What is Vasectomy Reversal?

It is a surgical procedure to reconnect the male reproductive tracts after they had been interrupted by sterilization or an earlier vasectomy.

Men opt for vasectomy reversal if they wish to father more children. Research shows that 6% of men who had undergone sterilization or vasectomy earlier opt for this procedure.

Identifying Varicocele Condition

Around 15% of all men have this Varicoceles, but not all are aware of their condition until they are evaluated for infertility. According to research, 35-40% primary infertility and 80% of secondary infertility cases are caused by Varicoceles. Varicocele is found to be prevalent in 25% of the cases of abnormal semen analysis.

One of the common symptoms to identify Varicocle is the enlargement of the vein. Men even feel a mild to the sharp sensation of pain in their scrotum. A physical examination is done followed by an ultrasound to diagnose and evaluate the condition.

Types Of Vasectomy Reversal

Vasovasostomy

In this process an opening is made in the separated endings of the vas deferens so that the sperm can enter the semen before ejaculation.

Vasoepididymostomy

Joining the separated vas deferens to the epididymis.

A semen analysis is done after 3 months of the procedure to find the presence of sperm in the ejaculate. It takes 6-12 months for sperms to reach the ejaculate again. However, in most men the presence of sperm can be detected in the ejaculate within 3 months after the reversal. The success of the procedure can be determined by patency (opening of the passage) or pregnancy.

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Vasectomy Reversal Procedure

The sperm that is produced in the testis travels through the epididymis where it matures and gains motility. The epididymis is a coiled 15-18 m tube that leads to vas deferens. Here the sperm mixes with the fluids from other glands to form the ejaculate.

During vasectomy, the tubes leading to the vas deferens is interrupted to prevent the sperm from reaching the ejaculate. This process is reversed when the tubes are re-joined to allow sperms flow into the ejaculate again. Approximately, the procedure might take 2 to 3 hours depending on the type of the reversal process. In most cases the procedure is performed under regional or general anaesthesia.

What to Expect?

In 50%-60% cases, pregnancy happens within 1-2 years after the process. However, the result may vary depending on a number of factors. The recovery period would be approximately 10 to 14 days. Our specialist might suggest more days for rest depending on the condition.

There are rarely any risks involved in the process. However, you might experience some swelling and pain that subsides gradually. Our specialist will suggest a specific wait period before you can resume sexual activity.

The failure of the process refers to the absence of sperm in the ejaculate after the reversal process. In this scenario the patient might have to undergo another surgery with Vasoepididymostomy. A person can go for Vasectomy again after Vasectomy Reversal. He can opt to have his sperm banked for future use before going for Vasectomy again.

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