Approximately 10% of men who undergo a vasectomy later decide that they would like to have more children. The decision to have more children can be prompted by many factors including remarriage, religious reasons, death of a child, or changing economic or social circumstances. After a vasectomy, the testicles continue to produce sperm and in many cases these sperm will continue to mature in the epididymis and can be found in the vas deferens up until the portion of the vas deferens that is transected during a vasectomy. A vasectomy reversal involves finding where the vas deferens has been blocked, opening the tube and sewing the two ends together using very fine sutures.
Approximately 10% of men who undergo a vasectomy later decide that they would like to have more children.
There are several different techniques and approaches including the microscopic approach, as well as the robotic approach. Dr. Mistry approaches the vasectomy reversal in the operating room with the patient under a general anesthetic. The procedure can take between one and a half hours to three and a half hours depending on patient anatomy and other circumstances. Dr. Mistry generally performs a microscopic double layer vasovasostomy. Those patients that require a vasoepididymostomy will undergo a 3-stitch intubated technique.
The success rate of the vasectomy reversal depends in large part to the capabilities and experience of the surgeon.
The success rate of the vasectomy reversal depends in large part on the capabilities and experience of the surgeon, however, there are factors that are beyond control that relate to anatomical changes that can occur after a vasectomy. It is due to these anatomical changes that not all vasectomy reversals are successful and that vasectomy reversals performed after 10 years from the time of vasectomy have a lower rate of success.
If motile sperm are identified at the time of the vasectomy reversal they will be collected and offered to the patient to be frozen for use with in vitro fertilization (IVF), if necessary. This added service is provided at no cost although there may be some charges associated with the freezing process. This will ensure that patients who have motile sperm at the time of the reversal will not have to undergo another procedure. Despite initial success, there’s a potential that’s a vas deferens could become blocked again due to scar tissue. This can occur at a rate of 15% per year.
The recovery from the surgery lasts about a week and a drain is typically placed to help with post-operative swelling. Success of the procedure will be determined with a semen analysis at 6 weeks.
Men’s Fertility Center Of Austin Procedure Video: Vasectomy Reversal
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