Vasectomy Reversal Success Rates

What are the general vasectomy reversal success rates? When you regret your decision to get a vasectomy, you can opt for reversal surgery. Vasectomy reversal is one of the best techniques with the highest success rate out of all. In the procedure, the surgeon reconnects vas deferens. This is the tube carrying the sperm to the semen from the testicles. After a successful vasectomy reversal process, you and your partner can conceive.

Vasectomy Reversal Success Rates
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The rate of pregnancy after undergoing vasectomy reversal ranges from 30 percent to 90 percent or more. The success rate depends on the procedure and the surgeon performing your surgery. Numerous other factors also affect the reversal surgery’s success at improving fertility. For instance, the success rate depends on the surgeon’s training and experience and how long it has been since the vasectomy. . Your partner’s age and your fertility also play a role.

Procedure for Vasectomy Reversal

The surgeon will perform vasectomy reversal using any one of these methods:

1.    Vasovasostomy

When you choose vasovasostomy for the reversal, the doctor will sew both the ends of the vas deferens together, stretching it back to the penis from the testes. This will enable the flow of sperm so it can mix with semen.

2.    Vasoepididymostomy

Another method for vasectomy reversal is vasoepididymostomy. During this method, the doctor will attach the vas deferens at the back of your testicles to the small organ holding the sperm. This technique is invasive and more difficult than a vasovasostomy. For surgeons, a vasovasostomy is the first option. But if it fails for any reason, they will perform vasoepididymostomy. The surgeon will perform the reversal method in a clinic or the hospital. The doctor will give you anesthesia, so you remain unconscious throughout the procedure. This way, you won’t feel any pain, and the surgeon can easily perform the reversal. This reversal technique will take about two to four hours. After the surgery, you can go back home the same day. Of course, you need almost two weeks to recover from the surgery. You can reverse a vasectomy numerous times, but as the number increases, the success rate decreases.

Success Rates of Vasectomy Reversals

Here are some of the factors affecting the success rate of vasectomy reversal:

·       Time

While some experts suggest that this is a misconception, others say that your reversal won’t succeed if you had vasectomy years ago. The reversal’s success rate depends on how much time has passed since your vasectomy. For instance, if you are getting vasectomy reversal after ten years of vasectomy, your success rate will be higher than if you decide on a reversal 15 years later. Of course, your partner’s chances of getting pregnant and the health of your sperm will influence the success rate as well.

·       Type of Vasectomy

The success rate of the vasectomy reversal also depends on the technique that you prefer for your vasectomy. The surgeon will ask you about the technique that you choose.

·       Sperm Antibodies

When a lot of time has passed between vasectomy and reversal, the body starts developing antibodies to eliminate sperm within the body. If that happens, the surgeon must diagnose the condition and perform other surgeries.

Success Rate By Numbers

Pregnancy and fertility depend upon the number of years it took for you to decide on reversing the surgery. The success rate will be around 75% if you go through reversal after the first surgery. However, the rate will decrease to 25 to 30% after 19 years.

After the Surgery

After performing vasectomy reversal, the doctor will examine the semen under the microscope to determine if the surgery was effective. They will continue to examine your semen samples until your partner conceives. This is the only way your doctor can ensure that the reversal was successful.

General Vasectomy Reversal Success Rates
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After a successful vasectomy reversal, your doctor will be able to detect sperm in the semen sample. This usually takes a few weeks, but it can take a year or more. Furthermore, numerous other factors, such as the number and quality of the sperm, influence the reversal surgery’s success.

Vasectomy Reversal Success Rates: Conclusion

If you want to learn more about the success rates of vasectomy reversals and what technique you should choose, contact us at (646) 862-5500. At Vasectomy Reversal NYC, we ensure that you receive the best treatment under the supervision of an expert and professional urologits and surgeon, Dr. Yaniv Larish. He has years of experience in performing successful vasectomy reversals.

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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.

Vasectomy reversal surgeon nyc right column 02

Vasectomy reversal surgeon nyc right column 03

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