Vasectomy Reversal

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Vasectomy reversal reconnects the male reproductive tract to allow sperm to return to the ejaculate. Couples considering pregnancy after vasectomy may choose reversal, surgical sperm retrieval with IVF-ICSI, or a plan combining retrieval and sperm freezing with reconstruction.

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What Influences the Choice?

- Time since vasectomy
- Condition of the vas deferens and epididymis
- Female partner’s age and ovarian reserve
- Desired number of future children
- Previous fertility history
- Preference for natural conception or assisted reproduction
- Availability of microsurgical expertise
- Cost, recovery and expected timeline

 

Types of Reconstruction
- Vasovasostomy - reconnection of the divided vas deferens
- Vasoepididymostomy - connection of the vas deferens to the epididymis when an additional blockage is present

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Possible Risks and Limitations
- Bleeding or infection
- Scrotal pain or swelling
- Failure of sperm to return to the semen
- Recurrent blockage
- Need for IVF-ICSI despite technically successful surgery
- No guarantee of natural pregnancy