Reversible vasectomy

A loyalty program is available for surgical interventions in the hospital, which makes treatment even more affordable.

Reversal, or reverse vasectomy - is an operation aimed at restoring fertility. It is performed on men who have previously chosen transection of the vas deferens as a method of contraception. During the reverse operation, the surgeon restores their integrity and normal patency, thanks to which spermatozoa begin to enter the seminal fluid again.

Reversal vasectomy is a much more complicated operation than vasectomy. It is performed using microsurgical instruments and requires the highest level of skill from the surgeon. During the surgical intervention, he must check for sperm in the seminal ducts, assess the condition of the tissues and choose the optimal method of restoring fertility.

Under favorable factors, the effectiveness of reversal vasectomy is about 90%. It depends on the length of time the sterilization was performed, the health of the man, his age and the level of fertility before the operation. The probability of success is higher the shorter the time that has passed since the vasectomy.

The chance of conceiving a child of your own remains even if the reversal vasectomy is ineffective. Reproductive technologies allow for the surgical collection of sperm from the testicles or their appendages, and then perform in vitro fertilization.

Before the operation, a man should undergo an examination by a urologist and an examination. As a rule, an ultrasound of the scrotum and pelvis should be performed, general tests should be taken, and in the case of general anesthesia, cardiography (ECG) and fluorography should be performed (the results are valid for 1 year).

If the patient is taking medications that affect blood clotting, he may be advised to take a break for 1-2 weeks. It is important to coordinate the medication with the doctor.

1-2 days before the operation with general anesthesia, it is recommended to switch to a light diet, and on the day of the operation to come to the clinic on an empty stomach.

The surgeon can only determine which technique will be effective during the operation. Therefore, first he makes two small incisions on different sides of the scrotum, isolates the vas deferens, removes the scarred ends, and then takes the fluid contained in the ducts for analysis - using a microscope, he checks for the presence of sperm. If they are present, the surgeon then performs vasovasostomy - connecting the ends of the vas deferens. For this, he also uses a microscope that provides 40-fold magnification, since it is very important to make microstitches and not disrupt the patency of the ducts.

The absence of sperm in the examined fluid indicates a probable destruction of the epididymal tubule and the occurrence of obstruction (impediment). In this case, the use of a more complex vasoepididymostomy technique is required. It requires the connection of the vas deferens with the epididymis above the blockage.

In some cases, both methods are used simultaneously: on the one hand, a vasovasostomy is performed, on the other - a vasoepididymostomy.

Each case is individual, so the surgeon decides on the methods of restoring fertility during the operation. Preliminary examinations do not allow a reliable assessment of the condition of the ducts and the presence of sperm in them. This can only be done during surgery.

At «Oxford Medical», a reversal vasectomy is performed by a top-class andrologist, a genital surgeon with over 20 years of experience, who has completed extensive training in Serbia and Israel. He is proficient in microsurgery and restoration of vas deferens patency by both vasovasostomy and vasoepididymostomy.

The surgery department has new, high-precision, expert-class equipment. It allows for thorough preoperative diagnostics and the highest level of surgical precision in performing all surgical procedures.

High-quality equipment and the surgeon's high level of professionalism are two of the main factors in the success of the operation. That is why not all clinics perform a reversal vasectomy.

The cost of a reversal vasectomy may vary depending on the complexity of the operation. You can find out the prices of surgical treatment at «Oxford Medical» here. The surgeon will provide you with more detailed information about the cost and other issues during your preliminary consultation. Make an appointment at a time convenient for you.