Reversal vasectomy: procedures, side effects, etc. • hello healthy

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Definition

What is a Reversal Vasectomy?

The vasectomy procedure is one of the permanent methods of contraception in men. Vasectomy reversal or reversal vasectomy is a procedure to recombine the tubes that were cut during a vasectomy. The procedure may fail, even if the channels are recombined.

When do I need to have a reversal vasectomy?

The procedure is performed when you have had a vasectomy before and want to be fertile again.

Precautions & warnings

What should I know before having a reversal vasectomy?

The likelihood of success of a reversal vasectomy depends on the length of time between the vasectomy procedure and the reversal. Over time, the barriers between the ducts will form, and some men can build up antibodies against their own sperm.

This process is quite complex and takes longer if an obstacle is formed between the vas deferens (the sperm duct from the testes to the sperm sac) and the epididymis in need of repair (vasoepididymostomy).

Are there alternatives to surgery?

You may want to consider using a sperm donor, from someone close to you or from a sperm bank.

It is possible for your doctor to collect sperm from one of your testicles using a needle (sperm aspiration). This procedure can be used in IVF therapy.

Process

What should I do before having a Reversal Vasectomy?

Talk to your doctor about your latest medication, any allergies you have, or your health condition. Before running the operation, you will meet with an anesthetist and discuss the sedative method that will be used. It is important to always follow your doctor's instructions regarding when to start fasting before surgery.

You will be given clear guidelines for pre-surgery, including whether you can eat any food / drink ahead of the procedure. Generally, you will be required to fast 6 hours before the operation begins. You may be allowed to consume beverages, such as coffee, up to several hours before the surgery.

How is the vasectomy reversal process?

The procedure is performed under general anesthesia. The procedure will take approximately 60 - 90 minutes.

The doctor will cut 2 incisions in each of your scrotum (testicle sac).

The doctor will examine both testicles before looking for and recombining the ducts, and removing any scar tissue. The surgeon will use a special surgical microscope to sew back the end of each tube.

What should I do after having a reversal vasectomy?

After the procedure, you will:

• back home the same day, or the next day
• back to work a week or so later
• regular exercise will help you to recover quickly. Before starting, ask your doctor and medical personnel for advice.
• Your doctor will ask for a sample of your semen after 6 - 8 weeks. The sample will be tested for the presence of sperm. If sperm do not appear, your reversal vasectomy surgery is not successful

If the operation has failed and you and your partner still want a baby, discuss and consider alternatives that your doctor might suggest.

Complications

What complications can occur?

Reversal vasectomy surgery is considered a safe procedure. However, there are some risks of minor complications that may occur. Consult with your surgeon about the risks that you might get.

Complications from a number of common medical procedures include unexpected reactions to anesthesia, bleeding or blood clots (deep vein thrombosis DVT).

Other, more specific complications, include:

• infection in the operation area
• clot of fluid in the scrotum (hydrocele) that necessitates draining
• injury to the arteries or nerves in the scrotum

You can reduce the risk of complications by being careful and always following your doctor's rules about preparing to receive an endoscopy, such as fasting and stopping certain medications.

Hello Health Group does not provide medical advice, diagnosis or treatment.