How Reversible are Vasectomies and What is the Reverse Vasectomy Success Rate?

How Reversible are Vasectomies and What is the Reverse Vasectomy Success Rate?

Dr Justin Low

At MSI Vasectomy, we like all of our patients to consider their vasectomy a permanent procedure. While there are reversal services available, it is important NOT to make the decision to get a vasectomy based on your ability to have it reversed at some point and for you to be aware of what a typical reverse vasectomy success rate is.

What is Vasectomy Reversal Surgery?

Reverse vasectomy, also known as vasectomy reversal, is a surgical procedure that restores the flow of sperm in men who have previously undergone a vasectomy. It is essential to understand the success rate of this procedure to make an informed decision.

The success rate of a vasectomy reversal depends on various factors such as the time since vasectomy, age and surgical technique used. Moreover, understanding the definition of success can vary depending on the individual’s goals. Therefore, a detailed discussion with the surgeon regarding the expected outcome and the factors that can affect the success rate is crucial.

Factors that Affect the Success Rate of a Vasectomy Reversal

The success of a vasectomy reversal depends on several factors, including:

  • Time since vasectomy: The success rate of vasectomy reversal is higher in men who had a vasectomy less than ten years ago.
  • Age: Younger men typically have a higher success rate than older men.
  • Length of vas deferens remaining after vasectomy: The longer the vas deferens (tubes that carry sperm) remain after vasectomy, the higher the success rate of vasectomy reversal
  • The surgical technique used: Different surgical techniques, such as vasovasostomy and epididymovasostomy, can be used for vasectomy reversal.
  • The success rate of each technique varies depending on the individual’s characteristics and the surgeon’s experience.
  • Antisperm antibodies: The presence of anti-sperm antibodies in the semen can negatively affect the success rate of vasectomy reversal.
can a vasectomy be reversed
A vasectomy reversal reconnects the severed vas deferens, the tube that carries sperm from each testicle.

Realistic Expectations: What Success Looks Like for Reverse Vasectomy

Having realistic expectations regarding the outcome of the vasectomy reversal is essential. Success in reverse vasectomy is defined as the restoration of healthy sperm flow through the vas deferens, which can lead to natural conception. However, it is important to note that even with a successful reversal, successful pregnancy is not guaranteed.

Moreover, other factors such as the female partner’s fertility can also affect the likelihood of conception. Therefore, it is crucial to discuss realistic expectations with the surgeon and understand the success rate for achieving conception after vasectomy reversal.

Success Rates of Different Techniques Used for a Vasectomy Reversal

Several surgical techniques can be used for reverse vasectomies, such as vasovasostomy and epididymovasostomy. Vasovasostomy is the preferred technique in most cases, but epididymovasostomy may be required in some cases where the vas deferens are blocked. The success rate of these techniques varies depending on the individual’s characteristics and the surgeon’s experience.

Common Complications and Risks Associated with Reverse Vasectomy

A reverse vasectomy is generally considered safe, but like any surgical procedure, it carries some risks. Common complications include infection, bleeding, and scrotal swelling. In rare cases, more severe complications, such as nerve damage, testicular injury, or chronic pain, can occur.

Additionally, the procedure may not be successful in restoring sperm flow, and in some cases, a repeat procedure may be required. It is essential to discuss the risks associated with the procedure with the surgeon and understand the potential complications.

can a vasectomy be reversed

Summary

If you’re researching the reversibility of vasectomies before having the procedure done, it is probably a sign that you might not be ready to have one. We encourage all patients in Sydney, Canberra, Perth, and other places, to view a vasectomy as a permanent sterilisation procedure.

The reversal process is a much more complicated procedure than the vasectomy itself. As such it is significantly more expensive and is not typically covered by health insurance.

We do not offer vasectomy reversals.

How to Book a Vasectomy with MSI

If you’d like to contact us to ask any questions or address any concerns you may have, you can fill out our online contact form. Or if you’re ready to book your vasectomy you can fill out our online booking form.

FAQs

If you have any more questions about how reversible vasectomies are or the typical reverse vasectomy success rate, please don’t hesitate to contact us today. In the meantime, check out our FAQs which may be able to provide you with the additional information you’re looking for.

During a reverse vasectomy, the surgeon makes an incision in the scrotum to expose the severed ends of the vas deferens. The surgeon then reconnects the two ends to restore the flow of sperm and removes any scar tissue. Different surgical techniques can be used for reverse vasectomy, depending on the individual’s characteristics.

Not everyone is a candidate for reverse vasectomy. The procedure is most successful in men who had a vasectomy less than ten years ago and have a good length of vas deferens remaining. Moreover, the success rate of the procedure decreases with age and the presence of anti-sperm antibodies in the semen.

The recovery time after a reverse vasectomy varies depending on individual factors and the surgical technique used. Generally, it takes two to three weeks to recover fully. During this time, it is essential to avoid strenuous activities, sexual intercourse, and heavy lifting to ensure proper healing.

Like any surgical procedure, reverse vasectomy carries some risks and complications, such as infection, bleeding, and scrotal swelling. In rare cases, nerve damage, testicular injury, or chronic pain may occur. Moreover, the procedure may not be successful in restoring sperm flow, and a repeat procedure may be required.

Insurance coverage for reverse vasectomy is not always available and varies depending on the insurance provider and policy. It is essential to check with the insurance provider beforehand to understand the coverage details and any out-of-pocket expenses.

There is no evidence to suggest that a reverse vasectomy increases the risk of birth defects in children. The risk of birth defects is similar to that of children conceived naturally or through other assisted reproductive techniques.

In some cases, if vasectomy reversal is not feasible, other assisted reproductive techniques, such as in-vitro fertilisation (IVF), may be considered for restoring fertility.

The time to achieve pregnancy success after vasectomy reversal varies depending on individual factors, such as the female partner’s fertility. Generally, it takes three to twelve months to achieve pregnancy after a successful vasectomy reversal. For the average man undergoing vasectomy reversal approximately 50% will have sperm present by 6 weeks after surgery; by 12 weeks that does up to approximately 90%.

About the Author

About the Author

Dr Justin Low

Justin received his medical degree from the University of Sydney in 1987 and completed the RACGP Family Medicine Program (FMP) in 1991. He became a Fellow of the Royal Australian College of General Practitioners in 1993. He has performed over 9000 vasectomies since 2011 during which time he developed the MSI No Scalpel Open Ended technique with painless needle technique. He is responsible for training an quality assurance of MSI Vasectomy services across the country.

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