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A vasectomy is the name of the procedure for male sterilization. A vasectomy reversal is the surgical procedure that attempts to 'undo' or reverse the vasectomy in order to restore fertility (the ability to father children) to a man who has previously had a vasectomy. Every year approximately 50,000 men in the United States undergo a vasectomy reversal. Success rates for vasectomy reversals have improved markedly in recent years, and now range from about 70% to 97%. Success rate is defined as the ability for sperm to travel from the testes through the penis. Success rates for vasectomy reversal are influenced by multiple factors including length of time from when the vasectomy was performed. Typically vasectomy reversals are not covered by health insurance and the cost ranges from approximately $5000.00 to $13,0000. However many providers of vasectomy reversal offer payment plans. The skill and experience of the physician performing the vasectomy reversal can dramatically influence the success rate, so locating a well qualified physician is essential.
A vasectomy reversal is usually performed through incisions each side of the scrotum that are a little larger than those used for the vasectomy. The vas is a very small muscular tube with a 2mm outer diameter and an inner diameter through which sperm flow (the lumen), of less than 1/2mm. Since the structure is so small, the stitches must be placed very exactly so that there is minimal scaring. Too much scarring can cause the lumen of the vas to close and the procedure to fail. Best results are achieved by the use of an operating microscope with placement of tiny sutures that can barely be seen with the naked eye. The operation is usually done under a general anaesthetic and takes on average two hours. However, you usually only stay for the day, going into hospital in the morning and home in the evening. Most men find it no more uncomfortable than having a vasectomy and Panadol is usually adequate pain relief. You obviously cannot drive yourself home the same day as the operation. It is most important to take the next week off work and spend most of the time lying down. If you must get up and about, please use supportive underpants. |
