Surgical contraception has become one of the most preferred options of birth control. The method is typically chosen by persons who wish to have permanent contraception. However, in some cases, due to one reason or the other, there is a need to regain fertility meaning that the procedure has to be reversed. If you have plans of undergoing sterilization reversal, there are a number of things that you need to understand beforehand.
Microsurgery is the most commonly employed technique when performing vasectomy reversal. It is a method that involves the use of very small surgical cuts (hence the name). Due to the delicate nature of the operation and the small size of structures involved, microscopes are an integral inclusion. There are many other alternative techniques that can be used when performing vasectomy reversal but the microsurgical technique appears to yield the best results.
There are two main approaches that can be adopted when one wishes to restore the continuity of the sperm duct. The first option involves the joining of old stumps of the vas deferens that were left after the vasectomy procedure. The procedure is thus known as vasovasotomy. The alternative is to join a stump of the vas deferens (sperm duct) to the epididymis, the region in which sperms mature. This second approach is known as vasoepididymostomy.
Microsurgical vasectomy reversal is a relatively safe procedure. The complications that may be encountered include bleeding, infections and blood accumulation within the scrotum. Between 70% and 90% of patients who undergo the procedure regain fertility in a couple of months. It is important to bear in mind that success is greatly influenced by the duration of time of sterility with the best results seen within the first three years.
Microsurgical vasectomy reversal is performed as a day case in most centres. This means that one can be allowed home as soon as the procedure is completed. The procedure lasts between two and four hours depending on the degree of complications encountered. Regional (spinal) anaesthesia is usually used hence you will be awake during the entire exercise. After the operation, you may experience a bit of pain but this should not prevent you from resuming your regular routine.
Tubal ligation works in the same way as vasectomy in women. This method of birth control is performed by cutting, clipping or cauterising the fallopian tubes that are found on either side of the uterus. While the option has for a long time been considered a permanent method of contraception, advances in surgical practice have made it possible for women undergoing the procedure to regain their fertility.
The success of reversing tubal ligation is hugely dependent on the technique that is used in blocking the tubes. Clipping, for instance, can be reversed more easily as compared to cutting or cauterizing. You will be subjected to a number of tests by your fertility doctor before undergoing the reversal procedure. This include blood tests as well as radiological imaging studies such as the hysterosalpingogram.
Failure of these surgical procedures is caused by a number of factors. These include, for instance, scar tissue within the tubes. The scar tissue blocks the reproductive tubes and hinders the movement of ova and sperm cells. Failure may also result from the presence of anti-sperm antibodies. The doctor will typically screen for the antibodies before one is subjected to the operation.
Microsurgery is the most commonly employed technique when performing vasectomy reversal. It is a method that involves the use of very small surgical cuts (hence the name). Due to the delicate nature of the operation and the small size of structures involved, microscopes are an integral inclusion. There are many other alternative techniques that can be used when performing vasectomy reversal but the microsurgical technique appears to yield the best results.
There are two main approaches that can be adopted when one wishes to restore the continuity of the sperm duct. The first option involves the joining of old stumps of the vas deferens that were left after the vasectomy procedure. The procedure is thus known as vasovasotomy. The alternative is to join a stump of the vas deferens (sperm duct) to the epididymis, the region in which sperms mature. This second approach is known as vasoepididymostomy.
Microsurgical vasectomy reversal is a relatively safe procedure. The complications that may be encountered include bleeding, infections and blood accumulation within the scrotum. Between 70% and 90% of patients who undergo the procedure regain fertility in a couple of months. It is important to bear in mind that success is greatly influenced by the duration of time of sterility with the best results seen within the first three years.
Microsurgical vasectomy reversal is performed as a day case in most centres. This means that one can be allowed home as soon as the procedure is completed. The procedure lasts between two and four hours depending on the degree of complications encountered. Regional (spinal) anaesthesia is usually used hence you will be awake during the entire exercise. After the operation, you may experience a bit of pain but this should not prevent you from resuming your regular routine.
Tubal ligation works in the same way as vasectomy in women. This method of birth control is performed by cutting, clipping or cauterising the fallopian tubes that are found on either side of the uterus. While the option has for a long time been considered a permanent method of contraception, advances in surgical practice have made it possible for women undergoing the procedure to regain their fertility.
The success of reversing tubal ligation is hugely dependent on the technique that is used in blocking the tubes. Clipping, for instance, can be reversed more easily as compared to cutting or cauterizing. You will be subjected to a number of tests by your fertility doctor before undergoing the reversal procedure. This include blood tests as well as radiological imaging studies such as the hysterosalpingogram.
Failure of these surgical procedures is caused by a number of factors. These include, for instance, scar tissue within the tubes. The scar tissue blocks the reproductive tubes and hinders the movement of ova and sperm cells. Failure may also result from the presence of anti-sperm antibodies. The doctor will typically screen for the antibodies before one is subjected to the operation.
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