Natural Health Remedies

The reversal of vasectomy literally does what its name implies, which is to reverse the process of the vasectomy surgery. This means performing an outpatient microsurgical procedure that could reverse the vasectomy procedure and increase your chances to restore fertility. Several reasons or circumstances could trigger your change of mind to become a father again. However, you need not worry if you had an earlier operation for vasectomy. Medical science already developed a reversal technique to meet your changing lifestyle and preference in fathering a child. Vasectomy reversal is for men who had vasectomy in the past and would want to become a father again.

Vasectomy Reversal – How does it work for you?

The goal of the vasectomy reversal is to reverse the process of the earlier vasectomy operation that you had. This means reconnecting the vas deferens tubes again to provide a non-leaking passageway for the semen to carry the sperm to the urogenital opening of the woman. When the tubes are reconnected, the semen would be able to transport the sperm from the testicles to the prostate glands. There are two techniques involved in creating a passageway for the semen namely the vasovasostomy and the vasoepididymostomy.

The vasovasostomy technique is used to reconnect the ends of the vas deferens tubes if there are no complications found such as blockage. The vasoepididymostomy technique is used to reconnect the vas deferens directly to the epididymis if there is blockage in the vas deferens tubes. Reconnecting the vas deferens tubes with the presence of blockage is a futile attempt to restore an efficient passageway. The blockage would still hinder the sperm flow. This is the main reason that the vasoepididymostomy technique is used instead of the simple vasovasostomy technique. The idea is to bypass the blockage.

Estimated Cost of Reversal Vasectomy

The estimated cost of reversal vasectomy in the US ranges from $10,000 to as high as $15,000. However, in Canada the comparable procedure would only cost to as high as $5,000. Several factors affect the total cost of the vasectomy reversal such as the location, the hospital, the professional fee of the anesthesiologist, and the professional fee of the micro surgeon. Your quoted fee may not be the actual fee that you will be paying after the procedure. It could cost more largely depending on the type of complications that may arise during the procedure. Insurance companies do not shoulder the expenses of the vasectomy reversal so you need to raise the funds for the procedure or look for an easy installment plan.

It would be wise to perform a survey of the hospital prices or clinics prices first before you decide on the location. Take note that your micro surgeon needs to be accredited in that certain hospital or clinic too. One technique to reduce your total cost is to choose a local anesthesia and have an outpatient type of surgery. You may be able to lessen your total cost to a maximum of $2,500 or $4,000.

Vasectomy Reversal Success Rate

Vasectomy reversal has an impressive high success rate. However, certain factors besides the procedure itself determine the success rate of the vasectomy reversal such as the skill of the surgeon, the condition of your vas deferens tubes, the health of your sperm, your age, and the time that it took you to decide for the reversal from the vasectomy date of surgery.

Time is a crucial factor for the reversal procedure. It is not only your age that matters but also the duration between the vasectomy surgery and the reversal procedure. One study concluded that men who submit to the reversal procedure within 3 years from the original vasectomy procedure had 75% success of impregnating a woman. This figure was based on a study conducted with at least 1,000 sample group. Men who submitted to vasectomy reversal 5 years after the vasectomy surgery had at least 50% success rate. Men who submitted to vasectomy reversal 10 to 14 years later had a low 30% success rate.

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Vasectomy reversal is one decision that you need to do as soon as you have all the information needed to help you make an informed decision in terms of the selection of the micro surgeon, the clinic or hospital, the location, and the personal payment or easy payment plans. Several things may affect your longing to have a child again such as the economic status improvement of your family, divorce, death of a kid, change of partner, or just the feeling of wanting to father a child. These conditions would greatly affect your decision to want a reversal for your original vasectomy procedure.

The longing to have a child again may motivate you to pursue with the vasectomy reversal. Fortunately, modern science developed the reversal of vasectomy to meet the demands of men who wanted to become a father again after they had the vasectomy permanent form of contraception. About 5% of men who had the vasectomy changed their minds and long to father a child again submitting to the vasectomy reversal technique. Although the benefits that you get from the reversal technique are clear, there are certain risks associated with this procedure. It would be wise that you make a bit of a research before you decide to submit yourself to the surgery.

Vasectomy Reversal Techniques

The general and most commonly used technique for the reversal vasectomy is the vasovasostomy. This simple technique only involves joining the clamped tubes of the vas deferens again to ensure a smooth passageway for the sperm flow. The semen would then be able to transfer the sperm from the male epididymis to the male prostate glands in preparation for ejaculation. This technique is used only when there is no blockage found in the vas deferens tubes. This procedure is common among men who had their vasectomy 2 to 3 years ago.

The other vasectomy reversal technique is the vasoepididymostomy. The doctor uses this technique when there is an evidence of blockage or instances of scar tissue formation. Blockage and scar tissues are developed conditions. This normally occurs when the vasectomy was completed for over 10 years. Specific complications or internal disorders could make the first technique, vasovasostomy, a futile attempt to restore male fertility. This procedure makes use of the general or local anesthesia. The vasoepididymostomy is an outpatient microsurgical procedure. You can go home right after the procedure if you do not feel any effects of the anesthesia anymore.

Success of Reversal Vasectomy

The success of the vasectomy reversal procedure largely depends on three major factors namely the skill of the surgeon, your age, and the time that it took you to decide for the surgery from your vasectomy operation. The skill of the surgeon is very critical consideration in this procedure. This procedure is a microsurgical type of procedure that uses high-powered microscope to suture a spaghetti-like size of vas deferens tubes. It would be wise to be careful in selecting the surgeon for your vasectomy reversal.

Steps in Vasectomy Reversal

There are 3 steps involved in the vasectomy reversal namely the scrotum examination, sperm analysis, and the actual procedure. Scrotum examination is done to ascertain any physical symptoms for blockage or scar tissues. The sperm analysis reflects feasibility of restoring sperm health and volume. The actual surgery takes about 2 to 3 hours maximum and is an outpatient procedure.

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The vasectomy reversal topic carries a lot of myths and perception from people across the world. The belief that you would conceive a child easily after the reversal procedure is entirely dependent on certain factors that you need to understand and carefully consider when you are planning to undergo a vasectomy reversal.

The concept of vasectomy reversal

Medical science developed the vasectomy reversal techniques to satisfy and help men who first decide to have a permanent contraception but later will desire and think about fathering a child again. People tend to change their heart and their thoughts whenever a major change takes place in their lives.

Vasectomy reversal is an outpatient procedure performed by a micro surgeon with the goal of reversing the previously done vasectomy process. Vasectomy is the process of cutting the ends of the vas deferens tubes for permanent contraception. In the vasectomy reversal, the micro surgeon performs the opposite. The micro surgeon will attempt to reconnect the ends of the clamped vas deferens tubes.

The goal of the vasectomy is to stop the semen from carrying the sperm out of the man’s body during ejaculation while the goal of the vasectomy reversal is to establish a passageway for the semen to flow and carry the sperm into the urogenital opening of the woman during ejaculation.

The semen carries the male sperm from the epididymis into the urogenital opening of the woman’s body through the prostate glands. The sperm will then go out of the man’s body during ejaculation from the prostate glands. The role of the vas deferens tubes is to make it possible for the semen to carry the sperm outside the man’s body into the woman’s body for possible fertilization. This is a very critical role for the vas deferens.

Types of Reversal Vasectomy Techniques

There are two types of vasectomy reversal techniques that the micro surgeon chooses during the reversal surgery namely the vasovasostomy and the vasoepididymostomy. The vasovasostomy is the normal uncomplicated reversal vasectomy technique where the microsurgeon only connects and sutures the ends of the vas deferens tubes again. However, the vasoepididymostomy is a bit complicated. During the surgery, the microsurgeon may find some blockage and realize that using the first technique won’t work in establishing an efficient passageway for the sperm to flow into the urogenital opening of the woman.

Choosing the Type of Reversal of Vasectomy Technique

Selecting the kind of vasectomy reversal technique depends on one major factor – presence of blockage. The surgeon may not be able to realize this during the physical examination. The best way to determine the blockage is during the time of the surgery itself. The surgeon will be able to determine the kind of vasectomy technique appropriate for your condition during the surgery only.

The first easy technique known as the vasovasostomy is used when there are no evidences of complications such as blockage or scar tissues. The doctor will just suture back the ends of the vas deferens tubes to establish a good flow for the sperm to go out of the man’s body during ejaculation. This is possible for men who decide to undergo the reversal method within 3 years from their original vasectomy procedure.

The second technique is a bit complicated. It is the vasoepididymostomy technique. The micro surgeon finds that you have a blockage or scar tissue that might interfere with the flow of the semen carrying the sperm during ejaculation. The flow of the sperm would still be difficult even if the vas deferens tubes were reconnected. This is the main reason the doctor will choose to perform the vasoepididymostomy technique to increase your chances of having a child the natural way. Men who decide to undergo the vasectomy reversal procedure after 10 years or more from the original vasectomy receives the technique.

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The vasectomy reversal process takes about 2 or 3 hours maximum. The procedure requires the use of a local or general anesthesia. This is a painless outpatient surgery. However, if you have fears about surgery and other surgical procedures, it is advisable that you tell your doctor about it. You can request to have the general anesthesia to keep you comfortable.

After the surgery, you need to stay at the hospital until the effects of the general anesthesia is gone. You can still feel slight discomfort or a bit of pain from the surgery. The doctor will give you a prescription for the analgesics or pain relievers. If you feel nagging pain after and see some bruising, you can put on some ice packs on the scrotum. This will ease your pain and helps control the inflammation. The usual pain relievers are Mortrin, Advil, or Tylenol.

Bruising and swelling are normal after the surgery. However, if these symptoms persist 7 days after the surgery and the discomfort is growing, you need to visit the doctor for examination. Feeling some intensifying level of pain or throbbing pain on the sutured area may be a cause for worry. You need to consult your doctor immediately to ease your discomfort. Although there are times that you will see some bloody discharge, this is not a cause for worry. It is normal after the surgery.

The average healing period is about 30 days. The doctor will send you home with prescription for your pain and instructions for your activities within the first 30 days. It is advisable that you spend the first 7 days on bed rest because this is crucial to your recuperation. You should not do any activities that would likely stress you out because this is your recovery phase. You can use a recliner to make you feel comfortable for the first four weeks.

Following the prescription is critical to your health. You should follow all prescribed dos and don’ts diligently. This would only be for the first 30 days. After a month, you could go back to your day-to-day activities. Sex is one thing that you need to avoid during the first 30 days. It is crucial to the sutured area that you do not do any form of ejaculation.

Bath and Shower

You can take a shower after 48 hours from surgery but you cannot take a bath in a bathtub. The doctor will also restrict you from swimming for the first 30 days. You might be able to see the sutures in the opened region of the scrotum. Please do not attempt to remove them because they will be gone in a matter of 2 weeks. These sutures will dissolve on their own within 15 days from surgery.

Swelling and Bruising Symptoms

Observe the swelling and bruising in your scrotum or anywhere near the scrotum sutured area. If the scrotum begins to swell like the size of an orange, then there is a need to see your doctor and ask for medication. You are developing an inflammation that needs immediate treatment. Your doctor needs to examine the infection for adequate treatment.

After surgery follow up consultation

Your doctor will ask you to come to the clinic for appointment after the surgery. You might need to submit a semen sample for analysis after 30 days. You must understand that you should not have sex or any form of ejaculation at least 3 days before the semen sample analysis. This will affect the consistency of your results.

Seomul Evans is a SEO consultant for Vasectomy Reversal and a contributor for a leading Men’s Health issues blog.