Should a doctor see sperm during a vasectomy reversal?

My husband had a second vasectomy reversal. The doctor did not see any sperm and said a granuloma had formed and the first connections failed. This worries me. It’s been four months and he hasn't gotten his ejaculate tested yet.

Answers from doctors (1)


More About Doctor John C. McHugh, MD

Published on Feb 25, 2018

The surgeon finding a granuloma is actually a good thing. This serves as a "pop off valve" of sorts and protects the testicle from the pressure gradient as a result of the vasectomy. It would have been better to have seen sperm but studies have shown that seeing sperm parts can result in pregnancy. It takes about four to six months for the testicles to begin to produce sperm again after a reversal. So...not time to worry yet. In a month or so have your husband have a specimen checked. Keep in mind it sometimes takes longer than the usual four to six months for sperm to appear.

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

The surgeon finding a granuloma is actually a good thing. This serves as a "pop off valve" of sorts and protects the testicle from the pressure gradient as a result of the vasectomy. It would have been better to have seen sperm but studies have shown that seeing sperm parts can result in pregnancy. It takes about four to six months for the testicles to begin to produce sperm again after a reversal. So...not time to worry yet. In a month or so have your husband have a specimen checked. Keep in mind it sometimes takes longer than the usual four to six months for sperm to appear.

Published on Jul 11, 2012


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