What Is Vasoepididymostomy?

When it comes to having vasectomy reversal, many men wonder if there is an option and opportunity to go through with the procedure. If you’ve had a vasectomy, you’ve made the decision to change the way your body functions to prevent sperm from being released. However, many men change their minds down the road, such as because they’ve remarried or decided to have another child. Your doctor can help you to determine if this is an option for you. If and when you come in for a consultation, you may learn about the various vasectomy reversal options. One of the options your doctor may decide is right for you is Vasoepididymostomy.

When Is Vasoepididymostomy Effective?

BestVasectomyReversalDoctorNYC2.jpgWhen your doctor begins your vasectomy reversal, he or she can determine the best possible method for reattaching the vas, the pathway that reconnects the vas deferens to allow for sperm to travel through the pathway and to the semen. During the procedure, your doctor will cut the ends of the scarred vas. During this process, the doctor opens up the two ends to allow for the passage of sperm.

However, before doing making that connection, the doctor must determine if sperm is available in the vasal fluid. He or she will test this during the procedure to determine which is the right option for reconnection. If there is no sperm in the vasal fluid, your doctor may proceed with a Vasoepididymostomy procedure.

If sperm is missing in the vasal fluid, this may indicate that back pressure from the vasectomy occurred and led to what doctors call a blowout. This occurs in the epididymal tube. When this occurs, a blockage can occur, limiting the flow of sperm. If this is present, your doctor will need to create a way to go around the block and then joins the upper end of the vas directly to the epididymis. This is what the Vasoepididymostomy procedure is. This connection is more complex, but the results are virtually the same as vasovasotomy, the most common method.

BestVasectomyReversalDoctorNYC4.jpgWhen it comes to having a vasectomy reversal, the process can be complex and there are limited benefits in some situations. However, it is possible for most men. A vasectomy reversal can work for you. To find out what your options are, call the best urologist in New York. Let us talk to you about your options in vasectomy reversal.


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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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