Vasectomy and tubal ligation are the commonest surgical options of birth control used worldwide. These methods are widely preferred due to their effectiveness. Although many people who chose are persons that wish to have permanent contraception, it becomes necessary at times to reverse it when there is a need to restore fertility. If one wishers to undergo sterilization reversal, there are a number of things that they need to know beforehand.
One of the most commonly used techniques used in performing vasectomy is the microsurgical method. This method uses very small incisions hence its name. Microscopes are used to magnify the small structures involved (the fallopian tubes and the sperm ducts). Although other methods can also be used in cutting the sperm duct, the microsurgical procedure has been shown to have the best outcomes.
The flow of semen can be restored using one of two options. The first involves the re-joining of old vas deferens stumps (left during the previous operation). This is also known as vasovasotomy. The second option is where one of the stumps left behind is joined to the vas deferens, the region in which synthesised sperms undergo maturation. This option is thus referred to as vasoepididymostomy. The results from the two are comparable.
Microsurgical vasectomy reversal is a relatively safe procedure. The complications that may be encountered include bleeding, infections and blood accumulation within the scrotum. Between 70% and 90% of patients who undergo the procedure regain fertility in a couple of months. It is important to bear in mind that success is greatly influenced by the duration of time of sterility with the best results seen within the first three years.
Microsurgical vasectomy reversal is performed as a day case in most centres. This means that one can be allowed home as soon as the procedure is completed. The procedure lasts between two and four hours depending on the degree of complications encountered. Regional (spinal) anaesthesia is usually used hence you will be awake during the entire exercise. After the operation, you may experience a bit of pain but this should not prevent you from resuming your regular routine.
Tubal ligation works in the same way as vasectomy in women. This method of birth control is performed by cutting, clipping or cauterising the fallopian tubes that are found on either side of the uterus. While the option has for a long time been considered a permanent method of contraception, advances in surgical practice have made it possible for women undergoing the procedure to regain their fertility.
The method that is used in effecting tubal ligation has a great influence on the success of the reversal procedure. If the procedure was performed through cutting then reversing it is likely to be more difficult than if it was performed through clipping. There is often a need for a number of tests before the operation to rule out any other possible causes of infertility.
Failure of these procedures can be caused by a number of things. Among the commonest causes is the presence of extensive scar tissues in and around the tubes. The scar tissue may block the tubes which subsequently interferes with the movement of the ovum or the sperm cells. Another common cause of failure in men is the presence of anti-sperm antibodies. There is a need for screening for these antibodies before the surgery is undertaken.
One of the most commonly used techniques used in performing vasectomy is the microsurgical method. This method uses very small incisions hence its name. Microscopes are used to magnify the small structures involved (the fallopian tubes and the sperm ducts). Although other methods can also be used in cutting the sperm duct, the microsurgical procedure has been shown to have the best outcomes.
The flow of semen can be restored using one of two options. The first involves the re-joining of old vas deferens stumps (left during the previous operation). This is also known as vasovasotomy. The second option is where one of the stumps left behind is joined to the vas deferens, the region in which synthesised sperms undergo maturation. This option is thus referred to as vasoepididymostomy. The results from the two are comparable.
Microsurgical vasectomy reversal is a relatively safe procedure. The complications that may be encountered include bleeding, infections and blood accumulation within the scrotum. Between 70% and 90% of patients who undergo the procedure regain fertility in a couple of months. It is important to bear in mind that success is greatly influenced by the duration of time of sterility with the best results seen within the first three years.
Microsurgical vasectomy reversal is performed as a day case in most centres. This means that one can be allowed home as soon as the procedure is completed. The procedure lasts between two and four hours depending on the degree of complications encountered. Regional (spinal) anaesthesia is usually used hence you will be awake during the entire exercise. After the operation, you may experience a bit of pain but this should not prevent you from resuming your regular routine.
Tubal ligation works in the same way as vasectomy in women. This method of birth control is performed by cutting, clipping or cauterising the fallopian tubes that are found on either side of the uterus. While the option has for a long time been considered a permanent method of contraception, advances in surgical practice have made it possible for women undergoing the procedure to regain their fertility.
The method that is used in effecting tubal ligation has a great influence on the success of the reversal procedure. If the procedure was performed through cutting then reversing it is likely to be more difficult than if it was performed through clipping. There is often a need for a number of tests before the operation to rule out any other possible causes of infertility.
Failure of these procedures can be caused by a number of things. Among the commonest causes is the presence of extensive scar tissues in and around the tubes. The scar tissue may block the tubes which subsequently interferes with the movement of the ovum or the sperm cells. Another common cause of failure in men is the presence of anti-sperm antibodies. There is a need for screening for these antibodies before the surgery is undertaken.
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