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 Concern
 Treatment
Pregnancy
Experiences
Treatment
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Vasectomy Reversal
In the past several years, microsurgical
techniques have advanced significantly so that reversing what was
once thought to be permanent sterilization (vasectomy) is now
possible. This vasectomy reversal, which repairs a surgically
removed section of the vas deferens (sperm duct), is called a
vasovasostomy. This is a fairly quick operation, usually lasting
less than 3 hours. Surgical correction of other vasal blockages,
such as those caused by infection, is also often successful in
restoring fertility.
The vasovasostomy is performed on an outpatient basis. Patients
receive mild analgesics and antibiotics postoperatively and may
return to work after a few days. Patients are advised to wear a
scrotal support and to avoid ejaculation and heavy lifting for 2
weeks.
Postoperative care also includes careful monitoring of the healing
process and, after 6 to 8 weeks, monthly semen analyses to note
improvements in sperm count and motility. The pregnancy rate after
a vasectomy reversal depends on several factors:
- The length of time passed since the
vasectomy
- The quality of fluid (whether or not it
contains sperm) in the vas deferens at the time of surgery
- Any female factors that may be
present
Depending on the circumstances and the length of time passed since
the vasectomy, the pregnancy rates can be as high as 76%.
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