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Does a vasectomy reversal involve surgery? | Moorgate Andrology

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Does a vasectomy reversal involve surgery?

a vasectomy reversal

A Vasectomy reversal is a surgery to undo a vasectomy. It reconnects each tube that carries sperm from the testicles into the semen. After a successful vasectomy reversal, sperm are again present in the semen, and you may be able to get your partner pregnant.


Pregnancy rates after the procedure will range from about 30% to over 90%, depending on the type of procedure. Many factors affect whether a reversal is successful in achieving pregnancy, including time since vasectomy, partner age, surgeon experience and training, and whether or not you had fertility issues before your vasectomy.


Why Is It Done?

Men decide to have a vasectomy reversal for a number of reasons, including loss of a child, a change of heart or remarriage. A small number of men have a vasectomy reversal to treat testicular pain that may be linked to a vasectomy.



Almost all vasectomies can be reversed. However, this does not guarantee success in conceiving a child. Vasectomy reversal can be attempted even if several years have passed since the original vasectomy – but the longer it has been, the less likely it is that the reversal will work. Vasectomy reversal rarely leads to serious complications. Risks include:



  • Bleeding within the scrotum. This can lead to a collection of blood that causes painful swelling. You can reduce the risk of hematoma by following your doctor’s instructions to rest, use scrotal support and apply ice packs after surgery. Ask your doctor if you need to avoid aspirin or other types of blood thinning medication before and after surgery.
  • Infection at the surgery site. Although very uncommon, infections are a risk with any surgery and may require treatment with antibiotics.
  • Chronic pain. Persistent pain after vasectomy reversal is uncommon.



How You Prepare

When considering the procedure, here are a few things to think about:


  • Find out about costs ahead of time.
  • Vasectomy reversals are generally most successful when they are done by a surgeon who is trained in and uses microsurgical techniques, including those that make use of a surgical microscope.
  • The procedure is most successful when performed by a surgeon who does the procedure regularly and who has done the procedure many times.
  • The procedure occasionally requires a more complex type of repair, known as a vasoepididymostomy. Make sure that your surgeon is able to perform this procedure if it is required.

When choosing a doctor, do not be afraid to ask questions about how many vasectomy reversals the doctor has done, the type of techniques used and how often the vasectomy reversals have resulted in pregnancy. Also, ask about the risks and potential complications of the procedure. Contact us here at Moorgate Andrology to speak with one of our patient coordinators about vasectomy reversal. 

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