Vasectomy Reversal in Lake Success, New York (NY)
Vasectomy reversal is surgery which aims to restore male fertility by
re-attaching the ends of the vas deferens (the tube which carries sperm
from the testicle to the urethra) which were severed during the
original vasectomy. Vasectomy reversal does not guarantee that you will
be able to father a child; success rates vary, with your greatest chance
of success occurring within 3 years of the original vasectomy.
Your
urologist will perform one of two types of vasectomy reversal. If your
doctor does not predict any complications, the more straight-forward
vasectomy reversal procedure is known as a vasovasostomy. If your doctor
suspects there might be a blockage in the vas deferens a more
complicated procedure called a vasoepididymostomy will be performed.
The Vasectomy Reversal Procedure
Your
vasectomy reversal will be performed under general anesthesia. The
scrotum is shaved and sterilized, and your doctor will make an incision
on the front side of the scrotum so that the vas deferens can be drawn
and lifted out. At this point your doctor will collect fluid from your
scrotum to examine under a microscope.
Depending on whether sperm is present in the fluid, your doctor may choose one of two types of vasectomy reversals:
Vasovasostomy
is performed if the fluid contains sperm and is clear. In this
procedure, your doctor will sew the ends of the vas deferens back
together in a single or multiple layers. The vas is then placed back
into the scrotum and the incisions are sutured.
Vasoepididymostomy
is another type of vasectomy reversal that your doctor will perform if
the scrotal fluid is pasty or there are no sperm present, signaling that
a secondary blockage in the vas deferens has occurred after the
original vasectomy. In this procedure, your doctor will connect the cut
end of the vas deferens directly to the epididymis using micro-stitches.
This procedure is more complex than the vasovasostomy and will take
more time.
On average, a vasovasostomy can take between 2- 3 hours
to perform. The more complicated vasoepididymostomy can take up to 4
hours to perform. Both vasectomy reversal procedures can be performed in
an outpatient setting, and you will likely go home the same day as the
procedure.
Talk to your urologist about your chances of success with a vasectomy reversal procedure.
Talk to your urologist about your chances of success with a vasectomy reversal procedure.
About Bruce R. Gilbert, M.D., Ph.D.
Dr. Bruce R. Gilbert is a Urologist who has been in Private Practice
in Great Neck, Long Island, New York for the past 22 years. He
specializes in complex microsurgical procedures for male fertility and
male prosthetic surgery. He also treats both men and women with sexual
function concerns.
Aiming to shape the minds of future physicians, Dr. Gilbert is Professor of Urology at the Hofstra North Shore LIJ
Medical School and the Director of Reproductive and Sexual Medicine at
the Smith Institute for Urology of the North Shore LIJ Health System.
Dr. Gilbert has authored over 100 publications and is recognized as an expert in Male Fertility and Urologic
Ultrasound. He is passionate about Urologic education and has organized
training programs in microsurgery and urologic ultrasound. In addition, he
lectures locally, nationally and internationally on various urological topics. He is the Chairman of
the AUA’s National Urologic Ultrasound Faculty and a member of the AUA’s
Urologic Diagnostic and Therapeutic Imaging Committee.
Dr. Gilbert completed his medical degree in 1983 at Cornell
University Medical College and Urology Residency at the New York
Hospital Cornell Medical Center. Prior to that he completed a Doctorate
(Ph.D.) at the New York Medical College followed by postdoctoral work
in Renal Physiology supported by the New York Heart Association in the
Department of Physiology at Cornell University Medical College.
Dr. Gilbert’s private practice for the past 20 years has specialized
in male reproductive and sexual medicine and surgery including male
prosthetic surgery. He is a highly experienced microsurgeon, having performed
over 1000 microsurgical procedures including vasectomy reversals,
microsurgical varicocele ligation and microsurgical testicular sperm
retrieval. In addition, quite notably, he was also one of the first Urologists in the region to
perform the no-needle, no-scalpel vasectomy.
Dr. Gilbert also serves as the
Medical and Laboratory Director of New York Cryo, one of the few long
term reproductive tissue banks for sperm, oocytes and embryos in the
region. Dr. Gilbert gained national prominence for his use of
Holistic approaches for the treatment of chronic Urologic problems. A fellow of both the American College of Surgeons and the American Academy of Medical Acupuncture, Dr. Gilbert is certified by the American Board of Urology and the
American Board of Medical Acupuncture. He serves as a reviewer for many Urological, Reproductive
Medicine and Complementary Medicine Journals. At the top of his game, he has been selected as
one of “America’s Top Physicians” and is listed in the “Guide to
America’s Top Physicians” published by the Consumers’ Research Council
of America, Washington, DC.
Featured Specialist for Vasectomy Reversal in Lake Success, NY
Bruce R. Gilbert, M.D., Ph.D.
Call Now: (516) 342-7229
450 Lakeville Road Suite M41Lake Success, NY 11040
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