The science of micro surgery was first performed in 1910 by Carl Nylen to correct a middle ear problem. It was not until 1971 that it was first used for vasectomy reversals by Earl Owen. Since the first procedure the discipline has advanced tremendously and the fertility success rate has become much higher than ever thought possible.
Most couples consider vasectomies when the desired family size is achieved and the question of reversal comes about when there is a divorce or some other reason that the male wishes to begin another family. Sometimes the empty nest syndrome plays into this decision when couples decide to start a new group of children after the first set is grown.
There is no hospitalization necessary with this procedure and you are usually ready to go home after about four hours. Your doctor will determine which surgical process is needed once he has opened the scrotum. There are two types of surgery that can be used and both are dependent upon what the doctor sees when he makes the incision. The simplest one involves cleaning and reconnecting the vas tubes that were severed originally. The other is more complicated and involves connecting the vas defer to the scrotum, bypassing any clogged tubing you may have.
Most patients can return to their normal activities within three days. You will be cautioned about lifting or straining and to watch for swelling. The swelling can be treated by placing ice packs on the affected area.
Other issues that may occur after the surgery include infection or fluid buildup in the scrotum that will need to be drained. You may also see blood buildup in that area that will also need draining. There have been cases of nerve and artery damage as well as sperm seeping into the scrotum and causing an immune system reaction. This is a very serious condition.
If it has been three years or less since the original operation the reversal has a much better chance of being successful. The average is approximately fifty percent at three years. After a ten year period the rates of successful impregnation drops to thirty percent or less.
This procedure can be very expensive and the cost may not be covered by your health insurance. This may be an important factor to consider prior to making the decision to proceed. With a thirty percent chance of success after a ten year period and a fifty percent chance of impregnation when there is only three years between the two procedures. Most doctors offer the option of freezing sperm found in the scrotum for use later in artificial insemination in case the reversal does not work.
When they have made the decision to go ahead with their vasectomy reversals the first step is to choose a doctor who has done this procedure many times. The experience factor is very important because micro surgery can go wrong so easily. These men should also seriously consider alternative means of impregnation prior to consenting to undergo any type of surgery. The options are many and some are less expensive and dangerous than surgery.
Most couples consider vasectomies when the desired family size is achieved and the question of reversal comes about when there is a divorce or some other reason that the male wishes to begin another family. Sometimes the empty nest syndrome plays into this decision when couples decide to start a new group of children after the first set is grown.
There is no hospitalization necessary with this procedure and you are usually ready to go home after about four hours. Your doctor will determine which surgical process is needed once he has opened the scrotum. There are two types of surgery that can be used and both are dependent upon what the doctor sees when he makes the incision. The simplest one involves cleaning and reconnecting the vas tubes that were severed originally. The other is more complicated and involves connecting the vas defer to the scrotum, bypassing any clogged tubing you may have.
Most patients can return to their normal activities within three days. You will be cautioned about lifting or straining and to watch for swelling. The swelling can be treated by placing ice packs on the affected area.
Other issues that may occur after the surgery include infection or fluid buildup in the scrotum that will need to be drained. You may also see blood buildup in that area that will also need draining. There have been cases of nerve and artery damage as well as sperm seeping into the scrotum and causing an immune system reaction. This is a very serious condition.
If it has been three years or less since the original operation the reversal has a much better chance of being successful. The average is approximately fifty percent at three years. After a ten year period the rates of successful impregnation drops to thirty percent or less.
This procedure can be very expensive and the cost may not be covered by your health insurance. This may be an important factor to consider prior to making the decision to proceed. With a thirty percent chance of success after a ten year period and a fifty percent chance of impregnation when there is only three years between the two procedures. Most doctors offer the option of freezing sperm found in the scrotum for use later in artificial insemination in case the reversal does not work.
When they have made the decision to go ahead with their vasectomy reversals the first step is to choose a doctor who has done this procedure many times. The experience factor is very important because micro surgery can go wrong so easily. These men should also seriously consider alternative means of impregnation prior to consenting to undergo any type of surgery. The options are many and some are less expensive and dangerous than surgery.
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