I'm 57 and dating a girl that wants a baby. I had my vasectomy 17 years ago. do you know of a doctor that can do this?
Thank you for your message and your inquiry regarding vasectomy reversal surgery.
I will include more information about vasectomy reversal below. Attached is a recent article, featured in a medical magazine, about Dr. Monteith and the facility.
Dr. Monteith specializes in microsurgical sterilization reversal and he is the Medical Director of A Personal Choice. He is board certified in Obstetrics and Gynecology, received additional training in microsurgery techniques at the Cleveland Clinic, and has exclusively performed sterilization reversal since 2008. A significant amount of Dr. Monteith’s time is devoted to female sterilization reversal. He has performed many successful female sterilization reversals and was the first doctor in the world to describe and publish case reports on successful reversal of both Essure and Adiana female sterilization procedures.
Dr. Monteith’s interest in male reproductive health began in 2006 when he sought additional training in no-scalpel vasectomy. After many request from his patients to offer vasectomy reversal, Dr. Monteith sought additional training in microsurgical vasectomy reversal in 2011. Dr. Monteith now offers both Gentle Touch Vasectomy (no-needle no scalpel vasectomy) and microsurgical vasectomy reversal for the benefit of his male patients.
Dr. Monteith is board certified in Obstetrics and Gynecology. Obstetricians and Gynecologists are physicians who, by virtue of satisfactory completion of an accredited program of graduate medical education, possess special knowledge, skills and professional capability in the medical and surgical care of women related to pregnancy and disorders of the female reproductive system. Dr. Monteith is not a board certified urologist.
Dr. Monteith completed a formal one week microsurgical training course at the Cleveland Clinic. He has been performing female sterilization reversal since 2008. Dr. Monteith sought additional training in vasectomy and vasectomy reversal through one-on-one professional mentorships. Dr. Monteith has performed minimally invasive vasectomy since 2007 and began offering minimally invasive vasectomy reversal in 2014.
Dr. Monteith performs minimally invasive vasectomy reversal in his in-office operating room under general anesthesia. He performs vasovasostomy (end to end connections) vasectomy reversal but does not perform vasoepididymostomy (vas deferens to epididymis) by-pass procedures. The majority of reversals can be successfully performed as vasovasostomy procedures.
It is difficult to predict preoperatively who will require a vasoepididymostomy procedure. Men who have had vasectomy greater than 10 years are more at risk for requiring vasoepididymostomy and should consider having reversal with a Urologist who is fellowship trained in performing vasoepididymostomy procedures.
Dr. Monteith offers office consultations for patients who are considering vasectomy reversal at A Personal Choice.
Vasectomy Reversal: Getting started
The success of vasectomy reversal depends primarily on the amount of time since the vasectomy.
Sperm recovery rates after vasectomy reversal are 97% when the reversal is less than 3 years after the vasectomy, 91% when the reversal is 3 to 8 years after the vasectomy, 82% when the reversal is 9 to 14 years after the vasectomy, and 69% when the reversal is greater than 14 years after the vasectomy. The age of the male patient is not a factor in the success of vasectomy reversal but time since the vasectomy can be a determinate in the success of the procedure.
The pregnancy rate after vasectomy reversal is often lower than the sperm recovery rates because many other factors can impact the ability to become pregnant: age of the female partner, quality and frequency of ovulation (egg release), fallopian tube patency (are the tubes open or blocked), and the overall medical health of either partner.
Please be aware we do have a Body Mass Index (BMI) limit of 45 for vasectomy reversal. The BMI is a height and weight calculation which determines the amount of your body fat. The BMI limit of 45 exists for the health and safety of our vasectomy reversal patients during outpatient surgery.
You can calculate your BMI by following this link: Body Mass Index Calculator
We are located in Raleigh, North Carolina. The majority of our patients come for reversal from out-of-state. The required length of stay is two nights and three days.
Patients have their consultation on the evening of the day of arrival and surgery is performed in our center the next day. The procedure is performed under general anesthesia by a skilled anesthesia provider. The surgery takes approximately 1.5 to 3 hours to perform. The procedure is performed in our operating room, which is dedicated to sterilization reversal. No overnight hospital stay is required.
Dr. Monteith performs mini-incision vasectomy reversal. A single, small incision (1" - 2") is made in the middle of the scrotum. The repair of your tubes is performed using microsurgical techniques, under magnification and using microsurgical 9-0 sutures to rejoin each vas deferens. Although the procedure is performed under general anesthesia, Dr. Monteith will use local anesthesia to further ensure your comfort after surgery.
The recovery room period is approximately one hour. After your surgery and recovery, you will return to your hotel room. The next day, you will return to our office for a post-operative appointment and a post-operative consultation with Dr. Monteith. At that point, you are able to return home. Although everyone recovers at a different rate, patients can generally return to light duty work within three to five days. You can return to heavy work duty and sexual activity two weeks after your vasectomy reversal.
Patients are required to bring a responsible adult with them to the pre-operative consultation and to the surgery appointment. Patients are also required to stay in one of two specially selected hotels which offer discounted rates to our patients and chauffeured private car transportation to our center.
The first step in the scheduling process will be to pay a non-refundable scheduling fee of $125. This fee will allow a member of our nursing staff to schedule your surgery and answer and medical or travel related questions.
The steps to schedule surgery can be seen here: Scheduling Vasectomy Reversal Surgery
Please do not send any money until you have confirmed your BMI is less than 45 and you have talked to someone in our office who can introduce you to the scheduling process.
The fee for vasectomy reversal is $6,400; this fee is all-inclusive and covers the pre-operative consultation, doctor's surgery fee, the anesthesiology fee, supplies, operating room charges, post-operative consultation and follow-up by phone and e-mail.
Your payment can be made by cashier's check, money order, bank wire transfer, or credit card (Visa, MasterCard or Discover), and financing through United Medical Credit. There is a 3% processing fee for credit cards which will be added to the amount owed for surgery. This fee applies to each credit card used if paying with more than one card. Most patients will find it more convenient to pay by bank wire transfer. We do not accept health insurance as payment for reversal procedures.
We accept financing from United Medical Credit only. If financing any portion of the surgery fee, a $500 non-refundable administration fee is due within 24 hours of scheduling surgery. You will be responsible for obtaining financial approval. The link below can guide you to our website where you can more information on how to apply.
For more information: Financing Vasectomy Reversal Surgery
Prepayment account and discounted surgery
For patients interested in long-term payment arrangements and discounted surgeries, we offer a pre-payment account. With the prepayment account, patients can prepay the surgical fee without interest prior to the surgery date. As a special advantage, our prepayment account holders will receive exclusive notification of discounted surgeries when these surgeries are available.
To start a prepayment account, you will be required to pay the $125 schedule fee and complete a health interview to determine if you are an appropriate candidate to begin saving towards vasectomy reversal. After completing the health interview, you will be required to start your prepayment account with a minimum initial payment of $500, which is a non-refundable processing fee. This fee will go towards your surgery fee.
The prepayment account must be paid in full within 3 years of starting the account. Should you choose to close your account before having surgery, our office will retain the $500 processing fee. Prepayment account holders will be notified monthly by email when discounted surgeries are available.
For more information: Reversal Prepayment Accounts and Discounted Surgery Fees
If you need additional information or have other questions, please do not hesitate to contact us at
We look forward to hearing from you.
Published on Jul 11, 2012
There are qualified reversal doctors in most states. Most all have websites and advertise on google. This is a good starting point. Try to achieve experience with the convenience of getting there. In doing your homework you want someone who does them often not just once or so a year. The success rate depends many times on the years since vasectomy. Here is a table on success rates in a study of over 1400 patients broken down based on the years since vasectomy: https://gavasectomyreversal.com/reversal-success-rates/
Published on Jul 11, 2012
There are many of us who have a particular expertise in performing vasectomy reversal. This is usually because we have had specific training in it (a fellowship) and perform vasectomy reversal as a major part of our practice. Do NOT shop around to find the least expensive place - even though that is certainly important, you may not at all get the best surgeon with that approach. Happy to help, Dr Oates
Published on Jul 11, 2012