Understanding What Happens During Vasectomy Reversal

Vasectomy reversal is an advanced, minimally-invasive procedure that repairs the vas to restore male fertility after a vasectomy. The reversal procedure is most effective when it takes place within 10 years of the initial vasectomy surgery, but the effectiveness of treatment does vary from patient to patient due to other factors. Continue reading to find out what happens during a vasectomy reversal procedure.

Types of Vasectomy Reversals
There are two types of vasectomy reversal procedures that your doctor will discuss with you during your consultation. The best one will be selected based on the presence or absence of blockages in the epididymis. When a blockage is not present, a vaso-vasostomy will be performed. This surgery has a slightly higher success rate than vaso-epididymostomy. Your surgeon may not actually determine the proper procedure until the vasectomy site is viewed under the microscope during your surgery. Both procedures may be performed under local anesthesia, but most patients opt for some type of IV sedation because it is difficult to sit still for the two to four hour surgery.

Vaso-Vasostomy
The  vaso-vasostomy  begins with the removal of scar tissue at the vasectomy site. The cut ends of the vas are re-sewn together and heal fairly quickly. This procedure is only used if there is sperm or free-flowing clear liquid present after the scar tissue is cut.

Vaso-Epididymostomy
If there is thick or pasty fluid present, there may be a blockage preventing the flow of sperm. In this case, a vaso-epididymostomy is the best option. During this procedure, the vas is connected to a tube in the most distal part of the epididymis. This type of connection bypasses any blockages to increase the chances of successful conception.

As you consider vasectomy reversal, you should consult Dr. Joshua Green at the Center for Vasectomy Reversal. Our Sarasota practice treats  patients from around the country , so don’t hesitate to call us at (941) 961-4581. You can also visit our website for an appointment.