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What a Vasectomy Reversal is Really Like 

Some men who undergo a vasectomy may never think they will someday undergo a vasectomy reversal to undo the process. However, life is unpredictable—and it can certainly be possible for a man to change his mind about his vasectomy, especially if he would like to have children in the near feature. Before a man undergoes a vasectomy reversal, it’s important for him to gain a better understanding of how a vasectomy reversal works.

What is a Vasectomy? 

Men who decide that they do not want children often schedule a vasectomy, which is considered to be a form of permanent birth control. During a vasectomy, a medical doctor will make two small incisions in a man’s scrotum and cut the vas deferens tubes, tie them, stitch them and seal it together. The vas deferens gets placed back into the scrotum and the entire area is concealed with stitches. This quick procedure prevents any release of sperm from occurring when a male ejaculates, which cease the possibility of conception altogether. Semen still can be ejaculated from the penis but no sperm will be mixed in with it once a vasectomy is complete.

Vasectomy Reversal: Undoing a Vasectomy 

Initially, a doctor will take down the male patient’s history and perform an initial physical exam to rule out any concerning health issues. The doctor may perform testing to see if the man can produce healthy sperm and confirm that the female partner is also capable of having a child. Before a vasectomy reversal, a doctor will typically give a patient general anesthesia, an epidural or some type of local anesthetic to either make the man unconscious, or make them numb, during the surgery.

Types of Vasectomy Reversals   

There are two types of vasectomy reversals that a doctor can choose from, depending on the patient and the situation at hand. Each of these types has the same end goal: To re-attach the vas deferens. During a vasovasostomy, a surgeon sews the severed ends of each vas deferens tube back together. A vasoepididymostomy is the other type of vasectomy reversal, during which a surgeon attaches the vas deferens to the small organ at the back of each testicle. The latter will take longer as it is a more complicated surgery to perform. During a vasectomy reversal, the doctor will make an incision on the underside of the scrotum, which releases the vas deferens from the tissue that surrounds it. Once the vas deferens is in this position, it is cut open so that the doctor can check out the fluids inside of it—if sperm is present, the vas deferens’ ends can be connected so that sperm can pass through. In the event that the vas deferens fluid is thickened with little to no sperm, the doctor would perform a vasoepididymostomy.

Vasectomy Reversal Results 

A successful vasectomy reversal means that sperm can now appear in the semen, around six to eight weeks after the surgery is complete—however, it could take up to a year, or even longer, for this to occur post-surgery. The doctor will periodically check in to monitor the state of the semen, viewing it under a microscope to determine whether or not the vasectomy reversal was a success. If a vasectomy reversal does not work, there could be other considerations that a doctor might want to look further into. Since failed vasectomy reversals might have to do with testicle issue, a doctor might reattempt the vasectomy reversal to see whether or not it can actually work.

Schedule a Vasectomy Reversal with Dr. Ron S. Israeli 

Men who are considering a vasectomy reversal surgery in the New Jersey and New York areas should look no further than Dr. Ron S. Israeli, a board certified urologist and prostate cancer specialist who performs both vasectomies and vasectomy reversal procedures at his practice in Livingston, NJ. Those who are interested in receiving a vasectomy reversal—or any other type of urological service—can schedule an appointment by contacting the office at 973-251-2055, or filling out an online form.