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Medical Video: Vasectomy Reversal: Fertility Options After Vasectomy | #UCLAMDChat Webinars
Definition
What is Reversal Vasectomy?
A vasectomy procedure is a permanent method of contraception in men. Reversal vasectomy or vasectomy reversal is a procedure to recombine the cut canal during a vasectomy. The procedure may fail, even if the channel has been recombined.
When do I need to undergo a reversal vasectomy?
The procedure is done when you have had a vasectomy and want to return to fertility.
Prevention & warning
What should I know before undergoing a reversal vasectomy?
The probability of success of a vasectomy reversal depends on how long the time interval between vasectomy and reversal procedures. Over time, obstacles between channels will form, and some men can build antibodies to their own sperm.
This Prosuder is quite complex and takes longer if there is an obstacle formed between the vas deferent (sperm ducts from the testis to the sperm pocket) and the epididymis requires repair (vasoepididymostomy).
Are there alternatives to surgery?
You might want to consider using a sperm donor, from someone close to you or from a sperm bank.
It is possible for your doctor to take sperm from one of your testes using a sperm aspiration. This procedure can be used in IVF therapy.
Process
What should I do before undergoing Reversal Vasectomy?
Discuss with your doctor about your latest treatment, your allergies, or your health condition. Before carrying out the operation, you will meet with the anesthetist and discuss the sedative methods that will be used. It is important to always follow the doctor's instructions about when you should start fasting before surgery.
You will be given clear guidelines for pre-surgery, including whether you can eat any food / drink before the procedure. Generally, you will be required to fast 6 hours before the operation begins. You may be allowed to consume drinks, such as coffee, until a few hours before surgery.
How is the vasectomy process reversible?
The procedure is performed under general anesthesia. The duration of the procedure is approximately 60 - 90 minutes.
The doctor will slice 2 incisions into each of your scrotums (bag of testicles).
The doctor will examine both testicles before looking for and reuniting the ducts, and removing the existing scar tissue. The surgeon will use a special operating microscope to re-sew the ends of each channel.
What should I do after undergoing a reversal vasectomy?
After the procedure, you will:
- back home on the same day, or the next day
- back to work for about a week afterwards
- regular exercise will help you recover quickly. Before starting, ask for advice from your doctor and medical officer who is handling you.
- your doctor will ask for your semen sample after 6-8 weeks. The sample will be tested for sperm. If the sperm does not appear, the reversal vasectomy operation that you live is fairly unsuccessful
If the surgery is declared a failure and you and your partner still want a baby, discuss and consider alternatives that your doctor might suggest.
Complications
What complications can occur?
Reversal vasectomy surgery is a safe procedure. However, there are several risks of minor complications that may occur. Consult your surgeon about the risks you might get.
Complications from a number of medical procedures generally include reactions to unexpected anesthesia, bleeding or blood clots (deep vein thrombosis DVT).
Other more specific complications, namely:
- infection in the operating area
- fluid clots in the scrotum (hydrocele) which require draining
- injury to arteries or nerves in the scrotum
You can reduce the risk of complications with caution and always follow your doctor's rules regarding preparation for receiving endoscopy, such as fasting and stopping certain medications.
Hello Health Group does not provide medical advice, diagnosis or treatment.
