Vasectomy and Vasectomy Reversal
Vasectomy, or male sterilisation, is an effective form of contraception which involves a small operation to cut the tubes (vas deferens) that take sperms from the testes to the penis.
Vasectomy is considered as a permanent method of contraception; although reversal is possible, it is not always successful.
For more details: vasectomy information.
This is a procedure to reconnect the sperm tubes (vas defers) in order to restore fertility in men who have had a vasectomy and now wish to father children.
How is the procedure done?
This is best done under general anaesthetic (you will be asleep) within a cut made in middle of the scrotum. The two ends of each sperm tube are identified and are carefully reconnected using fine sutures under an operating microscope. The skin of the scrotum is then stitched back using dissolvable sutures.
After the operation, you can either go home the same day or stay an overnight in the hospital. It is advised that you take few days off to allow the wound and the joins to heal, and you should avoid strenuous physical activities for approximately 3 to 4 weeks.
You will be advised to have a semen analysis three months after the operation. You should expect to see sperms in the semen few months after the surgery; however, it can sometimes take up to a year.
How successful is the operation?
This is variable, and is largely dependent on the length of time since the initial vasectomy was carried out. For example, the rate of producing viable sperms is around 95% up to three years interval after vasectomy and 70% fifteen years after vasectomy.
Successful sperm production does not translate into pregnancy in very case. The rate of pregnancy is approximately 70% when the reversal is carried out within three years of vasectomy and around 25% fifteen years after vasectomy.