Vasectomy reversal is an approach to restore back the fertility of a man by suturing back the ends of the vas deferens tubes and create a passage for the sperm flow. This is an outpatient procedure that requires the use of a local or general anesthesia to ease the pain and the discomfort of this 2 to 3 hour surgery.
Suturing the tubes
The tubes are about the size of the smallest spaghetti. Suturing the tubes require a highly skilled micro surgeon who can completely reconnect, suture, and create a passage for the sperm without the possibility of leaking. The procedure is conducted under a high-powered microscope. The microsurgery involves a multi layer 1-0 suturing skill.
Vas Deferens Tubes
The doctor will perform an analysis of your vas deferens tubes health before the selection of reversal vasectomy technique. The doctor will take a fluid sample for color analysis. The fluid means the amount of sperm accumulating in your vas deferens because it cannot travel to the prostate glands. The fluid sample analysis also includes sperm health examination such as the motility, presence, and volume.
The goal of this fluid sample examination is to evaluate your ability to restore sperm health after the vasectomy reversal procedure. If your sperm shows capability to regain health and fertilize an egg, the doctor will advise you to proceed with the vasectomy reversal procedure.
Vasectomy Reversal Surgery
There are 2 techniques involve in the vasectomy reversal surgery. The selection of the technique largely depends on the health of your vas deferens tubes. After determination of the health of your vas deferens tubes, the doctor will either reconnect the tubes or directly connect the vas deferens to the male epididymis. Several factors such as blockage, scar tissue, or length of the remaining vas deferens tubes could affect selection of the vasectomy reversal technique as well as the cost of the procedure.
Once the technique is concluded, the doctor will then proceed to suture and create a smooth passage for the semen to carry the sperm to the prostate glands where it will stay for a short time ready to go out of the man's body during ejaculation.
The Procedure
The vasectomy reversal procedure takes a minimum of 2 hours and a maximum of 3 hours to complete. This is an outpatient procedure that uses local or general anesthesia to help you feel comfortable during the surgery. After the procedure, the doctor will give you prescription for your pain and discomfort as well as a list of instructions on how to take care of yourself for the first 7 and first 30 days.
You can go home immediately after the procedure if you do not feel any effects of the anesthesia anymore. Otherwise, you can stay for a bit until it wears off or call a friend to drive you back home.
The first 7 days
The first 7 days after the vasectomy reversal is very critical. You need to have a complete bed rest during this period. You should realize that you still feel a bit of pain and discomfort during this time. Take the pain relievers that the surgeon prescribed for you to ease your pain a bit. There could be a little swelling or bruising for this first 7 days but it is not a cause for worry yet. An ice pack place on your scrotum would control the swelling and ease your pain a bit. However, if the inflammation continues and your pain intensity level increases, then you need to see your doctor immediately for medication.
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