Vasectomy Reversal

Vasectomy Reversal in India - Who Is a Good Candidate?

This short explains the main factors a surgeon considers when assessing if you are a suitable candidate for a vasectomy reversal procedure.

Key factors for consideration

Several factors are reviewed to assess your suitability for a vasectomy reversal.

• Time since vasectomy. The interval between your vasectomy and the reversal is a significant factor. Shorter intervals are generally associated with higher success rates.
• Your partner's fertility. Your partner's age and reproductive health are also important considerations if your goal is to conceive a child.
• Your general health. Your overall health and any pre-existing medical conditions are assessed to ensure you are fit for surgery and anaesthesia.
• Previous surgery. Any prior surgery in the groin area, such as hernia repair, may be relevant to the surgical plan.

About the surgical procedure

Vasectomy reversal is a microsurgical procedure to reconnect the tubes that carry sperm from the testicle.

• Two main techniques. The surgeon may perform a vasovasostomy (VV) or a vasoepididymostomy (VE). The choice is made during the operation based on findings.
• Operating microscope. The procedure is performed using a powerful microscope to precisely suture the very fine tubes back together.
• Anaesthesia. The surgery is usually performed under general or spinal anaesthesia and can take two to four hours.

After the surgery

• Recovery period. You will need to avoid strenuous activity and heavy lifting for several weeks. Your surgeon will provide specific instructions.
• Semen analysis. A semen analysis is usually performed two to three months after the procedure to check for the presence of sperm.
• Defining success. Success can be measured by the return of sperm to the ejaculate (patency) or by achieving pregnancy. These rates can differ.

Whether vasectomy reversal is the right option for you depends on your individual case. A specialist urologist must review your personal medical history and reports to make a recommendation.