When you ejaculate, seminal fluid and seminal vesicles mix with sperm to form semen. The semen flows through the urethra and comes out the end of your penis. Reversals are most often done on a come-and-go basis by a urologist. Reversals can be done in an outpatient part of a hospital or at a surgery center.
If a surgical microscope is used, the surgery is done while you're asleep under anesthesia. Your urologist and anesthesiologist will talk with you about your choices. Using microsurgery is the best way to do this surgery. A high-powered microscope used during your surgery magnifies the small tubes 5 to 40 times their size. Your urologist can use stitches much thinner than an eyelash or even a hair to join the ends of the vas. After you're asleep, your urologist will make a small cut on each side of the scrotum.
Your urologist will trim the scarred ends of the vas where they were closed by the vasectomy. Your urologist will take fluid, "vasal fluid" from the vasal end closest to the testis. Your doctor will check to see if it has sperm in it. At this point, there are 2 types of reversal procedures you can have. If there is sperm in the vasal fluid it shows that the path is clear between the testis and where the vas was cut.
This means the ends of the vas can then be joined. The term for reconnecting the ends of the vas is "vasovasostomy. Pregnancy occurs in about 55 out of partners. If there is no sperm in the vasal fluid, it may mean back pressure from the vasectomy caused a form of "blowout" in the epididymal tube.
This "blowout" can lead to a block. Your urologist will need to go around the block and join the upper end of the vas to the epididymis instead. This is called a "vasoepididymostomy" and it serves the same purpose as the vasovasostomy. Vasoepididymostomy is more complex than vasovasostomy, but the results are nearly as good.
Sometimes vasovasostomy is done on one side and vasoepididymostomy on the other. Healing should be rather quick and fairly easy. Pain after surgery is most often controlled with pills. About 50 out of men say the pain after the reversal is like after their vasectomy.
Pain bad enough to need medications rarely lasts longer than a few days to a week. Most men can return to their normal routine and light work within a week. If your job is strenuous, ask your urologist when you can return to work. It may take 4 months to a year for your partner to get pregnant after vasectomy reversal.
Some women get pregnant in the first few months, while others may take years. Pregnancy rates can depend on the amount of time between the vasectomy and reversal. Sperm return to the semen faster and pregnancy rates are highest when the reversal is done sooner after the vasectomy.
Next to pregnancy, testing the sperm count is the only way to tell if the surgery worked. Your urologist will test your semen every 2 to 3 months until your sperm count holds steady or your partner gets pregnant. Where can I get emergency contraception? Emergency contraception. Things to consider Age, health, lifestyle, side effects How effective is contraception at preventing pregnancy? Combined pill Progestogen-only pill Natural family planning fertility awareness.
Condoms Female condoms Diaphragm or cap. Condoms Female condoms. Female sterilisation Vasectomy male sterilisation. Contraception after having a baby. Using contraception effectively Will antibiotics stop my contraception working?
What if my partner won't use condoms? Where can I get emergency contraception morning after pill, IUD? How effective is emergency contraception? When can I use contraception after a baby or while breastfeeding? Where can I get contraception? Missed pills and extra pills What should I do if I miss a pill combined pill? What should I do if I miss a pill progestogen-only pill? What if I've lost a pill? However, some men will consider vasectomy reversa l down the line.
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Between 6 and 10 percent of vasectomy patients change their minds and undergo a reversal. Life circumstances often spur the decision: a new marriage, a couple simply deciding they want children or more children , or the death of a child. A vasectomy reversal is a minimally invasive procedure that restores continuity. Vij says.
You can go back to work in a day or two, if you have a desk job. Or in three or four days if you have a more strenuous job. This is a surprise to many men, Dr.
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