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Reversing Vasectomy

Dr.-Charles-W.-Monteith-Medical-DirectorVasectomy, like female tubal ligation, is intended to be a permanent form of birth control. Although intended to be permanent both male and female sterilization can be reversed.

Most men who have had a vasectomy will never consider having the procedure reversed; however, some will experience vasectomy regret and consider a reversal. The most common reasons for reversing a vasectomy are divorce and remarriage, desiring more children, or the death of a child.

Other reasons men have reversal are to undue a previous decision which was made at a difficult time in their life, religious convictions, and for treatment of Post Vasectomy Pain Syndrome.

Success of vasectomy reversal

The single largest predictor of vasectomy reversal success is the length of time which has elapsed since the vasectomy was performed. The success of vasectomy reversal in restoring sperm to the ejaculate can be as high as 97%.

The time which has elapsed after the vasectomy if the most important factor on the success of the reversal procedure.

Sperm are continually produced in the epididymis after a vasectomy and travel up the vas deferens. After a vasectomy, the sperm will be trapped in the lower portion of the vas deferens with no egress. These sperm will slowly be recycled and reabsorbed by the man's body but this process will increase the pressure in the lower end of the vas deferens and the epididymis. This backpressure can cause gradual changes in the epididymis which can either cause additional blockages or can gradually cause the epididymis to become dysfunctional.

After vasectomy and with the passage of time these changes can become more pronounced and can decrease the success of vasectomy reversal.

Reversal less than 3 years of vasectomy, reversal success is 97%

Reversal within 3 to 8 years of vasectomy, reversal success rate is 91%

Reversal within 9 to 14 years of vasectomy, reversal success rate is 82%

Reversal 14 years or more after vasectomy, reversal success rate is 69%

The average success of restoring sperm to the ejaculate of all vasectomy reversal procedures is approximately 85%.

How is vasectomy reversed?

Vasectomy is often reversed as an outpatient procedure using an approach similar to the initial vasectomy procedure.

One or two openings are made in the scrotal skin. The divided ends of each vas deferens are found and surgically exposed. The intervening scar tissue is removed and the closed ends are opened. The opened ends are then rejoined under magnification and using microsurgical techniques and fine, permanent suture.

Vasectomy reversal is often a delicate procedure. Since the inside of each vas deferens is small in caliber a vasectomy reversal requires more time than does a vasectomy. In general the average vasectomy reversal will last between two (2) to three (3) hours.

Most men can return to light duty work within several days and can resume normal sexual activity by the third week after the vasectomy reversal procedure.

Important facts about vasectomy reversal
Most men will have a successful vasectomy reversal. The time since vasectomy is the most important predictor of the success of the reversal procedure. Most vasectomy reversal patients who are intentionally trying to father a child will do so within the first twelve (12) to eighteen (18) months after having their vasectomy reversed.

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.

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