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Vasectomy Reversal

When male contraception is undertaken in form of a vasectomy and due to change of circumstances more children are now in the plan a vasectomy reversal may be undertaken. This is a microsurgical operation performed to rejoin the vase deferens (tube which is cut at vasectomy) so that the sperm transport mechanism is once again reestablished.

Vasectomy Reversal — available at 8 HRG clinics

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.