Vasectomy Reversal

Vasectomy Reversa

Sometimes after vasectomy has been performed, a man decides he would like to father another child. This can often be done by reversing the process of a vasectomy.

Vasectomy reversal is frequently the best option to restore fertility in men who have had a vasectomy. There are approximately 500,000 vasectomy’s performed in the United States each year according to the National Institutes of Health (NIH). This type of birth control is popular among adult males who are interested in preventing future pregnancies. For a variety of reasons, however, nearly 10% of men who undergo a vasectomy later change their minds and undergo a vasectomy reversal. It's becoming an increasingly popular option for men who decide to have a child later in life.

The vasectomy reversal procedure is not covered under most insurance plans. However our price for this procedure is very competitive and cost-effective. Most importantly, at Washington Urology and Urogynecology Associates, PLLC, our vasectomy reversals are performed using micro-surgical techniques in our Accredited and Licensed Ambulatory Surgery Center, with Board Certified Urologists and Registered Nurses. Our vasectomy and vasectomy reversal clinic serves patients from throughout the Seattle area, with patients utilizing our services from as far south as Olympia and Tacoma and as far north as Everett and Snohomish.

How a vasectomy reversal works

A vasectomy reversal takes more time and is more complex than a vasectomy; therefore, regional anesthesia will be used, requiring additional recovery time.

A vasectomy involves severing the vas deferens so that the passage of sperm is interrupted and their release from the body is prevented. After the procedure, sperm are still made but die soon after production and are absorbed by the body. The vasectomy reversal is the process of opening and reconnecting those pathways. This enables the sperm to flow freely from the testes through the urethra and out of the penis during intercourse.

As with a vasectomy, a vasectomy reversal causes no physical changes to the scrotal area, and after a normal healing period, sexual relations may continue. A vasectomy reversal procedure will not affect your sex drive or ability to have an erection.

Our doctor will meet with you and your partner, answer your questions and discuss the likelihood of restoring your fertility. While there is no guarantee if you have a vasectomy reversal that your partner will become pregnant, the success rate is high with 97% of the men producing sperm in their ejaculation, and a 75% pregnancy rate. Many factors are involved with the most important being the length of time since your original vasectomy was performed. The more time which has passed since the vasectomy, the lower the chance of having sperm with high enough numbers to result in pregnancy. If the vasectomy reversal is performed between 3 and 8 years after the vasectomy, the rate for sperm in the ejaculate is about 90%, and the pregnancy rate is about 50%. If the vasectomy reversal is performed more than 15 years after the vasectomy, the rate of sperm in the ejaculate is about 70%, and the pregnancy rate is about 30%.

Vasectomy reversal - preparation and post-operative care

Before the vasectomy reversal procedure

  • One week prior to the procedure, stop taking aspirin or aspirin containing products. You may ask our doctor during your consult about any other medications you may need to discontinue.
  • Bring an athletic supporter (jock strap) or snug briefs with you to wear home after the procedure.
  • Please do your own shaving of the scrotum before arrival. Begin 1 inch above base of penis and shave the entire scrotum with a disposable razor. Shaving in a downward stroke can minimize nicks.
  • Do not drink or eat anything after midnight the evening before the procedure.
  • A nurse will contact you a couple of days before the procedure to answer medication questions and any other unanswered questions.

After the vasectomy reversal surgery is complete

  • When you return home, stay off your feet for the first 24 hours. Any discomfort you feel is usually mild. An ice pack or bag of frozen peas wrapped in a towel may be placed on your scrotum for short periods of time to reduce swelling. Avoid heavy lifting or exercise for five to seven days.
  • The dressing may be removed after 24 hours. Keep the area dry for 24 hours, then it is okay to shower. Avoid rubbing with towels. Avoid submerging the scrotum in tub baths, hot tubs or swimming pools for one week. The skin sutures will fall off in about 3-7 days. Minimal redness may develop around the sutures and is of no concern.
  • Sexual activity can resume one month after the procedure. You may notice some blood in your semen which is normal. You should discuss the type of work you do with our doctor to make a decision about when you can return to work.
  • You will need to bring in a semen sample six to eight weeks after the procedure. The basic semen analysis is provided at no-charge. If you wish to have a qualitative semen analysis performed after the procedure, we can assist you to schedule this with the appropriate lab. You will be responsible for the charges.

Symptoms to Monitor

  • Watch for signs of infection, although this is very uncommon. Let us know if you experience any fever, chills, drainage from the incision site or pain.
  • Watch for signs of internal bleeding at the site, although very uncommon.
  • Let us know if you have increasing pain, excessive swelling, a large black and blue area or a growing lump.

Call our office day or night at 425-4548016 (Kirkland) or 425-454-8016 (Bellevue), if you have any of these symptoms.