A vasectomy is a surgical procedure performed in men as a means of permanent birth control to prevent reproduction. Vasectomy reversal is a surgical procedure where the ends of the sperm carrying tubes, the vas deferens that were cut and sealed during vasectomy are joined back together to enable reproduction.
Vasectomy reversal is a sophisticated procedure that can be attempted by two different surgical approaches depending on to location of the original vasectomy:
Vasectomy reversal is generally carried out as a day procedure under general anaesthesia. Your surgeon makes a small incision in the skin of the scrotum, the sac that contains the testes. The surrounding structures are retracted to expose the testicle. The vas deferens is carefully cut and inspected for fluid and the presence of sperm. When your surgeon confirms the presence of sperm with motility, the tubes are reconnected to enable the transit of sperm.
In cases where there is no seminal fluid or fluid is present but has no sperm, a vasoepididymostomy would be performed in a similar manner to connect the detached vas deferens to the epididymis.
The operation is performed under an operation microscope to allow precise approximation and suturing of the vas deferens
Following are the post-surgical guidelines to be followed after surgery:
The chances of vasectomy reversal success depend on how much time has passed between the vasectomy and the reversal. Over time, additional blockages can form, and some men develop antibodies to their own sperm.