Vasectomy Reversal

Vasectomy reversal (vasovasostomy) is a surgical procedure for men with prior vasectomy that reconstructs the vas deferens to allow the sperm to travel from the testicals to the seminal fluid. Vasectomy is a procedure to achieve permanent male sterility, but occasionally a man’s life situation changes, and he desires to have children. Vasectomy reversal is a more cost-effective means to achieve the goal of pregnancy than the various reproductive medicine techniques used to implant sperm into a female egg.

Indications

  • Men who have previously undergone vasectomy

Procedure

The patient is given general anesthesia in the operating room, and the cut ends of the vas deferens are mobilized. With high-powered magnification, the vas deferens is reconstructed using numerous sutures, which are smaller than hair. This procedure is performed on both the left and the right sides, and after recovering from the anesthesia, the patient is able to go home later on the same day.

Advantages

  • Low complications and excellent success rate
  • Less expensive means to achieve pregnancy than In-vitro fertilization (IVF), Intra-cytoplasmic sperm injection (ICSI), or sperm harvest
  • Outpatient surgery

Side Effects

Following surgery on the scrotum, there will be some swelling that may last several weeks before resolution. It may also take several months for the testicles to begin producing sperm adequate for fertilization.