What is a vasectomy reversal?

A vasectomy is a minor surgical procedure. Vasectomy reversal restores fertility by reconnecting the ends of the severed vas deferens, which is located in each side of the scrotum, or by connecting the vas deferens to the epididymis, the small organ on the back of the testis where sperm matures. These procedures can be accomplished through various approaches, including microsurgery, restoring the passage for sperm to be ejaculated out the urethra.

Reversals are generally performed in an outpatient area of a hospital or in an ambulatory surgery center. The operation is usually performed with surgical microscope as any movement is magnified under the microscope.

Once the patient is anesthetized, the urologist will make a small incision (cut) on each side of the scrotum and first remove the scarred ends of the vas at the point of blockage created by the vasectomy.

The presence of sperm in the fluid is an indication that there is no obstruction between the testicle and the location in the vas, connected to reestablish the passageway for sperm. The medical term for reconnecting the ends of the vas is vasovasostomy.

One of the main factors influencing pregnancy rates is the obstructive interval, which is the duration of time between your original vasectomy and the reversal. Current pregnancy are highest when the reversal is performed relatively shortly after the vasectomy.

The urologist will request a semen analysis every two to three months after surgery until your sperm count either stabilizes or pregnancy occurs. While sperm generally appear in the semen within a few months after a vasovasostomy.

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