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Key points
Key points- Vasovasostomy, or vasectomy reversal, is the surgery that aims to reconnect the vas deferens to try to restore fertility.
- The goal is for the ducts to become open again so that one or more pregnancies can be attempted naturally.
- Like any surgery, it has possible complications, such as bleeding, damage to nearby organs, and reactions to anesthesia.
- A pregnancy may not be achieved after reversal; maternal age, the time since the vasectomy, and lifestyle, among other factors, play a role.
- Other assisted reproduction options exist, such as artificial insemination, TESE, in vitro fertilization, and ICSI.
What is a vasectomy reversal?
A vasectomy reversal is the surgery to reconnect the vas deferens and try to restore fertility in men. It is also known as vasovasostomy or vasovasoanastomosis.
Reasons for reversing a vasectomy
New partner
The desire to have one or more children with a new partner after a divorce.
Loss of a child
The loss of a child can lead to this decision.
Improved finances
An improvement in family income.
Change of mind
A change of mind about not having more children with a current partner.
Benefits and goal of reversing a vasectomy
The goal of a vasovasostomy is for the vas deferens to become open again, in order to try to achieve one or more pregnancies.
By reconnecting the vas deferens, a pregnancy can be attempted physiologically, through intercourse.
Risks and complications
The possible complications of a vasovasostomy are the same as those that can occur with any surgical procedure.
Surgical complications
Bleeding, damage to nearby organs, and reactions to anesthesia. These tend to occur infrequently, and many can be addressed during the same surgery.
A pregnancy may not be achieved
Another risk is that a pregnancy may not be achieved after the reversal.
Factors that can affect that possibility
Maternal age, the time between the vasectomy and the reversal, and lifestyle, among others.
Alternatives to vasectomy reversal
There are other assisted reproduction options for achieving a pregnancy. The choice is made with your specialist, according to each case:
- Artificial insemination
- TESE (testicular sperm extraction)
- In vitro fertilization (IVF)
- ICSI (intracytoplasmic sperm injection)
How is a vasectomy reversal performed?
First
Bringing out the ducts
Through incisions in the scrotum, the vas deferens are brought out.
Next
Removing the scar
The segment with the vasectomy scar is removed.
Finally
Joining the ends
The two ends are joined to restore the passage of sperm.
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