Vasectomy: An Irreversible Decision?

vasectomy reversal Yes, it is true. There really is a procedure that can reverse a vasectomy (called a vasovasostomy). And every year, many men, for a variety of reasons, make the decision to undergo this procedure. But, before we get into the details of a vasectomy reversal, let’s talk about what a vasectomy entails.

Why Would a Man Want a Vasectomy Reversed?

Men may choose to undergo vasectomy for lots of reasons. Maybe they have completed their ideal family; maybe they have never wished to have children; maybe their family has a known genetic problem that they want to avoid passing on to offspring.A man may want to reverse a vasectomy for different reasons as well. Some reasons may be a new relationship (particularly after divorce or the death of a partner), the death of a child, or a change in a family’s financial situation that makes it possible to afford another child.Very rarely, a man who has undergone a vasectomy experiences chronic pain in his testicles. Although this is a very uncommon complication of vasectomy, some of these men have experienced pain relief after a vasectomy reversal.

How Is a Vasectomy Reversal Done?

A vasectomy reversal is major surgery, requiring either general anesthesia or sedation and local anesthesia. The surgical technique used for a vasectomy reversal may require opening the scrotum to visualize the internal structures, or operating through tiny keyhole-like openings. Very high-powered operating microscopes magnify the tiny structures.Basically, a vasectomy reversal attempts to reattach the severed ends of the vas deferens. This is very tricky microscopic surgery as the opening of the vas deferens is approximately the size of a pinhead. Furthermore, once the vas deferens has been cut, burnt, or clipped, it may develop scar tissue, which could block the sperm from moving through it. So even if the ends of the vas deferens are reattached, sperm may still be prevented from exiting the epididymis due to scar tissue. In this case, the urologist may need to perform a more complicated procedure, called a vasoepididymostomy, in which the upper end of the vas deferens is attached to the epididymis itself, in an attempt to bypass the area of obstruction within the vas deferens.

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