What are the options for vasectomy reversal?
There are two ways a vasectomy can be reversed. One is to simply reconnect the two ends of the vas deferens that were divided at the time of the vasectomy. This is called a vasovasostomy. This typically takes 2-3 hours to perform. Most urologists will attempt this procedure.
The other method is used if an epididymal obstruction has occurred since the time of vasectomy. The epididymis is the tube that carries sperm directly away from the testicle. This is where sperm are broken down and reabsorbed by the body after a vasectomy. Several years after a vasectomy, the debris from the breakdown of old sperm can cause a blockage in the epididymis. This requires a much more difficult procedure to be performed. The procedure is called an epididymovasostomy, which is able to bypass the blockage. Very few urologists have been trained to do this procedure. This operation takes 3-4 hours to perform. There is no reliable way to predict which procedure will be required before surgery. This is why it is critical you choose a doctor trained to perform either should the need arise.
Are there other options besides vasectomy reversal?
In some cases vasectomy reversal is not the best option for trying to have children. If you or your wife decides vasectomy reversal is not for you, there are still ways we can help you have the family you desire. Modern reproductive techniques are increasing the ability of older men and women to have children. In certain cases it is better to obtain sperm for use with in vitro fertilization than vasectomy reversal. Sperm are obtained by a surgical procedure and can be frozen until needed. At Urology Associates, we work closely with the area's female fertility specialists to find the best treatment options for couples seeking to grow their family.
What makes Urology Associates a better choice for your reversal?
Urology Associates is the only place along the Gulf Coast with doctors specifically trained in vasectomy reversal and male fertility issues. Our physician, Dr. Matthew McIntyre, is fellowship trained in male infertility and microsurgery, and we offer the latest microsurgical techniques for vasectomy reversal. The use of the operating microscope has been widely adopted by the leaders in the field of vasectomy reversal. Its use allows for better visualization and improved patency and pregnancy outcomes. Microsurgical skills are not part of general urologist training. Even if you do not see our doctors, we would strongly recommend you seek out a physician with this additional training.