Failed reversal of vasectomy

Second Attempt Vasectomy Reversals 

If a vasectomy reversal fails, should I consider a repeat reversal?

If you have experienced the disappointment of an unsuccessful vasectomy reversal, you may want to ask your urologist microsurgeon whether another attempt might be worth it.

This is why it is above all important to choose your surgeon carefully. Another frequent reason for failure is that a hidden epididymal blockage was present, and the wrong type of procedure such as a Vasovasostomy rather than an Vasoepididymostomy was performed.

 Most vasectomy reversals are in generally successful, however, sometimes there can be an event when there may be difficulty connecting the vas deferens during the surgery or there was a large segment of the vas deferens removed during the vasectomy. If you experienced an unsuccessful vasectomy reversal, you will need to review the record of your previous procedure with your urology reversal specialist. He will guide you to the right decision and the proper procedure to be done to correct the problem.

 Deciding Which Reversal Procedure Should be Done?

You will be checked to see if there is sperm present, if there is viable sperm a repeat Vasovasostomy can be performed. If not then it may become necessary for your urologist surgeon to perform a Vasoepididymostomy which is a more complicated procedure, but has a better success rate.

Success rates for a second reversal are slightly lower than for first-time procedures. Additionally, some patients are more prone to heavier scarring, and thevasoepididymostomy vas deferens can narrow and scar at the location of the reversal. The following information can help you understand the reasons why a first reversal might have been unsuccessful and lays out some factors to consider if you are thinking about giving it another go.

If you experienced the disappointment of an unsuccessful vasectomy reversal, you need to contact our office and schedule an appointment with our vasectomy reversal specialist here in NYC; your success is our top priority.

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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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