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Vasectomy Reversal Success

Did you know that the number of years from vasectomy to vasectomy reversal is not, or should not be, an issue? Our microsurgeons have had success performing vasectomy reversals on patients whose vasectomies were performed 30+ years ago and even longer.

How Success And Results Are Really Determined

Here’s a bit of important background that will help you understand how we arrive at a true success rate.

Since the time of the vasectomy, you presumably have been making sperm (assuming there has been no use of testosterone, steroids, radiation, or chemotherapy), which then hit a wall where the vasectomy was done.

Several different things can then happen to the sperm. They can die and get reabsorbed by the body. They can leak out the end of the vas deferens and form a small cyst or spermatocele. Or, they can back up into the epididymis and cause a blockage there. It is important to ascertain that a blockage has not formed in the epididymis, and this is more common the farther out you are from your vasectomy. By examining the fluid from the testicle side of the vas deferens, the microsurgeon can determine if a secondary blockage is likely.

There are two microsurgery procedures that can be performed when doing a vasectomy reversal – the vasovasostomy and the epididymovasostomy – and the success rates for each procedure differs.

Three Factors That Determine Outcomes

  1. If the fluid from the vas is clear and free-flowing and sperm are present in this fluid, the microsurgeon will perform a vasovasostomy. The success rate for this procedure is up to 95 percent.
  2. If the fluid is similar in quality, clear and free-flowing, but no sperm are present, the microsurgeon will still perform a vasovasostomy, but the success decreases.
  3. If the fluid is poor quality, meaning there is no fluid or it is thick and pasty, a blockage in the epididymis has occurred and the microsurgeon will perform an epididymovasostomy, with an average success rate of about 50 percent.

The vasectomy reversal specialists at Chesapeake Urology have success rates of over 90 percent*, which reflects that most patients are able to have vasovasostomies; it is also important to choose a microsurgeon who can perform an epididymovasostomy in the event this is necessary.

*Individual results may vary.

Vasectomy Reversal After Vasectomy…Decades Later

Does it matter how long it has been since a man has had a vasectomy? The answer is, No.

Whether it is five years or 40 years since your vasectomy was performed, what truly matters is the skill and training of the surgeon who performs the vasectomy reversal. Chesapeake Urology’s vasectomy reversal specialists have routinely had success reversing vasectomies for men who had theirs more than 15 to 20 years ago, and even longer*.

All About “Re-Dos”

Occasionally, we see patients who have had a failed vasectomy reversal performed by a not-so-experienced doctor who come to us in need of a “re-do.”  Fortunately for these patients, we often see very good outcomes with re-dos because of our expertise in microsurgical techniques, the use of a high-powered microscope, and our dedicated vasectomy reversal operating teams.

Stats Don’t Lie

The fact is, general urologists not utilizing the microsurgical technique for vasectomy reversals have success rates that are much lower – only about 30 to 40%. Success rates for vasectomy reversals performed by a skilled microsurgeon like our team are typically over 90%*. These stats don’t lie. The skill, experience, and training of a physician truly make the difference.

*Individual results may vary.

Schedule a vasectomy reversal consultation- call 855-428-3222.

“I’m very excited to be a dad again. This is something wonderful for both my wife and me.”

“Now that we have this baby, I cannot imagine life without him.”


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