Male Tubal Reversal: Is It Worth it?

Is male tubal reversal, also known as vasectomy reversal surgery worth it? Men, who have had a vasectomy surgery, might want to reverse it for several reasons. For instance, your innate desire to have more children is one of the primal reasons behind it. However, when you have a change of heart, you do not need any more reasons to find a solution to your problem. In some cases, men have a vasectomy reversal to treat their testicular pain that they thought was a result of a vasectomy.

Technically, Vasectomy reversal is a surgical process where your vas deferens is reconnected. In simple terms, vasectomy reversal restores the presence of your sperm during ejaculation. Mostly, the surgery is performed within three (3) hours, and you will have to take 3-4 days rest from the work.

Statistically, 6-10% of vasectomy patients eventually change their decision and go through a reversal. Though your life circumstances and perceptions may change over time, male tubal reversal is inherently beneficial. Here are some of the considerations that you should take into account:

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Learn about the Tubal Reversal Process

Male tubal reversal requires you to go to an outpatient facility or hospital without staying an entire night once the surgery is complete. The surgery is painless because of the general anesthesia and won’t wake you up in the middle of the operation.

Your surgeon puts a small laparoscope via the belly button and into your pelvic region. It allows the surgeon to check your fallopian tubes to assess the probability of reversal surgery. Once he decides everything checks out, your surgeon makes a small incision called bikini cut close to your pubic hair.

The microscopic equipment attached to the laparoscope allows the surgeon to cut out any rings that could block your tubes, and rejoin the ends of the tubes with small stitches. Typically, the surgery can last from 2 to 3 hours.

How Long Does It Take to Recover After a Tube Reversal

The surgical method your doctor decides ultimately becomes the main factor for recovery time. Male tubal reversal can, in fact, take longer than the other tube-tying processes. However, in this day and age, male tubal reversal is performed with the help of microsurgical techniques. Your surgeon will prescribe painkillers to alleviate pain and reduce any discomfort.

Contrary to misguided perception, your testicles never stopped producing sperm; it only can’t find a way out of your body. Male tubal reversal practically restores your fertility. Also, you must avoid sex for at least three weeks. Give yourself enough time to heal, and then you can begin to conceive.

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Added Benefits

Male tubal reversal allows an opportunity to conceive. Once you go through a successful vasectomy reversal surgery, you don’t have to make extraneous doctor’s appointments or seek treatment to conceive naturally.

Permanent State

Once men go through a successful tubal reversal procedure, you won’t need other added procedures to restore fertility. Instead, you will be able to get your family planning objectives back on track.

It’s Affordable

Comparatively, tubal reversal is affordable than IVF. IVF treatment, for instance, costs roughly $12,000 and may vary depending on your geographical location.

Furthermore, without insurance coverage and modern fertility clinic, the cost can go even higher. That said, a vasectomy reversal surgery for male fertility costs around $7,000.

High Success Rate

The success rate of your vasectomy reversal depends on the total time since your vasectomy. Usually, success rates can go over 95% so long as the vasectomy was performed within ten (10) years. The success rate begins to decrease when a man has had his vasectomy more than ten years ago.

Preparation Matters

If you have decided to undergo a tubal reversal surgery, get examined by your surgeon first for any fertility problems. It would be advisable to look for a professional surgeon such as Dr. Larish, who performs vasectomy reversal microsurgery through modern quality surgical equipment.

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And that’s because vasectomy reversal surgeons have a higher success ratio. They have required experience, training, and utilize microsurgical techniques such as a surgical microscope. It is better to look for a surgeon who performs the surgery frequently and has done it plenty of times before.

For instance, your surgery might need a more complicated method, such as vasoepididymostomy. Therefore, make sure that your surgeon is capable of undergoing this process. When you select a surgeon, don’t hesitate to ask as many questions as you’d like about your vasectomy reversal.

So long as you are knowledgeable and understand your case history, the tubal reversal for men is worth it. Now, don’t forget to ask your doctor about any attached risks. Also, find out about possible complications of the surgery beforehand.

Set Realistic Expectations

Before the vasectomy reversal procedure, your surgeon will need specifics that may involve:

Provide Your Case History for Physical Examination

Your surgeon will need to ensure that you don’t have health issues that might complicate your procedure.

The Assessment of Your Sperm

Your surgeon will need to make sure that you can produce healthy sperm. Mostly, men who have had a child before is sufficient enough proof. However, you might be recommended to undergo more tests if your surgeon is uncertain whether or not you can produce healthy sperm.

Contact Dr. Yaniv Larish for professional consultancy and communicate all your vasectomy reversal concerns. You can call at (646) 862-5500 or check our website: You can also reach out to our other experienced urologists.

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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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