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Complications

Hematoma The most common complication is hematoma. This is an often sizeable collection of blood that is pooled on the scrotum because of a ruptured vessel. It can take months to resolve.
Infection which may require oral antibiotics In its most serious form, intravenous administration of antibiotics and hospitalization might be required.
Sperm granuloma As described above, a small amount of sperm can leak from the reconnected site and cause an inflammatory reaction that could cause pain or disrupt the reconnected site.
Other complications Other complications are possible including failure of the surgery for any number of other reasons.

Failure

Failure is possible. There is also a significant rate of later closure and obstruction of the vas even after a successful vasectomy reversal.

Couples often bank semen specimens as soon as moving sperm appear in the ejaculate, so that if there is a failure they can proceed with invitro fertilization (IVF) at a later time. See Alternatives

Semen can be retrieved during the reversal procedure for storage. There are facilities available to store sperm in a cyrogenic freezer for a fee.

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