What is a vasectomy reversal?
This procedure is performed to reverse male sterilisation, known as a vasectomy.
A vasectomy reversal is performed via one or two incisions in the scrotum using a microscope. A vasectomy is considered irreversible, therefore, the success rates are directly related to the time between when you received the vasectomy and when you have it reversed.
Success rates
A vasectomy is performed as a permanent form of contraception; therefore, it was not designed to be reversed. With this in mind, the success rates are relatively low.
The success of a vasectomy depends on the type of vasectomy you had (scalpel vasectomy (conventional) or no-scalpel vasectomy) and when you had the operation. Over time, the scar tissue from a vasectomy becomes thicker and the reversal of the procedure becomes more difficult.
Three years after the vasectomy, the success rates are 75%, but 20 years post-surgery the success rates are 10%.
Assisted reproductive techniques can be performed by your local Fertility Centre. You can find their success rates either via their website or by contacting them.
There will be a delay of around 6 months after your procedure before you are able to produce adequate levels of sperm in your semen.
What does the procedure involve?
We understand that surgery can be daunting, but don’t worry, our specialised medical staff will be there to answer any questions or worries you may have.
The procedure is performed under a general anaesthetic so you will be asleep for the entirety. Before the surgery, you will be seen by your anaesthetist who will discuss the options of a spinal anaesthetic or a general anaesthetic as well as pain relief post-surgery with you.
Incisions will be made on either side of your scrotum where your surgeon will be able to locate the two ends of the vasa deferentia.
Using specialised medical tools, your consultant will remove any scar tissue that has developed and will join the vasa together using magnification and microsurgical techniques.
In some cases, the ends of the vasa are impossible to re-join due to the large segment that has been removed. If this is the case, we may be able to join the upper ends of the tubes to your epididymis, however, this is considered less successful.
How soon will I recover?
After the operation, you will likely experience discomfort and swelling. You may experience bleeding for the initial few days.
We usually provide you with scrotal support making the post-operative period less painful. You will be advised to also take painkillers such as paracetamol or ibuprofen which will also reduce the pain for the initial few days.
The inserted stitched will not need to be removed and they will disappear after 2-3 weeks.
Any antibiotics you may need will be arranged by the hospital pharmacy.
Information regarding follow up appointments will be given to you.
Is it normal to feel some lumpiness above or behind the testicle which may be permanent?
What are the risks?
As with any surgery, there are risks involved. For a vasectomy reversal, there is a chance that sperm will not return to your semen, or, if sperm is present, you may still not be able to have a natural pregnancy.
5% of patients experience chronic pain in one testicle.
There may also be a blocking off of the reversal which will result in no sperm being ejaculated.
Between 1 in 50 and 1 in 250 patients experience inflammation or infection in the testis and there is a similar chance that there will be a technical inability to perform the reversal.
It is unlikely, however, less than 1 in 250 patients experience cardiovascular problems requiring intensive care.
