What is Male Tubal Reversal?

Male tubal reversal, or “vasectomy reversal,” is a process in which your surgeon attaches the vas deferens back together. This allows the tubes, vas deferens, to carry sperm into the urethra and become part of the ejaculate.

Vasectomy is a better contraceptive than various other methods. Vasectomy surgeons tie the sperm ducts (vas deferens) or use a ring to prevent sperm from becoming part of the semen. Thus, male sterilization allows you to have sexual intercourse with your partner while avoiding unwanted pregnancies.

Most men prefer to reverse their vasectomy because they have a change of heart. They might have passed through a rough patch, or they simply want to start a family. Another reason is to alleviate the pain that occurs after a vasectomy.  For the reversal of vasectomy (male tubal reversal), a qualified and professional urologist is a must.

What is Male Tubal Reversal?

For this reason, Dr. Yaniv Larish is one of the best urologists in New York City. You can visit the website here to learn more about the vasectomy reversal procedure and about what Dr. Larish has to offer.

Before Vasectomy Reversal

Before giving the green light on a vasectomy reversal, a urologist may check a few things to ensure a successful procedure.

  • Firstly, they take a medical history, which includes medication, treatment, and any physical complications. It ensures that no aspects of your medical history complicate the reversal procedure.
  • Secondly, before performing the procedure, your urologist will make sure that your partner/ spouse is capable of having children. Besides checking their age, he might suggest conducting gynecological tests to prove fertility.
  • Lastly, before the reversal procedure, the urologist will suggest certain tests to ensure that you are capable of producing healthy and fertile sperm.

The Procedures in Vasectomy Reversal


This vasectomy reversal procedure involves sewing back the severed ends of both vas deferens ducts. The surgeon will do this by utilizing exceptional micro-surgical instruments such as a microscope, sutures, and other equipment. Sometimes, a surgeon might use hair-thin stitches to sew back the sperm ducts.


This procedure involves countering the blockage that forms in the epididymal tube when the surgeon severs the vas deferens ducts. This procedure has the same role as the one above. However, the micro-surgeon joins the upper parts of the vas directly to the tiny organ holding sperm at the back of each testicle (epididymis). This procedure is prone to complications and requires thorough expertise in the micro-surgery field.

Risks Involved

Risks are minimal, and the side-effects are rare. Nevertheless, you may experience post-procedure pain, which can make daily tasks uncomfortable. Visit Vasectomy Reversal NYC’s website to learn about Dr.Larish MD’s extensive skills.

  • Infections; a common risk like in any other surgery
  • Bleeding and pain; might occur in the scrotum. Painful swelling due to accumulation of blood during the procedure can occur. To avoid this, get sufficient rest after the procedure and avoid taking blood-thinning medication.
  • Chronic pain, highly uncommon but may occur due to severe complications in the procedure.

 Post-Surgery and Risk of Pregnancy

The incisions on the scrotum during the procedure might have bandages, and it usually takes seven to ten days before the stitches dissolve. Therefore, the surgeon may advise refraining from any activities that involve the excessive movement of the testicles.

Info About Tubal Reversal for Males

Moreover, apply ice packs for the next twenty-four to forty-eight hours of the surgery. This reduces the swelling and eases pain. You can contact your surgeon or urologist if you experience any pain in the pelvic area.

After the surgery, you might have to incorporate some changes for the time being.

  • Avoid sedentary lifestyles (sitting in office or home)
  • Keep moisture away from the surgical area
  • Avoid sexual intercourse and ejaculation until the doctor gives an “all clear”
  • Wear a tight supporter as an undergarment

The success rates of conceiving after vasectomy reversal vary depending on your and your partner’s age and fertility. Evidence shows that most men are able to impregnate (30% – 90%) their spouse after vasectomy reversal. Thus, they conceive without any complications.

Male Tubal Reversal: Conclusion

At Vasectomy Reversal NYC, Dr. Yaniv Larish relies on years of expertise in micro-surgery to enable a smooth and painless surgical procedure to reverse vasectomies. Dr. Larish works to improve the well-being of his patients, ensuring excellent quality services.

4 East 76th Street New York, NY 10021

Give us a call today at (646) 862-5500 to schedule a consultation. View our contact details here.


  1. https://www.webmd.com/infertility-and-reproduction/guide/reversing-a-vasectomy#1
  2. https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537
  3. https://health.clevelandclinic.org/vasectomy-reversal-5-facts-men-need-to-know-2/
  4. https://www.urologyhealth.org/urology-a-z/v/vasectomy-reversal
  5. https://www.healthline.com/health/vasectomy-reversal#efficacy
  6. https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/vasectomy-reversal
  7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854082/
  8. https://www.healthline.com/health/pregnancy-after-vasectomy#takeaway
  9. https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537

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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)

Vasectomy reversal surgeon nyc right column 01

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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