Fertility

Sexual medicine TREATMENTS

Reversal of vasectomies / Vasovasostomy

Vasectomy is now reversible

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Reversal of vasectomies / Vasovasostomy

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DEFINITION

What is a Vaso-vasostomy?

It is the  surgical technique that reverses a vasectomy, that is, it recanalize the vas deferens of a patient who underwent a vasectomy and restores fertility.

This surgery was born in response to the change of opinion or desire in some men undergoing vasectomies: the desire to be fertile again even though they had previously wished not to have more children.

Patients “regretful of their vasectomy”.

How often are vasectomized men repenting?

It is estimated that at least 10% of those who are vasectomized regret their vasectomy.

In countries like the United States, where the population has more knowledge of the vaso-vasostomy technique, the percentage of vasectomized patients who decide to be fertile again varies between 4 and 6 percent. In Spain this figure is lower: only 1.5 percent of the vasectomized, most likely due to ignorance of the existence of the reversal technique.

Why do they usually happen?

Very often, men who decide to be vasectomized learn to live and enjoy their new condition. It is not uncommon that, due to life circumstances (change of partner, death of children, illness of a child, change of family socio-economic situation, etc.), many of them regret the initial decision and turn to the doctor again to reverse this through vasovasostomy.

Now, what is vasovasostomy?

Vasovasostomy is a surgical procedure intended to reconnect the cut and tied ends of the vas deferens. This duct (one for each testicle) is responsible for carrying the sperm to the upper ejaculatory ducts, combining sperm with seminal secretions.

This procedure is complex, as it requires the management of micro-surgery and an expert surgeon. The success rate is very high (80-90%) if we measure it as the appearance of sperm again in the ejaculate. However, the fertility rate may not be that high; Since it is necessary to understand that being fertile again depends not only on the success of the recanalization intervention, but on other factors such as the fertility of the couple, associated pathologies, stress, tobacco, drugs, age, etc.

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Who may need this intervention?

Things to know before undergoing recanalization surgery

Reasons why I Should have a vasovasostomy

The vast majority of men who choose to be fertile again (being vasectomized) have between their life history the loss of a child, a separation from a couple or the beginning of a new life as a couple with a different one, in which there is the I dream of having children again.

Despite being a technically delicate surgery and with some complexity due to the caliber of the structures that are handled (the caliber of the vas deferens is 1 mm in diameter), the vasovasostomy has among its advantages:

  • Being an outpatient procedure, in which the patient does not need to stay in the hospital.
  • It is a surgery that does not need general anesthesia, only local anesthesia, avoiding the risks and possible adverse effects of a deeper anesthesia
  • Being subjected to a vasovasostomy does not greatly limit the performance of daily activities and physical exercise in the medium or long term. It is a minimally invasive intervention that does not require major care.
  • After the first week after the operation, which requires complete rest, physical activity is gradually resumed over a period of 3-4 weeks at most.
  • It is practically painless. Usually only requires analgesic treatment in the first 24-48 hours postoperatively.
  • The scar it leaves is practically imperceptible to the naked eye due to the external morphology of the scrotum, which helps to hide the incision and the sutures. An incision is usually made in the middle scrotal raphe, a kind of natural "scarlet" that men have between the two sides of the scrotum as a result of the union of the two halves of the embryo in its development.
  • There is no problem with recanalizing very old vasectomies, although statistically the percentage of successes is low in reproductive terms, the result does not make it not recommended at all.

Reasons NOT to have a vasovasostomy

The reality of each person must be respected and taken into account when making a decision of this type. A vasovasostomy is a much more laborious surgical procedure than the first (vasectomy) and has its own special requirements. Among them:

  • The cost of a vasectomy can vary up to 4 or 5 times that of a vasectomy.
  • The size of the incision is usually slightly larger than l what is required to cut and seal in vasectomy. About 2-3 cm.
  • Being subjected to a vasovasostomy does not guarantee to regain 100 percent of fertility, since this depends on a large number of factors specific to the patient such as their age or parallel problems that affect the normal production of sperm, as well as your partner.
  • After vaso-vasostomy, it is necessary to wait for the testicle to regain its sperm-producing function in quantity and quality in order to be able to fertilize naturally. This process can take at least 1 to 3 months. And this time can be a lot for some couples.
What are the results?

What are the results?

The vaso-vasostomy is very effective. It is 75 to 99% successful according to the most recent scientific publications. Up to 82% of men can have children again naturally after the intervention. Our success rate in our operating rooms in Madrid, Seville and Tenerife is between 85 and 90%, taking into account various specific characteristics.

What are the results?

What are the results?

The vaso-vasostomy is very effective. It is 75 to 99% successful according to the most recent scientific publications. Up to 82% of men can have children again naturally after the intervention. Our success rate in our operating rooms in Madrid, Seville and Tenerife is between 85 and 90%, taking into account various specific characteristics.

WHATCH VIDEO: Vasectomy is reversible: a second chance.

Surgical technique

The Intervention

Step by step: How is the vas deferens recanalization technique performed?

Like vasectomy surgery, vasovasostomy is an outpatient medical procedure. We avoid the use of complex anesthesia equipment or respiratory assistance machines, for example. Nor are long days of recovery or radical changes in lifestyle required. The most serious rest should be done during the first week or 10 days after surgery.

The vasovasostomy with the preparation of the operating room (microscope, bipolar forceps, lighting, temperature, material, etc.), preparation of the patient (position, shaving, hygiene and sterilization of the area) and comfort elements (usually seated and with relaxing music is operated ).

The anesthesia is local, and may be preceded by the application of an anesthetic cream (which the patient self-applies half an hour before) and the taking of a systemic relaxant or tranquilizer (which will allow you to be conscious but relaxed throughout the intervention).

andromedi microcirugia reversión vasectomia 01

1st The inner layer (mucosa) binds

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2º The outer (muscular) layer is sewn.

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3º Vasovasostomy completed.

1 The operating area must be disinfected with water, soap and a bactericidal solution to prevent infection. Scrotal skin must be shaved and clean.

2 A single incision is usually made in the middle scrotal raphe, and thus we will first access one testicle and then the other from a single wound

3 The separated ends of the vas deferens are identified, isolated from the rest of the surgical planes, and the obstructed part of each segment is sectioned.

4 At this time the permeability of the ducts is usually checked: the exit of seminal fluid is checked through the ends closest to the testicle and the free passage towards the nearest end of the urethra.

5 Using the surgical microscope (which allows optical magnification and increased visualization), the urologist anastomoses both ends of the vas and gently rejoins them. For this, microsurgical material is used, very small and thin suture needles and a thread thinner than a hair (9 or 10/0). Re-permeabilizing the vas deferens implies connecting both ends so precisely that the tissues re-integrate into one and the passage of sperm through that duct is reestablished.

6 Once the vas is reconnected, it is reintroduced into the scrotum and the incision is closed with absorbable suture.

As the days go by, the immune response in charge of reabsorbing the sperm in the testicle will become less and less and they will have the ability to be drained through the vas deferens again.

WHATCH VIDEO: What vasectomy and vasovasostomy or recanalisation are and how they are performed.

How long does the reverse vasectomy procedure take?

Vasovasostomy (vasectomy or vasovascular reversal) usually takes about an hour to an hour and a half, but may take a little longer with initial preparations.

What are the complications that could appear?

Fortunately, complications from vasovasostomies are rare, as it is a safe, controlled, and delicate procedure.

Sometimes there may be a bruise (usually not very significant). Most likely in the first days you can feel discomfort or pain in the testicles. This pain is from mild character and usually subsides with paracetamol. Wound infections are practically non-existent with aseptic measures and antibiotic prophylaxis.

And if the “vasovaso” does not work: Vasoepididymostomy

Vasoepididymostomy is another surgical technique, less popular than vasovasostomy, to reverse vasectomies and is based on reconnecting (or recanalizing) the upper end of the vas deferens directly with the epididymis of the testicle.

In cases of obstruction of the end of the vas closest to the testicle, a direct connection of the epididymis with the upper end of the vas deferens can be chosen.

However, vasoepididymostomy is an even more complex surgical technique with poorer results than vasovasostomy. In any case, the surgeon urologist will be in charge of deciding whether the vaso-vasostomy is not viable at that time and an epididymovasostomy must be used.

 

andromedi tratamiento titulares 02

“After the first few 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...”

LOCATION

Where is it done?

Given the complexity of the microsurgery team, the intervention must be performed in a properly equipped operating room, with state-of-the-art microscopes. Usually, and as a curiosity, the microscopes used in Ophthalmology are used for intraocular treatments. Our team usually performs the intervention at the Hospital Nisa del Aljarafe or at the Fátima Clinic.

operacion en equipo

PREPARATION

How should I prepare for surgery?

Before surgery, the doctor will perform a set of preoperative tests in which the patient will be fully evaluated. These preoperative tests or examinations include a physical examination, anamnesis and blood tests depending on the patient’s previous pathologies (usually a coagulation study). More rarely, other tests such as testicular ultrasound or hormonal determinations may be necessary if there are doubts about testicular function or associated pathologies.

One of the chronic pathologies that must be taken into account when performing a vas recanalization surgery (or vasovasostomy) is male hypogonadism, in which there may be difficulties in producing sperm properly.

In the time that elapses from the vasectomy until the patient decides to undergo a vasovasculature many things can happen and among them, the development of endocrine pathologies like this is likely.

If this occurs, it is necessary to evaluate the sperm function of the testicles to understand if it is a correct decision to continue with microsurgery. The main goal of vasovasostomy is to restore fertile capacity.

On the day of surgery, the patient is recommended to attend the healthcare center accompanied by a family member or companion, so that they have help to minimize movements or trips to her home.

The patient must also have had a shaving and proper hygiene of the genital area so that pubic hair does not interfere with the surgery.

It is also important not to have consumed food in the hours before the intervention or drinks.

WHATCH VIDEO: What vasectomy and vasovasostomy or recanalisation are and how they are performed.

preparación pre cirugía

One night stay

How many days of admission are necessary?

Admission is necessary for surgery. The procedure is performed under loco-regional anesthesia and is very safe. We recommend in all cases an overnight stay at the clinic. This ensures complete bed rest and greater comfort for the patient. It also allows us to carry out the first cure in the clinic, with hardly any mobilization. This cure is carried out 24 hours after the intervention and is very important. After the cure, the patient is discharged.

preparación pre cirugía

Vasectomy Reversal

Treatment Summary

Here is a summary of the approximate process from the time you make your appointment until you are discharged from the hospital after treatment. You can receive treatment at any of our centres in Madrid, Seville or Tenerife.

Pago a plazos

Necessary Consultations

A single consultation is necessary, and the doctor may review the patient's history and the details of his vasectomy.

Hospital Stay

No prior admission is necessary. The patient arrives and receives the vasovasostomy that day. An overnight stay in hospital is recommended.

Type of anaesthesia

Local. The incision is very small, similar to the one made when the patient received the vasectomy without the slightest pain.

Intervention Time

Vasectomy reversal surgery is very quick. The time in the operating theatre can be around half an hour.

Postoperative

One night in the clinic and then you can return home taking care of the small wound when the patient takes showers, etc.

Normal Life

The patient can lead a completely normal life, without being absent from work or having to take long periods of physical rest.

Adaptation period

Postoperative period

During this period, it is important to monitor the intervention site and pay attention to any abnormal changes (swelling, pain, or severe itching).

What happens in the days after vasovasostomy is that the vas deferens tissue that had been dissected and subsequently reconnected begins to join together and new blood vessels form under the epithelium. This is known as anastomosis.

For about six weeks after surgery, the patient should wear a scrotal support or jockstrap that protects the testicles and vas deferens, which should be minimally compressed (and normal underwear is usually very tight).

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Do I have to take a leave of absence from work for this operation?

Recovery time at home can vary from patient to patient, taking into account their health history, age and work activity, but can often be one week, the absolute rest time.

Last During this time, it is important that the patient maintains physical rest from bed to chair, and not that he does not do physical activities or remains standing for a long time.

Three days after surgery, light physical activity such as walking or going to work is possible. Obviously, making use of the scrotum jockstrap and avoiding as much as possible, any activity that involves a lot of effort in the abdominal or pelvic area or in which there may be blows in the crotch area.

Can I shower after the intervention without problems?

It is not recommended that the same day of the intervention (or a few hours after it) the patient take a shower, since the operative wound is recently sealed with suture but after a day or two, the patient can shower without problem any.

Obviously you have to take care of the operative wound and that it is not rubbed strongly so as not to hurt it. The use of a neutral pH soap is also recommended so as not to cause irritation or burning.

After bathing, antiseptic will be applied and covered with new gauze.

Importance of the seminogram after vasovasostomy

The seminogram test (also called spermiogram) is essential to first determine the success of the intervention, and then the degree of male fertility after a vasovasostomy, measuring the concentration and motility of the sperm.

They are generally performed within 30 days of vasectomy reversal surgery. The first semen analysis will always have very poor sperm quality, since sperm are those somehow "trapped" in the seminal tract and deteriorated due to aging in the obstructed ducts. The successive seminograms serve to keep a record of the fertility recovered, which usually recovers in about 3 months.

 

It is a simple test that consists of obtaining samples of ejaculated semen taken by the same individual, which will later be taken to a clinical laboratory for the corresponding analyzes.

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“It must be performed using microsurgery. This is the technique that offers the best results, as it allows better visualisation of the ends of the vas deferens to be repaired...”

Solutions

Does the technique with which the vasectomy was performed influence to be able to carry out a 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

Normal vasectomy

Normal vasectomy

It is performed under local anesthesia, and is the most common. It has no risks since it is very simple (small incisions in the scrotum to be able to "tie" the vas deferens).





Normal vasectomy

Normal vasectomy

It is performed under local anesthesia, and is the most common. It has no risks since it is very simple (small incisions in the scrotum to be able to "tie" the vas deferens).

No-scalpel vasectomy

No-scalpel vasectomy

A technique created by a group of Chinese doctors that manages to perform a minimum puncture in the scrotal bag to capture the vas deferens using special instruments created specifically for this technique. There are no stitches or sutures, thus achieving a very short recovery.

Vasectomy without a scalpel or punctures

Vasectomy without a scalpel or punctures

It is the most recent creation technique, and it was developed in the United States at the beginning of the 21st century. This advanced operation uses instrumentation that injects compressed air anesthesia to penetrate the skin and reach only the working area, which will be ligated without a scalpel.

Anatomia general de los testiculos

General anatomy of the testicles

andromedi vista simplificada de la vasectomia 01

Vasectomy performed

andromedi simplified view of vasectomy 02

Vasovasostomy (or vasectomy reversal)

Results

When do you become fertile again after vasovasostomy?

The first semen analysis is performed 30 days after the operation and in 85 to 90% of cases sperm are already found. From that moment on, the patient can be considered fertile, although the probability of becoming pregnant will progressively improve in the following months.

Imagine that you have had a vasectomy many years. Is this important?

There is a widespread error even among doctors. 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. It doesn’t matter how long it has been since the vasectomy.

andromedi espermiograma 01

solutions

Results and forecast

When will I regain all my fertile capacity?

Although a vasovasostomy can be as simple as a vasectomy, it does not usually have the same level of success. For example, a vasectomy has a success rate of almost 100 percent (fulfilling its primary goal, contraception). However, in vasovasostomy the figure can vary greatly from patient to patient. It is estimated that between 85% and 90% of men re-ejaculate sperm, although not all reach You have yet to regain fertility stable enough to conceive a child (based on your own health, age, drug use, or medical history).

Why do I read on the Internet that there are some men whose vasovasostomy has not worked for them?

Every case of vasovasostomy is different. The results obtained with it may vary from patient to patient.

Each patient will be independently evaluated taking into account their antecedents: the amount of time that has elapsed since the vasectomy, the existence of some chronic diseases, age, toxins and medications, the level of active sexual life that they carry out and many other characteristics that will condition the success rate.

Only a medical evaluation prior to vasovasostomy reversal surgery will be able to determine the possibilities that exist of regain fertility. Misinformation on the Internet can be confusing for many patients, but only individual medical tests are used to measure the success of vasovasostomy.

What can be done if a vasectomy reversal doesn’t work?

Here is something important to note. The first objective of the vaso-vasostomy intervention is for the man to present sperm again in the ejaculate. The ultimate goal would be for him to be able to conceive again by natural methods. This last objective is influenced by many factors, including those of the couple.

Thus, for example, when the couple’s age is over 40, their fertility falls statistically, making it difficult to conceive even if their partner has normal semen.

What if after the intervention no sperm appear in the ejaculate?

Like any surgical technique, vaso-vasostomy is not exempt from a percentage of failures or poor results. In our experience it is 10 to 15%. In these cases there are different measures:

1 The first thing would be to check that there is no hormonal deterioration that justifies the lack of sperm production.

2 In cases of postoperative trauma, or in circumstances in which it is suspected that the vas deferens have accidentally distanced again, a repeat vaso-vasostomy could even be considered.

3 Finally, you can opt for a testicular biopsy, not only to check if sperm are produced, but also to freeze these useful sperm and perform an In Vitro technique.

WHATCH VIDEO: Tese and microtese. Spermatozoa detection techniques in azoospermia (Spanish)

Vasovasostomy vs. In vitro fertilization

A vasovasostomy allows previously vasectomized patients to have children again naturally and directly through sexual intercourse without the need for a specialized laboratory in assisted fertilization.

An in vitro fertilization treatment involves carrying out the natural process of fertilizing an egg (taken from the donor mother’s ovary) with a sperm (whatever its origin) in the laboratory, waiting for cell division to begin and introducing that product from the fertilization within a uterus suitable for gestation.

It is a highly expensive and complicated procedure. You need the participation of both members of the couple:

  • In woman: hormonal stimulation (with the risk of hyperstimulation), egg retrieval in the operating room (usually under anesthetic sedation) and subsequent embryo implantation
  • In men it requires the practice of a testicular sperm biopsy or extraction under anesthesia
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“According to official data from the registry of the Spanish Fertility Society (SEF), the transfer pregnancy rate in IVF-ICSI cycles is 36.3%”

The success rates depend on the clinics where they are performed, fluctuating around 36-37%. According to official data from the Spanish Fertility Society (SEF) registry, the transfer gestation rate in IVF-ICSI cycles is 36.3%. In other words, of every 100 IVF-ICSI cycles in which valid embryos are obtained for transfer to the uterus, 36.3% achieve pregnancy.

This process therefore involves both members of the couple in treatment and surgery and is generally psychologically hard, sometimes distressing and more than half of the time frustrating for couples, since in 64% of cases it is not Get pregnant the first time and you have to repeat the cycle.

Obviously, in vitro fertilization is a technique devised as an alternative to vasovasostomy, but in practical terms, it is not natural or comfortable to perform.

 

Some men save sperm in sperm banks before vasectomy in order to foresee a change in decision in the future. If this has not been the case, and it is intended to ejaculate sperm again, the best option is a vaso-vasostomy

 

Advantages of vasovasostomy over In Vitro Fertilization?

The main advantages to highlight and take into account when making a decision are:

  • It has better results (85% compared to 50% in vitro).
  • It is cheaper (between 60 and 70% cheaper).
  • And also in vitro often needs more than one attempt to be less efficient.
  • The intervention is only needed on one of the members of the couple, not on both.
  • The fertility problem is really male and in vitro is a procedure on women. A process that is not completely without complications and can be quite aggressive for her in psychological and emotional terms.
  • After the intervention, if the couple wishes to have more than one child, it is no longer necessary to see a doctor again. Cure the problem and then they will have children naturally, without having to go through in vitro every time they want a child.

How to decide whether to do in vitro fertilization (FIV) o recanalización?

This is a very good question. It depends on the age of the couple: 

  • If the woman is less than 35 years old, there is no doubt: vaso-vasostomy
  • Over 40 years it would be better to do IVF-ICSI
  • Between these two ages will depend on each case

A little history about the surgery

The first physician to perform a vasovasostomy was Dr. Earl Owen at his own hospital in the United States in 1971. This physician devised the technique, perfected the recanalization procedure, and gave it its name: vasovasostomy.

Since then, the procedure has remained very similar, with the advantage that currently highly precise microsurgical instrumentation is available.

In Spain, Dr. Natalio Cruz (and his team) is one of the urologists with the most experience in vaso-vasostomy. In Andromedi, vasectomies have been performed practically every week for years.

Doubts and queries

Frequently asked questions at the Andromedi centres in Madrid, Seville and Tenerife

1. Can a vasectomy reverse itself, without the need for surgical reconnection? Is there a home remedy for this?

The state of vasectomy-induced sterility can only be reversed by means of another surgical procedure: vasectomy reversal surgery or vasovasostomy.

Vasectomies are designed to be a long-lasting method of contraception, not temporarily or reversibly on its own. However, cases of eventual reconnection of the vas without external intervention due to poor initial surgical technique have been described. This phenomenon is quite rare (one in millions of cases).

No natural remedy or pharmacological treatment has been proven to have the ability to reconnect the deferens and restore fertility. You just have to understand how the sealing technique works to understand that it is impossible without the help of a surgeon to reverse it.

2. What changes in semen after vasovasostomy?

The semen that in normal conditions is expelled during male ejaculation is a mixture of seminal fluid, formed by seminal secretions (a white substance that provides nutrients to the sperm) and sperm (the fluid secreted by the testicle that contains the sperm). ), in a ratio of 9 to 1 respectively (sperm make up a minimal fraction of the total semen).

The vas deferens carry sperm from the testes to the site where they conjugate with the rest of the seminal secretions. For this reason, when performing a vasectomy, the ability to release sperm (responsible for fertilizing the egg) is lost but not the ability to ejaculate semen. And the semen expelled after the vasectomy is practically the same in quantity and appearance as before the operation.

The semen of a vasectomized patient consists only of seminal secretions (water, sugars, amino acids useful for sperm, antibiotic enzymes, etc.) but not sperm.

By recanalizing the vas deferens through the vasovasostomy (or vasovasovas), the sperm produced by the seminiferous tubules of the testicle can ascend again to the site where they bind to the seminal secretions (produced in other glands) and thus be ejaculated.

3. Does social security cover vasovasostomy?

This procedure is not currently covered by Social Security and can only be carried out privately. In our case, all cases require an initial assessment and information that is carried out in the first consultation at the Fátima Clinic by appointment on the phone 615 55 11 55.

4. It has been many years since I had a vasectomy, could I reverse it or since so many years have passed I can no longer?

Siendo sinceros, no existe consenso científico real sobre la cantidad máximo de tiempo para realizar una cirugía de reversión de vasectomía. No obstante, en nuestra experiencia, hemos tenido similares tasas de éxito en pacientes con vasectomías antiguas o recientes. Lo más importante será evaluar cada caso y ponerse en manos de un especialista experto en estos procedimientos para dar una respuesta personalizada.

WHATCH VIDEO: Vasectomy is reversible: a second chance

5. Does a vasectomy reversal increase testosterone?

Serum levels of testosterone (testosterone in the blood) are not altered to a greater or lesser extent after vasectomy reversal surgery. The production of this hormone is completely independent of the conditions of sperm transport through the vas deferens.

6. How long after vasectomy reversal should I wait to have sex?

About 7 days of absolute rest and about 30 days of sexual abstinence and relative rest are recommended so that the peristaltic movements of the vas deferens during sexual intercourse do not alter the healing process.

Sexual intercourse in a recently operated patient could cause the junction between the two ends of the vas deferens to separate and not heal properly.

7. Does the vasovasostomy procedure hurt?

The intervention in question is completely painless thanks to the inclusion of a comprehensive anesthesia and analgesia protocol.

The anesthesia for the intervention includes the administration of a local anesthetic (near the incisions in the scrotum) and a sedative or tranquilizer (if necessary), which allows the patient to remain calm and relaxed without falling unconscious and requiring ventilatory assistance .

In general terms, this surgery is quite simple and allows the patient to go home the same day without having to be admitted or waiting for him to "wake up" as in general anesthesia that is applied in other surgeries.

8. When can I ejaculate again after a vasovaso?

Ejaculation is a natural response to the maximum excitement of orgasm and that, in the face of all these interventions (vasectomies, vasovasostomy, etc.) remains unchanged unless there is a major problem.

Ejaculations prior to vasectomy reversal surgery differ from those that will occur after surgery in one key element: they now contain sperm because fertile capacity has been restored.

Ejaculations should be avoided for 30 days after vasovasostomy. This way the vas deferens will heal properly.

9. Is vasectomy reversal painful the days after?

Often times, patients may experience some discomfort in the scrotal area several days after surgery. These discomforts usually subside with paracetamol-type analgesic.

Generally, these discomforts disappear on their own in a week.

Hematomas in the scrotal region are somewhat frequent but they are not indicators that something bad is happening. On the contrary, the tissues are being repaired and the darkening of the skin will go away after a few days.

10. Can vasectomy reversal cause fetal defects?

Surgical reversal of vasectomy involves recanalizing the vas deferens so sperm can regain access to the upper ejaculatory pathways and eventually fertilize an egg within the female reproductive system.

Sperm production remains a natural process that is not stopped or changed after a vasectomy. For this reason, there is not the slightest risk that, when reversing a surgery of this type, some congenital or hereditary malformation will appear in the future fetus. At least not related to or caused by the surgery.

However, regardless of the surgery, depending on the age of the father and mother, family history and the circumstances of the parents, it will be convenient to carry out the relevant genetic tests to rule out congenital diseases in the couples in which they are indicated.

andromedi tratamiento titulares 02

“...30 days after the operation, the first semen analysis is performed and in 85 to 90% of the cases spermatozoa are already found...”

To be taken into account

Thiings I should know if I m willing to do it

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 € 4,500 that it costs to perform the intervention with our team (except for the seminogram to verify that the re-canalization has successfully fulfilled its function, which can be performed independently in any clinic or laboratory).

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A specialised centre

Patients coming from outside

The Andromedi Clinic, a good choice for several reasons:

Doing a quick search on the Internet, it is easy to see that there are not too many centers specialized in this treatment. The technical requirements of microsurgery and the microsurgical habit mean that only highly trained teams with large casuistry can offer the best results.

Many patients from outside our host cities, and even from outside Spain, have come to put yourself in the hands of Andromedi’s expert medical team in order to re-enjoy your fertility thanks to the reversal of the vaso-vasostomy. They all seek the same thing: maximum reliability, safety and quality at a competitive price and with the possibility of financing month by month.

How is the best way to plan my trip?

Maybe you need more information? Is there something that worries you and you are still not completely convinced? Do not hesitate, write to us without obligation through our contact page. Or call to 615 55 11 55. We would like to be able to help you and, more importantly, we know how to help you.

We are used to thinking about you: your needs, your fears, your doubts and your problems. We put ourselves in their shoes at every step. After all, he is going to leave his city and be away from home for an intervention. And we must make it like taking a pleasure trip.

It is not surprising, therefore, that many patients choose to take a few days with a double purpose: to be able to visit us and be operated on by the best specialists in Urology.

There are other occasions when, if the patient requires it for work or personal reasons, we also have a special “rapid intervention” protocol, in which we minimize deadlines and procedures and include the following points

1 Pre-consultation by mail, telephone or video call (telemedicine) the weeks prior to the trip, in order to gather all available medical documentation and plan the intervention.

2 Prior consultation and surgery scheduled on the same day.

3 Telematic reviews

3 Revisiones telemáticas. 

Price and Financing

Prives and Financinf for vasectomy revesal surgery

How much does the glassware cost? It is very expensive?

The price of the vasovaso intervention is € 4,500. This figure is fixed cost, that is, it includes everything from start to finish: prior consultations, stay in the clinic, surgery, personnel costs, material or operating room costs, subsequent check-ups or dressings.

As a summary and in general we can conclude:

For couples with a desire for offspring in which the man has undergone a vasectomy, the woman is under 40 years of age, in good health and without a negative medical history, this option is much more affordable (also in terms of cost / effectiveness) than an in vitro fertilization (ICSI) with testicular biopsy (tese / microtese) to find sperm.

For couples in another type of situation, an individualized assessment will be necessary to maximize reproductive success in the safest and most economical way possible.

Can it be financed in installments?

In our centers in Madrid, Seville and Tenerife, the amount of the vasovasostomy can be paid in comfortable installments, up to 48 months (4 years). Through an advantageous line of own financing (with the collaboration of Your Financed Medicine) you will be able to cope comfortably with the treatment without affecting your economy. Thus, as an example, the intervention could already be carried out for 114 euros per month for 4 years.

OPINIONES

Testimonios de pacientes de Reversión de vasectomías / Vasovasostomía in our clinics in Madrid, Seville and the Canary Islands (Tenerife)

Emilia Clarke
Escribía para agradecer al equipo del Doctor Cruz, el trabajo realizado en la operación de mi marido. Él tenía la vasectomía hecha y queríamos tener otro hijo (llevaba 7 años con la vasectomía) fuimos a verlo en julio y el día 31 ya le estaba haciendo la reversión de la vasectomía. Pues hoy es 24 de febrero y estoy embarazada de 4 semanas. Estamos contentísimos y muy ilusionados y todo gracias al Doctor Cruz. Muchas gracias por leerme y espero que, si estáis pensando en hacerlo, no lo dudéis, que poderse, se puede. Yo no paraba de leer que después de hecha la operación no se quedaban, y sí se puede, lo que pasa es q solo informamos de lo malo. Y hay q saber que hay buenas clínicas.
Laura
Pacientes de Vasovasostomía
Emilia Clarke
Después de 9 años con la vasectomía, el 18 de Marzo de 2016, el Dr. Cruz me realizó una vasovasostomía en el Hospital Nisa Aljarafe. A día de hoy, seis meses después de la operación, mi mujer está embarazada de 2 meses. No tengo palabras para agradecer al Dr. Cruz y su equipo el trabajo realizado, así como el trato humano que me dieron. Recomiendo a todas las parejas en las que el hombre tenga la vasectomía y quieran tener hijos, que acudan a ver al Dr. Cruz, es un acierto seguro. Siempre agradecidos.
Joaquín y Cristina
Pacientes de Vasovasostomia
Emilia Clarke
Nosotros ya no tenemos dudas, vamos a ser papás!! Después de una reversión de vasectomía, que me hice hace 7 años, mi pareja está embarazada. Sólo hace tres meses y nos parece increíble la eficacia de esta técnica (vasovasostomía) y la profesionalidad del Dr. Cruz. Muchas gracias por atendernos desde el minuto uno. Si por algo se caracteriza el Dr. Cruz, a parte de la gran profesionalidad, es por su humanidad y paciencia. Nosotros le escribíamos y llamábamos mucho, y siempre nos resolvía nuestras dudas de forma muy amable. Esperamos que todo vaya bien, y le mantendremos informado sobre cómo va creciendo el bebé. Muchísimas gracias por hacer nuestro sueño realidad.
Antonio Conde
Paciente de Vasovasostomía
Emilia Clarke
Después de 6 años intervenido de vasectomía, me operé el pasado 16 de octubre, y hoy no podemos estar más felices, mi mujer está embarazada. Muchísimas gracias de corazón Dr. Cruz.
Miguel Ángel
Paciente de vasovasostomía
Emilia Clarke
Hola Dr. Cruz soy Francisco Javier Saez. El día 18-8-2015 me hizo una vasovasostomía por la cual estamos muy agradecidos porque...estamos embarazados. Muchísimas gracias. Un saludo.
Francisco Javier
Paciente de vasovasostomía
Emilia Clarke
Estimado Dr. Natalio,soy Miguel Fernández Martín de Jaén (el pintor de cuadros).Usted me intervino quirúrgicamente el día 2 de Agosto del 2017 de una Reversión de Vasectomía. Hoy le escribo para compartir con usted la noticia de que mi mujer está embarazada de 5 semanas.Gracias de corazón por su calidad humana,espero poder algún día estrecharle la mano en agradecimiento. Un abrazo.
Miguel
Paciente de reversión de vasectomias
MEDICAL REFERENCES AND BIBLIOGRAPHY
Este contenido médico ha sido actualizado y revisado por revisado por el comité científico de Andromedi en la siguiente fecha: 16 September 2022

Author

Dr. Natalio Cruz


Natalio Cruz MD, with 25 years of medical experience, has been until 2016 Head of the Andrology Unit in the Urology Service of the Virgen del Rocío Hospital in Seville, National Coordinator of Andrology in the Spanish Association of Urology (AEU) and General Secretary in the ESSM, positions that he has narrowed to focus squarely on this exciting project of offering a high-level private medical consultation in Marbella, Seville, Madrid and Tenerife.

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