Vasectomy reversals are performed in an outpatient setting at TUCC, lasting less than two hours. There are two types of vasectomy reversal procedures. A vasovasostomy is performed to restore the flow of sperm to the vas deferens. This procedure utilizes an operating microscope and ultra-fine sutures to reattach the inner and outer layers of the vas deferens.
When a vasovasostomy cannot be performed because of inflammation or scarring blocking the epididymis, a vasoepididymostomy is performed. Here, the vas deferens is connected to the epididymis in a new location away from the blockage.
A vasectomy reversal is a more complicated procedure than a vasectomy and therefore needs a longer recovery period. Patients remain on bed rest for the first 24 hours following the reversal and must refrain from all physical activity. Pain from the procedure is usually minimal and can be treated with over the counter medication. After the two week recovery time, patients are cleared to begin sexual intercourse and normal activities.
Success rates of vasectomy reversals are high. The most important factors contributing to the success of the procedure are the experience of the surgeon, the amount of time since the vasectomy and the quality of sperm fluid at the time of retrieval. Dr. Jesse Mills, director of the Center for Men’s Health at TUCC, specializes in performing vasectomy reversal procedures at TUCC. He performs more than 150 microsurgical procedures each year, making him one of the busiest micro-surgeons in the nation. He is also fellowship trained in microsurgery and male reproductive medicine. Dr. Mills has successfully performed vasectomy reversals on men more than 20 years after their vasectomies and averages a 95 percent success rate on vasectomy reversal patients.
If you are coming from out of town for your vasectomy reversal, Dr. Mills will typically see you the day before your surgery and it's usually safe to return home the day after the procedure.