Vasectomy Reversal

Even though vasectomy is considered a “permanent” procedure, there are circumstances which may warrant having a vasectomy reversal. If you’ve had a vasectomy and now, you’ve come to the difficult decision that you’re going to need a vasectomy reversal procedure, you may have wondered, “Where can I find an expert doctor for vasectomy reversal near me?” At Advanced Urology of Atlanta, our team of urology experts is ready to help you find quality care close to home.

What is Vasectomy Reversal Procedure?

When you had your initial vasectomy surgery, the surgeon disconnected the tube (vas deferens) that allowed sperm to enter the semen. Now the surgeon must reconnect the ends of the vas deferens. Vasectomy reversal surgery is called vasovasostomy or vasoepididymostomy. When vasectomy reversal is successful, your semen will be populated with sperm, allowing you to impregnate your partner. Many factors go into why you may need a vasectomy reversal. Some factors included in the decision to choose vasectomy reversal may include:

  • A change of heart
  • Remarriage
  • Loss of a child
  • Testicular pain or complications from a vasectomy

What is Vasectomy Reversal Procedure?

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The Essential Facts about Vasectomy Reversal Surgery

While it’s medically possible to reverse a vasectomy, there are a few factors to consider when calculating the success rate of vasectomy reversal, which can vary from 40 to 90 percent effectiveness.

The chief factor is time — the longer you wait to reverse a vasectomy, the lower the chance of restored fertility. So if you’re considering a vasectomy reversal after seven years or ten years or even 20 years, talk to your surgeon about the likelihood of your restored fertility.

The procedure itself, while considered outpatient, is more complicated than the initial vasectomy procedure and will take longer as well— up to four hours.

Your doctor will talk with you about anesthetic options. You will either receive general anesthesia or an epidural, spinal or local anesthetic. Arrange for a ride home from our Atlanta center once you’ve recovered from the anesthesia.

How to Choose a Vasectomy Reversal Surgeon in Atlanta

When it comes to your care, finding the best care possible is a top priority. At Advanced Urology, we know how much value there is in knowing you’re being cared for by experts. Your peace of mind is important!

The top providers have the following in common:

  • Proven experience in vasectomy reversal
  • State-of-the art facilities
  • Advanced technologies
  • Patient-focused

Most insurance plans don’t cover vasectomy reversals, so the cost of a vasectomy reversal can vary greatly. The most successful vasectomy reversals have some common threads — foremost being the quality of the surgeon. When it comes to the options for vasectomy reversal procedures in Atlanta, expert surgeons have the advantage of experience. In fact, our men’s health clinic is equipped with some of Atlanta’s most advanced urological technologies, and our surgeons are adept at the most modern procedures available.


Vasectomy Reversal: What You Need to Know Before Surgery

Preparing for vasectomy reversal surgery can be stressful. Following these guidelines in addition to those your doctor requires will help you feel prepared before your procedure. Always follow your doctor’s instructions prior to surgery. Your doctor may ask you to do some or all of the following:

  • Cease blood-thinning pain relievers like aspirin, ibuprofen or naproxen sodium
  • Temporarily cease blood thinning prescription medication
  • Fast temporarily prior to surgery
  • Clean and/or shave the surgical site prior to your procedure

doctor meeting with patient

Vasectomy Reversal: What You Need to Know About Recovery After Surgery

Prepare for your post-surgical care by bringing tight-fitting briefs or athletic supporter to the surgical center. These will help protect your scrotum and support your bandaging after the procedure is complete.

Your doctor will give you recommendations for after-care procedures that could include:

  • Not getting the surgical site wet from swimming or bathing for a few days
  • Avoiding manual labor for a period of time until it’s safe to return to work
  • Avoiding strenuous exercise, sports or other activities until your doctor clears you to resume your regimen
  • Wearing an athletic supporter for several weeks

While complications are rare, they are possible. Some of the complications of vasectomy reversal include these rare side effects:

  • Internal bleeding in the scrotum which can lead to a painful hematoma
  • Infection at the surgical site
  • Chronic pain

You’ll need a follow-up visit with your doctor to evaluate the results of your vasectomy reversal. The doctor will need a semen sample to determine your sperm count and whether the procedure was a success.

Vasectomy Reversal: When Can I Return to Sexual Activity?

After your surgery in Atlanta, some pain or swelling is common during the first week of vasectomy reversal recovery. During the weeks following your recovery, doctors strongly advise abstaining from any sexual activity. Your doctor will advise you how long to abstain from sex and ejaculation. Normally, this period is between two and three weeks.

Vasectomy Reversal and Pregnancy: What You Need to Know

As previously mentioned, success rates may vary. Your ability to impregnate your partner relies both on your own recovered fertility and their state of health and fertility as well. Given that outcomes are uncertain in many cases, there are options you can pursue alongside vasectomy reversal to increase your chances of being able to conceive:

  • Cryopreservation of semen — The surgeon can harvest sperm and have it preserved by cryogenically freezing it. Cryopreservation is helpful if you’re considering in vitro fertilization.
  • In vitro fertilization (IVF) — In vitro fertilization can be an effective option for couples who’ve struggled to conceive. You can use cryogenically frozen sperm if your ejaculate doesn’t contain sperm. If you didn’t have sperm frozen, it’s possible for a specialist to retrieve sperm from the testicle or epididymis.

Advanced Urology is actively monitoring the current Coronavirus (COVID-19) outbreak. The health and well-being of our patients, staff and their families is of utmost importance to us. We will continue to follow CDC guidelines to help prevent exposure and spread of the virus. We are staying open to serve our patients in-person and offering Telehealth appointments for those that prefer to access care from home.