Vasectomy reversals help return fertility to a man after he’s undergone a vasectomy. In this procedure, urologists reattach the tube called vas deferens that carries sperms from testicles to the penis. During a vasectomy, the doctor cuts and seals this tube preventing sperms to mix with semen and leave the body. After a successful vasectomy reversal, you can ejaculate sperms and get your spouse pregnant.
The pregnancy rate after vasectomy reversal ranges between 30% to more than 90%. However, the success rate depends on many factors such as the partner’s age, type of procedure, and time since vasectomy. Furthermore, the training and experience of the urologists also count. That’s why you should consider a professional urologist to fix fertility issues.
Why Should I Get a Vasectomy Reversal?
Sometimes people after 15 to 20 years of vasectomy or even earlier want another chance to have a baby. Perhaps they have a change of heart or the partner they want to spend their life with, wants a child. Some people also perform vasectomy before they want someone to carry their family name. These are just a few examples and you may have your own. Nonetheless, you can undergo vasectomy reversal to recover your ability and have a child.
What Does the Procedure for Vasectomy Reversals Involve?
Let’s understand how the procedure works to revive your ability to make your partner pregnant:
Before the Procedure
Here is what you will go through upon your visit to a doctor for vasectomy reversal:
· Physical Examination
When you will visit the doctor for vasectomy reversal, the doctor will take your history and evaluate your health. If you have already taken medication, you should inform the doctor. They will let you know whether the medication disrupts the procedure or not.
· Sperm Production
After undergoing vasectomy, sperm production continues. But, it doesn’t mix with semen to leave the body. Over time, sperm production reduces in quantity. An unhealthy diet, smoking, and age are some factors that reduce sperm production. Urologists perform various tests to confirm whether your body produces sperms or not.
· Partner’s Ability to Conceive
A urologist will check your partner to ensure that they produce a healthy ovum. If your partner never had a baby, there is a chance that they might develop fertility problems. The doctor will perform gynecological tests and exams.
When the doctor confirms you are healthy for vasectomy reversal, they will set an appointment for the procedure. Reversals are minimally invasive treatments, performed on an outpatient basis. This indicates that you don’t have to stay overnight in the office. In fact, some doctors perform a vasectomy in their clinics. But, you have to ensure that the doctor is capable of performing this complex surgery.
Depending on your health condition and the complexity of the procedure, a urologist gives local or general anesthesia. So, you may or may not be sleeping during the reversal. So, you should confirm with your doctor before the surgery.
Vasectomy reversal is a complex procedure than vasectomy. In some cases, the doctor might use the microscopic device to perform the surgery. A powerful surgical microscope enables urologists to magnify vas deferens. Cutting vas deferens is simple while stitching the tube is difficult and requires a urologist with expertise and skills.
During the Procedure
After injecting local or general anesthesia, the doctor will rub their fingers on the scrotum to identify vas deferens. They will make a small cut or hole on the spot. That way they can see the tube that takes sperms to the penis. The doctor will use a microscope to remove vas deferens from surrounding tissues.
Next, the doctor will cut the sealed ends of the tube. They will take a sample of the fluid for examination. The examination helps them to identify whether the fluid contains sperms or not. If they found sperms in the fluid, they will connect the tube with the other end to reestablish the flow.
In rare cases, when the tube doesn’t contain sperm, the doctor will perform vasoepididymostomy. This is another type of vasectomy reversal, but a urologist will only go for this procedure when the fluid doesn’t contain sperms.
Vasectomy Reversals: Conclusion
Whether you have a change of heart or remarried someone after vasectomy, you have to undergo a reversal. This is the only effective technique to return your fertility when you had a vasectomy. With a high success rate, vasectomy reversal is the only chance for you. Many people also undergo vasectomy reversal because they experience pain in their testicles due to the previous vasectomy. The reversal may help this condition.
A skilled urologist will carefully examine you before the procedure and properly perform the surgery. At, Vasectomy Reversal NYC, our expert urologist, Dr. Yaniv Larish will help you with vasectomy reversals and help you to achieve pregnancy with your partner.
Yaniv Larish, MD
4 East 76th Street
New York, NY 10021