Reversing A Vasectomy Treatment

What is Reversing a Vasectomy?

Vasectomy reversal is a term used for surgical procedures that is used for reconnecting the male reproductive tract after interruption by a vasectomy. Vasectomy reversal is surgery to undo a vasectomy. It reconnects vas deferens that carries sperm from a testicle into the semen. After a successful vasectomy reversal, sperm are again present in the semen and that will help in getting your partner pregnant.

Two procedures are possible for vasectomy reversals are vasovasostomy and vasoepididymostomy. Vasectomy is considered a permanent form of contraception, advancement in microsurgery have improved the success of vasectomy reversal procedures. The procedures remain technically demanding, expensive, and may not restore the pre-vasectomy condition. 

Vasectomy reversal success rate will range from 40% to 90%. Many factors affect whether a reversal is successful in achieving pregnancy which may include time since a vasectomy, partner age, definition of success, and surgeon experience and training.

Why Vasectomy Reversal Surgery? 

Males decide to have a vasectomy reversal surgery for a number of reasons, which may include the following points:

• A vasectomy reversal is an effective and permanent way to prevent pregnancy. 
• A loss of a child.
• A change of heart or remarriage. 
• A small number of men have a vasectomy reversal to treat testicular pain that may be due to a vasectomy.
• Vasectomies are easier and less costly than female sterilization.

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Risks on undergoing Vasectomy Reversal

• Bleeding within the scrotum. 
• Vasectomy Reversal can lead to a collection of blood (hematoma) that causes painful swelling. 
• The risk of hematoma can be reduced by following your doctor's instructions to rest after surgery.
• Aspirin or other types of blood-thinning medication before and after surgery should be taken after consulting your doctor.
• Infection at the surgery site. 
• With any surgery there is a chance of infections which may require treatment with antibiotics in certain situations.
• Chronic pain.
• After vasectomy reversal is performed it is accompanied with pain.

Myths Regarding Vasectomy Reversal

You Cannot Father Children Naturally After A Vasectomy

• This is probably the biggest myth of all. Some people believe that, for a number of reasons, men who've had a vasectomy won't be able to father kids except through In Vitro Fertilization. This is far away from the truth. Depending on various factors, vasectomy reversal can lead to successful conception from about 50% to over 90% of all cases. The origin of this belief is probably due to the fact that vasectomy is said to be a permanent way to address unwanted fertility. Yes, vasectomy is the best method of male contraception and reversal isn't easy but it's definitely possible.

You Only Have One Shot at Vasectomy Reversal

• Men who've had an unsuccessful procedure usually believe they've got no further opportunity to naturally father children. This isn't true. Although the chances of future success often reduce after a failed procedure, an additional reversal can still be a success. If you're caught in this situation, please consider seeing an expert with experience and expertise in reversing vasectomies. Different surgeons have different success rates, and you should give yourself the best possible chance of a successful outcome.

Sperm Production Stops Temporarily After A Vasectomy

• Another common misconception regarding Vasectomy reversal is that men stop producing sperm after having a vasectomy. But men continue to produce sperm which is reabsorbed by the body (normally in the epididymis).

After 10 Years, a Vasectomy Reversal Has Zero Chance of Success

• Yes, the success rates of vasectomy reversal do decrease over time after the initial vasectomy. However, the sperm can return in most of the patients even after 10 years of having a vasectomy.

Reverse Vasectomy Procedure

There are mainly two reverse vasectomy procedures: 

The first is through vasovasostomy, where the Doctor sews the ends of the vas deferens from the testes to the penis back together.

Procedure for Vasovasostomy

• Vasovasostomy can be performed in the convoluted or in the straight portion of the vas deferens. 
• Vasovasostomy is typically an out-patient procedure. 
• The procedure is performed by urologists. 
• Most urologists specializing in the field of male infertility perform vasovasostomies using an operative microscope used for magnification, under general or regional anaesthesia. 
• If sperm were seen in one or both the vas contents at the time of surgery, or sperm reached the patient's semen only transiently after the reversal, microsurgical vasovasostomy may be considered successful. 
• Unfortunately, surgeons performing only an occasional vasectomy reversal often neglect examining the vas contents for the presence or 
• absence of the sperm. 
• A surgeon cannot determine sperms presence or absence by the naked eye. 
• The most common cause for failed vasectomy reversals is the inappropriate 
• non-microsurgical technique using sutures that are too large for achieving watertight reconnections. 
• The failure of a competently performed microsurgical vasovasostomy following the absence of any sperm in the contents of each vas usually is due to "blowouts" in the epididymitis. 
• Under these circumstances an operation should be performed only by the micro-surgeon with proven vasoepididymostomy expertise, bypassing the blowouts.

The second method is vasoepididymostomy. In this the doctor attaches the vas deferens to the small organ at the back of each testicle that holds sperm. It is more difficult than a vasovasostomy. The doctors may only choose this option if you can't have a vasovasostomy or if he/she doesn't think it will work.

Procedure for vasoepididymostomy

• Vasoepididymostomy is often considered one of the most technically challenging and difficult operations in the field of urology. 
• The procedure requires anastomosis of a single epididymal tubule to the lumen of the vas deferens and is reserved for patients with congenital or acquired epididymal obstruction, or patients who have failed at previous attempts at surgical reconstruction of the vas deferens. 
• This surgery attaches the vas deferens directly to the epididymis and the coiled tube on the back of each testicle where sperm matures. 
• A vasectomy can cause blockages or break in the vas deferens or the epididymis. 
• This surgery is used when a vasovasostomy won't work because the sperm flow is blocked. 

Factors Affecting Vasectomy Reversal Cost

The vasectomy reversal cost can further be reviewed according to numerous factors, as described below. Here’s a breakdown of the key elements that influence the overall expense:

• Surgeon’s Expertise and Reputation
• Geographical Location
• Facility and Hospital Charges
• Surgical Complexity
• Pre- and Post-Operative Care
• Anaesthesia and Medications
• Travel and Accommodation

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Best Hospitals for Vasectomy Reversal

• Artemis Hospital, Gurgaon
• Medanta The Medicity, Gurgaon
• Fortis Memorial Research Institute, Gurgaon
• Max Hospital, Saket
• BLK-Max Super Speciality Hospital, New Delhi

Best Vasectomy Reversal Doctors

• Dr. Rajiv Yadav
• Dr. Narmada Prasad Gupta
• Dr. Vikram Sharma
• Dr. Samit Chaturvedi
• Dr. Sunil Prakash

Why Choose GetWellGo for Vasectomy Reversal?

Advantages of getting a vasectomy reversal from GetWellGo include the following: The practitioners at GetWellGo are among the best skilled and experienced vasectomy surgeons. Here’s why GetWellGo may be an excellent option:

• Expertise and Experienced Surgeon
• Advanced Technology
• Pre- and Post-Operative Support
• Travel Assistance
• Language Support
• Affordable and Transparent Pricing
• Comfortable Facilities
• Accommodation Services
• Visa Assistance

FAQ

1. What are the benefits of vasectomy reversal?

• Restoration of Fertility: Helps to achieve conception without assisted reproduction.
• Cost-Effective Alternative: More economical in the long run than multiple IVF cycles this would cost more of the patient's money.
• Reversibility: Gives another shot for those who regret their past decision of pregnancy or not being pregnant.
• Minimally Invasive Options: Some of these procedures are undertaken using very fine surgical methods with a view of minimizing the formation of scars and duration of healing.

2. What are the factors determining or influencing the success rate of vasectomy reversal?

The success of the procedure depends on:

• Time since Vasectomy: Success rates of the reversal surgery are known to be higher when the reversal is done within a decade of the vasectomy.
• Type of Procedure: Two techniques are direct anastomosis, also referred to as vasovasostomy and mural plumbing, also referred to as vasoepididymostomy. It is therefore up to the surgeon when he or she operates to come up with findings.
• Surgeon’s Expertise: The higher success rates are accomplished by skilled micro surgeons.
• Partner’s Fertility: Age of the female partner and her fertility health are very important indicators when it comes to conception.

3. What is the success rate of vasectomy reversal?

• Patency Rate (sperm returning to semen): Approximately 85-95%.
• Pregnancy Rate: The success rate ranges from 50-70% depending on time elapsed in execution of the surgery and health status of the couple.

4. What is the duration of the procedure?

• The surgery usually lasts 2 to 4 hours depending on the severity of the case. Most commonly it is a procedure carried out on patients who are able to go home on the same day.

5. What is the length of a significant recovery after a vasectomy reversal?

• Initial Recovery: The estimated time for patients to get back to light activities is 1-2 weeks.
• Resuming Work: It can be continued, well depending on the job most can go back to work in a week.
• Resuming Sexual Activity: Told after roughly two to three weeks break for proper recovery.
• Full Recovery: May even require up to six weeks to fully heal.

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