Vas Reversal

Vasectomy reversal (vasovasostomy) is a surgical procedure that typically takes between 2-3 hours to perform, depending on the complexity of the specific case. Dr. Wise describes it as sewing together two pieces of spaghetti with a tunnel in the central. A small incision is created on either side of the higher pocket. After the duct is found, the vasectomy site is identified. Scar tissue is removed and the vas is divided above and below the vasectomy site. The abdominal side of the vas is examined to verify patency, and the testicular side of the vas is inspected for the presence of fluid. If there are sperm current, or if there is freely flowing fluid, the ends of the vas are reconnected. The key to the pass of a vasectomy reversal is the skill of the surgeon , optimal magnification, and the use of microscopic sutures. Dr. Wise performs the reconnection of the vas with an inner layer of 10-0 Nylon suture and an outer layer of 9-0 Nylon suture, with further buttressing sutures ut...

There are two methods of vasectomy reversal: a vasovasostomy or a vasoepididymostomy. A vasovasostomy is far more common. During this type of vasectomy reversal , his doctor will sew the vas deferens from the penis to the testes back together. Less common (and far more difficult) is the vasoepididymostomy — his doctor will typically only recommend it if he doesn’t think a vasovasostomy will work. During this, his doctor will attach the vas deferens to the small organ at the back of each testicle that holds sperm. Both types of vasectomy reversals are performed in a hospital or clinic under general anesthesia (he won’t feel a thing!) and take between 2 and 4 hours. Recovery time is about 2 weeks, depending on your partner’s overall health. How much does a vasectomy reversal cost? In general, many fertility treatments are cost prohibitive. For women, there are more affordable options but men who’ve had a vasectomy and want it reserved will have to. Vasovasostomy costs ar...

Our urologists provide specialized care to patients who are seeking to restore f ertility after vasectomy reversal . A biological pregnancy after the vasectomy can be achieved using two methods: vasectomy reversal , or via sperm retrieval for later use in In Vitro Fertilization (IVF) and Intracytoplasmic sperm injections.  Many factors impact the success and are predictive of a good outcome after vasectomy reversal , including: Years since vasectomy Prior children Age and fertility status of the partner Physical examination findings  In a significant number of cases, vasovasostomy or standard reversal procedure is inadequate.   A more complicated reconstruction, an epididymovasostomy (epididymis to vas), may be required in some cases. The necessary type of surgical reconstruction is determined at the time of surgery, and it is important to know that your surgeon can perform both procedures if necessary. In many patients, surgery can restore s...