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Mini Incision Vasectomy Reversal

I perform vasectomy reversal in my operating room, which is located inside my practice, under general anesthesia, and through a single midline mini scrotal skin incision.

We are located in Raleigh, North Carolina and most of our patients will travel from out of state to have their sterilizations reversed at our center.

A significant portion of my practice is devoted to female and male sterilization reversal.

We perform both male and sterilization reversal Monday through Thursday.
Fridays are dedicated to providing minimally invasive, no-scalpel vasectomy.

Our team of nurses and anesthesia professionals are dedicated to helping couples regain their fertility and reverse their regret over previous decisions they were told would be permanent and irreversible.

Our practice has a lengthy track record of helping women regain their fertility after female sterilization procedures. We are responsible for more babies born after reversal of tubal ligation than any other tubal reversal doctor in the world.

We were the first doctors to report the first successful pregnancies after reversal of the newest forms of female sterilization: Essure and Adiana hysteroscopic sterilization.

All vasectomy procedures are reversed in a state of the art operating room located within our facility.

Our operating room is dedicated to sterilization reversal for both men and women. This allows us to offer a personalized service, which is efficient, safe, and affordable. Our staff is dedicated to the care of patients who are reversing sterilization.

Operating-roomVasectomy reversal is performed under general anesthesia for patient's maximal comfort. Our anesthesia staff are dedicated to our practice and are able to devote their undivided attention to each of our patients. Anesthesia is administered using an Aestiva 5 anesthesia machine and isoflurane and sevoflurane are our anesthetic agents of choice.

The operating room is equipped with state of the art equipment including; Maquet halogen lighting, Maquet operating room table, centralized oxygen and vacuum, and multiple patient warming devices.

We have dedicated surgical technicians and surgical nurses who will make your experience safe and efficient. We have the latest Aesculap microsurgical instruments and sterilization instrument cases. All instruments are processed, cleaned, and sterilized in our facility by specially trained staff using modern instrument washing systems and vacuum steam sterilization autoclaves.

I use the same minimalistic surgical approach to vasectomy reversal as I do with my minimally invasive no-scalpel vasectomy procedures.


I make a single midline vertical skin incision in the scrotal skin. This incision is approximately one (1) to two (2) inches in length and very often will not require any suture to close.

For magnification I use high-resolution eye loupes which offer 6X magnification. The ends of each vas deferens are identified and opened. Using a German engineered nerve transector a perfectly flush right angle dissection is performed across each closed end of the vas deferens.

Each vas deferens is reapproximated under magnification using fine 9-0 microsurgical sutures in multiple layers.

The scrotal incision will often close on its own and will usually not require any sutures.

Patients recover in our recovery room for about an hour. They are then discharged to one of two specially selected hotels located within one-half mile of our office and in a central part of midtown Raleigh.

Patients then return to see me the next day for a post-operative evaluation. They are then free to return home, they may return to light duty within seventy-two (72) hours, and can resume sexual intercourse two (2) weeks after surgery.

Scheduling vasectomy reversal

Most of our patients will travel to our center from outside of North Carolina. Since most of our patients travel to see us, we make the vasectomy reversal process efficient and easy. Patients can schedule surgery from their home state, travel to our office for a preopeartive consultation, have a vasectomy reversal the following day, and return home the day after surgery for a quick recovery.

Patients will review the information on our website and will call to have questions about vasectomy reversal answered by our staff.

vasectomy-reversal-hotel1Scheduling vasectomy reversal then occurs over the phone during a 15 to 20 minute phone interview and scheduling paperwork is completed by email and/or fax.

Patients who would like a vasectomy reversal consultation before scheduling are welcome to arrange this if they feel it is necessary before having surgery. These consultations may either be in person or by phone.

Patients will then travel to our center and stay in one of two specially selected hotels that offer reduced rates for our patients. Each hotel provides private car transportation to our center and this chauffeured car service is included in the reduced room rate. Each hotel is located in the trendy North Hills Mall in the heart of midtown Raleigh. There are many great restaurants, shopping venues, and places of entertainment within walking distance of each hotel.

What Our Patients Are Saying

"Dr. Monteith prepared me mentally for the pre, during and post procedure journey. He also provided me with all the tools necessary for a comfortable recovery. I'm definitely confident in this Dr's work, and especially glad at how little pain I experienced throughout the process. It would be worth it to visit Dr. Monteith no matter what state you have to travel from, I drove from Virginia."

- J.R.

"Very comforting and knowledgeable experience not only was the staff pleasant so was the atmosphere! I drove 3 hours so i did my research. I was impressed with the information, visuals, and on hand knowledge about what the procedure was all about. I felt like an expert after i left! Not to mention the 45 min in and out time. I will be recommending this to all my colleagues thank you!"

- J.W.

"Dr Monteith, and his staff, were all very professional about my decision to have a vastectomy. They informed me of the risks, the surgery procedure, and the post-surgery care. The procedure itself was relatively painless. I would rate this as a 2/10. I highly recommend Dr Monteith; he even sent me a text message after the surgery to give me a personal update on my procedure. The procedure was quick."

- S.E.

"If you're in the market for a Vasectomy you need to give Dr. Monteith a serious look. Just compare the information on his website to the information you'll get from other options around the triangle. It's hard to get solid answers on cost, procedure and expectations up front from other offices but His Choice plays no games and has great informative well designed website. Dr. Monteith makes it easy!"

- J.P.

"Excellent care. I visited Dr. Monteith for a single visit appointment on a Friday. Very clean, comfortable office. Pleasant staff. The procedure was quick and I went back to work for a little while. The only pain I experienced was soreness beginning about 4 hours post procedure, lasting for 24 hours, then subsiding rapidly. I was fine by Monday. The office checked on me twice, no problems. I would recommend Dr. Monteith to anyone.

- M.D.

Ask Us A Question!

Your questions about our services will be answered directly and promptly by our staff or Dr. Monteith. We will not respond to general medical questions or if you are a patient of another practice and are contacting us because you are not getting answers from your physician.

If you have been a patient at our center and have specific questions about your medical care you should contact the staff directly at (919) 977-5060.

His Choice Vasectomy Raleigh
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