Vasectomy and its Microsurgical Reversal
In our series the overall pregnancy rate after vasovasostomy in an unselected group of early patients was 71%. Recovery of fertility correlated with the return of normal sperm counts and with the quality of vas fluid on the testicular side of obstruction at the time of vasovasostomy. The three most important factors in our group influencing return of fertility after vasovasostomy were a meticulous microscopic technique for reconnection, the duration of time the vas deferens has been obstructed, and the presence or absence of a sperm granuloma at the site of vasectomy. The presence of a sperm granuloma at the site of vasectomy virtually ensured the presence of good quality sperm in the vas fluid at the time of vasovasostomy. If all three of these factors are favorable, vasectomy may be reversible for more patients.
Source: Silber SJ.: The Urololic Clinics of North America. 1978 Oct;5(3):573-84.
How Much Does it Cost
The cost of a vasectomy reversal varies among physician practices, states and the type of procedure used. It is not inexpensive. But you may have options to help fit your family budget.
Unlike a vasectomy, most insurance plans do not cover the cost of reversal surgery, which can range from about $5,000 to $13,000. Although this is usually an elective, fee-for-service procedure, there are ways to make this expense more affordable.
Consider alternative financing options.
A reversal may be a good first option for a couple to consider because it is less expensive, more natural, and potentially more effective, than assisted reproductive techniques (ARTs) such as aspirated sperm and the additional cost of in vitro fertilization attempts.
WebMD Men’s Health Center - Find men’s health topics and information
Find information on men’s health issues, fitness, and lifestyle at the Men’s Health Center. … Gambling: The Pipe Dream Payoff Learn more about why we get a kick out of the risk and how to spot …
What to Expect after Vasectomy Reversal Surgery
By Inder Walia
An effective vasectomy reversal is a result of expertise and experience! The microsurgical technique of multi-layer 10-0 suturing achieves the highest success.
The surgery involves surgical removal of fluid from the testicular end of vas deferens to check for colour, consistency, volume and presence of motile sperm. Once the health of the fluid is established, the two severed ends of vas deferens are reconnected to allow for unobstructed flow of sperm into the fluid that is eventually ejaculated at orgasm.
The operation, as described above, is conducted under a general anaesthetic and takes an average of two hours to complete. In another couple of hours the anaesthesia wears off and one may return home the very same day! Oral medication, as prescribed by the doctor, is good to relieve mild discomfort. It is advisable to rest and lie down as much as you can for the next few days. Within three weeks youll be up and about, performing normal activities and resuming a healthy sexual life. However, do avoid strenuous activity and wear a jockstrap for support.
Complications after vasectomy reversal are uncommon, but you
may expect bleeding from the incision made on the scrotum,
a scar that heals with time and
a rare infection that may be recognized by heightened pain and discomfort. In the case of any of the above post vasectomy complications, please contact your vasectomy reversal expert immediately!
You will be required to visit your vasectomy reversal doctor within five days after surgery for a follow up. Subsequently, visits for semen analysis would be requested every two or three months. The semen may at the beginning show very low sperm count with impaired motility. However, with time, the sperm count and motility improves, until it becomes absolutely normal in eight months time.
Fibrosis, which is a condition characterized by gradual scarring at the reversal site, causes loss of all sperm in the ejaculate in approximately 6% of the men who get a vasectomy reversal. Thus, storing sperm after vasectomy reversal is a good idea!
Very few pregnancies occur within the first few months of a vasectomy reversal. The average time is twelve months, while it may take several years to show any success. If the pregnancy does not occur within three years after vasectomy reversal, medical investigations would be recommended.
Moreover, the instances of pregnancy after vasectomy reversal are not 100%. Even a normal semen analysis may not be a definite indication of achieving a pregnancy. This would be due to the development of antibodies against sperm, which is as common as 75% of all vasectomies performed. That of course, interferes with the process of fertilization.
Thus, the procedure of a vasectomy reversal is uncomplicated. Consult your urologist about all the other options available. It is definitely worth giving your family the chance of a baby!
Article Source: http://EzineArticles.com/?expert=Inder_Walia
http://EzineArticles.com/?What-to-Expect-after-Vasectomy-Reversal-Surgery&id=421020
Vasectomy Reversal
