Vasectomy Reversal

Vasectomy Reversal in India - Procedure, Success Factors and Recovery

A vasectomy reversal is a procedure to restore the flow of sperm after a vasectomy. This short explains the key facts about the surgery and what it involves.

What the surgery involves

The operation is a form of microsurgery performed to reconnect the tubes that carry sperm from the testicles.

• The procedure. The surgeon reconnects the severed ends of the vas deferens, the tubes that were cut during your vasectomy.
• Two techniques. The surgeon may perform a vasovasostomy (connecting vas deferens to vas deferens) or a vasoepididymostomy (connecting the vas deferens to the epididymis). The choice depends on findings during the operation.
• Anaesthesia. The surgery is usually performed under general or spinal anaesthesia.
• Hospital stay. It is often done as a day-case procedure, but an overnight stay in hospital may be advised.

Factors that can affect success

The main goal is the return of sperm to the semen, but several factors can influence the chances of a successful pregnancy.

• Time since vasectomy. Success rates are generally higher the shorter the time is between the vasectomy and the reversal.
• Surgeon's skill. The procedure requires specialist microsurgical training and experience.
• Your partner's fertility. Your partner's age and their own fertility status are also important factors.
• Previous surgery. Scar tissue from any prior surgery in the area, such as hernia repair, can sometimes make the procedure more complex.

Recovery and follow-up

• Initial recovery. You can expect some soreness, bruising and swelling. You will be advised to rest, use ice packs and wear supportive underwear.
• Return to activity. You should avoid strenuous activity, heavy lifting and sexual intercourse for a few weeks, as advised by your surgeon.
• Checking for sperm. A semen analysis is usually performed two to three months after surgery to check for the presence of sperm.
• Time to pregnancy. If the operation is successful, it may still take several months to over a year for a pregnancy to occur.

The suitability of a vasectomy reversal depends on your individual circumstances and goals. A final decision can only be made after a specialist urologist has reviewed your medical history and discussed the options with you.