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.
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
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:
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.
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
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.