Vasectomy reversal is a surgical procedure restoring the flow of sperm through the vas deferens. There are two types of vasectomy reversals.
vasovasostomy is the standard procedure and most commonly performed vasectomy reversal surgery. During vasovasostomy, the separated ends of the vas deferens are reconnected. This is done after the examination of the vas fluid. The vas fluid is examined under the microscope and considered good if it has a clear non-opaque consistency and contains completely formed, healthy sperm.
Microsurgical Multi-layer Microdot Technique
A high-powered surgical microscope for vasovasostomy. Using the formal multi-layer Microdot technique are used to reconnect the inner lumen (tubes) and the outer layer separately. Multi-layer Microdot vasectomy reversal technique has lead to low risk of scarring and minimal recovery time for patients.
During the procedure, fluid is expressed from the deferens coming from the testicle. If there is no sperm in this fluid, we must conclude that there is a blockage upstream closer to the testicle. This blockage will not allow sperm to pass through to the vas deferens. Therefore simply connecting vas deferens to vas deferens and performing a vasovasostomy does not make sense. Blockage in the epididymis upstream following vasectomy may have been caused by inflammation, too much pressure in the epididymis or scarring at the time of the of the vasectomy.
Microsurgical Two-suture Longitudinal Intussusception Technique ( Microsurgical Longitudinal Intussusception Vasoepididymostomy
The state-of-the-art vasoepididymostomy technique. This technique is sometimes referred to as the two-suture longitudinal intussusception technique and requires two 10-0 or 11-0 sutures. The technique allows a larger opening between the extremely small epididymal tubule and the larger vasal tubule. The technical aspects of this technique have simplified it which is one of the reasons for higher success rates.
RecoveryDiscomfort is quite variable but typically is not much more severe than the original vasectomy. Pain medication will be prescribed. Most of the discomfort is usually resolved within 3 to 4 days. Strenuous activity such as lifting more than 10 pounds, running or jogging is not recommended for 4 weeks after surgery. Sexual activity can be resumed four weeks after surgery.