Thinking About A Vasectomy Reversal? Here’s What You Need To Know

While many men decide to undertake a vasectomy as a permanent method of contraception, there is always a chance that they will reconsider their decision.

A common misconception about vasectomy procedures is that they’re completely permanent. But in most cases, a vasectomy can actually be reversed, allowing men to conceive again.

If a vasectomy reversal is something you’re considering, here is everything you need to know.

What is a vasectomy?

A vasectomy is a form of birth control which prevents sperm from being released during ejaculation. During the procedure, the vas deferens are cut or blocked. The vas deferens is the duct that carries sperm from the testicles to the urethra. After a successful vasectomy, a man will have no sperm in his ejaculate, and therefore his ejaculate cannot cause pregnancy.

What is a vasectomy reversal?

Vasectomy reversal or vasovasostomy, is a procedure in which the vas deferens is reconnected in order to allow sperm to enter the ejaculate. The procedure aims to restore male fertility.

A vasectomy can usually be reversed up to ten years after the initial procedure, with a 95 percent retention of sperm production.

Even after 15 years, a reversal can still be successful, but sperm production is likely to decrease every year since your vasectomy.

How does the operation work?

Vasectomy reversal is performed under general anaesthetic, through two small incisions in the scrotum. The two ends of the vas deferens that are cut are identified, prepared for reattachment and are sewn together. Before reattachment, fluid is retrieved and examined for the presence of sperm, with the presence of a clear discharge being an early sign of success.

Considerations surrounding vasectomy reversal

There are a number of vital considerations you and your partner should be aware of before proceeding with vasectomy reversal surgery. These considerations include an evaluation for benign or malignant disease in the lower urinary tract as well as a general physical examination to ensure you are suitable for the surgery. It is also important to investigate your partner’s fertility. While success is not 100% guaranteed, there are three factors of predictive success:

• The interval since the vasectomy was performed (best results are achieved within ten years of vasectomy surgery)  
• Surgical technique (surgeons should be trained in microsurgical technique)
• The presence of sperm and the quality of the fluid from the testicular end of the vas deferens seen during surgery.

Book an appointment with Urology Specialist today

If you are considering a vasectomy or vasectomy reversal, a trusted urologist is the best possible contact to have. It is important to talk to a trusted professional when it comes to your health. If you have any questions or would like to book an appointment, please feel free to contact or call Dr Arianayagam’s office on 1300 307 990 and his staff will be able to assist.

Interested in learning more about urological health? Check out some of our other blog posts: 

8 common causes of erectile dysfunction

Sperm disorders: What you need to know

Vasectomy: What you need to know