Vasectomy Reversal: The Microdot Method

Although the number of American men who undergo vasectomy has stabilized at about 500,000 annually, the number requesting surgical reversal has grown dramatically. Estimates indicate that 2 to 6 percent of vasectomized men ultimately seek reversal.

In the United States, divorce with subsequent remarriage is by far the most common reason given for requesting reversal. In developing countries, the death of a child is the most common reason. In Bangladesh, for example, 5 percent of all couples who choose sterilization experience the death of a child within 1 year after operation. Before the refinement of microsurgical techniques, results of vasectomy reversal were relatively poor, with pregnancy rates varying from 5 to 30 percent.

The technical problems inherent in creating an accurate, leakproof anastomosis of structures with a luminal diameter of only 0.3mm are formidable. Microsurgical techniques of reversal now result in return of sperm to the ejaculate in over 90 percent of men and yield pregnancy rates in the patient's partner of better than 50 percent.

It was developed a microsurgical three-layer technique of vasovasostomy that facilitates precision suture placement. The technique involves mapping of the planned suture exit points with "microdots" placed on the cut ends of the vas deferens with a microtip marking pen. Microdots are placed at 12, 3, 6 and 9. o'clock position. Four additional dots are placed between each of the previous 4 dots. Exactly 8 mucosal sutures (double armed 10-zero monofilament sutures) are used for each anastomosis (Figure 1, 2). The anastomosis is completed with 8 muscularis sutures (9-zero monofilament) and 6 to 8 sutures ( 6-zero monofilament) approximating the vasal sheath

How successful is the vasectomy reversal?

Vasectomy reversal is more successful if it's done fairly soon after the original vasectomy. About eight out of ten men are able to father children when their vasectomy is reversed within five years. The success rate falls as time goes on.

It's important to understand that success is not guaranteed. Even if the operation is technically successful, the presence of sperm in your semen doesn't guarantee that your partner will get pregnant. Other factors that can affect your result include:

the time since your vasectomy the type of vasectomy being reversed the type of technique used to do the reversal a problem with another part of the reproductive system the presence of sperm antibodies your partner's age and her fertility It may be possible to have a second reversal operation if the first has not restored your fertility, but it's even less likely to be successful.

Alternatives to Vasectomy Reversal

The idea of going through a long, complex surgery may not appeal to all men who wish to have children again. Even if you have had a vasectomy, there are ways to father children without resorting to surgical procedures. If you are considering having a vasectomy or a vasectomy reversal, examine your alternatives to be sure that you are choosing the best option for you. There are ways to extract sperm from your body without having to undergo major surgery, and many of these procedures are also associated with good success rates.

Sperm Banking: Sperm banking is one of the best options available for those men considering having a vasectomy. When you decide to have a vasectomy you will usually be given the option of having some sperm retrieved so that you can store it for use later on. Sperm from your testicles or vas deferens can be removed by your doctor and stored in a special facility at a relatively low cost. This will provide you with the option of pursuing in vitro fertilization (IVF) if you do decide to have a baby in the future. Of course, if you have already had a vasectomy, it is too late to pursue banking your own sperm.

Therapeutic Donor Insemination: Therapeutic donor insemination involves choosing an outside sperm donor to help you and your partner conceive a child. If you are open to the idea of having a child without using your own sperm, this may be one of the easiest and most effective procedures available. A wide variety of donor sperm is available to couples wishing to conceive. Once you have chosen your sperm, your partner will be artificially inseminated. This involves putting the donated sperm into her cervix or uterus during ovulation. Hopefully, this sperm will fertilize an egg and create an embryo. Success rates vary between 5% and 25%.

Sperm Aspiration: If you wish to have a child with your own sperm but don’t want to have a vasectomy reversal, your doctor can remove sperm from your body through a process called sperm aspiration. This process involves retrieving sperm from either your epididymis or testes to be used in IVF or intracytoplasmic sperm injection (ICSI).

There are two main types of non-surgical sperm aspiration. Percutaneous Epididymal Sperm Aspiration (PESA) involves retrieving sperm from your epididymis, located just above your vas deferens. A fine needle is inserted through the skin into the epididymis, and some liquid is removed. This liquid should contain sperm. Testicular Sperm Extraction (TESE) involves using a biopsy needle to remove small pieces of tissue from your testes. This tissue contains small amounts of sperm, which can be extracted and used in IVF or ICSI.

Non-surgical sperm aspiration generally involves few side effects and no complications. Rarely, infections can occur at the injection or biopsy site. If your partner is willing to undergo IVF or ICSI, sperm aspiration may be a good alternative to a vasectomy reversal. However, IVF and ICSI have lower success rates than the vasectomy reversal.

Typically, between 20% and 35% of patients conceive a child using these methods. These procedures generally have to be performed on numerous occasions, because few women become pregnant after only one attempt. Unfortunately, this entails a lot of time and effort, as well as extremely high costs.

If you have had a vasectomy in the past, are thinking about having one, or are interested in getting a reverse vasectomy, investigate all of you options before you sign up.

Reasons for conflicting vasectomy reversal results

by Sarah Michaels

While a vasectomy is a relatively easy surgery, reversing a vasectomy is not. Reversing a vasectomy is a challenging operation that re-connects the tubes that carry sperm from the testicles into the semen. However, due to conflicting test results--a rare but possible occurrence after surgery--many men wonder if this type of surgery is successful and if they will ever be able to have a baby.

About half of vasectomy reversals are successful, according to the MayoClinic.com. After a vasectomy reversal, many men report having a positive sperm test result, only to receive a negative result after the second test. Dr. Todd B. Nippoldt, M.D. tells the Mayo Clinic that there are several possible explanations for conflicting test results, including testicular temperature, smoking or the use of certain medications-all of which temporarily decrease sperm count. Other reasons for vasectomy problems such as conflicting test results include scarring. Scarring right after a vasectomy reversal blocks the vas deferens, resulting in only negative sperm analyses. Scarring that happens much later may result in a positive sperm analysis followed by a negative sperm analysis.

For other men, patience is an important virtue. It can take up to 15 months for sperm to appear after vasectomy recovery and successful reversal surgery.

To find out exactly why your results are so different, consult your doctor. Dr. Nippoldt says that your doctor "may recommend another semen analysis or perhaps a vasogram - a special X-ray used to check for blockages in the vas deferens. If a blockage is detected, it may be helpful to repeat the vasectomy reversal procedure."

About the Author
Sarah Michaels is the General Manager at www.vasectomy.com . Vasectomy.com where you can find vasectomy and vasectomy reversal doctors in your area & read articles about male sterilization options like no scalpel vasectomy.

Vasectomy reversals in India: Neutralize your Vasectomy surgery

by Dr. Dheeraj Bojwani

Vasectomy reversal to neutralize Vasectomy surgery:
If you are considering to get the procedure of Vasectomy reversal in India then get assured of availability of world renowned physicians, cutting edge technology and excellent nursing staff who provide all patients with the highest level of medical care at reasonable and pocket friendly expenses. If a couple does not wish to have more children or any children at all then vasectomy or male sterilization is a common solution to prevent pregnancy. A Vasectomy is a minor surgical procedure that makes a man sterile. The tubes that carry sperm called vas deferens are blocked. However after some time if the couple revise their decision of not having children and wish to have another pregnancy then the male undergoes the procedure of Vasectomy reversal to neutralize the effects of vasectomy surgery. As considering prices of Vasectomy reversals in India, if a patient from UK travels here to get it he gets a reasonable bargain in just £1,335 with savings of 29 % than his native place.

Vasectomy reversal by Vasoepididymostomy and Vasovasostomy methods:

Vasectomy reversal at any modern infertility cure center in India is done in 2 ways: vasoepididymostomy and vasovasostomy. Vasovasostomy is considered when the surgeon sews the cut ends of the vas deferens together. This is the most common type of vasectomy reversal procedure. The other one called Vasoepididymostomy is more complicated. It is performed when there is a blockage in the epididymis and is done by attaching the vas deferens to the epididymis . A time factor exists between when your vasectomy was performed, and the time you get a vasectomy reversal. The longer you wait for vasectomy reversal, you lose chances to regain your fertility. Up to this period your chances begin decreasing slowly.


Low cost price budgets for Vasectomy reversal:

The treatment available in India for infertility related procedures like Vasectomy reversal at private hospitals of Delhi and Mumbai is of world class level with low cost price budgets. Many ex-patients from different destinations like USA, Bhutan, Hong Kong and Ireland can testify this. Moreover our vasectomy reversal surgeons and doctors are experienced in serving international customers and are able to communicate fluently in English during the entire care process. In fact patients from overseas destinations make up a large proportion of the patients at Indian hospitals. In addition, the world renowned Indian healthcare and hospitality gives the patient a unique care experience. Consult us today for flying to India for Vasectomy reversal by visiting us at http://www.indianmedguru.com or mail at contact@indianmedguru.com Get in touch with us on phone at +91- 9371136499 (International) / + 1-415-599-2537 (USA) / +44-20-8133-2571 (UK)

About the Author
I am a doctor and international health consultant. Our aim is to provide cost effective treatment plans to our foreign guests coming to India for gaining health recovery.

What's the Real Vasectomy Reversal Statistics?

by Chris Altesino

Has your wife changed her mind about having any more children? Are you remarried and want to start a family? Have you lost a child and want another. Did you bank any sperm when you had your original vasectomy? If you have answered yes to any of these questions then you need to understand some vasectomy reversal statistics before going down the road of another surgery. As with any surgery, there are no guarantees of success.

There are a number of factors that affect the probability of success in vasectomy reversal statistics. The age of the patient at the time of the original surgery and the reversal have a major effect on the probabilities of success. The older the patient at the reversal results in lower chances of success. How recent the original vasectomy was in relation to the reversal procedure increases the success rate in vasectomy reversal statistics. The quality of the original vasectomy is very important to the success rate of subsequent reversal procedures. If the original surgery did not leave the vas deferens tube with clean cuts the reattachment will be more difficult and can cause more scarring that increases the risk of future blockage.

Probably the greatest factor in what increases the success rate in vasectomy reversal statistics is the ability of your micro surgeon. The better the surgeon the higher the rate of success. Some of the vasectomy reversal statistics you will hear quoted are that microsurgery results in the return of sperm in seventy five (75%) to ninety seven (97%) percent of patients. Women can then expect pregnancy in thirty (30%) to seventy five (75%) percent with their reversed spouses.

In general, sperm returns within two months to a year after a reversal procedure and the average couple gets pregnant within eighteen months of the procedure if all goes well. There are many health factors including drinking, smoking and general health issues that can affect fertility in either party. An average of over five hundred thousand (500,000) men undergo the vasectomy procedure each year. Vasectomy reversal statistics show that an average of five (5%) of these will want to reverse the procedure. So for every Five hundred thousand vasectomies, there will be twenty five thousand reversal procedures.

By using vasectomy reversal alternatives like sperm banking you can avoid the dangers of surgery while still having the option of being the father of your own child as long as your spouse is up for artificial insemination.

About the Author
Read more about Vasectomy Reversal Alternatives on my website or more articles about Vasectomy Reversal Alternatives

Vasectomy Reversal Cost

by David Done

Men who decide to undergo a vasectomy reversal may be surprised to learn that the procedure is not covered by their health insurance policy, even though their original vasectomy was covered. With the procedure costing between $6,000 and $15,000, a vasectomy reversal is often a decision based on both emotional and financial capabilities.

But, just because one may have to pay for their vasectomy reversal costs out of pocket, it does not mean that the cheapest doctor should automatically be their first choice.

A vasectomy reversal is an extremely delicate procedure that is performed through microsurgery, a specialized field of surgery that not all surgeons are capable of performing. Men who are considering a vasectomy reversal should be aware that there are many urologists who claim that they can effectively perform, or they "know how to" perform, the procedure. While they may understand the principles of the surgery, the fact is that they may not be trained in microsurgery.

Often, men who are looking for lower vasectomy reversal costs will place their trust in these surgeons. In fact, some top level specialists may only be modestly more expensive than an inexperienced "inexpensive" doctor. The higher fees are usually a function of the more specialized equipment, sutures, and techniques that a highly skilled specialist utilizes.

Studies indicate overwhelmingly that vasectomy reversals performed using microsurgery techniques are far more successful than those that are performed using older methods. And in truth, cost should never be the determining factor in a matter of such importance.

Today, there are many different options available for managing vasectomy reversal costs. By having a number of financial solutions available, it can be easier to find a quality surgeon rather than settling on one that appears to fit your budget. Here are some of the ways you can pay for your vasectomy reversal costs:

Cash - Paying for your vasectomy reversal procedure in cash is always the best way for both parties involved. If you are able to save the money to pay for your procedure in full, you can avoid the additional expenses of interest payments associated with credit cards or other financing.

Credit Cards - Most doctor offices accept all of the major credit cards. While you will accrue interest on your vasectomy reversal costs by charging it to a credit card, paying for your procedure over time will allow you to manage the costs in a financially comfortable manner.

Independent Medical Financing - Many doctor offices work with medical lending agencies so their patients can take advantage of special financing options. This method is similar to using a credit card as you will have to pay an interest rate on you vasectomy reversal costs.

California Vasectomy Reversal - Finest, safest, affordable and the most result-oriented Vasectomy Reversal experience in the USA.

About the Author
VasectomyReversalUSA.com offers you the whole range of services related to male infertility and Vasectomy Reversal. Find more information & resources about Vasectomy Reversal California at VasectomyReversalUSA.com