What to expect when undergoing this procedure
Avasovasostomyis a micro-surgery and one of two ways to reverse avasectomy.
During a vasectomy, the vas deferenstubes that carry sperm from the testicles to the point ofejaculationare cut.
So, a vasovasostomy involves reconnecting the two ends of the cut vas deferens.
Alexandr Sherstobitov / Getty Images
Alexandr Sherstobitov / Getty Images
People who have undergone a vasectomy use vasovasostomies to regain their fertility.
A vasovasostomy is performed by a urologist.
Learn more about the uses, side effects, procedure, and results of a vasovasostomy.
Purpose
This procedure is done torestore fertility to a person who has previously undergone a vasectomy.
It is also done to help relieve people who have ongoing pain after they have a vasectomy done.
This pain is often referred to aspost-vasectomy pain.
The success rate is higher when the time since the vasectomy is shorter.
Risks and Contraindications
There aren’t many risks with vasovasostomies.
Let your healthcare provider know if youve had any previous scrotal or penile surgery.
This testis tissue can be cryopreserved and used with IVF as backup option if vasectomy reversal is not successful.
The time it takes also depends a bit on the expertise of the surgeon performing the procedure.
you’re able to also expect to spend some time filling out consent forms.
Location
The vasovasostomy will either take place in the hospital or at a surgical center.
It is, however, advisable that you wear clothes that aren’t too tight around the crotch area.
This is to reduce the chances of any complications with the anesthesia arising.
Vasovasostomies are usually performed under general anesthesia, but in a few cases,local anesthesiais used.
However, you should note that medical literature considers using local anesthetics as not optimal.
Using a highly advanced operating microscope, your healthcare provider will magnify the view of your vas deferens.
The healthcare provider will trim initiate the ends of the vas that were cut and sealed during the vasectomy.
Vasal fluid will be taken from the vas deferens end that is closest to your testicles.
The vasal fluid will be tested for sperm.
If sperm is found, the urologist will go on to perform the vasovasostomy.
This may take anywhere from two to four hours, or in certain cases, even more.
Post-Procedure
Your urologist may use bandages to cover the site of the surgery.
As the anesthesia wears off, you may experience some pain, soreness, and swelling.
However, it shouldnt be severe.
If it is, report it immediately to the urologist.
You’ll likely be given some painkillers to help with the pain.
It is likely your healthcare provider will ask you to abstain from sex for a couple of weeks.
Youll be given some painkillers to help you deal with that.
You may experience some swelling which is normal and should go down after a week or two.
Another follow-up appointment may be scheduled for four to six months after the procedure for another semen analyses.
While vasovasostomies have high rates of success, you should always have realistic expectations.
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