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Doctor insights on: Vasectomy Reversal

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Dr. Lane Childs
34 doctors shared insights

Vasectomy Reversal (Overview)

A vasectomy can be performed to block the passage of sperm so that during evaluation fluid is released but no sperm. Thus it prevents pregnancy from occurring. It is surgically performed and fairly common and successful. If a man later decides he wants to have children, he has 2 choice. Surgically remove sperm or try to surgically open the passageway again.


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Is a vasectomy reversal safe?

Is a vasectomy reversal safe?

Vasectomy reversal: While it's not always successful, it's usually safe when done by an experienced surgeon. Risks inherent to the procedure are similar to the original surgery, and include bleeding, infection, pain, and hydrocele. ...Read more

Dr. Lane Childs
34 doctors shared insights

Vasectomy Reversal (Overview)

A vasectomy can be performed to block the passage of sperm so that during evaluation fluid is released but no sperm. Thus it prevents pregnancy from occurring. It is surgically performed and fairly common and successful. If a man later decides he wants to have children, he has 2 choice. Surgically remove sperm or try to surgically open the passageway again.


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How does a vasectomy reversal work?

How does a vasectomy reversal work?

Vas reversal: The vas is a pipe/tube that gets sperm from the testes.... It is cut and blocked during a vasectomy.... Vas reversal just puts it back together... Micro surgery involved due to small tube. ...Read more

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What are vasectomy reversal options?

Vasovasostomy: Reversal of vasectomy is seldom covered by insurance. It has variable success rates depending on length of time since vasectomy, technique of vasectomy and most importantly the experience of the urologist with the procedure. The best success rate (as measured by successful conception) under ideal circumstances is generally 50%. ...Read more

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Will insurance cover a vasectomy reversal?

Will insurance cover a vasectomy reversal?

May be & mat not...: Of course, that depends on the specific policy of a health insurance; so, check yours out. Usually, health insurance would not cover vasectomy reversal; that is why I told my patients to consider vasectomy as a permanent procedure with a high cost to reverse with a price tag up to 10-20 thousands US dollars depending on where and who the procedure is done. ...Read more

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What are the success rates for vasectomy reversal?

What are the success rates for vasectomy reversal?

Excellent: Excellent in the right hands. The expertise of the surgeon is a very important determinant of the ultimate success. Time out from the vasectomy is also important but there is no strict cut-off — the "10 year mark" is a fallacy — just not true. So, find an Urological Surgeon like my self who specializes in Vasectomy Reversal (microsurgical). My practice at Boston Medical Center keeps costs low. ...Read more

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What is the expected success rate of a vasectomy reversal?

Vasectomy revearsals: The success rate for vasectomy revearsals decreases as the time from the original vasectomy increases. Generally, the success rate is 90% one year after a vasectomy, but it declines by 10% per year thereafter. ...Read more

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What to do if my hubbys who have had a vasectomy reversal?

Here are ...: If fertility to conceive is intended and welcome, do semen analysis as needed. If not an option to conceive, also check semen once to make sure of if any sperm is present in semen so to determine if his vasectomy reversal was a success. Then, you have choices to your family planning. ...Read more

Dr. James Lin Dr. Lin
1 doctor agreed:
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What to do if I have a vasectomy reversal fail after 2 years?

Dr. James Lin Dr. Lin
1 doctor agreed:

Depend...: What to do after failed vasectomy reversal depends on what you plan for your family. If deciding not to conceive, do nothing but still welcome to get semen exam so to confirm he is sperm-free in semen. If wanting more pregnancy, consider redoing vasectomy reversal or ... by experienced hands. If just wanting more children but not really caring for your own or not, consider adoption. Best wish ... ...Read more

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What is the definition or description of: vasectomy reversal?

Allow Sperm Passage: A vasectomy can be performed to block the passage of sperm so that during evaluation fluid is released but no sperm. Thus, it prevents pregnancy from occurring. It is surgically performed and fairly common and successful. If a man later decides he wants to have children, he has 2 choice. Surgically remove sperm or try to surgically open the passageway again. ...Read more

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Help please? What is the success rate of a vasectomy reversal?

About...: It's about 30-65%, depending upon the duration after vasectomy and surgeon's skill / experience, generally speaking, it would not be as high as quoted in literature. Surgical success denotes the presence of sperms after vasectomy reversal, not conception rate. ...Read more

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Can some tell me the cost of haveing vasectomy reversal please?

Urologist: Talk to your urologist. It varies with procedure and region of the country. ...Read more

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What are the chances of having a child after vasectomy reversal?

What are the chances of having a child after vasectomy reversal?

Depends: The length of time elapsed after the vasectomy plays a large role in return to sperm after vas reversal. If >10yrs, there is a low chance of sperm presence in reversed tubes. Also, skill of the practitioner plays a large role in the success of the tubes staying open after the procedure ...Read more

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Please help, how much on average does a vasectomy reversal cost?

Vasovasostomy: Rarely, if ever, covered by insurance. Usually a minimum of $5, 000 and upward. Only a 50% success rate even in the best of hands. ...Read more

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How effective can a vasectomy reversal be 10 years after a vasectomy?

VERY effective!: We recently reported a study of our "older" vasectomy reversals, defined as vasectomies >15 years old. Impressive results. See the link: http://abclocal. Go. Com/kgo/story? Section=news/health&id=8740026. ...Read more

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My man is thinking about getting a vasectomy reversal but I don't want more kids?

My man is thinking about getting a vasectomy reversal but I don't want more kids?

Did you tell him?: First things first please. Then, discuss alternatives and go from there. ...Read more

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Can you tell me about non scalpel vasectomy vs conventional vasectomy: reversal chances the same?

Same: How the puncture in the skin is made (to access the vas) is irrelevant to the success or complications of vasectomy. No matter how the procedure is marketed to anxious young males, a puncture must be made in the skin with some sort of sharp instrument. If you think you may EVER want the vasectomy reversed, you should not have a vasectomy. The best pregnancy rate of reversal is about 50%. ...Read more

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Why do I see so many vasectomy reversal billboards?

Vas reversal: Most insurance doesn't pay so docs charge cash! Cash is king... Means more $$$.... Means it can pay to advertise.... ...Read more

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How do you find the best vasectomy reversal doctors?

Vasectomy reversal: While some may say fellowship training is important, my only requirement is the answer to this simple question.... How many did you do last month? Even some fellowship trained guys do less than one per month.... If a guy is doing this type of procedure weekly that is a good sign and I bet he knows his/her own stats instead of giving you average numbers.... ...Read more

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Fertility rates in men who have had a vasectomy reversal?

Fertility rates in men who have had a vasectomy reversal?

Time since vasectomy: The time since vasectomy is critical. Both tubal patency (open) and fertility decrease with time since the vasectomy. If you have had 10 yrs since vas then success is likely less than 30%. Also remember that the female partner age is also important, perhaps more so. If there is no or poor quality sperm, then ivf/icsi is possible. We virtually always get sperm with aspiration for icsi. Good luck. ...Read more

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What is the name of the vasectomy reversal procedure called?

What is the name of the vasectomy reversal procedure called?

Vasovasostomy: Reuniting the cut ends of the vas is known as vasovasostomy. This is a fertility procedure that is rarely covered by insurance in the United States. ...Read more

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Which is a cheaper procedure: a vasectomy reversal or ivf?

Which is a cheaper procedure: a vasectomy reversal or ivf?

Vasectomy Reversal: A vasectomy reversal is almost always cheaper and gives the couple the opportunity to achieve pregnancy each and every month through sex. When aspiration of sperm and IVF is the route taken, it generally limits the couple because if the cycle is not successful, the only chance to get pregnant is with another expensive IVF cycle. So, almost always better to have a reversal. ...Read more

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How long after I have a vasectomy reversal can my wife get pregnant?

Depends: You will need at least 3 months and at least two negative semenanalysis. ...Read more

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How long after vasectomy reversal should you wait to be sexually active?

How long after vasectomy reversal should you wait to be sexually active?

Wait for NO pain: To be safe, you need to heal. By the time you have no pain, you should be ok. Good luck! ...Read more

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What are the chances of a successful vasectomy reversal and being able to get someone pregnant?

What are the chances of a successful vasectomy reversal and being able to get someone pregnant?

On time: In general, vasectomy reversal:

Leads to overall pregnancy rates of greater than 50%.
Has the greatest chance of success within 3 years of the vasectomy.
Leads to pregnancy only about 30% of the time if the reversal is done 10 years after vasectomy. ...Read more

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How effective is sperm regeneration after a vasectomy reversal?

How effective is sperm regeneration after a vasectomy reversal?

Very good: In the hands of an experienced Urologist who does micro surgery, there is about 90 % plus chance of sperm return to semen after a vas reversal. Influencing factors can be: time since vasectomy, and age of patient. Even with sperm return, female factors have to be considered in trying to achieve a pregnancy ...Read more

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Had a vasectomy reversal 21 days ago, noticed a pimple like on stitches but it feels like a big pimple underneath, anything to be concern about?

Had a vasectomy reversal 21 days ago, noticed a pimple like on stitches but it feels like a big pimple underneath, anything to be concern about?

Here are some ...: It's most reasonable to leave the described spot alone, which most likely represents the expected residual resolving effect of incision + stitches, as long as feeling more comfortable day by day and getting smaller and smaller slowly but surely. More doubt? See the surgeon for timely counseling. ...Read more

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How can you increase sperm count in a 48 yr old man with a vasectomy reversal 4 months ago? Only had vasectomy for 15 months before reversing it.

How can you increase sperm count in a 48 yr old man with a vasectomy reversal 4 months ago? Only had vasectomy for 15 months before reversing it.

It depends...: It depends on if ; why it’s low. In the healing phase(approx 6mos) counts can be low, sometimes because the channel that was reconnected is not fully open. Some drs have patients wait 6mos to see what the sperm count looks like at that time while others put patients on anti-inflammatory meds. Sperm counts can also be low due to a production problem. A physical exam/hormone profile can dertermine this. ...Read more

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I got a vasectomy reversal a week ago, is it safe to have sex.?

I got a vasectomy reversal a week ago, is it safe to have sex.?

May be, but...: Refraining from intercourse for 2-3 weeks after surgery or until postoperative pain is tolerable, has been the common advice, but its realistic value has been not well-defined and validated. As well, the duration of no sex after vas-reversal highly varies among urologists, largely to serve social / medico-legal / political correctness. But 2-3 weeks is reasonable or until pain be tolerable. ...Read more

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Vasectomy reversal, where did you have it done? Urologist or surgeon?

Urologist is surgeon: All urologists are surgeons. No other speciality should be doing vas reversals. ...Read more

Dr. James Lin
339 doctors shared insights

Vasectomy (Definition)

Tubes on both sides from testicle to prostate that carry sperm made by testicles are brought out through a small skin puncture in the scrotum and either cut, tied, burned or clamped. Simple procedure, cost effective and usually with minimal side effects. Low failure rate. Clinic procedure, done in office with local anesthetic to skin. Minimal down time. A very ...Read more