The surgical procedure to reverse a vasectomy is the same operation for someone who is sterile due to a genital tract obstruction that is not related to a prior vasectomy. Whatever your personal reason is for having this type of surgery, your Glendora General Surgeon will thoroughly explain the two types of surgery, Vasovasostomy, and Vasoepididymostomy generally performed to restore your ability to have children. Restoring your fertility often depends on how long it has been since the vasectomy was performed. Statistical data indicate that the highest rate for successful reversal is within the first three years since the vasectomy. Fertility is possible after this initial time-frame, but the chances decline with each additional year after the vasectomy. It is important to note that your ability to have children will also depend on the age and fertility ability of your partner.
Surgery Overview
The procedure is performed as an out-patient operation in a clinic or hospital, and you will be able to go home the same day. The type of procedure to be performed will be determined at the time of the surgery. This is because the surgeon will not know the condition of your vas deferens, the sperm-carrying tubes until he is able to view the surgery site. The surgeon will test a fluid sample from the vas deferens to determine if there is a presence of sperm. If there is sperm, a Vasovasostomy will be performed. If there is no sperm present, a Vasoepididymostomy will be performed.
Types of Reversal Surgery
Vasovasostomy: This surgery is performed to reconnect the sperm carrying tube that has been cut or tied off during the vasectomy. After the procedure, the sperm will be able to flow into the ejaculate. The incisions will be closed with dissolvable stitches or surgical tape. The surgery will take about 2 to 3 hours for completion.
Vasoepididymostomy: This surgery is performed to connect the vas deferens tube to the epididymis channel, at a level above any blockage found. This channel is smaller than the vas deferens tube, and the procedure will require more time for completion, generally 3 to 5 hours. The incisions will be closed with dissolvable stitches or surgical tape.