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HRG Urology LogoDr. Harshawardhan Godbole

ANDROLOGY • Platinum Medical Centre, London

Vasectomy Reversal in London — Platinum Medical Centre

For professionals in St John's Wood, Maida Vale, Marylebone, and Hampstead considering vasectomy reversal, Platinum Medical Centre on Lodge Road NW8 provides the Central London consultation standard they expect: consultant-led, evidence-based, completely discreet, and directly accessible from St John's Wood Underground in 3 minutes. Mr. Harshawardhan Godbole FRCS's reversal assessment at this NW8 location is structured for an informed patient — one who arrives having researched patency rates, pregnancy rates, and the IVF alternative, and who needs a clinician who will engage with that knowledge and provide specific probability data for their individual situation rather than generic encouragement. International patients and those with high-profile professional circumstances benefit from the absolute discretion Platinum Medical Centre maintains.

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.

### International Patients and Vasectomy Reversal at Platinum Medical Centre

Platinum Medical Centre's NW8 location attracts international patients — diplomats, business executives, and London-based expatriates — who require vasectomy reversal assessment that meets international medical standards and provides written documentation for sharing with reproductive specialists abroad. Mr. Godbole provides a comprehensive written assessment report including the clinical findings, probability estimates for the patient's specific interval, the comparative IVF analysis, and a clear recommendation — in a format suitable for communication with fertility clinics and urological specialists internationally.

### Second Opinion on Prior Reversal Advice at Platinum Medical Centre

A specific group of patients at Platinum Medical Centre seeks a second opinion on reversal advice received elsewhere — either from NHS fertility clinics that have recommended IVF over reversal without full probability analysis, or from private clinics that have recommended reversal without adequate discussion of the IVF alternative. Mr. Godbole provides an independent assessment that considers all relevant factors: interval, intraoperative probability of finding sperm-positive fluid, female partner fertility, cost comparison, and success rates — providing a genuinely independent second opinion.

### Travel and Parking Guide – Platinum Medical Centre, St John's Wood

15–17 Lodge Road, St John's Wood NW8 7JA. Underground: St John's Wood (Jubilee Line), 3 minutes walk. From Baker Street: 2 stops. From Bond Street: 1 stop. Metered parking on Lodge Road; NCP at Clarence Gate.

Why choose Platinum Medical Centre for vasectomy reversal?

  • St John's Wood and Maida Vale couples choose Platinum Medical Centre for vasectomy reversal assessment because the 3-minute walk from the Jubilee Line provides Central London's most discreet and accessible private reversal consultation location.
  • International patients receive a comprehensive written assessment report in a format suitable for sharing with fertility specialists internationally — enabling continuity of the reversal decision-making process across healthcare systems.
  • Patients seeking a second opinion on prior reversal advice receive an independent, evidence-based assessment at Platinum Medical Centre that considers all factors without the prior advisor's framing.

Vasectomy Reversal cost at Platinum Medical Centre

Private consultation: £300 at Platinum Medical Centre. 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

Platinum Medical Centre serves vasectomy reversal assessment patients from St John's Wood, Maida Vale, Marylebone, Primrose Hill, Swiss Cottage, Hampstead, Kilburn, and internationally from Central London hotels and serviced apartments. The Jubilee Line provides access from across London.

Patient reviews — vasectomy reversal at Platinum Medical Centre

Alexander Hughes

St John's Wood

After a second marriage I wanted a second opinion on my vasectomy reversal options. Two fertility clinics had told me IVF with TESA was preferable at my 7-year interval without providing specific probability comparisons. Mr. Godbole's assessment at Platinum Medical Centre provided exactly that — 57% patency probability for my interval versus the IVF alternative — and recommended reversal given my wife's age and excellent ovarian reserve. Reversal performed, successful at 5 months, pregnant at 9 months.

March 2026

Francesca Romano

Maida Vale

We are an international couple, partly based in London and partly in Italy. Platinum Medical Centre was ideal — 3 minutes from St John's Wood Underground and completely discreet. Mr. Godbole's written assessment report was comprehensive enough to share with our Italian fertility specialist, who incorporated the findings into their management recommendation. The reversal was performed in London and we are now expecting our first child together.

February 2026

Tariq Hassan

Marylebone

Lodge Road from Marylebone is a short walk. The vasectomy reversal assessment at Platinum Medical Centre was exactly the quality of consultation I expected from a Central London private specialist. The probability discussion was evidence-based and included the cost-effectiveness comparison with IVF. At 5 years post-vasectomy with my wife aged 30, reversal was clearly right for us. Natural pregnancy at 8 months post-reversal.

March 2026

Sophie Laurent

Hampstead

I accompanied my husband from Hampstead to Platinum Medical Centre via the Jubilee Line. The assessment covered every aspect — Mr. Godbole examined the vasectomy site, discussed the likely surgical approach, and reviewed my own AMH result as part of the decision framework. The recommendation for reversal over IVF was based on specific data rather than generic optimism. Sperm returned at 4 months. We are currently pregnant.

January 2026

David Goldstein

Swiss Cottage

Swiss Cottage to St John's Wood is 10 minutes walk. I came to Platinum Medical Centre for a second opinion after being told reversal at 9 years was unlikely to succeed. Mr. Godbole's assessment provided a 48–52% patency probability — not negligible — and given my wife's age of 29 and excellent fertility, the natural conception potential after reversal over multiple years made reversal more cost-effective than IVF. Reversal achieved patency. Natural conception at 11 months post-reversal.

February 2026

Frequently asked questions

Is vasectomy reversal assessment completely discreet at Platinum Medical Centre in St John's Wood?

Yes. All consultations at Platinum Medical Centre are conducted in private rooms with absolute confidentiality. Medical records are not shared with any third party — including NHS GPs — without explicit patient consent. The Lodge Road address and the Platinum Medical Centre name do not publicly identify the nature of the consultation. This level of discretion is appropriate for the NW8 patient community and for international patients who require absolute privacy.

I received advice elsewhere that vasectomy reversal at my interval (8 years) is not worth attempting — can I get a second opinion at Platinum Medical Centre?

Yes. Mr. Godbole provides independent vasectomy reversal assessments at Platinum Medical Centre regardless of prior advice received. At 8 years post-vasectomy, vasovasostomy patency rates are approximately 50–60% — not negligible, and potentially preferable to IVF depending on the female partner's age and ovarian reserve. A second opinion that provides specific probability data may well change the treatment recommendation. Call +44 (0)7884 183968 to arrange.

I am an international patient in London — can vasectomy reversal be assessed at one appointment at Platinum Medical Centre?

Yes. Mr. Godbole can conduct a comprehensive vasectomy reversal assessment within a single consolidated appointment: clinical history, scrotal examination, hormone blood panel (same-day private laboratory), discussion of the female partner's fertility data, and written assessment report. This report is suitable for sharing with fertility specialists internationally. Call +44 (0)7884 183968 to arrange a consolidated appointment.

What is the difference between vasovasostomy and epididymovasostomy and which will I need?

This question cannot be definitively answered before surgery — it is determined intraoperatively under microscopic examination. If the testicular end of the vas contains motile sperm or at least sperm heads, vasovasostomy (direct reconnection) is performed. If it contains no sperm or thick white fluid (indicating epididymal obstruction from backpressure), epididymovasostomy — connecting the vas to the epididymis directly, bypassing the blocked epididymis — is performed. At longer intervals, epididymovasostomy becomes more likely. This is one reason why the reversal surgeon's microsurgical experience specifically matters.

How does the cost of vasectomy reversal compare to IVF with TESA in London?

Private vasectomy reversal in London typically costs £3,000–£5,000 for the procedure. A single IVF cycle with ICSI using TESA-retrieved sperm typically costs £6,000–£9,000 in London. However, if the first reversal achieves patency, subsequent natural conception attempts cost nothing. If the reversal does not achieve patency — or if it does but natural conception does not occur — the couple may proceed to IVF anyway. The cumulative cost comparison depends on the probability of reversal success for the specific interval. Mr. Godbole's assessment at Platinum Medical Centre includes this comparative cost-effectiveness analysis.

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.

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