By Eliza Mendoza


The science of micro surgery was first performed in 1910 by Carl Nylen to correct a middle ear problem. It was not until 1971 that it was first used for vasectomy reversals by Earl Owen. Since the first procedure the discipline has advanced tremendously and the fertility success rate has become much higher than ever thought possible.

Decisions are made to have vasectomies when couples have had as many children as they want to have. The thought that a situation may arise that warrants the need for another pregnancy is rarely considered. Many times a divorce or a death in the family of wife or child brings the need to the fore front of the mind. Some people choose to start new families after their older children have left for college or married and moved away. Another less common reason is post vasectomy pain syndrome when a man suffers pain constantly after the vasectomy.

These surgeries are outpatient procedures and generally take up to four hours to complete. There are two types of surgery that can be performed but which one is necessary cannot be determined until the surgery is initiated. The first option is to clean and reconnect the two vas defer ens ends to one another. The other is a little more complicated and involves connecting the vas defer ens to the epididymis to allow sperm to bypass the tubing that may be blocked.

Recovery time is relatively short with most men returning to normal activities within two or three days. The suggestion is that they not lift heavy items or strain the back or pelvic area for at least two weeks. They are also cautioned to refrain from sexual activity for four to six weeks and then only after the surgeon has released them to do so.

The after surgery risks and problems may include infection of the incision or fluid or blood build up in the scrotum, which must be drained. There are also instances where the nerves or arteries on the scrotum have been damaged. This damage is not reversible. Saving the worst for last, a condition called sperm granuloma can occur when sperm leaks into the scrotum causing your immune system to react by creating an infected feverish mass in your bag.

One factor to consider when determining whether to attempt a reversal will be how long ago the original sterilization took place. If the procedure took place less than three years previously you have the best chance of successfully reversing the process and achieving impregnation within a three year period. If the original process took place over ten years ago the window of success narrows considerably.

This procedure can be very expensive and the cost may not be covered by your health insurance. This may be an important factor to consider prior to making the decision to proceed. With a thirty percent chance of success after a ten year period and a fifty percent chance of impregnation when there is only three years between the two procedures. Most doctors offer the option of freezing sperm found in the scrotum for use later in artificial insemination in case the reversal does not work.

Many men choose to have vasectomy reversals in their later lives. Their reasons are varied and many. The wisest of them check out the doctors they choose very carefully and give careful consideration to risks and alternative methods of impregnating their spouse prior to committing to surgery.




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