Vasectomy reversal is a surgery to undo a vasectomy. After successful vasectomy reversal, sperm are present in your semen again and you may be able to get your partner pregnant. A more complicated surgery than vasectomy, vasectomy reversal re-connects the tubes that carry sperm from the testicles into the semen. Vasectomy reversal can be attempted even if a long time has passed since you had your vasectomy. However, only about half of vasectomy reversals are successful..
Risks of Vasectomy Reversal
Major complications following vasectomy reversal are rare. Risks of vasectomy reversal include : -
* Bleeding within the scrotum. This may lead to a collection of blood (hematoma) that causes painful swelling. You can reduce this risk by avoiding aspirin before and after surgery and following your doctor's instructions to rest after surgery.
* Infection at the surgery site. This isn't common, but is a risk with any surgery. ..
Call your doctor if you develop any of these signs and symptoms after your vasectomy reversal : -
* Swelling that worsens or won't go down
* Difficult urination...
How you prepare for Vasectomy reversal
Before having vasectomy reversal surgery to restore fertility, your doctor will want to make sure you can produce healthy sperm. For most men, having gotten a woman pregnant before is proof enough...
What you can expect
A vasectomy reversal reconnects the severed vas deferens, the tube that carries sperm from each testicle. One of two surgical procedures may be used to reverse a vasectomy. A vasovasostomy reattaches the severed ends of the vas deferens to one another...
Doctors can perform this surgery in one of two ways : -
* Vasovasostomy (vas-o-vay-ZOS-
During the procedure
You may receive general anesthetics to make you unconscious during the surgery. Or, your surgeon may use an epidural, spinal or local anesthetic. In any case, your anesthesia will need to keep you completely still because the surgery is so delicate. It's done using a microscope that magnifies the surgery area....
Once the vas deferens has been opened, the surgeon will inspect the fluid that comes out. This is an important part of the operation because it helps your doctor determine what type of surgery you need to restore the flow of sperm. If the fluid contains sperm and plenty of clear fluid, surgery to re-connect the ends of the vas deferens — a vasovasostomy — is likely to work...
If your doctor finds sperm during the surgery, you may choose to have some frozen in case your vasectomy reversal doesn't work. If after vasectomy reversal you're not able to father a child through sexual intercourse, your frozen sperm may be injected directly into an egg. This is a type of in vitro fertilization called intracytoplasmic sperm injection (ICSI)...
Immediately after surgery, your doctor may cover the incisions with bandages. You'll put on your jockstrap to hold any bandages in place and apply pressure to reduce swelling and movement. You'll need to rest with an ice pack placed on your scrotum to reduce swelling. As the anesthetic wears off, you may have some pain and cramping that can be relieved with a painkiller, such as acetaminophen. For most men, the pain isn't severe and gets better after a few days to a week...
If vasectomy reversal doesn't work
Vasectomy reversals sometimes fail if there is a sperm blockage that wasn't recognized during surgery, or if a blockage develops sometime after surgery. Some men have a second-attempt vasectomy reversal if the procedure doesn't work the first time...
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