How Vasectomy Reversal Works
A vasectomy is a procedure which will be sought out by men who have decided that having a child (or having more children if they already have families) is not the right choice for them. Hundreds of thousands of men have the procedure performed annually, though about 5% of these men will change their minds at some point following the procedure and will have a vasectomy reversal done. This is now a straightforward procedure which has a very high success rate (about 99%, in fact). Although the odds of success are fairly high to begin with, the chances that the procedure will go according to plan are even higher if you seek out a skilled and experienced vasectomy reversal expert to perform your surgery.
Many times in the past if a man had a vasectomy and wanted to have a child the couple would have to try therapeutic donor insemination (TDI) or in-vitro fertilization with intracytoplasmic sperm injection (IVF/ICSI). The desire for the man to have his fertility restored led the path to successful vasectomy reversals. This is done by going into the previous vasectomy and reconnecting the tubes to allow the sperm through. Doing a vasectomy reversal is a lot less expensive than the TDI or the IVF/ICSI and is often the first choice today for restoration of male fertility.
During the procedure, the patient will usually receive either regional or general anesthesia before the vasectomy reversal expert begins to work. A two inch incision is made in the scrotum, just as when a vasectomy is performed and the surgeon will find the ends of the vas deferens, then remove any scar tissue which has formed on the ends. The next step is to extract a fluid sample from the vas deferens which is immediately examined under a microscope. The surgeon will decide on which surgical method to use based on their findings; if live sperm is seen on the slide, their job will be all the easier.
If the physician finds live sperm and normal seminal fluid in the sample, the chances of success are around 99%, though not every person will have the same quality of sample. Some patients may have little to no sperm and fluid which is either too thin or too thick. Especially thick seminal fluid which contains very little or no sperm is usually indicative of an epididymal rupture. These fourteen foot coils store sperm and if a blockage is caused by scar tissue from the initial vasectomy, the epididymis can experience excessive pressure and rupture. If this is the case, the surgeon will need to bypass the epididymis during the procedure in order to ensure the success of the procedure.
If the vasectomy reversal is a success, then fertility can almost immediately be restored, though there is a cursory recovery time from the surgery. Having an experienced and skilled vasectomy reversal expert will offer the highest chances at restored fertility. Many men go on to conceive again after they have recovered from the procedure.
A good way to start is with some basic research on the Internet to find out a little more about what benefits and risks are associated with vasectomy reversal and to get an idea of which doctors in your area are qualified enough to perform this surgery.
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