Vasectomy Reversal


A vasectomy is a permanent method of male birth control where the vas deferens tubes are cut to prevent the sperm from leaving the testicles and traveling out through the penis during ejaculation. Conception cannot take place without sperm, so vasectomy is a virtually foolproof method of birth control. From time to time, a man who has had a vasectomy may change his mind about not wanting to have children, and thus will consider having his vasectomy reversed through another surgical procedure called a vasovasostomy.

Vasovasostomy Procedures

The vasectomy reversal is typically done on an outpatient basis, with no overnight stay in the hospital. Either general or spinal anesthesia is administered to make sure that the patient is completely still during the procedure.

During the procedure, the vas deferens tubes that have been severed during the vasectomy are reconnected. The surgery usually lasts from two to four hours, and is followed by several hours of recovery time. Patients can expect mild to moderate pain; however normal activities, including sex, can be resumed after just three weeks.

Vasectomy Reversal Success and Possible Complications

The rate of success of the vasectomy reversals depends on how much time has passed since the vasectomy was done. Success rates vary between one-third for those done over ten years after having a vasectomy, and up to more than one-half of the procedures done within three years of a vasectomy. With the passage of time, blockages can occur in the vas deferens tubes and some men develop antibodies to their own sperm, which could adversely affect the ability to conceive.

The overall success rate of vasectomy reversals is also correlated with the age of the woman: the younger the partner, the higher the rate of pregnancy after the vasectomy reversal. As with any surgery, complications can, and occasionally do occur. Such risks include:
  • Infection at the site of the procedure

  • Build-up of fluid in the scrotum that may need to be drained

  • Injuries to the nerves or blood vessels in the scrotum.
However, over the years, the surgical procedures have been improved, which has also improved their success rate.

Issues to Consider

It is a good idea, before having a vasovasostomy, to find out if one was fertile prior to the vasectomy, to eliminate unnecessary surgery if there was no fertility. In addition, the sperm can be tested to see if there are any antibodies present that would interfere with conception.

As with any surgery, it is important to be fully informed on the procedure that will be done, who will perform it – along with their credentials, and other related issues. The Internet has a number of excellent, trusted medical sites that provide a wide range of articles on different issues related to vasectomies and vasectomy reversals, so that the patient can make intelligent informed decisions as to whether to pursue the procedure, or to consider other options.

By Eve Visconti           


Related Links:

  • WebMD - Vasectomy Reversal
    Description of the surgery, what to expect afterwards, why it is done, the risk, and things to think about.