Here's what to expect.

The typical vasectomy reversal procedure is called a "Vasovasostomy." It is performed with a microsurgical technique to reconnect the previously cut ends of the vas deferens, in order to open the vas channel to restore fertility.

Occasionally, the original vasectomy may cause an increase in pressure at the epididymis, a special tube upstream from the blocked end of the vas deferens, resulting in a "blow-out" or blockage. This should be bypassed. The surgeon does this by reconnecting the vas end to the epididymis even further upstream from the blockage. This more complicated reversal procedure is known as a "Vasoepididymostomy."

Although your experience may vary somewhat, the following describes what you might expect...

• General Expectations of Vasectomy Reversal Procedure
• Before the Reversal Procedure
• During the Reversal Procedure
• After the Reversal Procedure

• The vasectomy reversal procedure is generally painless and safe
• A general or epidural (spinal) anesthesia is usually used, and the procedure can be performed in an outpatient surgical center with the patient returning home the same day.
• Vasectomy reversal microsurgery is a delicate procedure that attempts to reconnect the cut ends of the vas and reestablish an open channel, thus restoring fertility in the man.
• It is not uncommon; approximately 5 percent of the half million men who opt for vasectomy each year later elect to have the vasectomy reversed.
• Success rates are typically higher for men whose vasectomy occurred more recently, and they tend to decline as the time interval since vasectomy lengthens. The most significant decline seems to occur at an interval of 15 years or more. Nonetheless successful reversals can still occur more than 30 years following a vasectomy.

• It is not guaranteed, but some success factors can be evaluated in advance by physical examination and history.
• It usually is not painful, as a general or spinal anesthetic is used.
• It is not as costly, not less natural, or statistically less effective in generating pregnancy than sperm aspiration and other assisted reproductive techniques
• It does not immediately restore fertility, which is also dependent on the quality of the man's sperm production. Some men may unknowingly suffer from poor fertility which developed after their last child was conceived.

• It does not affect or enhance masculinity or sexual prowess, since vasectomy is not believed to diminish either.
• It does not guarantee pregnancy, which depends on many other factors for success.
• A vasectomy reversal procedure does not have to be your last resort. Since no procedure can guarantee 100 percent success, some men choose to have their sperm harvested and banked at the time of the reversal. (This process has limitations which should be evaluated in advance.)

1. Prepare questions that you may have for your doctor. You will be asked to sign a consent form stating that you understand the risks involved with vasectomy reversal microsurgery and that restored fertility cannot be guaranteed. Therefore, arrive a few minutes in advance of your appointment.
2. Do not eat or drink anything for eight (8) hours before surgery.
3. Do not take aspirin or other anti-inflammatory medication (e.g. Nuprin ®, Advil ®, Motrin ®) for 10 days before your day of surgery. Such medication can increase the risk of bleeding.
4. Your doctor may ask you to shave the front portion of your scrotum on the morning of your surgery. Shower thoroughly and wear, or bring, clean and snug underwear or an athletic supporter on the day of your surgery, as well as loose-fitting outer clothing.
5. Arrange in advance for someone to drive you home following the procedure. It is never a good idea to try to drive after a general or spinal anesthetic. You may be groggy and require the assistance of someone to help you briefly, once you get home.
6. Unlike your original vasectomy, vasectomy reversal microsurgery is a major procedure that can take several hours

1. You will be asked to change into a gown. You may be given a light sedative prior to general or epidural anesthesia.
2. The surgical site will be complete shaved and washed.
3. Sterile drapes will be placed over you to guard against infection.
4. Once you are under anesthesia and 'asleep', the surgeon will perform either the vasovasostomy procedure or the vasoepididymostomy procedure. In the vasovasostomy procedure, the cut ends of the vas deferens are located under the front skin of the scrotum where an incision is made.
5. Beginning on one side, the cut vas is lifted out of the scrotum and fluid is expressed from the vas 'tube.' The fluid is examined for sperm under a microscope. The presence of sperm, even degraded sperm, in the fluid within the vas typically indicates that the vasovasostomy procedure for reversal is appropriate. Then the cut ends of the vas are microscopically stitched together, in either a single-layer or multi-layer technique, and returned to the scrotum. The other side is done similarly and then the scrotum is closed with sutures.
6. However, if a thick pasty fluid is detected from either cut vas during the vasectomy reversal procedure, this is frequently a sign of a secondary epididymal blockage and the surgeon may instead reconnect the cut vas end directly to the epididymis in a vasoepididymostomy reversal procedure. Surgery is then completed routinely. In cases where no sperm are seen, but the fluid is clear and copious, this is typically a sign that a secondary epididymal blockage has not occurred, and a vasovasostomy can usually performed.
7. You will be taken to a recovery area where you can rest until you are completely awake and ready to move. You will be wearing snug underwear or an athletic supporter, and will be most comfortable if you dress in loose pants or sweats. You will not be permitted to leave the surgical facility until the doctor determines that you are safe to travel.

1. Remain at bed rest for at least the first 24 hours following surgery.
2. Keep all activities to a minimum for at least four to five days, and avoid heavy lifting or physical exertion completely for three to four weeks.
3. Do not attempt ejaculation for 3 to 4 weeks.
4. Use an ice pack on the scrotal area for one to two days immediately after surgery. You may usually take a shower in a couple of days.
5. Schedule a doctor's appointment for a post operative exam to ensure you are healing satisfactorily. Subsequent visits may be required as determined by your doctor.
6. Semen specimens may be evaluated every few months to measure sperm count, motility, and quality. More advanced sperm tests such as anti-sperm antibody testing may be recommended by your doctor in select cases.
7. Call your physician immediately if you develop fever, swelling and/or increased pain at the surgical site.

1. A vasectomy reversal microsurgery (vasovasostomy) is a delicate surgery for the purpose of restoring natural male fertility.
2. You should carefully review this procedure with your surgeon what to expect when preparing for your vasectomy reversal procedure, as it may vary somewhat from this description.
3. If it is not possible to reconnect the ends of the vas deferens, the surgeon may bypass a blocked area and reconnect the vas to the epididymis (vasoepididymostomy).
4. Prepare any questions to review with your doctor in order to make an informed decision.
5. Unlike a vasectomy, this procedure is usually performed under a general or epidural anesthesia, requires several hours and is done in an outpatient surgical facility.
6. Carefully review and follow the post-operative care instructions regarding the vasectomy reversal