Vasectomy Reversal

What is a vasectomy reversal?

A vasectomy reversal is a surgical procedure to undo or reverse a vasectomy. A vasectomy reversal reconnects each tube (vas deferens) that transports sperm from testicles into the semen. 

Following a successful vasectomy reversal, sperm is present in the semen again, and you should be able to get your partner pregnant.

Certain factors can affect whether a reversal is successful in achieving pregnancy, such as partner age, surgeon experience and training, the amount of time since the vasectomy, and whether or not you were experiencing fertility issues prior to your vasectomy.

Why would I choose a vasectomy reversal?

Most men choose a vasectomy reversal if they wish to conceive and have a change of heart or remarriage. Other reasons for a vasectomy reversal include the loss of a child or the treatment of testicular pain that might be associated with a vasectomy.

Almost all vasectomies can be reversed, but it’s important to remember that a vasectomy reversal doesn’t guarantee success in conceiving a child.

What does a vasectomy reversal involve?

A vasectomy reversal procedure usually takes around two to four hours or longer, and you should arrange to have someone drive you home after your procedure. You might need additional time to recover if your procedure is performed under general anesthesia.

Vasectomy reversal doesn’t usually involve an overnight stay. Your surgeon decides which type of anesthesia to use, such as general anesthesia or local anesthesia, depending on the specifics of your procedure.

The Arizona Urology surgeons can utilize the revolutionary daVinci robotic-assisted surgical system to achieve the best possible results with less downtime, minimal scarring, and many other benefits.

With a vasectomy reversal, your surgeon reattaches the severed ends of the vas deferens to one another. In some instances, your surgeon might attach the vas deferens directly to the epididymis – the part of your testicle where the sperm matures (vasoepididymostomy).

Your surgeon typically makes a small incision on your scrotum to expose the tube that carries your sperm (vas deferens) and release it from surrounding tissues. 

Your surgeon cuts open the tube and examines the fluid inside. If sperm is present in the fluid, your surgeon sews together and connects the severed ends of the tube to re-establish the passageway for sperm.

If the fluid doesn’t contain any sperm, it’s possible that scar tissue might be blocking the flow of sperm, so your surgeon might choose to perform a vasoepididymostomy.

Your Arizona Urology surgeon can answer your questions and help you decide what’s best for you. For top-notch urologic care, call Arizona Urology, or schedule online today.