Vasectomy Reversal

The image above depicts the surgical reconnection of the two ends of the vas deferens.

A vasectomy is an operation designed to create a gap in the vas deferens - the tubes that carry sperm from each of the testicles to the site of semen production and storage in the area of the prostate gland. The procedure is performed to render a man surgically sterile. A VASECTOMY REVERSAL is an operation that bypasses the surgical defect in the tubes in an effort to restore sperm to the ejaculate, thereby restoring fertility.

About 35,000 men undergo vasectomy reversal each year in the United States. It is a generally safe operation that is performed under general anesthesia and uses microsurgical technique. It is done on an outpatient basis and typically takes two hours to complete.

Patients choosing reversal surgery do so for a number of different reasons, including the formation of new relationships, the wish to have additional children within the confines of an established relationship, and more rarely secondary to "post-vasectomy pain syndrome" or religious convictions.

Success of the reversal procedure is measured by the return of sperm to the ejaculate and depends on a number of factors including the age and general health of the man undergoing the procedure, the length of time that has passed between vasectomy and vasectomy reversal and the amount of scar tissue encountered at the time of surgery. Success rates approach 80% when vasectomy has preceded vasectomy reversal by eight or fewer years. Pregnancy after successful vasectomy also depends on the age and health of the patient's partner. Approximately two-thirds of men who have had a successful reversal will impregnate their partner.

Complications of Vasectomy Reversal in Bucks County

Like any surgical procedure vasectomy reversal can be associated with complications. Most commonly, men will experience swelling and bruising similar to what they might have experienced after vasectomy. Postoperative pain can persist for 7 to 10 days and is typically managed with pain medication the first few days and anti-inflammatory medications thereafter. Some men, however, will experience long-term pain that might require additional treatment to bring to resolution. A sperm granuloma is a painful swelling in the region of the surgery that can occur after both vasectomy and vasectomy reversal. Infection at the surgical site is rare and the use of antibiotics after surgery makes the likelihood of infection remote.

Schedule a Vasectomy Reversal Consultation

Men interested in the reversal procedure are encouraged to call the office to schedule a consultation. At that visit your vasectomy history will be reviewed and a physical exam performed. A discussion regarding the pros and cons of proceeding with vasectomy reversal will take place. Postoperative care instructions will be provided. A date for the surgery can be set.

As the reversal surgery is often not covered by insurance we recommend you contact your carrier's customer service representative to determine if this is a benefit your plan includes or whether you will need to consider making alternative payment arrangements.

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