Vasectomy is one of the most effective methods of birth control available for men. The procedure entails the ligation of an important conduit for sperm cells known as the vas deferens. Once this has been done, the cells can no longer be transferred into the female genital tract for fertilization to take place. To reverse vasectomy, the continuity of these conduits has to be re-established using surgery.
Microsurgical vasectomy reversal is by far the most preferred technique. It involves minimal access of the reproductive structures which not only increases the success rate of the procedure but also minimizes the associated complications. Using the microsurgical technique, the surgeon may connect the two stumps of vas deferens (vasovasostomy) or one of the stumps to the epididymis, the sperm storage site (vasoepididymostomy).
It is important to emphasize that even with the best surgeon and technique failure is not uncommon. One of the causes of failure is the extensive scarring that occurs once the vas deferens has been cut causing loss of patency. The scar tissue has to be removed before re-joining is done. This is complicated further by the small size of the vas. Another difficulty that is commonly encountered is a difference in the diameter of stumps.
Before undergoing the surgery, one has to be evaluated by their urologist. Part of the evaluation includes determining that indeed the subject was fertile before the ligation of their vas deferens. The next important thing at this stage is to find out if any sperm antibodies exist within the semen. If found, the probability of ending up with a pregnancy is next to nil and assisted reproductive options should be sought.
Research has shown that success rates range between 70% and 90%. While the age is not a major determinant of who does and who does not regain fertility, the chances of success decline with time. If the reversal procedure is done within the first 3 years, there is more than 50% chance of getting a pregnancy in a fertile female. If done after 10 years, however, it reduces to as low as 30%.
Although the technique is considered safe generally, there are a number of potential risks that exist. Bleeding, surgical site infection and fluid accumulation within the scrotal sac are some of the most commonly encountered complications particularly in the immediate post-operative period. Others include blood vessel and nerve fiber injury. Rarely, patients may suffer from deep venous thrombosis (DVT) or may react to anesthesia.
The operation itself is usually done on an outpatient basis and typically lasts between two and four hours. Spinal anesthesia is typically used which means that one can be discharged from hospital on the same day. The resultant pain is mild and can permit resumption of normal routines within three days or thereabout.
When dealing with reversal of vasectomy, it is important to bear in mind that successful pregnancies are the product of two partners; the woman and the man. Before the procedure can be said to be unsuccessful, the woman should be adequately evaluated as well. This is particularly important if the partner is thirty five years or older or has never conceived in the past.
Microsurgical vasectomy reversal is by far the most preferred technique. It involves minimal access of the reproductive structures which not only increases the success rate of the procedure but also minimizes the associated complications. Using the microsurgical technique, the surgeon may connect the two stumps of vas deferens (vasovasostomy) or one of the stumps to the epididymis, the sperm storage site (vasoepididymostomy).
It is important to emphasize that even with the best surgeon and technique failure is not uncommon. One of the causes of failure is the extensive scarring that occurs once the vas deferens has been cut causing loss of patency. The scar tissue has to be removed before re-joining is done. This is complicated further by the small size of the vas. Another difficulty that is commonly encountered is a difference in the diameter of stumps.
Before undergoing the surgery, one has to be evaluated by their urologist. Part of the evaluation includes determining that indeed the subject was fertile before the ligation of their vas deferens. The next important thing at this stage is to find out if any sperm antibodies exist within the semen. If found, the probability of ending up with a pregnancy is next to nil and assisted reproductive options should be sought.
Research has shown that success rates range between 70% and 90%. While the age is not a major determinant of who does and who does not regain fertility, the chances of success decline with time. If the reversal procedure is done within the first 3 years, there is more than 50% chance of getting a pregnancy in a fertile female. If done after 10 years, however, it reduces to as low as 30%.
Although the technique is considered safe generally, there are a number of potential risks that exist. Bleeding, surgical site infection and fluid accumulation within the scrotal sac are some of the most commonly encountered complications particularly in the immediate post-operative period. Others include blood vessel and nerve fiber injury. Rarely, patients may suffer from deep venous thrombosis (DVT) or may react to anesthesia.
The operation itself is usually done on an outpatient basis and typically lasts between two and four hours. Spinal anesthesia is typically used which means that one can be discharged from hospital on the same day. The resultant pain is mild and can permit resumption of normal routines within three days or thereabout.
When dealing with reversal of vasectomy, it is important to bear in mind that successful pregnancies are the product of two partners; the woman and the man. Before the procedure can be said to be unsuccessful, the woman should be adequately evaluated as well. This is particularly important if the partner is thirty five years or older or has never conceived in the past.
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