What is the procedure to reverse a ProVas?

Will you have to cut the vas deferens? Isn't it still risky to reattach if you cut them like a normal vasectomy?

Answers from doctors (2)


Robert D. Oates, MD, FACS

Published on Jul 16, 2019

Pretty much the same as a standard vasectomy reversal.

Hope this helps,

Robert Oates, M.D.
www.robertoatesmd.com

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Answered by Robert D. Oates, MD, FACS

Pretty much the same as a standard vasectomy reversal.

Hope this helps,

Robert Oates, M.D.
www.robertoatesmd.com

Published on Jul 11, 2012


More About Doctor John C. McHugh, MD

Published on Jun 23, 2017

I had to look up the ProVas procedure on YouTube and animations are easy to find and are informative. The ProVas procedure is similar to using clips but it doesn't require removing a section of the vas deferens. So the thinking goes that there will be less scarring and thus making the potential of a vasectomy reversal easier. So yes if a ProVas procedure has been done the clamping device is removed by cutting the vas deferens. The surgeon excises each end of the vas deferens to unscarred tissue and the reversal is done in a normal fashion. So it is felt that the reversal would take less time because you don't have as much scarring, a shorter segment of the vas is removed and the ProVas clip is easier to find. In addressing your specific question yes the vas will need to be cut but it is not risky as all reversal techniques require cutting the vas and cleaning it up to begin the repair with the microscope.

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

I had to look up the ProVas procedure on YouTube and animations are easy to find and are informative. The ProVas procedure is similar to using clips but it doesn't require removing a section of the vas deferens. So the thinking goes that there will be less scarring and thus making the potential of a vasectomy reversal easier. So yes if a ProVas procedure has been done the clamping device is removed by cutting the vas deferens. The surgeon excises each end of the vas deferens to unscarred tissue and the reversal is done in a normal fashion. So it is felt that the reversal would take less time because you don't have as much scarring, a shorter segment of the vas is removed and the ProVas clip is easier to find. In addressing your specific question yes the vas will need to be cut but it is not risky as all reversal techniques require cutting the vas and cleaning it up to begin the repair with the microscope.

Published on Jul 11, 2012


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