Visectomy reversal

Visectomy reversal (reversing a vesectomy) is not a straightforward operation and although surgery in this field has advanced a lot, you can not be sure that the vasectamy reversal procedure will be successful.

The original visectomy surgery was performed by making two inciscions near the scrotums in order to cut the tubes (and in some cases also removing a short length of the tube), then sealing the tube ends permanently, putting them back and sealing up the inciscions using micro-stitches, a simple day-operation performed in half an hour. This operation, the vesectomy, is of course intended to be a permanent sterliization.

Visectomy reversal surgery

Once you have had a visectomy, the risk of becoming a father is very low. The vasectemy is a relatively low cost operation with a high rate of success but this is not the case with a reversal of the vasectomy. Reversing the operation is much more difficult and also a lot more expensive than the original vasectemy was. If you are planning for a possible reversal even before you have had the vasectamy, you are better off not having the vesectomy at all. It is always best to consider a vasectomy surgery as a permanent operation. 

Reversing a vasectomy is both expensive and difficult. The main reason a vasectomy should be considered a permanent solution is because the reversal operation is much less effective than the original sterilization was. It is estimated that around 10% of all male vasectomy patients consider reversing the operation at some time later. The reversal operation is a micro-surgery that takes around four hours and with a success rate of around 50% (rate of pregnancy following this operation is around 50%).

Vesectomy reversal - complicated and high cost 

The vasectomy reversing is normally made in a hospital and performed with either spinal, local, epidural or general anaesthesia. The choice of anesthesia is a joint deciscion involving the patient, the surgeon and the the anesthesiologist in where they try to establish which anesthesia is most suitable under the actual conditions and circumstances.

During anesthesia, the surgeon will cut two small inciscions, one on each side of the scrotum. He will then proceed to remove the end of the vas that is scarred from the vasectomy. Visectomy reversals will normally be performed by specialists such as urologists, but not even all urologists are very used to this type of operation so you need to ask your urologists what actual experience he/she has, as an actual count of number of previous operations.

If the visectomy reversal is unsuccessful, or if you prefer not to have a reversal done, there are some other options available. Sperm can be taken from the testis, although this is not the best solution since it is usually a very ineffective method of acquiring viable sperm. Sperm present in the vas and epididymis (these are the small tubes at the side and back of the testis) is often stale because of the blockage. The actual sperm count (number of sperms present) is also normally much too low for a successful pregnancy after a vesectomy.