In most cases, it is possible to reverse the vasectomy and restore the flow of sperm to the vas deferens. Vasovasostomy is a microsurgical procedure that involves the use of a tiny camera and ultrafine sutures to reattach the inside and outside of the vas deferens. Vasoepididymostomy is performed when inflammation or scarring from the original vasectomy blocks the epididymis and prevents a successful vasovasostomy. The blockage is bypassed by connecting the vas deferens directly to the epididymis in a new location. Most vasectomy reversals are done on an outpatient basis. For additional information, go to vasectomy reversal.
Needle aspiration is an alternative method to obtain sperm after vasectomy. A special surgical needle is inserted directly into the testes and sperm is collected in the syringe. Sperm can then be used with a variety of alternative insemination techniques (e.g., IVF).
Physician-developed and -monitored.
Original Date of Publication: 15 Jun 1998
Reviewed by: Barton H. Wachs, M.D., F.A.C.S.
Last Reviewed: 17 Jul 2007
Vasectomy, Vasectomy Reversal reprinted with permission from urologychannel.com
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