Vasectomy reversal is a procedure to restore fertility after a man has undergone an elective vasectomy. In rare instances, it can also be performed for men who experience chronic pain following a vasectomy.
Most men who undergo a vasectomy reversal have no symptoms. Typically, the procedure is performed to restore fertility.
The vasectomy reversal procedure is usually performed in men who have undergone elective sterilization. In rare circumstances, a man may undergo a similar procedure to repair a blockage either from prior surgery or unknown reasons (idiopathic).
NON-SURGICAL TREATMENT
Although there are no medical treatments available for men who have undergone previous vasectomy (voluntary sterilization), some men may choose to have their sperm surgically extracted/aspirated to be used for IVF (in vitro fertilization), rather than undergo a vasectomy reversal.
SURGICAL TREATMENT
The vasectomy reversal procedure is a microsurgical procedure to restore fertility. The exact surgical techniques performed depend upon the expertise of the operating surgeon. The best results are achieved with surgeons with extensive experience performing these procedures and with specific microsurgical skills. The procedure usually takes several hours and is performed under anesthesia in either a hospital operating room or ambulatory surgical center (ASC).
Two different surgical procedures may be performed – vasovasostomy or epididymovasostomy. The exact procedure to be performed cannot be determined until the time of surgery and depends upon findings in the operating room.
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