It is not unusual to see several men reconsidering their decision to not have children in future. While for some couples it may just be a matter of stopping oral contraceptives or not using prophylactic. For others things may be more complicated particularly in cases where the men have been through a vasectomy procedure. However, if you had a vasectomy in the past but would like to have children now; you can have the vasectomy reversed. The procedure is known as microsurgical vasectomy reversal and through it the doctors can join the vas deferens tube so that the sperm can flow out with the semen and fatherhood can be achieved naturally.
Unless you opt for vasectomy reversal the original vasectomy is a permanent way to avoid pregnancies. Even though the success rate of vasectomy reversal procedures is impressive; there are several factors that come into play which can have a bearing on the results. For instance, choosing an experienced and skilled surgeon can certainly improve your chances of having children after the surgery. Do not hesitate to ask the doctor about his experience in handling similar surgeries and also for recommendations, references and contact details of a few former patients so that you can talk to them, and find out about the outcome of their surgeries and if they had any issues with the surgeon or the clinic
The vasectomy Reversal Procedure:
The surgery is relatively simple and short; it is generally conducted under general anesthesia but you do have the option of choosing local anesthesia; however, even though you will not fell any pain if local anesthesia is used; you will be awake through out the procedure which can be quite unnerving for some people.
The incision made for the surgery is very small and it is made near or over the scar of the initial vasectomy procedure; in the skin of the scortum.
After the incision is made, the surgeon will then locate the ends of the vas deferens that were severed during the vasectomy procedure. These ends will be freed and if there is any scar tissue from the previous surgery; it will be removed so that there are no blockages to the sperm flow. Analyzing the quality of the sperms is also a part of the procedure. The surgeon will use a microscope to determine if the sperms are healthy and if they are still being produced. Another aspect that needs the surgeon’s attention is the possibility of a rupture in the area; if this is the case, the chances of success are low.
In the absence of a rupture the surgeon will fasten the two severed ends of the vas deferens into one tube. It is essential that the surgeon be very skilled because any leakage in the area can make the surgery fail. The surgeon will use a very high powered microscope to ensure that the ends are properly sutured; the microscope magnifies the view of the area giving the surgeon a clear idea about what needs to be done. The sutures used in this procedure are thinner than the width of a human hair
In case of a rupture in the area, the surgeon will use a different technique. This procedure is used to bypass the blockage caused due to the rupture and is known as vasoepididymostomy. This microsurgical procedure requires exceptional surgical skills so ensure that you surgeon is experienced and capable enough to perform the surgery. You should even ask the doctor about other patients who required a similar procedure and their success rate.
A vasectomy should never be treated as a temporary form of contraception that can be reversed on whim. The surgery is tricky and even though the success rate is high; it is certainly not something that doctors recommend. However, on a final note microsurgical vasectomy reversal techniques have not only made the procedure simpler but have also helped to improve the success rate immensely.
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