Vasectomy Reversal Overview

• Ability to initiate a natural pregnancy
• Achieve pregnancy without artificial assistance
• Avoid expensive alternative reproductive techniques
• Allows family expansion

• vasectomy within the last 20 years
• wish to re-establish fertility
• little elapsed time since vasectomy
• young maternal age
• female infertility absent
• sperm granuloma” is present
• overall good health

• Vasovasostomy (VV)
• Epididymovasovastomy (EV)
• Require specialized microsurgical skills
• Are preformed based on patients needs

• Pre-Surgery appointment- physical examination and surgery details
• Vasectomy Reversal Surgery- 3 to 4 hours
• 3-4 hours after surgery- return home
• 3-5 days after surgery- return to work
• 14 days after surgery- resume normal activities

• Day of the Procedure: return home
• Three Days after Surgery: resume normal non-strenuous activities
• One Week after Surgery: return to work
• Ten Days after Surgery: assess your healing
• Two Weeks after Surgery: resume normal strenuous activities
• Six to Eight Weeks after Surgery: determine successful procedure
• Four to Six Months after Surgery: monitor your recovery

• Vasovasostomy patients enjoy a 95% patency rate, and a 75% pregnancy rate.
• Epididymovasostomy patients have a 65% patency rate, and a 50% pregnancy rate.

• bleeding below the skin’s surface (hematoma)
• infection
• fatigue after surgery
• swelling after surgery
• excessive pain after surgery

Assisted reproductive technique (ART)

• intracytoplasmic sperm injection (ICSI).
• in vitro fertilization (IVF)

AND

Sperm retrieval technique

• microscopic epididymal sperm aspiration (MESA)
• testicular sperm extraction (TESE).

• Microsurgical Vasovasostomy Surgical Fee: $3,850
• Epididymovasostomy: $4,400
• Hospital Operating Room Fee: $3,675
• Anesthesia Fee: $1,200
• Sperm Cryopreservation Fee: $850, plus $200 per year
• Late Cancellation Fee (less than 2 weeks before surgery): $2,200