Sexual medicine
Sexual medicine treatments
Vasectomy Reversal / Vasovasostomy
The vasovasostomy is very effective. It has a success rate of 75-99% according to the latest scientific publications.
Vasectomy Reversal / Vasovasostomy
Table of Contents
DEFINITION
What is a vasovasostomy?
It is the surgical procedure that reverses a vasectomy, i.e. recanalized the vas deferens of a patient who has undergone a vasectomy, restoring fertility.
All men who have had a vasectomy and want to have children again.
The vasovasostomy is very effective. It has a success rate of 75-99% according to the latest scientific publications. Up to 82% of men can have children again naturally after surgery. Our success rate is between 85 and 90% depending on the case.
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En cumplimiento del Reglamento General de Protección de Datos le informamos que los datos por Vd. proporcionados serán objeto de tratamiento por parte de Andromedi con la finalidad de prestarle el servicio solicitado y/o contratado. Los datos no se cederán a terceros salvo en los casos en que exista una obligación legal. Para más información puede consultarla pinchando aquí.
Surgical technique
Who may need this intervention?
It should be performed using microsurgery, which is the technique that provides the best results, allowing a better visualization of the ends of the vas deferens that need to be repaired. Conventional surgery or using magnifying lenses fails to reach the success rates listed above and should not be the chosen option on account of their poor results.
1st The inner layer (mucosa) joins.
2nd The outer (muscular) layer is sewn.
3rd Vasovasostomy completed.
"...After the first years of vasectomy, the success rate is only 6% lower than when the vasectomy is recent. We have experience of couples with pregnancies after 15 years of vasectomy..."
Intervention
Where is it done?
Given the complexity of microsurgical equipment, the intervention should be performed in a properly equipped operating room with latest-generation microscopes. Typically, and on a curious note, microscopes used in ophthalmology for intraocular treatments are used. Our team usually performs the procedure in Nisa Aljarafe Hospital or Fatima Clinic.
Admittance to hospital is needed for surgery. The procedure is performed under local anesthesia and is very safe. We recommend in all cases an overnight stay in the clinic. This ensures complete bed rest and increased patient comfort. It also allows the first treatment in the clinic, so the patient has no need to move. This cure is performed 24 hours after surgery and is very important. After curing, the patient is discharged.
After the operation, relative rest must be maintained for a week and it is not particularly painful. It is comparable to the discomfort suffered by the patient after vasectomy. Minimal daily treatments to cure the wound are necessary and the stitches fall out on their own
"It must be done with microsurgery. It is the technique that offers the best results, since it allows the best visualization of the ends of the vas deferens that we must repair..."
solutions
If a man has a vasectomy and wants children. How can he decide between in vitro fertilization (IVF) or recanalization?.
There are three types of techniques that have been used historically to perform vasectomy. They have been refined over the years to be less invasive, more comfortable and with less post-operative. For any of them, the reversion or re-channeling can be carried out.
Conventional vasectomy
Se realiza con anestesia local, y es la más común. Carece de riesgos ya que es muy sencilla (pequeñas incisiones en el escroto para poder “ligar” los conductos deferentes).
Vasectomía normal
Se realiza con anestesia local, y es la más común. Carece de riesgos ya que es muy sencilla (pequeñas incisiones en el escroto para poder “ligar” los conductos deferentes).
No-scalpel vasectomy
Técnica creada por un grupo de doctores chinos que consigue realizar una mínima punción en la bolsa escrotal para apresar el conducto deferente mediante instrumental especial creado específicamente para esta técnica. No existen puntos ni tampoco sutura consiguiendo por tanto una recuperación muy corta.
Chemical occlusion
Es la técnica de creación más reciente, y está desarrollada en Estados Unidos a principios del siglo XXI. Esta avanzada operación utiliza instrumentación que inyecta anestesia con aire comprimido para atravesar la piel y alcanzar únicamente la zona de trabajo, que se ligará sin bisturí.
Vasectomy performed
Vasovasostomy (or vasectomy reversal)
OPINION
Real Testimonies From Our Patients
Laura
Pacientes de Vasovasostomía
Joaquín y Cristina
Pacientes de Vasovasostomia
Antonio Conde
Paciente de Vasovasostomía
Miguel Ángel
Paciente de vasovasostomía
Francisco Javier
Paciente de vasovasostomía
Results
When is a man fertile again after vasovasostomy?
30 days after the operation, the first semen analysis is carried out and in 85-90% of cases sperm are found. From that moment, the patient can be considered fertile, although the probability of achieving pregnancy will improve gradually in subsequent months.
If a man has a vasectomy and wants children. How can he decide between in vitro fertilization (IVF) or recanalization?.
This is very good question. It depends on the age of the couple:
- If the woman is under 35 years old, there is no doubt: vasovasostomy
- Over 40 years old, it would be better to do IVF-ICSI
- Between these two ages, it will depend on each case.
Why is this intervention considered better than in vitro fertilization?
The main advantages we should highlight and take into account before taking such a decision are:
- The results are better (85% versus 50% in vitro).
- It is cheaper (60 to 70% cheaper).
- In vitro often requires more than one attempt as it is less effective.
- Intervention is only necessary on one of the partners, not both.
- The problem of fertility is actually male while the in vitro procedure is performed on women. This process is not completely free of complications and can be quite aggressive for her in psychological and emotional terms.
- After surgery, if the couple wishes to have more than one child, it is no longer necessary to go to a doctor. It cures the problem and then they will be able to have children naturally, without having to go through in vitro in order to have another child.
"...30 days after the operation, the first semen analysis is performed and in 85 to 90% of cases sperm are already found..."
Techniques and treatments
Where can we go for vasovasostomy?
This procedure is not currently covered by Social Security and can only be done privately. Every case requires assessment and initial information on an individual basis, which is carried out during the first visit to Fatima Clinic, by appointment on phone 955 040 363.
Book your appointment in our center by clicking here
Techniques and treatment
What is the price of a vasectomy reversal?
Browsing the Internet we can find in Spain many clinics that offer the vasovaso, but it is important to pay attention to the fact that the final price does not have small print. There are some clinics that artificially show biased figures, that are incomplete and that later expenses that were initially hidden emerge. At Andromedi we guarantee that there are no surprises or ancillary costs in our price. Everything is included in the € 5,500 that it costs to perform the intervention with our team (except for the seminogram to verify that the re-channeling has successfully fulfilled its function, which can be performed independently in any clinic or laboratory).
