Husband had reverse vasectomy and after a year the doctor says he isn’t producing sperm.Could the swelling after the surgery have caused this issue?

At the time of the surgery the doctor did a sperm check and told me he had a low sperm count so he prescribed medicine. But a week after the surgery his testicles swelled up very large. He was given medicine but now a year later he did a sperm check and they said he isn’t producing any sperm. Could the swelling after the surgery have caused this issue?

Answers from doctors (2)


More About Doctor Robert D. Oates, MD, FACS

Published on May 22, 2018

It is unlikely that he is "not producing sperm" which would imply a problem with the testicles themselves in their ability to make sperm. Vasectomy reversal failure it almost always a "plumbing" issue. That is, the reversal simply did not work, sorry to say. Your options at this point are to redo the reversal or aspirate sperm and use it with in-vitro fertilization. A physical examination of the testes would be important just to make sure nothing else occurred but, again, most likely it simply did not work. Hopefully, he is not on a testosterone product as they shut down sperm production.

Answered by Robert D. Oates, MD, FACS (View Profile)

It is unlikely that he is "not producing sperm" which would imply a problem with the testicles themselves in their ability to make sperm. Vasectomy reversal failure it almost always a "plumbing" issue. That is, the reversal simply did not work, sorry to say. Your options at this point are to redo the reversal or aspirate sperm and use it with in-vitro fertilization. A physical examination of the testes would be important just to make sure nothing else occurred but, again, most likely it simply did not work. Hopefully, he is not on a testosterone product as they shut down sperm production.

Published on Jul 11, 2012


More About Doctor John C. McHugh, MD

Published on May 22, 2018

It takes three to four months for the testicles to produce sperm after a reversal. This may very well be the issue, however it also may be related to scarring of the reversal itself. Time and repeating the semen analysis will tell in time. Although you normally would see sperm in four to six months, I have had patients where it took longer. It is a frustrating time for both the doctor and couple. I wish you luck.

Answered by John C. McHugh, MD (View Profile)

It takes three to four months for the testicles to produce sperm after a reversal. This may very well be the issue, however it also may be related to scarring of the reversal itself. Time and repeating the semen analysis will tell in time. Although you normally would see sperm in four to six months, I have had patients where it took longer. It is a frustrating time for both the doctor and couple. I wish you luck.

Published on Jul 11, 2012


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