How Vasectomy Reversal Works

By Dr. Harris Brown


Men get vasectomies because they think they are done having children. The truth is that of the half million men that have a vasectomy done each year five percent will have a change of heart and will opt for a vasectomy reversal. Having this outpatient procedure done over the past twenty years has seen a ninety-nine percent success rate for men being able to reestablish their fertility. When considering this procedure it helps to increase the odds of success by having a vasectomy reversal expert perform the operation. Research shows that the skilled and experienced male reproductive medicine doctor who can perform microsurgery has the highest success rate.
Before the reversal procedure became commonplace, men who had already had a vasectomy and decided to have children would have just two options. The couple would need to have a therapeutic donor insemination (TDI) or an in vitro fertilization with intracytoplasmic sperm injection (IVF/ICSI) procedure. Although these procedures are able to help many couples conceive, they could not truly restore fertility and this spurred the development of vasectomy reversal. This surgical procedure consists of reconnecting the cut ends of the vas deferens to allow sperm to pass through at ejaculation. Reversal is far less expensive than TDI or IVF/ICVSI procedures and is usually seen as the best option for men who are interested in having children after having had a vasectomy.

The patient will generally receive general or regional anesthesia before the vasectomy reversal expert begins the procedure; they start by making a two inch incision in the scrotum and searching for the ends of the vas deferens. The next step is to remove all scar tissue from the the area and take a sample of fluid from the testicular end of the vas deferens, which is then microscopically examined. Based on the sample, the surgeon will determine what surgical methods to use. The higher the quality of the sample, the easier the work of the surgeon will be.

If the slide shows live sperm this ensures the 99% success rate. Some patients may show different results after a vasectomy reversal. Some will have partia
The patient will generally receive general or regional anesthesia before the vasectomy reversal expert begins the procedure; they start by making a two inch incision in the scrotum and searching for the ends of the vas deferens. The next step is to remove all scar tissue from the the area and take a sample of fluid from the testicular end of the vas deferens, which is then microscopically examined. Based on the sample, the surgeon will determine what surgical methods to use. The higher the quality of the sample, the easier the work of the surgeon will be.

If the slide shows live sperm this ensures the 99% success rate. Some patients may show different results after a vasectomy reversal. Some will have partial sperm or the absent of sperm with thin fluid. Some will have no sperm and the fluid is very pasty and thick. When the fluid is thick like this the epididymis has ruptured. This is a fourteen foot long single layer coil that stores the sperm. If the pressure of sperm build up was too great it will cause it to rupture. The result of this is an abundance of scar tissue, which causes a blocked epididymis. If this happens the epididymis has to be bypassed in order for sperm to get through. If this doesn't happen the reversal will be a failure.

If the vasectomy reversal is a success, then fertility can almost immediately be restored, though there is a cursory recovery time from the surgery. Having an experienced and skilled vasectomy reversal expert will offer the highest chances at restored fertility. Many men go on to conceive again after they have recovered from the procedure.




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