Microsurgical Vasectomy Reversal

A vasectomy is a surgical procedure that offers a permanent solution to birth control. It works by removing all or part of the vas deferens, the tubes that deliver sperm into a mans ejaculation, thus making the man infertile. In the U.S. alone, over 500,000 men opt to have a vasectomy each year. Of these men, its estimated that up to ten percent, for various reasons, will want eventually the procedure to be reversed. For them, the best option is microsurgical vasectomy reversal.

What is it and How is it Performed?

A vasectomy reversal, or Vasovasostomy, acts to reconnect the two ends of the vas deferens that were severed in the initial procedure. A vasectomy reversal takes much longer than a vasectomy and is much more expensive. The reason for this is that the ends of the vas deferens are the size of a pinhead. They are stitched back together using thread that invisible to the naked eye, around 1/1000 of an inch in diameter. The use of a microscope or other magnification device greatly enhances the ability to effectively complete the procedure.

This is why microsurgical vasectomy reversal is so successful. During this procedure, a doctor or micro surgeon uses a microscope to enhance the view up to sixteen times. With such a good view of the surgical area, the surgeon is able to reconnect the two pieces of the vas deferens more precisely and robustly, to allow the man to once more become fertile.

Single and Multi-Layer Surgery

Two different microsurgical techniques are offered for vasovasostomy. These are Single Layer Approximation and Multi-layer Approximation.

In single layer method, the inner and outer layers of the vas deferens are joined using the same suture; six to eight sutures are typically used.

In the multi-layer method, inner and outer layers of the vas deferens are each connected separately. Microsurgery has made it possible to connect the vas deferens with greater accuracy. The inner layer of the vas deferens can be precisely connected with sutures to a small opening in single epididymal tubules. The outer layer of both the epididymis and the vas deferens are then connected to reach the final outcome.

Microsurgical vasectomy reversal is a shorter, and often more effective, procedure than other reversal procedures. With microsurgical vasectomy reversal, the procedure generally takes a shorter time and is performed in an outpatient capacity. The patient is usually back to work in a week or two.

Success Rates

Microsurgical vasectomy reversal has been proven to increase the chances for the procedures success, which is why microsurgical vasectomy reversal is so popular. The success rate for the procedure is almost 97 percent. Before microsurgical vasectomy reversal surgeons didnt use magnification tools, and the success rate, as you can imagine, wasnt very high due to the difficulty of the surgeon being able to see what he was doing. Now, the use of a microscope makes microsurgical vasectomy reversal a very effective procedure for reversing the vasectomy process.

A man who has had a vasectomy and wants to reverse the process should seriously consider microsurgical vasectomy reversal. While very intricate, its success rate speaks for itself. It should be considered for any man wanting once more to birth children. Vasectomies werent meant to be reversed, but microsurgical vasectomy reversal will do the job right.