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 which can be attempted by two different surgical approaches:
The surgeon makes the decision whether to employ either of the approaches or a combination based on the fluid sample taken at the start of the procedure.
Vasectomy reversal is generally carried out as a day procedure under general anesthesia. The 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. This fluid will then be examined for the presence of sperm. When the 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 except the detached vas deferens would be connected to the epididymis.
Following are the post-surgical guidelines to be followed after surgery:
Risks and complications:
The potential risks and complications of vasectomy reversal include: