A vasectomy reversal is a microsurgical procedure that reconnects the vas deferens where it was interrupted by a vasectomy. Although vasectomy has historically been considered a permanent sterilization procedure, current advances in microsurgery over the past 25 years have greatly improved the success rate of vasectomy reversal.
The common reasons for vasectomy reversal are a new relationship or remarriage following a divorce or having a change of heart and a desire for more children. There are occasional unfortunate individuals who have lost their children and want to have more children.
Easy Vasectomy Reversal™ procedure is performed in the One Stop Medical Center on a come-and-go basis. The actual operating time for a vasectomy reversal procedure can range from 2 to 2.5 hours, depending on its complexity. A local anesthetic is used. The patient returns home or to a hotel room after the vasectomy reversal procedure, but Dr. Shu requests that out-of-town patients stay in the Twin Cities area for at least one day following the vasectomy reversal procedure before returning home.
A preoperative consultation is an important step in planning on vasectomy reversal. Thanks to the Internet, the patients can get all information on vasectomy reversal from a well-designed high quality website.
The following topics related to vasectomy reversal are addresses in our website and will be discussed in a preoperative vasectomy reversal consultation.
- Review the patient’s medical history, vasectomy history, and his wife or partner’s fertility
- Review the anatomy and physiology related to vasectomy reversal
- Discuss the relationship between years of vasectomy with the success rate and other factors affecting the success rate, discuss about the possibility of late failure
- Discuss the rationale and indications to choose V-V and V-E (Dr. Shu doesn’t perform the V-E).
- Discuss the concepts of sperm recovery rate and pregnancy rate, and not all successful reversal patients will cause pregnant
- Discuss the benefits, risks, complications and alternatives
- Inform the cost and the payment options
- Review the pre and post care instructions
- Answered all questions the patients have
The possible complications:
In general, vasectomy reversal in healthy men is a very safe surgical procedure. Local anesthesia avoids the risks from general anesthesia. Regarding the procedure, hematoma (collection of blood) occurs in less than 5% of men. Temporary swelling, mild pain, and bruise are expected after such surgery. The delayed wound healing happens sometimes. Infection occurs less than 1%. Dr. Shu routinely asks the patients to take antibiotics for a week after to minimize it. The other rare complications include chronic pain, referred pain in the groin areas, painful and inflammatory nodules, and change of testicle position (lifted due to vas shortage in one or both sides).
Alternatives to vasovasostomy:
Certainly there are other ways to build a family and have more children besides vasectomy reversal (Vasovasostomy).