When you decide to undergo a vasectomy, it mostly implies a well-thought-out plan for the future that does not include any more biological children. But as with many things in life, that too can have an unpredictable outcome.  You or your partner might have had a change of heart, resulting in the need for a reversal procedure

Pregnancy rates measure the success rate of vasovasostomy. Approximately 30-90% of pregnancies are achievable (1). Success depends on age, previous infertility issues, and duration since vasectomy. The experience of the urologist performing the procedure also plays a role.

What to Expect Before the Procedure

How Much it Will Cost you

Before you plan the trip to the doctor for the procedure, you might consider putting your finances in order.  The approximate cost of vasectomy reversal is $5,000-$15,000, far more costly than a vasectomy.2  

Know the available Options

You will either undergo a vasovasostomy or a Vasoepididymostomy depending on the condition of your severed vas deferens.   

A physical Exam and Medical History are Necessary

A physical exam and medical history are necessary to confirm your overall health and your body’s capability to undergo surgery. It is to eliminate the risk of complications that may arise due to other conditions and factors.

Check the Health of Your Sperm

In some cases, it is a requirement to undergo sperm testing, mostly if you have never sired a child before. To impregnate your partner, you will need healthy sperm.

Your Partner’s Ability to Conceive is an Important Aspect

It would be futile to undergo a vasectomy reversal only to realize that your partner cannot conceive.  The primary purpose of vasovasostomy is to sire children. The test involves checking the viability of her eggs and her capability to conceive.

What Happens During the Reversal Procedure

The procedure happens in an outpatient facility under general anesthesia depending on the urologist’s view. There is a microsurgery technology preference because the microscope has a high ability to magnify organs and vessels. It enables the doctor to use hairlike stitches. 

The doctor opens the previously closed vas deferens, vassal fluid nearest to the testes is tested for sperm presence. If sperm is present, the urologist performs a vasovasostomy by connecting the vas deferens to create a path for sperm to pass through. The urologist opts for vasoepididymostomy when there is a lack of sperm in the fluid.

What to Note After the Procedure is Done

  • Avoid strenuous work and exercises that may put pressure on the scrotum.
  • Avoid making the surgical area wet.
  • You will need to wear supportive gear for the scrotum for some time and every time during an exercise.
  • Abstain from sex and avoid masturbation or ejaculation until the doctor advises so.

Preparing for the Outcome of the Vasovasostomy Procedure

The success of a vasovasostomy depends on the level of skill of the urologist performing the surgery. Do your research well before engaging a urologist as his expertise is the difference between a successful and an unsuccessful procedure. 

The fewer the years since you had a vasectomy, the more likely the procedure to work. Vasovasostomy has a high success rate, with sperm appearing within weeks but sometimes it takes longer.  Keep realistic expectations.

Links to sources used

  1. Vasectomy Reversal https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537
  2. Vasectomy Reversal: Treatment and Information https://www.urologyhealth.org/urology-a-z/v/vasectomy-reversal