A vasectomy removal is a surgery that is done to undo a vasectomy. The procedure is done by reconnecting each tube. This tube is called the vas deferens and this tube is responsible for moving the sperm from the testicle into the semen. A successful vasectomy reversal will allow the sperm to be present again in the semen. When the sperm is present in the semen, then your partner will be able to get pregnant again. After a vasectomy reversal, you and your partner will have a thirty to ninety percent success rate. A successful pregnancy will depend on the time since you had a vasectomy, how old your partner is, if you had fertility problems before the vasectomy, and the surgeon.
A vasectomy reversal is done if a man or his partner have decided that they would like to have children. The decision may be because of a new spouse, loss of a child, or just a change of heart. In very rare cases, men will have a vasectomy reversal because of pain that has been related to the vasectomy.
Nearly all of vasectomies can be reversed, but does not guarantee that a successful pregnancy will follow the procedure. A vasectomy reversal can happen at any time, but the longer that it has been since the initial vasectomy, the less successful the vasectomy reversal will be.
It is very rare that a vasectomy reversal leads to serious complications. Some of these severe complications include bleeding within the scrotum. This collection of blood is called hematoma. It causes painful swelling. In an effort to avoid this, you will want to avoid any activity and take the time to rest. It is also important to apply ice packs after surgery. Avoid any blood thinning medications.
It is also very uncommon, but infections at the surgery site can happen. Call your physician at first sight of infection as your physician will want to start antibiotics as soon as possible.
Some men are in persistent pain after a vasectomy reversal.
When you are considering a vasectomy reversal, speak with your physician to see if this is the right procedure for you. Your physician will go over the advantages and disadvantages and also what to expect. You will need to end your blood-thinning medications. You will want to bring tightfitting undergarments to wear after surgery. This will hold the bandages in place. You will need to arrange for someone to drive you home after surgery. The procedure usually lasts between two and four hours.
The first step of the vasectomy reversal is to go through a health history and go through a physical examination. Then you will need to go through testing to make sure that you produce a healthy sperm. If you have children, then this is typically enough proof. It is also important to know if your partner can have children. Your physician will recommend that your partner go through testing.
This procedure is completed at the hospital, and you will not have to stay overnight. You may be put under general anesthesia to keep you unconscious during the procedure. In other cases, your physician may give you a local anesthetic to keep you from feeling pain and you will still be awake.
A vasectomy reversal is much more difficult than the original vasectomy. It is done as a microsurgery, where your physician will use powerful surgical microscope.
The surgery could be done through two different ways. A vasovasostomy is where the physician sews the severed ends of each tube together that carries the sperm. This tube is called vas deferens. The other type is vasoepididymostomy is where the vas deferens is attached back to the small organ at the back of the testicle that holds the sperm. This type of surgery is more complicated.
The decision between these two surgeries will depend on when the sperm are seen in the fluid. This is analyzed at the time of surgery. You will likely not know the type of surgery that you will have until after the surgery. In some cases, a combination of these two techniques is required.
During this procedure, your physician will make an incision in the scrotum. The vas deferens will then be exposed and release it from the tissue. Then the physician will cut open the vas deferens and examine the fluid inside. If the sperm is present in the fluid, then the ends of the vas deferens can be connected again to make the passage for the sperm. If there is no sperm in the fluid, then scar tissue could be blocking the sperm. If this happens, then your physician may perform a vasoepididymostomy.
After the procedure, then your physician will cover all of the incisions with bandages. You will need to put on tightfitting undergarments, and apply ice for two days. You will be sore for a couple of days. Ask your physician when you can take off your bandages. Stitches should dissolve within ten days.
When you are back home, then you will want limit your activity. Before your surgery, you will want to talk to your physician about a schedule of when you can get back to your regular activities. It is typically recommended that you wear an athletic supporter for several weeks at all times. You will want to wear one for a long time while you exercise. Do not submerge yourself into water during the first two days. You will not be able to do any activities that pull on the testicles for around eight weeks. If you have a desk job, then you will be able to return to work quick, but if you work in a strenuous job, then it may be a while longer.
After your surgery, your physician will examine your semen under the microscope to see if the procedure was a success. This test may be performed periodically. If the reversal was successful, then your partner will become pregnant. This may take a year or more though.
If the surgery was not a success, then some men will go in for another procedure. There may be another underlying issue that may occur.
To request an appointment with Urology, call 251-343-9090. To request an appointment with Radiation Oncology, call 251-414-5665.