Reversal surgery after vasectomy is an operation to reverse the vasectomy process. After successful vasectomy reversal surgery, you have sperm again in your semens so that you can get your partner pregnant. Vasectomy Reversal is a more complex surgery than vasectomy.It can be tried even if it's been a long time since you had a vasectomy. However, only half of reversal surgeries after vasectomy are successful.
Why Is It Done?
Men decide to have surgery to regain their fertility for reasons such as the loss of a child, remarriage or improving the financial situation to raise a child. A few men may have Vasectomy Reversal Surgery to treat pain in their testicles.
- Major complications are rare in Vasectomy Reversal. Reversal surgery risks after vasectomy include:
- *Bleeding in the scrotum:This problem causes a painful swelling of the blood collection (hematoma). You can reduce this risk by not taking aspirin before and after surgery and by following your doctor’s instructions after surgery.
- *Infection in the surgical location:This is not very common, but it is a risk that applies to every surgery.
- *Inflammation: A sperm leak in the haya bag can cause your immune system to form an inflammatory mass called sperm gronoma. Granulomas usually occur some time after surgery and can be a sign that reversal surgery after vasectomy is not successful.
- * Damage to nerves and blood vessels:In some cases, this problem reduces fertility after reversal vasectomy.
After Reversal vasectomy, please call your doctor if you have any of the following signs and complaints:
- *Worsening or not passing panicula
- *Difficulty urinating
- *A lump that is about the size of a marble in your scrotum
- *Bleeding from the ongoing cut place between two 10-minute bandages, after compressing the surgical area
How are you going to get ready?
To regain your fertility Vasectomy Reversal, your doctor will want to make sure that you can produce healthy sperm. For most men, having previously get a woman pregnant is enough evidence.
- If your doctor is not sure if you produce enough healthy sperm, he will ask you to have a testicular biopsy. This test used a needle to remove fluid from your testicles to check the sperm.
- Your partner also needs to be tested to make sure there is no fertility problem. It’s a good sign that your partner has become pregnant in the past. His doctor your partner will want to know if there is a regular menstrual cycle and pelvic examination. The doctor may recommend other tests to ensure that your spouse’s fertilization pipes are not clogged and can produce eggs.
- Doctors usually perform Vasectomy Reversal in an surgical center or a hospital. It is a nuanced procedure that can be performed using several different surgical techniques.
- Please ask,how many men he performed Vasectomy Reversal Surgery and how many men were successful fathers before choosing your doctor.
- After choosing your doctor, talk to him about this process, risks and complications that may occur. If appropriate, include your wife in this first interview.
- Do not take aspirin and ibuprofen two weeks before and after vasectomy because such drugs may increase your risk of bleeding. Instead, use acetaminophen to relieve the pain.
- Your doctor may ask you to clean and shave your scrotum before surgery and bring a clean suspansuvar (corset) to wear after surgery.
- Surgery usually takes 2 to 4 hours. To get out of anesthesia time will also be required. You need someone to take you home after surgery.
What Will You Experience?
Vasectomy reversal surgery is a technically challenging operation that requires specialized skills and specialization. Surgery is harder than the first vasectomy performed. Channels carrying sperm to your semen from each testicle should be re-sewn together or attached to the epididy. Epididim is the curvy pipe behind the testicle, the maturation place of sperm. Surgery is usually performed outpatiently, does not require staying in the hospital or in the surgical center. Doctors can perform this surgery in one or two ways:
- Vazovazostomy. With this procedure, the surgeon carries sperm re-sewn the broken ends of the canal together. But this is sometimes not possible and requires more complex surgery to restore the flow of sperm.
- Vaseepididimostomy. This surgery connects the channels carrying sperm directly to epididymis. This surgery is performed when sperm flow is blocked and vasovazostomy does not work.
You probably won’t know what technique is needed. In most cases, the surgeon makes his decision during the operation. On the one hand, may be need a combination of two surgical techniques: Vasovazostomy and Vasoepididimostomy.
May be general anesthesia to put you to sleep during the surgery time.The surgeon can perform epidural, spinal or local anesthesia. Since the surgery is very nuanced, in any case, your anesthesia will need to completely numb you. The surgery is performed using a microscope that enlarges the surgical location.
The surgeon will make a cut at the bottom of scrotum, the testicle will appear and remove it from the surrounding tissues. Then, he cut out the carrying sperm canals and examine the fluid inside.
Once the channels carrying sperm are opened, the surgeon is out will check the liquid that comes out. This is an important part of the operation, because it helps your doctor determine what type of surgery you need to regain sperm flow. If the fluid contains sperm and is clear, it is likely that the surgery to reconnect the ends of the sperm-carrying ducts so vasovazostomy will work. The dense or partially non-sperm-free fluid, such as dense or putty under the area where vasectomy is performed, may indicate the presence of scar tissue that blocks sperm flow. In this case, the canals carrying sperm will attach directly to the epididymis vasoepididimostomy is perhaps the best option.
If your doctor finds sperm during surgery, he may want to freeze some sperm after a vasectomy in case Vasectomy Reversal doesn’t work. If you can’t be a father through intercourse after the Vasectomy Reversal, your frozen sperm can be injected directly into the egg. This is the classic type of IVF fertilization called intracensitoplasmic sperm injection.
After the surgery
Immediately after the surgery, your doctor can close the cuts with bandages. You will wear your suspension to apply pressure to keep the bandages in place, reduce swelling and movement. To reduce the swelling, you will need to rest with an ice bag placed on your scrotum. When the effect of anesthesia passes, you may have mild pain and cramps that can be comforted by a painkiller such as acetaminophen. For most men, the pain is not severe and heals after a few days to a week.
When you get home, don’t push yourself. If your doctor have prescribed acetaminophen , you may have a few days of pain that you can be treated by taking codein with acetaminophen. You may also be damaged, but the discoloration is about two must open and disappear within weeks. The suture is lost between seven and ten days.
- *Do not take a bath or swim for the first two days after surgery.
- *Do not work for at least three weeks and do not carry heavy items.
- *If you have a desk job, you probably won’t be able to work three days after surgery. If you work in a job that requires physical activity and you have a job that requires a lot of walking or driving, talk to your doctor about when it’s appropriate to start again.
- *You shouldn’t have sexual intercourse or ejacude for about four weeks. You may have sexual intercourse after four weeks.
- *Besides showering for a few weeks, you’ll need to wear waterspansuvar all the time. Even after a few weeks, you will need to continue wearing suspansuvar while exercising.
Usually a few weeks after the surgery, you can have intercourse when the cuts heal. If Vasectomy reversal surgery is succeeds , sperm usually begins to appear in semen after a few months, but in some processes it takes about 15 months. Vasectomy reversal surgery’s results in pregnancy in approximately half of the couples within two years.
Sometimes the problems of fertilization are caused by the sterilization of women. If the female spouse does not have a fertility problem, couples are more likely to have a child after Vasectomy Reversal.
Your surgeon will want to examine your semens to see if the operation is successful after surgery. If you can not get your partner pregnant, sperm count is the only way to tell if vasectomy reversal is successful. Your doctor will want to do sperm test every two to three months.
If Vasectomy Reversal Surgery Does Not Work
Vasectomy Reversal sometimes fails if there is an undetectable sperm blockage during surgery or if a blockage occurs after a period of surgery. Some men want to try the surgery a second time when it doesn’t work the first time.
In addition, you can be a father by using the recovered and frozen sperm during vasectomy reversal and injecting them into your partner’s egg (IVF method). If you don’t have frozen sperm or your frozen sperm doesn’t work, the IVF method is directly it may be possible using sperm taken from your testicles or epididymy (the structure behind the testicles).
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