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Micro Surgery and Vasectomy Reversal

Statistics reveal that 500,000 men in the United States have vasectomies each year and 5% of those men seek a reversal five years after their vasectomies.  Vasectomy Reversal using Micro Surgery is a multifaceted operation that calls for a high degree of expertise and experience to be effective.  When performed by an urologist who is a fellowship-trained male infertility specialist, the success of a vasectomy reversal is increased.

When a vasectomy is performed, sperm production does not stop but it blocks the entry of sperm into the urethra. Unlike women, men produce sperm their entire lives.  The body eventually breaks down the blocked sperm, it is reabsorbed and new sperm continues to be produced.  There are instances when pressure can build up in the tubes behind the vasectomy scar and in some cases, the pressure can build and cause a tiny tubule of the epididymis to rupture.  This is generally referred to as an epididymal “blow out.”   If an epididymal blow out occurs, scar tissue develops and this becomes a new level of sperm blockage.  This is neither painful nor dangerous, but it is significant in that for a vasectomy reversal to be successful, it must be performed in such a way that bypasses this new level of blockage at the epididymal blow out site.

Sperm that is found at the testis end of a vas deferens indicates that an epididymal “blow out” has not occurred in which case a vasovasostomy is planned.  If sperm is not found, a vasoepididymostomy, which is an epididymis to vas deferens connection, is needed in order for sperm to flow.

Once a surgeon performs a thorough examination and the best course to proceed is determined, A Microsurgical Vasectomy can be performed to restore male fertility.  The technique allows for very precise placement of sutures which results in a much more accurate alignment of the vas lumen, which has the advantage of increasing the success rate of a vasectomy reversal.  Using microsurgery, eight or more sutures can be placed around the inside channel of the vas.  Once the surgical procedure is completed, couples may be able to conceive a baby naturally.

Some of the reasons men decide to reverse their vasectomies include wanting to have a child with a new partner, a couple deciding that they now want children after years in a long relationship or marriage, and the unexpected death of a child.  While vasectomies are considered a permanent form of contraception, they can be reversed and barring infertility issues, the chances of conceiving a child after a reverse vasectomy is possible.