A Guide to Vasectomy Reversal
Sometimes guys are those to take
care of delivery manage via a surgical operation. But while those men and their
companions have a trade of coronary heart about children for any variety of
motives, they're in search of for to opposite their vasectomies. And this is
commonly viable, even lengthy after the unique system, says Dr. Phillip,
co-director of the Vasectomy Reversal
Center of USA a division of vas reversal Urology. Lerner answers questions
about getting and reversing a vasectomy.
How common are vasectomies?
It is estimated that
approximately 500,000 vasectomies a year are performed in the United States.
How often do men want them reversed, and what's the average time
between the vasectomy and the reversal?
Approximately 50,000 vasectomy reversals are performed a year, according to Urology Times. The most common
reason is a change in marital status, such as divorce and remarriage. Less
common causes include a change of mind to have another child within the same
marriage, death of a child or a widower who remarries. While a vasectomy can be
successfully reversed after any length of time, most men decide to have a
reversal within six to 12 years after the vasectomy. Our practice has
successfully reversed vasectomies for men who had theirs as long as three or
four decades earlier.
Is reversal always possible?
Using a state-of-the-art
operating microscope and with proper surgical technique performed by a
microsurgeon who is typically fellowship-trained, the success rate of a
vasectomy reversal should be consistently above 90 percent. Sometimes a much
more complex microsurgery may be needed if an additional level of blockage is
detected during the vasectomy reversal. This blockage is closer to the testicle
in a structure called the epididymis and requires a procedure called an
epididymovasostomy. In very rare situations, significant scar tissue related to
lack of blood supply from prior surgery may prevent a successful vasectomy reversal.
How is recovery and are there potential complications?
The surgery is carried out on an
outpatient basis usually under general anesthesia and can take two to three
hours to complete. Patients typically can return to work within one week and
full activity within two to three weeks. The complication rate is very low with
a low incidence of hematoma (collection of blood), infection or prolonged pain
taking place.
How long before conception is possible?
Sperm may return within a short
period of time, but it typically takes six to 12 months for sperm quality to
reach the point where a pregnancy can realistically occur. A faster return of
improved sperm quality and resulting pregnancies tend to occur for patients who
had a shorter period of time (less than five years) elapse since they underwent
the vasectomy. Occasionally, patients conceive babies in just a few months
after the reversal.
How expensive are vasectomies and reversals, and does insurance usually
cover both procedures?
With any surgical procedure,
there may be three components that comprise the overall cost: the surgeon's
fee, the facility fee for the hospital or outpatient center, and the anesthesia
fee. The surgeon's fees for both procedures range from $500 to $1,200 for a
vasectomy and $5,000 to $15,000 for vasectomy reversal. The majority of
insurance companies cover vasectomies and about 30 percent cover vasectomy reversals.
Contact Information
Call: (616) 459-4171
Address:
Urologic Consultants, P.C. 25 Michigan Street, Suite 3300 Grand Rapids, MI
49503
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