Sexual Medicine, Fertility, Urology and Andrology in Seville and Canary Isl.

Vasectomy Reversal

Vasectomy can be reversed

What is a vasovasostomy?

It is the surgical procedure that reverses a vasectomy, i.e. recanalizes the vas deferens of a patient who has undergone a vasectomy, restoring fertility.

Who may need this intervention?

All men who have had a vasectomy and want to have children again.

What are the results like?

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.

How is the procedure performed?

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.

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.

How many days of hospitalization are required?

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.

What is the postoperative like?

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.

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.

Imagine that a vasectomy was done many years ago. Does this matter?

This is a widespread error, even among doctors. After the first years of vasectomy, the success rate is only 6% less than when vasectomy is recent. We have experience of couples achieving pregnancies after 15 years of vasectomy. It is of no consequence the length of time that has passed since the vasectomy.

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.

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.

Dr. Natalio CruzJefe del servicio de Andrología
El Dr. Cruz, con 25 años de experiencia médica, ha sido hasta 2016 Jefe de la Unidad de Andrología en el Servicio de Urología del Hospital Virgen del Rocío de Sevilla, Coordinador Nacional de Andrología de la Asociación Española de Urología (AEU) y Secretario General de la ESSM, cargos que ha delgado para centrarse de lleno en el ilusionante proyecto de ofrecer una consulta médica privada de alto nivel en Sevilla.

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