Vasectomy reversal is a surgical procedure that reconnects the male reproductive tract. In this procedure, the cut ends of the vas deferens are reconnected and attached to allow the sperm into the semen. The procedure to be operated will be based on the presence of sperm in the sample collected from the testicle at the start of the procedure. Sometimes there may be a need of performing two procedures based on the requirements. It is an outpatient procedure and the patient may not require an overnight stay in the hospital.
Vasectomy reversal can be possible by two surgical procedures.
The procedure can be performed by giving anesthesia (local, regional, or general) or a mild sedative. It involves a microsurgical technique, where a microscope is used at the surgical site. In this procedure the cut ends of the vas deferens are reconnected. It can be performed if the sample collected is clear. It can be performed in 2-3 hours.
The procedure can be performed by giving general anesthesia or epidural block. It is the procedure in which the vas deferens is connected to the epididymis. It can be performed when the sample collected is thick and creamy as this procedure can clear the blockage. It can be performed in 4 hours. This is the most challenging technique as the epidydymis is so small and delicate.
The semen is examined under the microscope after 6 to 8 weeks of the surgery to determine the success of the surgery. If the surgery is successful, the sperm appears in the semen. It may take longer time for some individuals for the result. If a blockage is developed after the surgery, then a second-attempt can be made for the vasectomy reversal.
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