Urology: Vasectomy Reversal Surgery
A vasectomy reversal surgery is performed when a man has had a vasectomy, and now wishes to have children. Vasectomy reversal reconnects the tubes, called the vas deferens, that were cut during a vasectomy.
Vasoepididymostomy is type of vasectomy performed for more complex cases, such as when a large portion of the vas deferens has been removed or when a portion of the epididymis has become blocked. The procedure is designed to reconnect the vas deferens to the epididymis.
What to Expect
A vasectomy is performed under local anaesthetic combined with general anaesthesia, which makes for a very light general anaesthetic and ensures a safe procedure. The procedure begins with a small incision made over the old vasectomy site. The two ends of the vas deferens are identified, freed from the surrounding scar tissue and then reconnected.
At least 6 sutures are used to connect the the first layer of the vas deferens followed by a similar number for the outer layers providing a sealed joining of the two ends. Chances for success depend on many factors including the method of vasectomy that was done and, most importantly, the length of time since the vasectomy was performed.
Vasectomy reversal usually requires approximately 4 hours, including time for you to recover from the anaesthetic. You can expect to go home on the same day as a routine vasectomy reversal.
What to expect during recovery?
Pain is mild to moderate, similar to what you experienced in your vasectomy, and can be treated with medication. You should be able to resume normal physical activities, including sex, within 3 weeks.
Results are not immediate; it may be months or more before fertility and a normal sperm count is restored. The formation of anti-sperm antibodies will often prevent pregnancy from occurring despite a good sperm count immediately following the vasectomy. A successful reversal can lead to conception, typically within 12 to 24 months.
If you are ready to discuss your surgery needs with our board certified surgeons, request a consultation today. During your consultation your patient care adviser will discuss:
- Your medical history
- Preparing for surgery
- Potential risks and complications