What is a Vasectomy Reversal?
Vasectomy reversal is a delicate and complex operation performed to re-establish the pathway of sperm into the ejaculate permitting a man to re-establish his fertility to enable the couples to conceive a baby naturally. This surgery is done to reverse the effects of a vasectomy, which cuts the vas deferens. Sperm is made in the testes and then travel through the vas deferens into the ejaculate. A vasectomy creates a blockage in this tube, and a vasectomy reversal is a procedure to bypass this blockage.
Generally, there are two types of vasectomy reversal procedures:
- A vasovasostomy is a procedure to reconnect the severed ends of the vas deferens.
- An epididymovasostomy is a more complex and procedure that is performed when a blockage is discovered in the epididymis.
It can take up to three months for sperm to return to the ejaculate following a vasovasostomy and six months to one year following an epididymovasostomy. Six to eight weeks following your reversal, you will have a semen analysis performed, and the results will be reviewed at your postop appointment. We will continue to monitor your semen analysis on a regular basis for up to one year or until your sperm count stabilizes.
Approximately 500,000 men have vasectomies each year and approximately five percent of them will change their minds at a later date. Fortunately, a vasectomy reversal can be a successful surgery for couples wishing to conceive a child naturally following a vasectomy, whether it’s a few years or even a couple of decades since the initial vasectomy.