Vasectomy is supposed to be a permanent birth control procedure so as to stop pregnancy. However, there is also a surgical procedure that may reverse the irreversible. Vasectomy reversal is a medical procedure to reconnect the ends of the vas deferens that were cut during the vasectomy. The vas deferens is the tube that connects the testes to the urethra. This is the passageway of the sperm from the epididymis to the urethra during ejaculation.
Overview of Vasectomy
We cannot understand the concept of vasectomy reversal without being knowledgeable of what vasectomy really is.
Vasectomy is the surgical procedure that interrupts both vas deferentia to consequently seal the passageway of sperm. This is usually done in an outpatient setting. Using a local anesthesia, the surgeon makes an incision to the scrotum allowing him to gain access to the vas deferens of each testicle. By means of ligating, cutting, cauterizing, or clamping both vas deferentia, the sperm can no longer reach the urethra during ejaculation. Vasectomy ensures male sterility.
Reasons Behind Reversing Vasectomy
In cases that men decide to father a child after vasectomy, reversing vasectomy enables them to regain fatherhood. Vasectomy reversal is common to divorced men who want to establish a new family. On top of it are the emotional reasons behind the reversal of a vasectomy such a sudden loss of a child the desire to have a bigger family. In very rare medical cases, men opted to undergo vasectomy reversal due to the unlikely discomfort after a vasectomy.
Vasectomy Reversal Pre-Operative
Upon deciding to undergo a vasectomy reversal, finding the best surgeon can be a challenging phase for you. Here are some helpful tips on choosing the right surgeon:
* Know Your Budget. In general, vasectomy reversal costs around $6000 to 15,000. By simply identifying your budget, you can narrow down the list of surgeons according their professional fees.
* Simplify the List by Expertise. You have to be specifically concerned of the success rate for a vasectomy reversal of a particular surgeon. This will reflect their expertise.
* Urologic-Microsurgery Expertise. Be straight-forward to know if your potential surgeon can utilize the use of a microscopic technique. Equally important is his expertise to handle vasoepididymostomy procedure.
Vasectomy Reversal Intra-Operative
General anesthesia is commonly used for vasectomy reversal. After cleaning the scrotal area, the surgeon performs a small incision, about 1-2cm, and exposes the vas deferens in the upper scrotum on each side. The vas deferens is cut in half and is inspected for possible blockage. If there is no suspected blockage, a vasovasostomy is then performed. Otherwise, a more complicated procedure is done which is referred as vasosepididymostomy.
The hands-on operating time averages from 2 to 5 hours depending upon the anatomical complexity and surgeon expertise.
Vasectomy Reversal Post-Operative
After reversing vasectomy, the patient will be transferred to the recovery room. The average period for the patient to stay at the recovery room is indefinite until such time that the anesthesia wears off, or when no further post-op complications are noted.
For at least 1 to 3 days after vasectomy reversal, patient is advised to rest. This will promote a faster healing process of the vas deferens. Excessive motility will prone the surgical site to inflammation which will further lead to serious complications.
Vasectomy Reversal Recovery and Moving On
A follow-up consultation is recommended one week after reversing vasectomy. Consult your vasectomy doctor to evaluate the healing process of the incision site. Four weeks after vasectomy reversal, it is ideal to submit your sperm for analysis.