Microsurgical Vasectomy Reversal

Microsurgical vasectomy reversal is a surgical procedure used to help men who have had vasectomy procedures regain their fertility. A vasectomy involves cutting and tying or sealing up the vas deferens, which are the tubes that deliver sperm from the testicles to the urethra. This prevents sperm from getting to the semen that is ejaculated during sexual activity.


A trained uro-andrlogist can delicately rejoin the ends of the vas deferens that were cut or sealed off during the initial vasectomy with the aid of an operating microscope, microvascular instruments and fine surgical suture of 9-0 or 10-0 caliber. This enables the movement of sperm from the testicles to the urethra and their release during ejaculation once more.


The treatment normally lasts 1-2 hours and is carried out while the patient is under general anesthesia. Recovery times vary according on the patient, but most patients can anticipate returning to their regular activities within 1-2 weeks.

The number of years after the original vasectomy, the surgeon's expertise and experience, and the patient's particular reproductive status all play a role in how successfully a microsurgical vasectomy reversal will go. According to studies, men who have the surgery done within 10 years of their vasectomy experience success rates of over 90%, and men who wait between 10 and 15 years after their vasectomy experience success rates of over 70%. Spermatogenesis can be confirmed by checking for sperms in the fluid at the cut ends during a vas reversal or by a diagnostic testicular sperm aspiration (TESA).


The benefit of microsurgical vasectomy reversal is that it offers chance for natural conception and the couple can have repeated attempts at conceptions. The treatment is not a guarantee of fertility, it is imperative to remember, and other elements that may affect the likelihood of a successful pregnancy include age, general health, and the fertility status of the female partner.

It is crucial to consult with a trained urologist with experience in this particular surgery if you are thinking about microsurgical vasectomy reversal. Your healthcare professional can educate you of the potential risks and benefits of the treatment and assist you in deciding whether the surgery is appropriate for you.