Vasectomy reversal
It consists of joining the vas deferens cut during the vasectomy. This joining of the vas deferens allows sperm to pass from the testicle to the penis again. Thanks to this surgery, the man becomes fertile again.
Reversal of vasectomy or vaso vasostomy, in the vasectomised patient who wishes to have offspring again, is for us the most logical indication and the one that offers the best results today, with the clear indication of resolving the problem in the partner who has the problem.
We are the most experienced centre in microsurgery of the seminal duct in the Canary Islands, and one of the most important in Spain. Our published results, 91% of spermatozoa in the semen of our operated patients, are truly magnificent, but we intend to improve them even more by preserving spermatozoa obtained from the patient's testicles in the same surgical act.
So in those 9% of cases where we are unsuccessful, we have already prepared the way out towards reproduction techniques: Microinjection of these spermatozoa into your partner's eggs, without the need to undergo further aggression.
Details of Vaso-Vasostomy Surgery
What problem does this treatment solve?
Being able to get pregnant. Male with female under 40 years of age.
Areas to be treated:
Vas deferens.
What does the pre-op consist of?
- General analytics
- FSH
- Anti-sperm antibodies.
- Assessment by anaesthesiology for sedation.
What is the approximate duration of the procedure?
2 hours.
Equipment:
Surgical microscope.
Does it require anaesthesia?
Local anaesthesia + sedation.
Does it require admission or is it ambulatory?
It is an outpatient procedure.
How should the patient be cared for after the operation?
- Treatment and rest for 4 days.
- Surgical wound healing on the 4th day.
- Masturbatory activity from the 5th day.
- Screening: 1st, 2nd, 4th and 6th month semen analysis.
Approximate recovery time:
A week you can go to work if the activity is effortless office work. If strenuous, 3 weeks. Sexual intercourse after the first visit (4 weeks).
Does it leave scars?
2 scars of 5mm on the scrotum. Usually very inconspicuous.
What results should the patient expect?
- Depending on the evolution and status of the semen samples.
- Final results after 6 months.
- Statistically 91% successful.
Frequently Asked Questions about Vaso-Vasostomy
What does the Vasostomy Vessel consist of?
It consists of joining the vas deferens cut during the vasectomy. This joining of the vas deferens allows sperm to pass from the testicle to the penis again. Thanks to this surgery, the man becomes fertile again.
The presence of spermatozoa in the semen makes it possible to obtain new spontaneous pregnancies through sexual intercourse. If there are no problems in the woman, vaso-vasostomy allows more pregnancies to be obtained than any assisted reproduction technique.
Is it a simple operation?
It is not simple, but it is low risk for the patient. It is a difficult technique and not all urologists perform it as it requires a great deal of experience and microsurgical techniques. It is advisable that it is performed by a urologist specialised in microsurgical techniques, and who performs these operations frequently in order to provide maximum guarantees in the technique.
How long does the Vasostomy Vessel last?
The length of time in the operating theatre can vary between 2 and 4 hours, depending on the difficulty with each patient. However, for your peace of mind, it is a very thorough surgery.
What does the success of VasoVasostomy depend on?
The success of the Vasostomy Vessel is dependent on:
- Experience of the uro-andrologist in microsurgery (the most determining factor).
- The vasectomy technique used.
- The time elapsed since the vasectomy was performed (less time, better results).
- Presence of sperm in the vas deferens at the time of surgery.
If the liquid does not contain sperm, is there an alternative?
If the fluid does not contain sperm, the vasectomy scar tissue may be blocking the flow of sperm. In this case, the doctor may choose to perform a vasoepididymostomy. Also, at the time of the operation, your sperm may be collected and frozen as a precautionary measure in case you require it for assisted reproduction in the future.
What are the chances of success of Vasostomy Vessel?
In our centre, which is the most experienced in the Canary Islands and one of the most experienced in Spain, the probability of having spermatozoa in the semen is 91%.
What equipment does the Vasostomy Vessel require?
It must be performed under a microscope so it is microsurgery. This is because the vas deferens are very thin and the stitches must be precise.
Why do we recommend Vasostomy Vessel to restore male fertility?
We believe that whenever possible we should offer this surgery for two reasons:
- We often find centres that systematically offer to resort to Assisted Reproduction Techniques (ICSI or In Vitro Fertilisation) in this situation without explaining anything to patients or telling them that vaso-vasostomy has no results.
- In the case of direct indication of ICSI techniques, being the male problem, all the burden falls on the woman: the hormonal treatment, the anaesthesia and the puncture for egg retrieval, the aggression, the physical and psychological burden as well as the possible side effects of the reproduction techniques (ICSI or In Vitro Fertilisation) are suffered by the woman, when the problem lies with the man, to whom we can offer a treatment in 2 hours with minimal side effects.
- It is less expensive than ICSI.
- Better results are obtained.