Vascectomy Reversals: Frequently Asked Questions (FAQs)
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Vascectomy Reversals: Frequently Asked Questions (FAQs)

Are there alternatives to a vasectomy reversal? How does it work? How long do I have after my vasectomy? Can a vascectomy reversal be done on an outpatient basis?

Are there alternatives to a vasectomy reversal?

There is an alternate method of recovering viable sperm from the testes called a percutaneous epididymal sperm aspiration (PESA). The sperm is removed directly from the testes and implanted through invitro fertilization. This method has a higher rate of success and is less invasive than a vasectomy reversal if you wish to have only one more child. With this method, the vasectomy remains and you do not have to perform it again after conception.

How does a vasectomy get reversed?

600,000 men in the United States annually choose to have a vasectomy and 5% later elect to have it reversed (source: www.emedicinehealth.com). In order to reverse the procedure, there are two widely performed procedures, depending on whether there are still viable sperm in the vas deferens. If there are, a simple procedure to reconnect the vas deferens is performed, including removing as much scar tissue as possible from the original vasectomy. If there are no viable sperm in the vas deferens, a blockage may have occurred and a more complicated procedure needs to be performed. In either case, recovery from the vasectomy reversal mirrors that of the original vasectomy and involves only a few days off of one's feet.

In what timeframe are vascectomy reversals possible?

The most effective vasectomy reversals are performed on healthy men under the age of forty, whose vasectomy is less than ten years old. It can also depend on how significantly the vas deferens was damaged during the initial surgery. A doctor can perform a variety of examinations and tests in order to predict a success rate for the vasectomy reversal. Although approximately 75% of vasectomies can be reversed, only 50% of vasectomy reversals will result in achieving pregnancy.

Sooner rather than later is preferable because sperm production continues in the body, and sperm debris will accumulate in the system following a successful vasectomy, producing a build-up that will limit the flow of semen after the reversal.

Can a vascectomy reversal be done on an outpatient basis?

A vasectomy reversal can be performed on an outpatient basis, although the patient will need to recover for several days at home. The procedure takes between one and two hours under a light general anesthetic, and typically produces little or no painful aftereffects. Men who undergo vasectomy reversals should not engage in any form of sexual activity for at least three weeks following the surgery, and should have a sperm count taken approximately three months after that. This is to ensure that the accumulated sperm cells have passed and are no longer blocking the flow of semen.

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Comments (1)

men need to really think about this.. so many people are having kids without thinking of the 18+ year commitment involved. remember you had a vascetomy for a reason, are you SURE you want to reverse it.. good info here for those who do...

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