Vasectomy Reversal Summary

Vasectomy reversal is a procedure that is done to unblock or reconnect the vas deferens. The vas deferens are blocked or disconnected to prevent fertility. They are reconnected so they can carry sperm from your testicles to your penis, thus reestablishing fertility.

There are two different types of procedures that reverse a vasectomy. The vasovasostomy and the vasoepididymostomy. The vasovasostomy is the more common of the two. The vasoepididymostomy is only done when a blockage in the epididymi is present.

Length of the procedure:  2 to 4 hours

Hospital Stay:  Generally vasectomy reversal is an outpatient procedure.

Recovery before traveling home:  Patients seeking a vasectomy reversal through medical tourism can return home within 72 hours in most cases.

Travel Tip: Although this an outpatient procedure, medical guidelines suggest bed rest for about 2 days following the procedure. For this reason, it is best to find a comfortable, handicap accessible hotel near the facility you are having the procedure.

Procedure Details

Your surgery will begin with the administration of general anesthesia or a spinal block. The area will be prepared with a sterile antiseptic solution. The surgeon will use a surgical microscope to view the area during the procedure.

The surgeon will make an incision in the underside of your scrotum. They will expose the testicles and separate it from the surrounding tissue. They will cut open the vas deferens and carefully examine the fluid inside.

If the fluid has an abundant amount of sperm and is clear the vas deferens are sewn back together. This is a vasovasostomy. If the fluid is thick, pasty or contains and insignificant amount of sperm scar tissue from the vasectomy may be blocking sperm flow. In this case the vas deferens need to be connected directly to the epididymis. This is a vasoepidymostomy.

After the Procedure

After the procedure you will be taken to recovery. The surgical area will be covered with bandages and you may be instructed to wear a jock strap. Generally, most patients are released from care as soon as they recover from the anesthesia.

Rest is strongly advised for the first few days following the surgery. An ice pack on the scrotum can help reduce pain and swelling. Pain and cramping can also be reduced or eliminated with pain medication.

Self care after a vasectomy reversal:

  • Pain medication as needed
  • Avoid bathing for 48 hours
  • Return to work within 3 to 7 days
  • Avoid sexual activity and ejaculation for four weeks
  • Wear a jock strap for several weeks
  • Eat a high fiber diet to avoid constipation and straining

Results

Vasectomy reversal is most successful when done within 10 years of vasectomy. If done within 10 years the chance of conception is about 50%. If done after ten years the rate of conception declines to about 30%.

Risks and Complications

As is with any surgery there are risks associated with vasectomy reversal. The following is a list of the most common risks and complications:

  • Infection
  • Breathing difficulty
  • Reaction to anesthesia or medication
  • Bleeding
  • Swelling
  • Fluid build up in scrotum
  • Arterial damage
  • Nerve damage

Contact your physician if any of the following occur:br />

  • Fever above 101 degrees
  • Chills
  • Swelling increases or doesn’t reduce
  • Difficulty or inability to urinate
  • Lump on scrotum
  • Bleeding
  • Drainage from incision that is yellow, green or foul smelling
  • Redness develops around or on incision
  • Pain is uncontrolled by medication