, the tubes reattach, causing the partner to get pregnant. You should know that right after the surgery, semen still contains some sperm cells. You need to make occasional visits to your doctor to make sure zero sperm cells are in the tube.

Male Vasectomies - Information | Top Urologists NYC

Benefits of a Male Vasectomy

1.    Vasectomy is very Effective

As per the U.S Office of Population Affairs, only one out of 100 women become pregnant after their partner has gone through a vasectomy.

2.    Lower Risks

The risk involved in getting this procedure is significantly low than any other method, such as tubal ligation. Vasectomy is also less invasive, which means there are lower chances of infection and bleeding. When we compare this method to tubal ligation, vasectomies don’t impact any vital organs.

3.    Lower Cost

The average vasectomy costs thousands of dollars less than sterilization methods for women. Tubal ligation will cost you $4,500 to $8000. Compared to these methods, a vasectomy is less expensive.

4.    One Time Cost

You should also remember that this method is permanent, so you do not have to spend your money again and again. Unlike other methods for birth control, such as condoms or pills, vasectomies are a one-time expense. While condoms are inexpensive, considering that you have to purchase a condom every time you have sex means you will be paying a lot more in the long run.

5.    No Effect on Sexual Pleasure

You may experience some discomfort after the procedure for a few days. However, you will not experience any difference in orgasms. According to medical professionals, this method does not reduce your intensity or libido. Furthermore, it does not affect the sensitivity of your penis.

6.    Fast Procedure and Recovery

In most cases, this process only takes seven minutes, and patients can go back home immediately. Tubal ligation takes seven days, but it only takes 48 hours to recover from a vasectomy.

What are Male Vasectomies: Conclusion

Your urologist’s experience matters for a successful vasectomy. If you are looking for an expert and experienced urologist, you can visit our website for complete details.

For tele and in-person appointments, contact our office at 646-862-5500.

Vasectomy & Vasectomy Reversal Procedures

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.

Vasectomy and Vasectomy Reversal Procedures

Keep reading to learn more about Vasectomy and Vasectomy Reversal Procedures:

Vasectomy Procedure

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:

No-Scalpel Vasectomy

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.

Conventional Vasectomy

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.

Vasectomy Reversal

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.

Vasectomy Reversal Procedures 02

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.

Bottom Line

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.

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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