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.
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.
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.
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.
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.
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.
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.
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.
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.
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.