Want To Reverse A Vasectomy?

Want To Reverse A Vasectomy?

With new advances to microsurgery over the past 10+ years, there is good news to share with men who, for one reason or the other, decide to reverse a vasectomy. Though vasectomies are considered a permanent form of male birth control, between 5 to 15 percent of men, look into reversals in the United States, according to recent studies. It’s estimated that 35,000 reversals are performed in the United State alone. Fortunately, for those who are seeking to reverse a vasectomy, these advances suggest the odds of achieving a successful outcome have significantly improved.

For the patient, the most important factor in his control that contributes to a successful outcome is the doctor/specialist who is chosen. Reversing a vasectomy is an involved procedure and like all surgeries the training and experience of the surgeon is important. Most doctors who perform a reverse are Board Certified Urologists. Since microsurgery is more involved, further specialization is available for the doctor. Only about one to two percent of urologists annually are awarded a Fellowship in Male Infertility and Microsurgery which provides for advanced microsurgical training to reverse a vasectomy. However, the final and most important factors to consider are in relation to experience. This refers to how often the specialist reverses a vasectomy and doctor’s success rate.

To reverse a vasectomy successfully is also a factor of time. With time the vas deferens, which was cut during the vasectomy, is subject to back pressure in the epidiymus. This can affect the current flow of sperm. When the specialist reverses a vasectomy the vas deferens is checked for sperm. If it is present then a simpler technique can be performed called the vasovasostomy. This involves the reconnection of the vas deferens. The more time since the vasectomy the greater the odds of an obstruction being identified which requires a vasoepididymostomy. Not all surgeons can perform this technique and the chances of a successful outcome go down. To reverse a vasectomy after 10 years the odds of requiring a vasoepididymostomy are much higher.

Learn more about pre and post-operative considerations.

Leave a Reply