The Vasectomy Reversal Surgery:
The vasectomy reversal procedure will take place in an outpatient surgery center. You can expect to be at the center for anywhere from three to five hours. Please follow the pre-operative instructions provided to you and be prepared to undergo general anesthesia. Dr. Larish will use microsurgical technique to reconnect the severed vas deferens. Upon awakening from anesthesia, you may notice ice packs placed on the scrotal area. These are intended to reduce swelling and pain. The pain is normally similar to the pain following vasectomy. You may notice bruising or discoloration of the scrotal area.
Pain medication will be prescribed for the first two post-operative days. Normally, after the second day, Tylenol, Motrin or Advil should suffice in alleviating any discomfort. The intermittent use of ice packs on the scrotum can also help soothe the pain. Above all, please remember: You cannot walk or drive yourself home after the surgery. Make arrangements for a friend or family member to meet you at the center upon discharge. You will not be released under other circumstances.
Try to minimize your activity level for the first few days and avoid any heavy lifting or strenuous exertion for the first month. If you work in an office setting, you will be able to return to work in approximately three days. If your work involves physically strenuous activity, you will be back on the job within four weeks. Sexual intercourse may be resumed as early as four weeks after surgery.
Vasectomy Reversal Post-Operative Care:
A routine follow-up examination will be necessary in approximately one week. This is intended to insure that the wound is healing properly. About three weeks later, you will be scheduled for a semen analysis. Sperm concentration and motility of the ejaculate will be analyzed. You will be asked to return for a semen analysis on a regular basis thereafter until the results of the analysis have stabilized. Once good sperm concentration and motility are achieved, Dr. Larish will recommend that several sperm samples be frozen and stored in a sperm bank in the unlikely event that the site of the vasectomy reversal scars down at some point in the future.
Vasectomy Reversal Possible Early Complications:
If you experience unusual pain, increasing swelling or bleeding after the vas reversal, please contact Dr. Larish immediately. If you call after normal clinic hours, ask the answering service to refer you to the doctor on call. Routine post-operative complications include infection, bleeding, and side-effects of general anesthesia such as headache or nausea.
Vasectomy Reversal Possible Delayed Complications:
There is a risk of delayed scar formation at the site of reconnection of the vas deferens. This is reported to occur at a rate of 2% per year for the first five years after surgery.
Vasectomy Reversal Measure of Success:
The measure of success in vasectomy reversal is achievement of a pregnancy. Failure may be related any of several factors:
· Female fertility issues may play a role.
· Anywhere from 50 to 80% of men develop an immune reaction against their own sperm (anti-sperm antibodies) after vasectomy which can impair sperm motility.
· Scar tissue may form at the site of reconnection of the vas deferens.
· Long-term blockage of the vas deferens may adversely affect sperm motility.
Contact us about vasectomy reversal:
If you are interested in learning more about vasectomy reversal microsurgery, call Dr. Larish , the most experienced micro-surgeon for vasectomy reversal in NYC.
