A vasectomy reversal is a procedure that restores functionality to the vas deferens, which carry sperm from the testicles to the urethra. Men undergo vasectomy reversal for a multitude of reasons, ranging from the loss of a child to a change of heart or to put an end to chronic pain. No matter the reason, the expert urologists at Arkansas Urology have the advanced procedures and expertise needed to perform vasectomy reversals.
Men pursuing a vasectomy reversal have two options available to them:
Vasovasostomy – A procedure where a surgeon repairs the severed vas deferens from a patient’s vasectomy, allowing sperm to travel freely again.
Vasoepididymostomy – A procedure that attaches the vas deferens to the epididymis, a small organ at the back of each testicle where sperm matures and is stored.
Following either procedure, the incision site will be bandaged and patients will be advised to wear tight-fitting clothing and apply ice for 24-48 hours.
Depending on the procedure, vasectomy reversals can be anywhere from 30 to 90 percent effective at restoring pregnancy rates, which is further impacted by factors such as the time since vasectomy, surgeon experience, partner age and prior fertility issues.
It’s important to note that a vasoepididymostomy is more complex than a vasovasostomy, causing surgeons to recommend this procedure only when a vasovasostomy can’t be done or is anticipated not to work. In some instances, surgeons will combine the two procedures for a full vasectomy reversal.
Vasectomy reversal is not without risks, just as a vasectomy is. Patients considering a reversal should be aware of the following risks:
Bleeding – Bleeding inside the scrotum is a potential risk of vasectomy reversal. Your doctor may recommend avoiding aspirin or blood-thinning medications prior to surgery.
Infection – While uncommon in vasectomies, an infection can stem from any surgery and may require treatment with antibiotics.
Chronic Pain – Persistent or constantly recurring (chronic) pain after a vasectomy is uncommon, but still poses a risk for men.
Know that reversal surgery isn’t guaranteed to work.
Patients undergoing a vasovasostomy or vasoepididymostomy aren’t guaranteed to have fully-restored fertility. Multiple or combined attempts at vasectomy reversal can also be costly. The experts at Arkansas Urology will always provide the best guidance and treatment for your needs.
Ready to schedule an appointment or learn more about vasectomy reversal? Contact us today or book your appointment online.
