Aspects Of Sterilization Reversal You Should Know

Publié par Unknown on samedi 20 août 2016

By Andrew Mitchell


The use of surgical contraception options (vasectomy and tubal ligation) has increased tremendously in recent times. They are by far the most effective methods of birth control for both men and women. In some cases, however, some patients may need to reverse the procedure in a bid to regain their fertility. There are a number of things on sterilization reversal you need to know if you have plans of undergoing the procedure.

The microsurgical technique is the commonest method that is used in the restoration of fertility in men that have undergone vasectomy. The technique is so named because of the small incisions that are used during the process. Microscopes are often needed to magnify the anatomical structures that are being operated. Although other surgical techniques exist, success rates have been shown to be highest when the microsurgical approach is used.

Restoring semen flow can be achieved in two main ways. The first approach, also known as vasovasostomy, is where the two stumps left behind after vasectomy are re-joined. In the second method, the stump that joins the urethra is joined to the epididymis. This is the region in which sperm cells are stored before ejaculation. This method is thus also known as vasoepididymostomy.

Microsurgical vasectomy reversal is a relatively safe procedure. The complications that may be encountered include bleeding, infections and blood accumulation within the scrotum. Between 70% and 90% of patients who undergo the procedure regain fertility in a couple of months. It is important to bear in mind that success is greatly influenced by the duration of time of sterility with the best results seen within the first three years.

Microsurgical vasectomy reversal is performed as a day case in most centres. This means that one can be allowed home as soon as the procedure is completed. The procedure lasts between two and four hours depending on the degree of complications encountered. Regional (spinal) anaesthesia is usually used hence you will be awake during the entire exercise. After the operation, you may experience a bit of pain but this should not prevent you from resuming your regular routine.

Tubal ligation works in the same way as vasectomy in women. This method of birth control is performed by cutting, clipping or cauterising the fallopian tubes that are found on either side of the uterus. While the option has for a long time been considered a permanent method of contraception, advances in surgical practice have made it possible for women undergoing the procedure to regain their fertility.

The technique that is used in performing tubal ligation is a great determinant of successful reversal. For example, if cutting was done reversing is more difficult than when clips are used. There may be a need to be taken through a number of tests to establish whether other problems exist. In some cases, the surgery may not be helpful and other options may have to be used straight away.

Failure of these surgical procedures is caused by a number of factors. These include, for instance, scar tissue within the tubes. The scar tissue blocks the reproductive tubes and hinders the movement of ova and sperm cells. Failure may also result from the presence of anti-sperm antibodies. The doctor will typically screen for the antibodies before one is subjected to the operation.




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