Vas Reversal

Vasectomy Reversal Defined Vasovasostomy involves a surgical reversal of a previous vasectomy with the goal of obtaining sperm in the ejaculate of sufficient quantity and quality to achieve a pregnancy. The patient usually takes an oral narcotic and muscle relaxant one half an hour prior to arriving at the office. Then after the surgical area has been washed with betadine, a long acting local anesthesia is injected. Then, depending on the length of time since the vasectomy , or the presence of a sperm granuloma, a small incision is made just over the area of the vasectomy.   The proximal end (the end that comes from the testicle) is opened and the fluid is checked for sperm under the high power microscope. The distal end (the end that goes to the prostate and out) is flushed to make sure it is open. The vas is connected to the vas if 1) there is sperm found or 2) if the inside diameter is wide open and abundant fluid runs out. This connection or “anastomosis”...