What is Vasectomy Reversal?
It is a surgical procedure to reconnect the male reproductive tracts after they had been interrupted by sterilization or vasectomy earlier.
Why men opt for Vasectomy Reversal?
Nearly 6 % men who had undergone sterilization or vasectomy earlier opt for vasectomy reversal if they want to father more children.
How is Vasectomy Reversal done?
The sperm that is produced in the testis travels through the epididymis where it matures and gains motility. The epididymis is a coiled 15-18 m tube that leads to vas deferens; here the sperm mixes with the fluids from other glands to form the ejaculate. During vasectomy the tubes leading to the vas deferens is interrupted to prevent the sperm from reaching the ejaculate. This process is reversed when the tubes are rejoined to allow sperms flow into the ejaculate again.
What are different types of Vasectomy Reversal?
There are two different types of Vasectomy Reversal:-
- Vasovasosotomy – In this process an opening is made in the separated endings of the vas deferens so that the sperm can enter the semen before ejaculation.
- Vasoepididymosoctomy – Joining the separated vas deferens to the epididymis.
How long does it take to perform a Vasectomy Reversal?
Approximately, the procedure might take 2.5 to 4 hours depending on the type of the reversal process.
What type of anaesthesia is involved in the process?
In most cases the procedure is performed under regional or general anaesthesia.
How fast can the female partner get pregnant after a Vasectomy Reversal?
In 50%-60% cases, pregnancy happens within 1-2 years after the process. However, the result may vary.
What is the recovery period after the procedure?
Approximately, 10 to 14 days are required to get back to normal life. However, consult your doctor to know the exact recovery period.
Risks involved in Vasectomy Reversal?
There are rarely any risks involved in the process. However, you might experience some swelling and pain that subsides gradually. Get it touch with your doctor if you have excessive pain, swelling or bleeding.
Sexual activity after Vasectomy Reversal
You can get back to your normal sex life within 3-4 weeks after the procedure. However, feel free to talk to your doctor for more information.
How can the doctor determine the success of the Vasectomy Reversal?
A semen analysis is done after 3 months of the procedure to find the presence of sperm in the ejaculate. It takes 6-12 months for sperms to reach the ejaculate again. However, in most men the presence of sperm can be detected in the ejaculate within 3 months after the reversal. The success of the procedure can be determined by patency (opening of the passage) or pregnancy.
Can Vasectomy be performed again after Vasectomy Reversal?
Yes, it can be done.
What if Vasectomy Reversal fails?
The failure of the process refers to the absence of sperm in the ejaculate after the reversal process. In this scenario the patient might have to undergo another surgery with Vasoepididymosoctomy, which is considered to be more effective.
Are there any alternatives of Vasectomy Reversal?
You can have your sperm banked for future use before you opt for Vasectomy.