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.
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Vasectomy Reversal by New York’s Top Vasectomy Reversal Doctor
When a vasectomy is performed to prevent fertility, the duct that carries sperm from the epididymis to the testicle is cut, and over time, scar tissue can develop. This has generally been considered a permanent procedure, but for many reasons, men sometimes decide they want a reversal of the vasectomy, or a vasovasotomy, which is a microsurgical procedure that was first successfully performed in 1971. During this procedure, the cut ends of the vas deferens are reattached, and this will sometimes restore fertility. An experienced urologist, like Dr. Larish, a top New York vasectomy reversal specialist, is a surgeon who specializes in surgeries of the male genitourinary tract. Dr. Larish can assist you to determine if this procedure can reverse your vasectomy.
Vasoepididymostomy May Restore Fertility
Sometimes, a vasovasotomy may not be successful to restore fertility, particularly if autoantibodies have formed that disrupt the normal activity of sperm, or in cases where blockages have formed in the vas deferens. If there is a blockage at the epididymis, then you may require a vasoepididymostomy to restore your fertility. Antisperm antibodies can develop during the period of time after a vasectomy, and they reduce the motility of sperm, thus resulting in diminished fertility. For this reason, Dr. Larish, New York’s Top Vasectomy Reversal Doctor, often recommends a vasoepididymostomy for patients who may have experienced these problems.
Presence of Sperm in the Vas Deferens
During a vasovasotomy, a urologist should always examine the vas deferens to determine if there is sperm present. This can be done under a microscope during surgery. If sperm is present in either end of the vas deferens, the vasectomy can be successfully reversed with a return to fertility, as long as the surgeon makes a watertight seal when completing the reconnection. However, some surgeons do not check for sperm during the procedure, and this is a significant cause of failure of vasectomy reversals. This typically occurs when surgeons do not perform many vasectomy reversals, but an experienced urologist will always check for the presence of sperm during a vasectomy reversal. As the length of time since a vasectomy increases, fertility restoration more frequently requires vasoepididymostomy to bypass areas of “blowout” or obstruction in the epididymis, which may occur as a result of trauma or infection. During a vasoepididymostomy, the surgeon attaches the vas deferens to part of the epididymis.
If you are considering a vasectomy reversal surgery in NYC, you may have also heard the term “Vasovasostomy.” Many of our patients wonder what the difference is between a vasectomy reversal and a vasovasostomy. The truth is that these two words are interchangeable.
Our typical patients are men who are looking to get their partners pregnant. Many had previously decided that they would have no more children after a divorce or separation and then ended up getting remarried. In some cases, sadly, couples opt for a vasectomy reversal after a child has passed away.
What Occurs During a Vasectomy Reversal Surgery?During the vasovasostomy, a surgeon reconnects the tubes that were previously severed. These tubes, the vas deferens, carry sperm from the testicles. Once they have been reconnected, fertility can be restored.
Men can have a vasectomy reversal surgery as an outpatient procedure. General anesthesia or sedation is typically used, and the surgery typically takes just 2-3 hours. Please allow a few hours recovery time immediately after surgery as well.
Patients experience mild to medium levels of pain after the procedure and can go back to their regular activities in a few weeks. Risks and complications are low and are discussed in a preoperative consultation.
The vasovasostomy results in countless successful pregnancies. In fact, the success rate is more than 50%. You can discuss your specific chances preoperatively.
Please note that the statistics of success are tied to the length of time that has gone by since the original vasectomy. This is caused by a variety of factors including the fact that blockages may form. Within the 3 years prior to the original surgery, the chances are the highest but that does not mean over 3 years will not be succesful.
If you are considering vasectomy reversal surgery in NYC, contact our office today. Our expert team would be happy to answer any vasovasostomy questions you may have.
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.
