Vasectomy Reversal

Vasectomy Reversal in India - Step-by-Step Procedure Explained

A vasectomy reversal is a microsurgical procedure to restore the flow of sperm. This short explains the two main surgical techniques a urologist may use to reconnect the tubes that carry sperm from the testicles.

The two types of reversal surgery

The aim is to reconnect the vas deferens, the tubes that were cut during your vasectomy. The surgeon decides which method to use during the operation.

• Vasovasostomy (VV). This is the more common and straightforward method. The surgeon stitches the two severed ends of the vas deferens back together.
• Vasoepididymostomy (VE). This is a more complex procedure needed if a blockage has formed upstream of the vasectomy site. The surgeon connects the vas deferens directly to the epididymis, a tube at the back of the testicle.
• Surgical decision. The choice of procedure depends on the quality of the fluid found in the vas deferens during the operation. If sperm are present, a vasovasostomy is usually performed.

What to expect from the procedure

• Microsurgery. The operation is performed using a powerful surgical microscope. This allows the surgeon to use extremely fine stitches, which are thinner than a human hair.
• Anaesthesia. The procedure is usually performed under general or spinal anaesthesia, so you will not feel any pain during the surgery.
• Recovery. You can expect some soreness and swelling. You will be advised to rest, wear supportive underwear, and avoid heavy lifting or sexual activity for several weeks.
• Follow-up. Your surgeon will ask for a semen analysis a few months after surgery to check for the presence of sperm.

Whether a vasectomy reversal is suitable for you depends on your individual circumstances, including the time since your original procedure. A final decision can only be made by a specialist after a full review of your medical history and reports.