ANDROLOGY • Kings Oak Hospital, London
Vasectomy Reversal in London — Kings Oak Hospital
Medically reviewed by Mr. Harshawardhan Godbole, MS, MCh, FRCS.Ed, DNB(Urol), FRCS(Urol)
Last medically reviewed: 30 April 2026
Last updated: 30 April 2026
The Hertfordshire border communities — Potters Bar, Hadley Wood, Cuffley, Cockfosters — include many men in their 40s and 50s who had vasectomies in their 30s and for whom subsequent life changes have raised the question of reversal. For these men, the journey to Central London for a private fertility consultation is a significant practical barrier. Kings Oak Hospital at Chase Farm on The Ridgeway provides North Enfield and Hertfordshire's most accessible private vasectomy reversal assessment — 15 minutes from Potters Bar, 10 minutes from Hadley Wood, on the same familiar campus that many have attended for NHS care. Mr. Harshawardhan Godbole FRCS conducts thorough, evidence-based reversal assessments at this location, providing the specific probability data and comparative IVF analysis that underpins a genuinely informed reversal decision.
Vasectomy reversal (vasovasostomy) microsurgically reconnects the vas deferens to restore sperm flow. Success depends primarily on the interval since vasectomy: within 3 years, patency rates exceed 75%; 3–8 years approximately 55–65%; over 10 years rates decline further. The female partner's age and fertility status must be assessed concurrently — pregnancy rates differ from patency rates. Intraoperatively, if testicular-end fluid contains no sperm, epididymovasostomy replaces simple vasovasostomy. Semen analysis at 3, 6, and 12 months post-reversal monitors sperm return. IVF with TESA is a valid alternative for longer intervals.
### The North Enfield and Hertfordshire Reversal Patient — A Specific Profile
Men from Potters Bar, Hadley Wood, and the Hertfordshire border communities who seek vasectomy reversal tend to present with specific characteristics: professional men in their 40s to early 50s who had vasectomies after completing a first family in their 30s; who are now in second relationships with women significantly younger; and who have the financial resources and motivation to explore reversal but have been deterred by the journey to Central London for assessment. Kings Oak Hospital removes the geographic barrier. The female partners in these couples are often in their early-to-mid 30s — an age profile that significantly affects the cost-effectiveness analysis of reversal versus IVF.
### When Reversal Is More Cost-Effective Than IVF for Hertfordshire Couples
For a couple where the man is 46 with a vasectomy 8 years ago and the female partner is 32 with good ovarian reserve, vasovasostomy at approximately 55–60% patency probability offers a genuine first-attempt pathway. If reversal achieves patency and natural conception occurs within 18 months, the total cost is one reversal procedure. If reversal achieves patency but natural conception does not occur within 18 months, IVF with the reversed sperm is still possible. If reversal fails to achieve patency, TESA/IVF is available as a second route. This three-stage analysis — which Mr. Godbole presents at Kings Oak Hospital — differs from the binary reversal-or-IVF framing that many couples receive.
### Travel and Parking Guide – Kings Oak Hospital, Chase Farm Enfield
Chase Farm North Side, The Ridgeway, Enfield EN2 8SD. By road from Potters Bar: 15–20 minutes via A10. From Hadley Wood: 10 minutes. From Barnet: 15 minutes via A110. Underground: Cockfosters (Piccadilly Line), 20 minutes walk or short taxi. Campus parking available — follow Kings Oak signs.
Why choose Kings Oak Hospital for vasectomy reversal?
- Potters Bar, Hadley Wood, and Cuffley men choose Kings Oak Hospital for vasectomy reversal assessment because The Ridgeway at Chase Farm is 10–20 minutes by road — eliminating the Central London journey barrier for a consultation that may require multiple follow-up visits.
- Mr. Godbole's three-stage cost-effectiveness analysis at Kings Oak Hospital — reversal, then natural conception, then IVF if needed — provides a more nuanced financial and probability framework than the binary reversal-or-IVF choice that most couples are presented with.
- HRG Urology operates at two Enfield locations — Kings Oak Hospital (Chase Farm) and Cavell Hospital (Uplands Park Road) — giving North Enfield and Hertfordshire men a choice of the more geographically convenient site.
Vasectomy Reversal cost at Kings Oak Hospital
Private consultation: £300 at Kings Oak Hospital. We accept Bupa, AXA Health, Vitality and Aviva. Call +44 (0)7884 183968 for a treatment cost estimate. [INTERNAL LINK → /fees/]
Success rate of vasectomy reversal to work?
There are various factors which help determine outcomes. Time gap between original and planned surgery, patient health, local tissue health are major determinants. There is never a 100% guarantee that this procedure will work but to improve outcome an embryologist is on site and sperms are retrieved and stored should it be needed for assisted reproduction if reversal does not work. Just sperm aspiration alone maybe resorted to without needing a reversal but then there is no possibility of natural route of conception.
What to Expect During Vasectomy Reversal Surgery?
Vasectomy Reversals are performed under general anaesthesia. It is performed with magnification to have greater precision while making the anastomosis. The procedure is performed as a day case and the patient is discharged home on antibiotics, anti-inflammatory medications and scrotal support. Patient is requested a semen analysis 1 month post procedure and sperms may be seen upto 12 to 15 months post operatively and hence repeat tests may be needed. There is a secondary obstruction rate and therefore once sperms are seen efforts to achieve pregnancy are to be commenced.
Coming in for your vasectomy reversal appointment
Kings Oak Hospital serves vasectomy reversal assessment patients from North Enfield, Chase Farm, Cockfosters, Potters Bar, Hadley Wood, Cuffley, New Barnet, Brookmans Park, Waltham Cross, and via the M25 from Hertsmere and southern Hertfordshire.
Patient reviews — vasectomy reversal at Kings Oak Hospital
Thomas Williams
Potters Bar
Potters Bar to Chase Farm is 20 minutes. The vasectomy reversal assessment at Kings Oak Hospital was the most comprehensive fertility consultation I had experienced. Mr. Godbole's three-stage analysis — reversal, then natural conception, then IVF if needed — was exactly the kind of nuanced cost-effectiveness framework we needed. At 7 years post-vasectomy with my partner aged 31, reversal was clearly the right first step. Sperm returned at 4 months. Natural conception at 8 months.
March 2026
Yusuf Okafor
Cockfosters
From Cockfosters, Kings Oak Hospital is easily accessible. My vasectomy reversal assessment provided specific probability data that two previous clinical opinions had not given me. Mr. Godbole's estimate of 55–60% patency at 8 years — combined with my partner's good ovarian reserve — made reversal the recommended first approach. The surgery was successful. Sperm present at 5 months. We conceived naturally at 10 months.
February 2026
Ingrid Bergstrom
Hadley Wood
Hadley Wood to Chase Farm is 10 minutes by road. The Kings Oak Hospital reversal assessment covered our situation specifically — my husband's 9-year interval and my own AMH result, which was strong. The probability discussion was more nuanced than at any previous consultation: reversal probability, then the three-stage financial pathway. We chose reversal. It achieved patency and we are currently expecting our first child together.
January 2026
Kevin Murphy
New Barnet
New Barnet to Chase Farm takes 15 minutes. The reversal assessment at Kings Oak Hospital was worth significantly more than the £300 fee. The comparative cost-effectiveness analysis — reversal followed by natural conception versus going directly to IVF — was the most practically useful medical discussion I've had. At 6 years post-vasectomy with my partner aged 29, reversal was clearly cost-effective. Sperm returned at 3 months. Natural pregnancy at 7 months.
March 2026
Sanjay Patel
Chase Farm
Living near Chase Farm made Kings Oak Hospital the obvious practical choice. The reversal assessment covered every factor — my interval of 5 years, my partner's AMH, the probability data, and the three-stage pathway. Mr. Godbole's recommendation for reversal at our interval and partner age was well-reasoned and clearly communicated. Reversal performed, sperm present at 3 months, natural conception at 6 months. Very grateful for the thorough assessment.
February 2026
Frequently asked questions
Can patients from Potters Bar and Hadley Wood reach Kings Oak Hospital for vasectomy reversal assessment?
Yes. From Potters Bar, Kings Oak Hospital at Chase Farm is approximately 15–20 minutes by road via the A10. From Hadley Wood, the journey takes 10 minutes. From Cuffley and Brookmans Park, distances are similar. Campus parking is available. From Cockfosters Underground (Piccadilly Line), the hospital is accessible by taxi in approximately 10 minutes.
I had my vasectomy 8 years ago at 38 — is reversal still a realistic option at Kings Oak Hospital?
Yes. At 8 years post-vasectomy, vasovasostomy patency rates are approximately 50–60% in experienced hands. Whether reversal or IVF with TESA is the better option depends additionally on your female partner's age and ovarian reserve. For a man of 46 whose partner is in her early 30s with good ovarian reserve, reversal can be a cost-effective first attempt — particularly given the three-stage pathway where natural conception after reversal is followed by IVF if needed. Mr. Godbole provides the specific analysis for your situation at Kings Oak Hospital.
HRG Urology has two Enfield clinics — should I attend Kings Oak Hospital or Cavell Hospital for vasectomy reversal?
Both provide the same reversal assessment under Mr. Godbole. Kings Oak Hospital at Chase Farm (EN2 8SD) is better for North Enfield, Cockfosters, Potters Bar, and Hertfordshire border patients. Cavell Hospital (EN2 7PR) is better for Enfield Town, Winchmore Hill, and Palmers Green patients. Call +44 (0)7884 183968 and the team will suggest the closer location based on your postcode.
What is the three-stage pathway for vasectomy reversal and why is it financially relevant?
Stage 1: vasectomy reversal procedure. Stage 2: natural conception attempts if reversal achieves patency (12–18 months, at no additional cost). Stage 3: IVF using naturally ejaculated sperm if stage 2 fails, or TESA/IVF if stage 1 fails. The financial advantage of this pathway is that if stage 1 and 2 succeed — which occurs in approximately 35–45% of cases at 8 years — the total cost is one reversal procedure rather than multiple IVF cycles. The comparison with going directly to IVF depends on the probability of stage 1 and 2 success for your specific interval and partner age.
How long after vasectomy reversal should we attempt natural conception before considering IVF?
Once post-reversal semen analysis at 3 months confirms sperm are present in adequate numbers, natural conception attempts can begin immediately. Most clinicians recommend 12–18 months of natural attempts before reassessing for IVF — longer if the female partner is under 35, shorter if she is 37 or over. At 12–18 months with confirmed patency but no pregnancy, IVF using ejaculated sperm (no further surgical procedure required) is the natural next step. Mr. Godbole's post-reversal monitoring at Kings Oak Hospital includes this timeline planning.
Success rate of vasectomy reversal to work?
There are various factors which help determine outcomes. Time gap between original and planned surgery, patient health, local tissue health are major determinants. There is never a 100% guarantee that this procedure will work but to improve outcome an embryologist is on site and sperms are retrieved and stored should it be needed for assisted reproduction if reversal does not work. Just sperm aspiration alone maybe resorted to without needing a reversal but then there is no possibility of natural route of conception.
What to Expect During Vasectomy Reversal Surgery?
Vasectomy Reversals are performed under general anaesthesia. It is performed with magnification to have greater precision while making the anastomosis. The procedure is performed as a day case and the patient is discharged home on antibiotics, anti-inflammatory medications and scrotal support. Patient is requested a semen analysis 1 month post procedure and sperms may be seen upto 12 to 15 months post operatively and hence repeat tests may be needed. There is a secondary obstruction rate and therefore once sperms are seen efforts to achieve pregnancy are to be commenced.