Vasectomy Reversal - Patient Education

From the humane point of view, a Vasectomy Reversal is all about making babies, becoming fathers and raising families, once again. A successfully conducted vasectomy reversal is a sure indicator that one could become a happy and proud father very soon.

The reasons for opting for a Vasectomy Reversal, needless to say, are all very personal. Divorce, remarriage, rise in economic status, loss/fear of loss of heirs/children or even a resurgent desire of having toddlers tottering around the house once again, could prompt a rethink and second thoughts.

What is certain is that for those who decide upon a Vasectomy Reversal, fatherhood and parenting is something that assumes great importance and has connotations that are emotional, social, psychological and financial.

The deciding factors for a successful Vasectomy Reversal are - the condition of the person opting for the Vasectomy Reversal (especially the time elapsed since Vasectomy) and the experience (number of successfully performed surgeries) and skill of the doctor or microsurgeon performing the procedure.

Vasectomy Reversal Statistics

Vasectomy Reversals are opted by 6 -12% of vasectomized males. Successful reversals have been performed on men as far out as 29 to 42 years from their vasectomy. But the general opinion is that the shorter the gap from an earlier Vasectomy, the greater the chances for success.

Studies also indicate that it can take from six to eighteen months to impregnate the spouse, provided she is medically fit in terms of health and within the age parameters essential for reproduction. Which means a lot of relevant tests need to be conducted on couple to correctly evaluate the factors conducive for conception.

There have been a number of exceptional couples who have conceived within a very short time after a Vasectomy Reversal, almost within the first week after recovery. There are also those who have succeeded 2-3 years after a reversal. 

Vasectomy Reversal Procedures

Vasovasostomy is the Vas to Vas reconnecting procedure, which is carried out under conscious sedation, after ensuring the presence of sperm in the Vas closest to the testicle and in the epididymis. 

Urologists may use a 'modified one layer' to reconnect the ends of the Vas. Microsurgeons also use this method circumstantially to produce better results under high magnification that allows for finer, smaller sutures.

The two-layer vasovasostomy is preferred by many microsurgeons who micro-surgically suture both the inner and the outer layer surface of the Vas. The highest success rates have been observed using the formal multi-layer technique, even though the formal multi-layer using 10-0 or 11-0 sutures is also more challenging and time consuming.

With microsurgery both methods result in the return of sperm to semen in 75 - 97 percent of patients and pregnancy occurs in 30 percent to 75 percent of female partners, depending upon the length of time from the vasectomy until the reversal.

In the absence of sperm in the fluid sample from the Vas, it is ascertained if there is a break in the tube in the epididymis. Any tear in this single, continuous tube could result in a blockage, necessitating a more complicated, lengthier and skilled technique called a vasoepididymostomy.

This procedure bypasses the blockage in the epididymis by connecting the upper end of the vas to the tube in the epididymis, above and beyond the point of the blockage.

Under this procedure, in 60 - 80 percent males sperm returns to the semen and 20 percent to 40 percent of their partners experience a pregnancy.

Cases where both procedures - vas to vas on one testicle and vas to epidydymis on the other - become necessary are not uncommon.

Recovery from Vasectomy Reversal procedures is fairly quick. Men folk are back to work within a week. Pain in the post-op phase is not severe and easily controlled with oral medication. Surgery is carried out in an outpatient setting. Opting for a fully accredited Vasectomy Reversal center with a Board Certified Andrologist, Anesthesiologist and cordial and competent support staff ensures greater success.

While the cost of Vasectomy reversal varies from center to center and state to state, it is always more sensible to opt for an all-inclusive package that covers all tests pre and post-op. In fact some centers even offer travel and stay arrangements for out station patients.

For more details:

Vasectomy Reversal USA - Finest, safest, affordable and the most result-oriented Vasectomy Reversal experience in the USA.

Vasectomy Reversal Experts provides a whole range of services and expertise pertaining to Vasectomy Reversal and Male Infertility Treatment. High Vasectomy Reversal success rates.

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Vasectomy Reversal - Review

"Why does anyone want a vasectomy reversal?" This is a question I hear any time I tell someone what I do for a living. I perform microsurgical vasectomy reversals I tell them. "Hmm" they say. "And so what else do you do?" "That’s it I explain. Just vasectomy reversals. One a day, every day. On men from every state in the US and from around the world." "Hmm. That’s nice," they respond…and then we get to the big question "Why does anyone want a Vasectomy Reversal, anyway?"

First of all, a little background: More than 600,000 men undergo a vasectomy each year in the US for permanent sterilization. Of those, about one of every twenty men (5%) will change their mind at some point. It could be 2 weeks later, or as in the case of my world-record patient, 42 years after vasectomy. But that’s what life is all about –surprises and change - sometime good surprises, sometime not so good. As I tell patients every week, life has a way of getting in the way of plans. Many men who wanted permanent sterilization, now find themselves wishing they could father children once again.

The good news is that for almost all men, a vasectomy reversal is an affordable and highly successful way to restore fertility. In fact, a review of several thousand of our own patients shows that we have been able to achieve more than a 90 to 96 % success, even for men who have had prior reversals! This same success rate is for all men, no matter how long ago they had their vasectomy. So this proves that the age old idea that the number of year from vasectomy to reversal determines success is hogwash.

Yet many doctors do not know or understand that a vasectomy reversal is highly successful when performed by a skilled and experienced microsurgeon.

The most common medical reason to have a reversal is for treatment of severe pain following a vasectomy, called post-vasectomy pain syndrome (PVPS). This rare and devastating complication after a vasectomy occurs in less than 1 % of all vasectomies. For those unfortunate few men, the pain can be severe and debilitating. The pain can begin immediately after the vasectomy or can develop slowly over months and even years. The pain is believed to be a result of obstruction and a build up of fluid within the now sealed system. As the fluid builds up, the tissues become distended, causing stretching which causes significant pain. This pain can be especially severe after sexual activity. For many, the best option is microsurgical reconnection of the ends of the vas, restoring flow and decompressing the system.

I have many patients over the past 20 years that felt the need to restore the flow of sperm to the semen. Some felt that the vasectomy was unnatural and went against some deeper philosophies of life and fluids-in-balance. Some men have felt that they were not as healthy after the vasectomy and wanted to correct this with a reversal. Others just didn’t feel "right". There was no specific complaint or change, they just weren’t the same and wanted to have their vasectomy reversed. Some felt that they wanted to restore their "energy" which they believe was changed by the vasectomy.

The good news is that whatever the reason, the chances for success are excellent, from 90 to 96%. At the International Center for Vasectomy Reversal, we are able to achieve a level of success that can only come from years of a full-time, single specialty vasectomy reversal practice – a practice with thousands of patients who travel to Tucson, Arizona each week from throughout the world. Drs. Marks and Burrows have the volume and experience to insure you get the best chances for a successful reversal. This is the reason so many trust ICVR for their vasectomy reversal.

Sheldon Marks, MD, is the founder and medical director of the International Center For Vasectomy Reversal, based in Tucson, Arizona. Dr. Marks is one of only a handful of microsurgical specialists in the world that has performed more than 1,800 microsurgical reversals, performing an average of 200-220 each year.

Learn More

Vasectomy Reversal - Fully accredited, full-time dedicated vasectomy reversal Center with a Federally certified andrology lab and cryobank.

ICVR - International Center For Vasectomy Reversal, based in Tucson, Arizona.

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