4 Ways to Get a Vasectomy Reversal

1. Make Sure Sperm Can Produce Pregnancy

Men who decide to undergo a vasectomy reversal in order to get a woman pregnant may undergo a biopsy of the testicles first. Doctors need to know that the sperm is still viable before performing the reversal. Female partners of the surgical candidates may also undergo testing to ensure that pregnancy is possible.

2. Consider Surgeons With Reversal Success

Candidates for a vasectomy reversal should carefully research surgeons and find out the success rate of each. Prior patients of the surgeons should successfully impregnate their partners after fully recovering from their vasectomy reversals with little or no complications. The expertise of the surgeon performing the reversal is one of the most important factors to consider when making your choice.

3. Your Surgeon May Choose One of Two Ways to Reverse a Vasectomy

The two main types of vasectomy reversals are vasovasostomy and vasoepididyostomy. In vasovasostomy, a surgeon sews together the severed tubes that carry sperm from the testicles to the penis, or the vas deferens. This procedure allows the sperm to pass freely through the tubes as it did before your vasectomy. If a blockage occurs in the tubes, surgeons can perform a vasoepididyostomy. In this procedure, your surgeon cuts the severed vas deferens above the blockage and attaches the tube directly to the epididymis, or the storage place for mature sperm.

4. Vasectomy Reversals Carry Risks

Any surgical procedure can cause an infection at the site of the incision. If you notice any redness, swelling or warmth in the area, contact your doctor. Other side effects and risks involved with vasectomy reversal can include a granuloma, or a collection of sperm inside the scrotum due to leakage from the vas deferens, which usually indicates an unsuccessful surgery. Damage to nerves and blood vessels and swelling in the scrotum, or the sac that contains the testicles, can also occur. Resting after the vasectomy reversal can reduce the risk of scrotum swelling. You also cut the risk of a swollen scrotum by avoiding aspirin, which can affect your blood platelets and cause bleeding, for at least two weeks before and after the reversal.