Vasectomy reversal is a surgical procedure referring to the reconnection of reproductive tract in the male, which has been disconnected by vasectomy. Before getting to know about what is a vasectomy reversal and the associated procedures, let us see what is vasectomy.
What is Vasectomy
Vasectomy is a type of birth control method for men. It is a surgical procedure through which the sperm supply from testicles into semen is disconnected. Sperm is carried to semen bya pair of tubes and those tubes are cut and sealed by this procedure, prohibiting the semen carrying sperm. It is a safe procedure with lesser risk involved. Since sperm supply from testicles is prohibited, men who prefer to take vasectomy should think well and analyse about their future, which forbids getting a child in future. Vasectomy is the permanent birth control method for men. Even though this procedure is considered a permanent method of contraception in men, advancements in the medical field have facilitated the reversal of this procedure through microsurgery.
What is Vasectomy reversal
Vasectomy reversal is nothing but a minor surgery to revert a vasectomy done. Vasectomy reversal procedure involves reconnecting and unsealing the tubes that are responsible for carrying sperm into semen from testicles. After successful completion of this procedure, sperm will be present in the semen which enables the men to get their partner pregnant. The vasectomy reversal procedure has been found to be successful in among 70% of men and the reversal found to be failed in others. Moreover, it is a quite expensive procedure and there is no assurance in restoring the pre-vasectomy state.
Types of Vasectomy Reversals
Vasectomy reversal procedure is done in two types namely Vasovasostomy and Vasoepididymostomy.
Vasovasostomy is one of the vasectomy reversal procures through which the vasectomy is partially reversed. Vasectomy reversal procedure through vasovasostomy requires two factors to be met to make the surgery successful. First factor is sperm should be available to pass through minimum of one reconnection to enter into semen. Second factor is each one of the reconnection should be watertight to the maximum extent possible. Since this surgical procedure involves partial reconnection, it can be done in the straight portions of vas deferens. Even though it is a surgical procedure, it is an outpatient procedure just like treating a fever, where the patient can go home the same day after completion of procedure. However, it should be done only by urologists.
Vasoepididymostomy is alternately referred as epididymosvasostomy, which is another vasectomy reversal procedure. It is quite technical and a difficult procedure in comparison to the other. Further, it is considered one of the most difficult and challenging procedures done in the medical department of urology. This surgical procedure is generally prescribed for patients who have failed in previous procedures of vasectomy reversal through vasovasostomy. Further, it is also done in patients who suffer from congenital and developed epididymal condition. Since vas deferens is blocked by a vasectomy, this reversal surgery removes the blockage of the sperm and vas deferens is connected to the epididymal for sperm return into semen from testicles. Urologists who have specialized in the procedure and with good experience only can succeed in vasectomy reversal. In addition, irrespective of the type of surgical procedure, the success rate is likely to be higher when the same is performed with surgical microscope.
Men who have undergone vasectomy can decide to go for a vasectomy reversal for several reasons and includes the following.
• Loss of a child
• Improved financial status
• Personal desire to have a child, etc
Patients who wish to undergo surgery should never feel hesitate to discuss about the issues and get clarified about the worries. Doctors will ask several questions about health and will go for a physical examination and the patients should ensure to answer all questions to avoid any future complications that might arise due to surgery. Moreover, the procedure is quite expensive and it is not covered under health insurance. So it is quite important to make appropriate decision to undergo the procedure. Above all, patients should confirm whether the partner is capable enough to get pregnant and having a child.