How Can Vasectomy Be Reversed?
When a man undergoes a vasectomy, he is choosing a permanent form of contraception. However, there may come a time when he decides he wants to have children again. Fortunately, it is possible to reverse a vasectomy. In this article, we will discuss how vasectomy is reversed, who is a good candidate for the procedure, what to expect during the procedure and recovery, and the success rates of vasectomy reversal.
What Is Vasectomy?
Vasectomy is a surgical procedure that cuts or blocks the vas deferens, the tubes that carry sperm from the testes to the urethra. This prevents sperm from being ejaculated during sex, and therefore prevents pregnancy. Vasectomy is a highly effective form of birth control, with a failure rate of less than 1%. However, it is meant to be a permanent form of contraception, and reversal is not guaranteed.
How Is Vasectomy Reversed?
Vasectomy reversal is a surgical procedure that reconnects the vas deferens, allowing sperm to flow through the tubes and be ejaculated during sex. The procedure is done under general anesthesia and takes about two to four hours to complete. There are two main methods of vasectomy reversal: vasovasostomy and epididymovasostomy.
Vasovasostomy
Vasovasostomy is the more common method of vasectomy reversal. It involves reconnecting the ends of the vas deferens that were cut during the original vasectomy. The surgeon makes a small incision in the scrotum and examines the cut ends of the vas deferens under a microscope. If the ends are healthy and have enough length, they are reconnected using tiny stitches.
Epididymovasostomy
Epididymovasostomy is a more complicated method of vasectomy reversal. It is used when there is a blockage in the epididymis, the coiled tube that is attached to the testicle, preventing sperm from flowing through the vas deferens. In this method, the surgeon creates a new opening in the epididymis and connects it to the vas deferens using tiny stitches.
Who Is A Good Candidate For Vasectomy Reversal?
Not every man who has had a vasectomy is a good candidate for vasectomy reversal. The success of the procedure depends on several factors, including the length of time since the vasectomy, the method used for the original vasectomy, and the age and fertility of the man and his partner.
Vasectomy reversal is more likely to be successful if the original vasectomy was done using the traditional method, which involves cutting and tying the vas deferens. If the vas deferens were sealed with heat, success rates may be lower. Additionally, the longer it has been since the vasectomy, the lower the success rates of vasectomy reversal.
Finally, the age and fertility of the man and his partner can also affect the success of vasectomy reversal. Men who have had a vasectomy at a younger age and have a healthy partner with no fertility issues are more likely to have success with vasectomy reversal.
What To Expect During Vasectomy Reversal?
Vasectomy reversal is done as an outpatient procedure and takes about two to four hours to complete. The patient is put under general anesthesia and the surgeon makes a small incision in the scrotum. The surgeon then examines the cut ends of the vas deferens and decides whether to do a vasovasostomy or epididymovasostomy. If a vasovasostomy is done, the surgeon reconnects the ends of the vas deferens using tiny stitches. If an epididymovasostomy is done, the surgeon creates a new opening in the epididymis and connects it to the vas deferens using tiny stitches.
What Is The Recovery Period After Vasectomy Reversal?
After vasectomy reversal, the patient will experience some discomfort and swelling in the scrotum for several days. He will need to wear a supportive garment for a few weeks to help reduce swelling and promote healing. The patient should avoid heavy lifting and strenuous activity for at least two to three weeks after the procedure. Sexual activity should be avoided for at least two to three weeks or until the surgeon gives the go-ahead.
What Are The Success Rates Of Vasectomy Reversal?
The success of vasectomy reversal depends on several factors, including the method used for the original vasectomy, the length of time since the vasectomy, and the age and fertility of the man and his partner. Overall, the success rates of vasectomy reversal are between 40% and 90%, with higher success rates seen in men who had their vasectomy less than 10 years ago, had a traditional vasectomy, and have a healthy partner with no fertility issues.
Conclusion
Vasectomy reversal is a surgical procedure that allows men to regain their fertility after undergoing a vasectomy. The procedure is done under general anesthesia and involves reconnecting the vas deferens. The success of vasectomy reversal depends on several factors, including the method used for the original vasectomy, the length of time since the vasectomy, and the age and fertility of the man and his partner. If you are considering vasectomy reversal, talk to your doctor about your options and the potential risks and benefits.
