Reverse a Vasectomy

Reversible Types of Vasectomy

Up to 6% of men in the U.S. undergo a vasectomy reversal at some point. There are two types of vasectomy reversal procedures: a vasoepididymostomy (also known as an epididymovasostomy) and a vasovasostomy.

A vasoepididymostomy is typically recommended if you have no sperm or sperm parts in your vasal fluid or a blockage is present. It involves reconnecting the two ends of the vas deferens. If you have some remaining sperm or sperm parts, your healthcare provider may recommend that you undergo a vasovasostomy, a type of microsurgery in which the vas deferens is connected to the epididymis (the tube at the back of each testicle).

Factors Affecting Success Rate

Several different factors affect your potential for restored fertility after a vasectomy reversal. These factors include:

• How long ago you underwent a vasectomy
• How your initial vasectomy was performed
• The type of vasectomy reversal you choose
• Past surgical complications
• Your age and overall health
• Your healthcare provider’s expertise
• Your previous fertility history

Reverse Vasectomy Procedure

Like a vasectomy, a vasectomy reversal is typically performed by a urologist. Here’s a basic overview of the process of reversing a vasectomy—before, during, and after the operation.

Pre-Op

Before your procedure, your urologist will perform a full evaluation of your fertility and overall health. This will include a physical assessment of your testicles and the vasectomy site, bloodwork, and a review of your family and medical history.

During the Procedure

Your microsurgeon will begin the procedure by making a small incision on your scrotum and opening the vas deferens to assess your vasal fluid. They will then perform either a vasovasostomy or a vasoepididymostomy, depending on what you need.

Post-Op and Healing

After your operation, you’ll typically be asked to support your scrotum with a jockstrap or briefs for up to two weeks. Your healthcare provider may also recommend that you apply an ice pack to the area intermittently and avoid sex and strenuous physical activity for the first few weeks after your surgery.

Side Effects and Risks

The most common side effects of a vasectomy reversal are pain and swelling. More serious complications are rare. Potential complications include:

• Abscesses
• Excessive bleeding
• Infections
• Scrotal hematomas, or pools of blood similar to severe bruises
• Stricture (narrowing of the areas between blood vessels because of built-up scar tissue)

How Soon Reversal Takes Effect

Your vasectomy reversal could take effect within weeks or months, or it could take up to a year. For some people, pregnancy isn’t possible for over a year.

Cost and Affordability

Because vasectomy reversal is a complex and elective procedure, it’s unfortunately often expensive. Health insurance rarely covers it.

Summary

Vasectomy reversals are microsurgeries aimed at restoring male fertility after a vasectomy. There are two types: vasoepididymostomy and vasovasostomy. Vasectomy reversals are often successful, and serious complications are rare. However, not everyone who undergoes a successful vasectomy reversal can get their partner pregnant.

Conclusion

If you’ve had a vasectomy and think you may want to have another child, talk to your urologist. They can go over the potential benefits and risks of a vasectomy reversal procedure with you.

FAQs

Q: What is the success rate of vasectomy reversal?
A: An estimated 85% of vasectomy reversals are effective in that sperm can once again be detected in the semen.

Q: How long does it take for a vasectomy reversal to take effect?
A: Your vasectomy reversal could take effect within weeks or months, or it could take up to a year.

Q: Is health insurance typically covered for vasectomy reversal?
A: No, health insurance rarely covers vasectomy reversal.

Q: How much does a vasectomy reversal typically cost?
A: The average cost of a vasectomy reversal in the U.S. ranges from around $5,000 to around $15,000.