Vasectomy is one of the most effective methods of birth control available for men. The procedure entails the ligation of an important conduit for sperm cells known as the vas deferens. Once this has been done, the cells can no longer be transferred into the female genital tract for fertilization to take place. To reverse vasectomy, the continuity of these conduits has to be re-established using surgery.
Microsurgical vasectomy reversal is by far the most preferred technique. It involves minimal access of the reproductive structures which not only increases the success rate of the procedure but also minimizes the associated complications. Using the microsurgical technique, the surgeon may connect the two stumps of vas deferens (vasovasostomy) or one of the stumps to the epididymis, the sperm storage site (vasoepididymostomy).
It is important to remember that failure rates are quite high even with the best of surgeons. Excessive scaring occurring when vasectomy is done has been identified as one of the main causes of unsuccessful reversal. This scar is usually removed before re-joining can be done but it is almost impossible to remove it in its entirety. Another major challenge that is encountered is a difference of diameters in the two stumps.
Before the operation, you have to undergo evaluation by a fertility specialist and a urologist. The aim of this evaluation is to determine the probability of achieving success in the operation. The specialist will seek to establish whether or not you were fertile before the ligation procedure. They also attempt to identify the presence (or absence) of sperm antibodies that may have been formed over time.
It has been shown through research that between 70% and 90% of persons that undergo the reversal procedure are successful. Interestingly, age does not appear to influence the success rate. However, the chances of regaining fertility decline progressively from the period of ligation. Persons who undergo reversal within 3 years achieve the best results while those who undergo it after 10 or more years have more unfavorable outcomes.
Although the technique is considered safe generally, there are a number of potential risks that exist. Bleeding, surgical site infection and fluid accumulation within the scrotal sac are some of the most commonly encountered complications particularly in the immediate post-operative period. Others include blood vessel and nerve fiber injury. Rarely, patients may suffer from deep venous thrombosis (DVT) or may react to anesthesia.
The operation itself is usually done on an outpatient basis and typically lasts between two and four hours. Spinal anesthesia is typically used which means that one can be discharged from hospital on the same day. The resultant pain is mild and can permit resumption of normal routines within three days or thereabout.
When dealing with reversal of vasectomy, it is important to bear in mind that successful pregnancies are the product of two partners; the woman and the man. Before the procedure can be said to be unsuccessful, the woman should be adequately evaluated as well. This is particularly important if the partner is thirty five years or older or has never conceived in the past.
Microsurgical vasectomy reversal is by far the most preferred technique. It involves minimal access of the reproductive structures which not only increases the success rate of the procedure but also minimizes the associated complications. Using the microsurgical technique, the surgeon may connect the two stumps of vas deferens (vasovasostomy) or one of the stumps to the epididymis, the sperm storage site (vasoepididymostomy).
It is important to remember that failure rates are quite high even with the best of surgeons. Excessive scaring occurring when vasectomy is done has been identified as one of the main causes of unsuccessful reversal. This scar is usually removed before re-joining can be done but it is almost impossible to remove it in its entirety. Another major challenge that is encountered is a difference of diameters in the two stumps.
Before the operation, you have to undergo evaluation by a fertility specialist and a urologist. The aim of this evaluation is to determine the probability of achieving success in the operation. The specialist will seek to establish whether or not you were fertile before the ligation procedure. They also attempt to identify the presence (or absence) of sperm antibodies that may have been formed over time.
It has been shown through research that between 70% and 90% of persons that undergo the reversal procedure are successful. Interestingly, age does not appear to influence the success rate. However, the chances of regaining fertility decline progressively from the period of ligation. Persons who undergo reversal within 3 years achieve the best results while those who undergo it after 10 or more years have more unfavorable outcomes.
Although the technique is considered safe generally, there are a number of potential risks that exist. Bleeding, surgical site infection and fluid accumulation within the scrotal sac are some of the most commonly encountered complications particularly in the immediate post-operative period. Others include blood vessel and nerve fiber injury. Rarely, patients may suffer from deep venous thrombosis (DVT) or may react to anesthesia.
The operation itself is usually done on an outpatient basis and typically lasts between two and four hours. Spinal anesthesia is typically used which means that one can be discharged from hospital on the same day. The resultant pain is mild and can permit resumption of normal routines within three days or thereabout.
When dealing with reversal of vasectomy, it is important to bear in mind that successful pregnancies are the product of two partners; the woman and the man. Before the procedure can be said to be unsuccessful, the woman should be adequately evaluated as well. This is particularly important if the partner is thirty five years or older or has never conceived in the past.
About the Author:
If you are looking for the facts about a reverse vasectomy, pay a visit to the web pages online here today. More details are available at http://micro-vas-reversals.com now.
0 nhận xét:
Đăng nhận xét