Vasectomy Reversal

What Is Vasectomy Reversal Surgery?

Vasectomy reversal surgery restores the flow of sperm in patients who have previously had a vasectomy.  Although the procedure is usually effective, the potential for fathering a child decreases according to the number of years that have passed since receiving the original vasectomy surgery.   

After giving the patient local or general anesthesia, the surgeon makes an incision on the underside of the scrotum to expose the testicles and release them from the surrounding tissues.  Cutting into the vas deferens, the surgeon examines the seminal fluid to determine which of two techniques would be most effective: vasovasostomy or vasoepididymostomy.   

During a vasovasostomy, the surgeon sews the ends of the vas deferens together.  This procedure is not always effective.  During a vasoepididymostomy, the surgeon attaches the vas deferens to the epididymis (where the sperm matures) above the point where the tubes are blocked.  The surgeon uses a microscope for either technique due to the delicate nature of the procedure.   

Sperm retrieved during the surgery can be frozen as a backup in case the vasectomy reversal surgery is ineffective at producing children.  Post surgery, the surgeon covers the incisions with bandages held in place by a jockstrap.  Swelling and pain typically reduce within 1 week with the help of antibiotics and medication.  Any apparent bruising will likely disappear after 2 weeks, and stitches tend to dissolve within 7 to 10 days.  Swimming and bathing should be avoided for the first 2 days post surgery.