Vasectomy reversal is a surgical procedure to undo a vasectomy. The surgery reconnects the tubes, or vas deferens, that carry sperm from the testicles into semen. After a successful vasectomy reversal, sperm are present in the male patient’s semen, restoring male fertility and increasing the likelihood of pregnancy.
Vasectomy reversal is typically an outpatient procedure and can be successful even if a long time has passed since the vasectomy; however, only about half of vasectomy reversals are successful after 10 or more years have passed since the vasectomy. During a vasectomy reversal, the patient is put under spinal or general anesthesia.
There are two different types of vasectomy reversals:
- Vasovasostomy – As the most frequently performed vasectomy reversal procedure, a vasovasostomy involves stitching the cut ends of the vas deferens together. However, if scarring, excessive inflammation or blockage has occurred in the epididymis – the tube located above the testicles where sperm is stored – sperm may be blocked from getting to the vas deferens.
- Vasoepididymostomy – Although this procedure is more complicated, a vasoepididymostomy is performed to bypass the blockage in the epididymis. In this procedure, the urologist connects the vas deferens above the point of blockage by stitching directly to the epididymis.
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