When a male gets a vasectomy, he is opting for a permanent form of birth control that prevents sperm from being released when a man ejaculates. The vas deferens, or tubes, from each testicle is clamped, cut, or sealed so that the sperm does not mix with semen. A vasectomy reversal involves reconnecting the tubes. Micro vasectomy reversal is an improved technique which is known to provide good results so that a man can reestablish his fertility.
What to Expect
The success of the surgery depends on the amount of time between the vasectomy and the proposed reversal. The surgeon may need to deal with blockages that have forms and antibodies that some men develop to their own sperm. The surgery can be complicated and requires either spinal, general, or local anesthesia, depending on how the surgeon handles the procedure. The outpatient procedure usually lasts two to four hours, with additional time required for recovering from the anesthetic. There might be mild to moderate pain and men can generally resume their regular activities, including sexual intercourse, within three weeks. The micro vasectomy reversal may have some complications, including swelling, hemorrhage or hematoma, infection, testicular atrophy, or at worst, loss of a testicle. There may also be injury to nerves or arteries in the scrotum.
The Actual Procedure
When microsurgery is involved, the vasectomy reversal is performed under a special microscope. The vas lumen, where the sperm travels, is only 0.5 millimeters wide, so using this microscope allows for precise work. While the patient is anesthetized, a half-inch incision is made in the scrotal skin where the vasectomy took place. The two ends of the tubes (vas deferens) are located and scar tissue is removed. The fluid from the testicular end of the tube is examined under a light microscope to see if there is sperm. A delicate suture is used to do the repair, which involves careful and direct alignment of the two ends of the tube for a tight closure. This could involve anywhere between 12 to 15 stitches, using a multiple layer closure.
Chances of Success
For the best chance of success, the vasectomy reversal should be done within ten years of the vasectomy. Successful vasectomy reversal chances decrease over time. When confronted with the family planning choices available to couples who are trying to start a family, the best option seems to be the affordable vasectomy reversal. Microsurgery allows for a multi-layer closure with a surgical microscope and micro instruments. Vasectomy reversal has enabled men with vasectomies to impregnate women at rates higher than 50 percent. However, the pregnancy rate is only 30% if the reversal occurs ten or more years after the vasectomy. The ideal time period to have a reversal is within three years of the vasectomy.
Men may find themselves wanting to reverse a vasectomy if they remarry, a child dies, or if life circumstances have improved enough that they would like to try to have children, whether their first or additional. Micro vasectomy reversal has often been the best choice for couples who have struggled with starting a family and fertility, giving them the chance to have children. The procedure is most successful if it happens within three years of the vasectomy but can still have good results within ten years.
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