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Vasectomy Reversal

Vasectomy Reversal

01.28.2013 | About your condition, Men’s Health, Vasectomy / Vasectomy Reversal

Definition 

Vasectomy reversal is surgery to undo a vasectomy. It re-connects the tubes that carry sperm form the testicles into the semen. After successful vasecotomy reversal, sperm are again present and you may be able to get your partner pregnant. Vasectomy reversal works for most men, but for some men vasecotomy reversal isn’t successful.

 

What can you expect

Doctors usually perform vasectomy reversals at a surgery center or at a hospital, The procedure is generally done on an outpatient basis – without an overnight stay.

Your doctor may use general anesthetics to make you unconscious during surgery. Or, your surgeon may give you an anesthetic that keeps you from feeling pain, but doesn’t put you to sleep – such as an epidural, spinal or local anesthetic.  Vasectomy reversal is more difficult than vasectomy. It requires specialized skills and expertise. Doctors can perform this surgery in one of two ways.

  • Vasovasosteomy (vas-o-vay-ZOS-tuh-me) – With this procedure, the surgeon sews back together the severed ends ofthetube that carries sperm (vas deferens)
  • Vasoepididymostomy (vas-o-ep-ih-did-ih-MOS-yuh-me) – This surgery attaches the vas deferens directly to the coiled tube at the back of each testicle (epididymis). A vasoepididymostomy is more complicated than a vasovasostomy and is generally chosen if a vasovasostomy can’t be done or isn’t likely to work.

 

Results

About six weeks after surgery, your doctor will examioine your semen under a microscope to see if the operation was successful. your doctor may want to check your semen every two to three months. Unless you get your partner pregnant, checking your semen for sperm is the only way to tell if your vasectomy reversal was a success.

When a vasectomy reversal is successful, sperm usually appear in the semen after a few months, but it can sometimes take a year or more. Vasectomy reversal leads to pregnancy in about half of couples within two years.