At Georgia Urology, we understand the sensitive nature and challenging personal decisions which sexuality and fertility issues present for individuals and couples. Our skilled urologists are experts in male sexual and reproductive health. We understand that some men may be apprehensive because of the delicate area of the body involved. Our experienced urologists and highly trained staff use great care and precision when performing vasectomy reversal procedures.
Vasectomy reversal is a fine and complex procedure to restore a man’s fertility. The ultimate success of a vasectomy reversal is a natural pregnancy. The success of a pregnancy depend on the age and fertility of the female partner, the surgeon’s experience and the technique of vasectomy reversal and, lastly, the length of time since the vasectomy was performed, which is called the “obstructive interval.”
What is Microsurgical Vasectomy Reversal?
Microsurgical vasectomy reversal is a delicate and complex surgery. It performed with the use of a special operating microscope with sufficient magnifying power which allows the surgeon to achieve accurate alignment to reconnect the pathway for the sperm to get into the semen. Most often, the cut ends of the vas are reattached. In some cases, the ends of the vas are joined to the epididymis. When the tubes are joined, sperm can again flow through the urethra, allowing a man to re-establish his fertility, and enabling a couple to conceive a baby naturally.
It is recognized that 5% of the 500,000 men in the United States who have vasectomies each year will change their minds. The reasons men choose to undo a vasectomy are many, and usually due to remarriage or change in circumstances allowing for more children.
Microsurgical Skills Make the Difference
Microscopic vasectomy reversal, when performed by a board certified urologic surgeon who has advanced training in microsurgery and infertility, and significant experience, offers men improved surgical success rates and, with few exceptions, the highest pregnancy rate in couples wishing to restore their fertility following vasectomies.
The skill of the surgeon is most important since precise suture placement is necessary. About one-third of all reversal patients will require the more complicated epididymovasostomy. But because a surgeon will not know beforehand whether this technique will be needed, it is important to choose a urological surgeon who is prepared to perform either procedure. Depending on the number of years between the vasectomy and vasectomy reversal, a certain percentage of vasectomy reversals require an epididymovasostomy. Georgia Urology microsurgeons, Dr. Ronald Anglade, Dr. Lawrence Goldstone, Dr. Edward Stark and Dr. Jerry Yuan are experts at epididymovasostomy.
There are two types of microsurgical vasectomy reversal, vasovasostomy and epididymovasostomy. It is important to choose a urologist who is prepared to perform either procedure. Dr. Anglade, Dr. Goldstone, Dr. Stark and Dr. Yuan are highly skilled at both procedures and will choose the type that is right for you. This may depend on how long it has been since you had your vasectomy performed, as well as whether your microsurgeon discovers a blockage in the epididymis.
Selecting one of our highly-skilled microsurgeons who is passionate about helping you conceive a child is the first step to reaching your goal of achieving a natural pregnancy.