Vasectomy Reversal Procedure: Causes, Symptoms and Recovery.

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.

Vasovasostomy

Vasoepididymostomy

Vasovasostomy

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.

Vasoepididymostomy

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.

Preparing for the procedure

The intake of ibuprofen should be stopped one week before the surgery.

Do’s and Don’ts after vasectomy reversal

Wrap an ice pack to reduce pain and swelling
Avoid sitting, standing, and walking for longer periods
Avoid drinking alcohol after surgery as it can lead to post-operative bleeding
Do not hesitate to ask about any queries
Avoid worrying for a pea-sized lump at the surgical site as it is a sign of healing.
Begin frequent ejaculations after two weeks of surgery.
Avoid sitting in hot tubs as it can increase temperature in the scrotum and impair fertility.
Avoid placing laptop near testicles as it can increase temperature and decrease the production of sperm in the testis.
Any sexual activity should be avoided for two weeks after surgery.
Swimming should be avoided until the wound is healed.

Pros

Chances of 50% and greater pregnancy success.
30% chances of success rate for vasectomy reversal if the vasectomy was performed 10 years back.
Larger chances of success of vasectomy reversal within 3 years of vasectomy.

Cons

Infections may occur at the site of surgery.
Fluid buildup may be present in the scrotum and requires draining.
Injuries can occur to the arteries or nerves in the scrotum.

Results for Vasectomy Reversal

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.