Vasectomy is generally regarded as a permanent contraception method. It involves the ligation of the vas deferens, an important conduit of semen (and sperm cells) to the female genital tract. The disruption of continuity means that the sperms cannot be transferred to the female genital tract and hence fertilization cannot occur. There are a number of things that you need to know if you plan to reverse vasectomy.
One of the most effective surgical techniques that have been adopted for this procedure is microsurgical vasectomy reversal. In this technique, the structures of interest are accessed using very small incisions and done with the use of a microscope. Success rates are a lot higher as compared to other techniques and complications have been significantly reduced. Two main approaches can be used. The first involves re-joining the two stumps (vasovasostomy) and the second is the joining of the vas deferens to the epididymis (vasoepididymostomy).
It is important to remember that failure rates are quite high even with the best of surgeons. Excessive scaring occurring when vasectomy is done has been identified as one of the main causes of unsuccessful reversal. This scar is usually removed before re-joining can be done but it is almost impossible to remove it in its entirety. Another major challenge that is encountered is a difference of diameters in the two stumps.
Before the operation, you have to undergo evaluation by a fertility specialist and a urologist. The aim of this evaluation is to determine the probability of achieving success in the operation. The specialist will seek to establish whether or not you were fertile before the ligation procedure. They also attempt to identify the presence (or absence) of sperm antibodies that may have been formed over time.
Research shows that success rates may be as high as 70% to 90%. Age, is not a major determinant of who succeeds and who does not. However, the duration of time that elapses from the date of ligation does influence fertility rates to a great extent. Generally, persons who undergo the procedure within three years of vasectomy have success rates in excess of 50% while those that have it after more than 10 years have a rate that is as low as 30%.
Microsurgical technique is generally safe but a number of risks albeit rare exist. Those that are commonly encountered include infections at the surgical site and fluid accumulation within the scrotal sac (known as a hydrocele). This fluid has to be drained through surgery. Nerve fibers and arterial blood vessels may also be injured in the process. Other rare complications include reaction to anesthesia and deep venous thrombosis.
The operation itself is usually done on an outpatient basis and typically lasts between two and four hours. Spinal anesthesia is typically used which means that one can be discharged from hospital on the same day. The resultant pain is mild and can permit resumption of normal routines within three days or thereabout.
When dealing with reversal of vasectomy, it is important to bear in mind that successful pregnancies are the product of two partners; the woman and the man. Before the procedure can be said to be unsuccessful, the woman should be adequately evaluated as well. This is particularly important if the partner is thirty five years or older or has never conceived in the past.
One of the most effective surgical techniques that have been adopted for this procedure is microsurgical vasectomy reversal. In this technique, the structures of interest are accessed using very small incisions and done with the use of a microscope. Success rates are a lot higher as compared to other techniques and complications have been significantly reduced. Two main approaches can be used. The first involves re-joining the two stumps (vasovasostomy) and the second is the joining of the vas deferens to the epididymis (vasoepididymostomy).
It is important to remember that failure rates are quite high even with the best of surgeons. Excessive scaring occurring when vasectomy is done has been identified as one of the main causes of unsuccessful reversal. This scar is usually removed before re-joining can be done but it is almost impossible to remove it in its entirety. Another major challenge that is encountered is a difference of diameters in the two stumps.
Before the operation, you have to undergo evaluation by a fertility specialist and a urologist. The aim of this evaluation is to determine the probability of achieving success in the operation. The specialist will seek to establish whether or not you were fertile before the ligation procedure. They also attempt to identify the presence (or absence) of sperm antibodies that may have been formed over time.
Research shows that success rates may be as high as 70% to 90%. Age, is not a major determinant of who succeeds and who does not. However, the duration of time that elapses from the date of ligation does influence fertility rates to a great extent. Generally, persons who undergo the procedure within three years of vasectomy have success rates in excess of 50% while those that have it after more than 10 years have a rate that is as low as 30%.
Microsurgical technique is generally safe but a number of risks albeit rare exist. Those that are commonly encountered include infections at the surgical site and fluid accumulation within the scrotal sac (known as a hydrocele). This fluid has to be drained through surgery. Nerve fibers and arterial blood vessels may also be injured in the process. Other rare complications include reaction to anesthesia and deep venous thrombosis.
The operation itself is usually done on an outpatient basis and typically lasts between two and four hours. Spinal anesthesia is typically used which means that one can be discharged from hospital on the same day. The resultant pain is mild and can permit resumption of normal routines within three days or thereabout.
When dealing with reversal of vasectomy, it is important to bear in mind that successful pregnancies are the product of two partners; the woman and the man. Before the procedure can be said to be unsuccessful, the woman should be adequately evaluated as well. This is particularly important if the partner is thirty five years or older or has never conceived in the past.
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