Vasectomy is meant to be a highly effective and permanent method of family planning for men. However, few men may require a reversal of this procedure due to developments in later part of their life. The old relationship may have broken down and they have moved on to a new relationship. They may desire children from the new relationship.
Vasectomy reversal surgery offers a second chance for men who had vasectomy. This procedure is usually performed by an urologist who is trained in micro-surgical surgery technique.
Under general anesthesia, the ends of the previously divided vas deferens are located and brought together. The ends are trimmed to ensure that they are patent and sperm is seen in the fluid draining from the ends of the vas deferens. The ends of the vas deferens is then stitched together with 8-10 very fine stitches in a process called vaso-vasostomy This is done with the assistance of a surgical microscope for magnification and precision. The entire procedure may take between 3-4 hours. This can be done as a day surgery or a single night's stay in hospital.
The colour of the ejaculation fluid should change within 1-2 months after surgery, indicating the return of sperm. Return of sperm is seen in up to 90% of patients undergoing reversal of vasectomy surgery. However, pregnancy rate is much lower, dependant on the age of the patient and his partner.
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