When you had your vasectomy, you were certain your family size was just right for you. You thought carefully about that decision, because your doctor told you it could not be reversed. But life often changes, and now you would love to have more children. Through the advanced techniques of microsurgical vasectomy reversal, many couples who once thought they could never have children again have been blessed with new families.
Many surgeons perform vasectomy reversal, but most do so using non-microsurgical techniques - an approach which all too frequently leads to scarring, failure, and disappointment.
Many surgeons perform vasectomy reversal, but most do so using non-microsurgical techniques - an approach which all too frequently leads to scarring, failure, and disappointment.
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Success rates for vasectomy reversal are generally reported in two ways: technical success rates and pregnancy rates. When evaluating success rates, you should keep in mind that they are statistical averages derived from large numbers of patients. Your specific situation and results may differ from that of a group because of many personal variables, such as your age, your fertility prior to vasectomy, your partner's fertility, the technique of vasectomy, and a host of other factors.Their principal value is to guide you to a general idea of your chances for success.
The term, technical success, refers to ability to restore the vas deferens and epididymis to their normal, open state, as they were before your vasectomy, allowing the passage of sperm from the testes. This is determined by the appearance and number of sperm found in a sperm count (semen analysis) after surgery.
The following table shows the expected technical success rates for vasectomy reversal based on the time since vasectomy. These numbers are drawn from Dr. Finnertys personal experience with over 3500 vas reversals. Keep in mind that these are statistical averages, meant to give you a general indication of your chances for success with reversal surgery.
A vasectomy reversal which fails is an extremely disappointing - not to mention a very expensive - experience. Patients are of course anxious to know why the surgery didn't work - and what to do to prevent such failures, either on their first reversal, or especially when considering a redo after failed reversal.
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