Vasectomy Reversal
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A vasectomy reversal is not appropriate for every man. The success of the procedure depends on many factors.
Since the ability of a couple to have children depends upon the reproductive health of both partners, it is important to take a thorough history of both the male and female partners. Going through the reversal process without this knowledge can cause frustration later if pregnancy does not result.
The time interval between the vasectomy and reversal can affect success rates. Additionally, the patient’s anatomy following the vasectomy may also affect the outcome. Therefore, a physical examination of the vas deferens, testes, and epididymis will be an important part of the evaluation.
If a reversal is not possible or unlikely to be effective, some men may want their sperm surgically extracted for IVF (in vitro fertilization), rather than undergo the procedure. This involves a procedure to extract sperm from the male and medicines/procedures for the female partner to extract eggs.
How a Vasectomy Reversal is Performed
Performing a vasectomy reversal requires specific expertise and skill. At Colorado Springs Urological Associates we have this expertise and can connect you with the right providers to discuss this surgical option.
The procedure usually takes several hours and is performed under anesthesia using an operative microscope. It typically is done at an ambulatory surgical center.
Two different surgical procedures may be performed – vasovasostomy or epididymovasostomy. The exact procedure to be performed cannot be decided until the time of surgery and depends upon what your surgeon finds in the operating room.
- Vasovasostomy is a procedure that connects the two ends of the vas deferens and may have surgical success rates as high as more than 90%.
- Epididymovasostomy is a more challenging procedure. It is needed if the obstruction is withinthe epididymis itself (rather than at the end of the vas deferens). Success rates are lower, but new surgical techniques still allow for favorable results.
Recovery from a Vasectomy Reversal
After surgery, pain could be mild to moderate, and you may experience swollen, achy testicles for a week or so after the procedure. We recommend lying down for six to eight hours after the surgery and keeping an ice pack on the incision, even if you feel fine.
Continue using ice packs for about the next five days to limit swelling, rest as much as possible, and avoid heavy lifting and exercise. It is normal to have a small, bloody discharge from the incision site. You should be able to resume normal activities, including sex, within three weeks.
As with any surgery, there are some potential complications that may occur:
- Hematoma:Though rare, a small blood vessel may leak in the scrotum, forming a clot. A small clot will probably dissolve with time, but a larger one may require reopening and draining the scrotum.
- Infection:Signs of infection include fever, chills, redness and swelling around the incision site.
A vasectomy reversal is not guaranteed to restore fertility and success rates tend to decline with time after a vasectomy. Other blockages can form, and some men develop antibodies that could attack their sperm. Success rates are greatest within three to 10 years after a vasectomy. Overall, estimated pregnancy results can range from 50% to as high as 80%.
