Vasectomy Reversal (Vasovasostomy)
A vasectomy is recognized as a permanent method of birth control. Vasectomy reversal (vasovasostomy) reconnects the tubes (vas deferens) that were cut during a vasectomy. If you're considering a vasovasostomy, you should read the following information offered by Metropolitan Urological Specialists in St. Louis, MO.
Vasectomy reversal is usually an outpatient procedure (with no overnight stay in the hospital). Spinal or general anesthesia is typically used to make sure that you stay perfectly still throughout the surgery.
The chances of vasectomy reversal success depend on how much time has passed between the vasectomy and the reversal. With time, additional blockages can form, and some men develop antibodies to their own sperm.
The surgery is more complicated and takes additional time when blockage between the vas deferens and the epididymis requires correction (vasoepididymostomy).
What To Expect After Surgery
Vasectomy reversal normally takes from two to four hours, accompanied by a few more hours for recovery from the anesthetic. You can expect to go home the same day.
Pain can be mild to moderate. You should be able to resume normal activities, including sex, within 3 weeks.
Why It's Done
Vasectomy reversal is done when you have had a vasectomy and now want to be fertile.
How Well It Works
Chances of a successful vasectomy reversal decline over time. Reversals are more successful during the first 10 years after vasectomy.
Generally, vasectomy reversal:
• Results in overall pregnancy rates of greater than 50 percent.
• Has the very best chance of success within three years of the vasectomy.
• Causes pregnancy only about 30% of the time if the reversal is done ten years following vasectomy.
Risks of vasectomy reversal include:
• Infection at the site of surgery.
• Fluid buildup within the scrotum (hydrocele) that may necessitate draining.
• Injury to the arteries or nerves within the scrotum.
What To Consider
Before a vasectomy reversal is done, your doctor will want to make sure you were fertile before your vasectomy.
You can have tests to find whether you've got sperm antibodies in your semen before and after vasectomy reversal. If there are sperm antibodies inside your semen after surgery, your partner is not likely to become pregnant. In such a case, you may wish to try in vitro fertilization with intracytoplasmic sperm injection.
If you've got any questions about the reverse vasectomy or any of the other services provided by Metropolitan Urological Specialists, set up a meeting with them and they’ll give you the answers you need. Metropolitan Urological Specialists is a wonderful place to go for urological insight in St Louis, Creve Coeur, Florissant, and Kirkwood, Missouri.