A vasectomy reversal can restore fertility if you change your mind about growing your family. Dr. Luis Herrera, serving Tijuana, Mexico, can perform the procedure in about an hour. It poses minimal risks, and can be effective even if 10 or more years have passed since your vasectomy. Dr. Herrera offers two different types of vasectomy reversals. The recommended method used will depend on how much time has passed since your vasectomy. Compared to sperm retrieval and freezing with in vitro fertilization, this treatment offers more cost-effective benefits.
What is a Vasectomy Reversal?
The vas deferens is responsible for transporting the sperm to the urethra during ejaculation. After a vasectomy, the vas deferens is permanently blocked to prevent the sperm from reaching the semen, thus preventing pregnancy. During a vasectomy reversal, Dr. Herrera will reconnect the vas deferens using microsurgical techniques.
Before the procedure is performed, the patient is placed under anesthesia to ensure optimal comfort throughout the procedure. The type of vasectomy reversal Dr. Herrera recommends will depend on a variety of factors. During your consultation, he will determine which method will produce better results:
A vasovasostomy is the most common type of vasectomy reversal. It is generally recommended when less than 10 years have passed since the vasectomy and there is sperm within the vasal fluid. If sperm is located within the fluid after a thorough microscopic examination, it means the sperm is healthy and there is a clear pathway between the testis and the severed vas deferens. During the procedure, Dr. Herrera will use state-of-the-art technology to make a one-inch incision on the scrotum to access the severed vas deferens. He will then reconnect the inner and outer layers of the tubes with specialized microsurgical techniques. The procedure results in minimal scarring and a relatively fast recovery.
If it has been more than 10 years since the vasectomy and there is not any sperm found after examining the fluid within the vas deferens, Dr. Herrera may recommend a vasoepididymostomy. An absence of sperm generally means there is a blockage higher in the epididymis, preventing sperm from passing to the vas deferens. In these cases, performing a traditional vasectomy reversal will not clear the blockage. During this complex procedure, Dr. Herrera will make small microsurgical incisions in order to connect the urethral side of the vas deferens to the epididymis. Doing so will bypass the blockage and can produce higher success rates.
Vasectomy Reversal Recovery
Because a vasectomy reversal can be completed as an outpatient procedure, patients can expect to return home the same day. After the anesthesia subsides, patients may experience some soreness, bruising, and swelling that can be easily managed with pain medications and application of ice packs. Many of our patients choose to spend the first few days of their recovery in one of the luxurious hotels located near our urology center in beautiful Zona Rio.
Most patients can expect to return to work and light activity within the first week, but all strenuous and sexual activity will need to be avoided for the first four weeks. Within that time, it is recommended that you visit Dr. Herrera for post-op visits and semen analysis to ensure the efficacy of the procedure.
Success rates for vasectomy reversals vary. They generally depend on how much time has passed since the vasectomy. Patients who have a vasectomy reversal within 10 years of their vasectomy have a greater chance of conceiving. The average pregnancy success rate after a vasectomy reversal is just over 50 percent.
Schedule Your Visit
If you are having second thoughts about your vasectomy and wishing to grow your family, contact our urology center online or call (619) 392-8516 to schedule a consultation. Dr. Herrera can determine your candidacy and the right approach to helping you reach your goals.