Microsurgical vasectomy reversal is an operation whereby the tubes are rejoined in order for sperm to be able to flow once again and allow fatherhood to be contemplated. Without it, a vasectomy is a permanent way of avoiding fathering children.
Vasectomy reversal is a decision that should be made by a couple where practical. A couple […]
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Microsurgical vasectomy reversal is an operation whereby the tubes are rejoined in order for sperm to be able to flow once again and allow fatherhood to be contemplated. Without it, a vasectomy is a permanent way of avoiding fathering children.
Vasectomy reversal is a decision that should be made by a couple where practical. A couple must be happy that they have chosen the right doctor to perform the operation and that it is the right time and circumstances for them.
How is Vasectomy Reversal Performed?
The patient would have a general anaesthetic. Then a small incision is made in the skin of the scrotum near to or over the previous scars. The surgeon locates the cut ends of the vas deferens (sperm tubes) and frees them up - there will be scar tissue from the previous operation.
The surgeon decides, by using microscopy, if sperm are still being produced. It also helps to determine what sort of sperm are being produced or whether there has been a rupture or “blow out” in that area. This latter scenario is a poor sign.
The two ends of the vas (sperm tube) need to be fastened back together to make a whole tube. It is vital that there are no leaks or else the operation can fail. This is done using a highly powered microscope which gives the surgeon a clear and magnified view of the area. The sutures (stitches) used to unite the tubes are thinner than a human hair!
If there is a “blow out” in the vas then a different technique has to be used. The blow out will cause a blockage just as in a frozen pipe. The blockage must be bypassed. This microsurgical vasectomy reversal technique is called a vasoepididymostomy. It is more difficult and requires extra skill so make sure your surgeon is capable of performing it. Ask to see evidence or proof that he is successful in performing this tricky operation.
There are variations in the surgical procedure - vasoepididymostomy and vasovasostomy. Find out if there any comparison of success rates between clinics you visit , who does which procedure and what is their success, - the patient must ask.
Reversal of a vasectomy is now quite a common request. It is a tricky procedure that should be performed only by a highly trained surgeon, but the success rate is very good. Using microsurgical vasectomy reversal techniques has helped this success rate enormously.
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