There are two types of vasectomy reversal: vasovasostomy and vasoepididymostomy. Vasovasostomy is when the surgeon sews the cut ends of the vas deferens back together. This is the most common type of vasectomy reversal. Vasoepididymostomy is more complicated, but is performed when there is blockage in the epididymis. It is done by attaching the vas deferens to the epididymis, hence its name.
Length of Time
There is a correlation between the time your vasectomy was performed, and the time you want to have a vasectomy reversal. The longer you wait to have the vasectomy reversal done the more your chances decrease of being able to regain your fertility. Up to three years after your vasectomy your chances are higher to get your fertility back. After three years your chances begin decreasing slowly the longer you wait. While there is no period of time considered too long to perform a vasectomy reversal, the sooner you do so after your vasectomy the better the chances are that you will be able to father a child.
Medical Breakthrough Makes Vasectomy Reversal Possible
The medical breakthrough which makes vasectomy reversal possible is the relatively new development of microsurgical techniques. Prior to the discovery of these techniques vasectomy reversal was thought to be too complicated, as well as unlikely to help men who had a vasectomy regain their fertility. Microsurgery or the use of an operating microscope during surgery allows the surgeon to see the vas deferens in much greater detail and as such to perform the vasectomy reversal with much greater success.
According to recent studies after vasovasostomy sperm is present in semen in about 85-97 percent of men. About fifty percent successfully father a child after the procedure. In the case of vasoepididymostomy sperm shows up in the semen in about sixty-five percent of the men. Only about twenty percent achieve fatherhood after this procedure.
Choosing a Surgeon
Choosing the surgeon to perform your vasectomy reversal is one of the most important tasks in this process. It is critical that you choose a surgeon who is well versed in microsurgical techniques if you want the procedure to be successful. It is also important to ask your surgeon of choice if he/she can do a vasoepididymostomy with an operating microscope. The surgeon also needs to have experience in checking out the quality of the vas fluid, figuring out the best location to do the vasoepididymostomy, as well as, assessing the signs of epididymal blockage.
These are the issues you should consider should you choose to have a vasectomy reversal. The procedure is not guaranteed to restore your fertility, but should you decide the have the procedure done by a reputable surgeon versed in microsurgical techniques, your chances are good.