Seek Out Vasectomy Reversal Options in Arizona
Reversing a vasectomy was once a difficult proposition, but specialists have developed advanced methods that increase the likelihood for success. Vasectomy reversal procedures vary depending on factors such as sperm motility, location, and possible complicating health issues such as an epididymal obstruction. Vasectomy reversal options in Arizona include the vasovasostomy and the vasoepididymostomy. Here are some details related to the respective vasectomy reversal procedures.
Prior to surgery, the urologists will sit down with patients to discuss potential outcomes and risks. A simple list of pre-surgery recommendations, includes, but is not limited, to:
- Refraining from food and drink eight hours prior to surgery
- Suspending aspirin or anti-inflammatory medication temporarily
- Wearing proper clothing, including supportive and clean undergarments and loose-fitting outerwear
Although a vasovasostomy is performed on an outpatient basis, the patient is not permitted to drive home, so other driving arrangements must be made before the surgery.
The Vasovasostomy procedure begins with a thorough cleaning and shaving of the operating site. An anesthetic is administered. The disconnected ends of the vas are located within the scrotal sac. An incision is made, the cut vas is lifted out of the scrotum, and any fluid from the vas leading from the testes is removed. In the event that motile sperm is detected, this indicates the epididymis is not blocked, the patient is eligible for a vasovasostomy, and the procedure can commence. The disconnected ends of the vas are sutured together under a microscope, using a single-layer or multi-layer technique with sutures that are thinner than a human hair. A two to four week waiting period is recommended prior to attempting ejaculation or having sex. Sperm will typically reappear in the seminal fluid two months after surgery.
30% of all failed vasectomy reversal procedures can be attributed to an undetected Epididymal obstruction that prevents the flow of sperm from the epididymis to the seminal fluid. In these cases, a vasoepididymostomy is required. in which the vas is connected directly to the epididymis, above the site of blockage.
By evaluating the fluid from the vas leading from the testes for the presence or absence of sperm, experienced micro surgeons will determine if this technically demanding variation of vasectomy reversal is needed at the time of surgery. An incision is made in a single epididymal tubule above the point of blockage, to confirm the presence of motile sperm. The lumen of the vas deferens is connected to the epididymal tubule using radially placed sutures. The covering around the testis is replaced to complete the procedure.
Discuss vasectomy reversal options in Arizona with skilled urologists and find out if a vasovasostomy or a vasoepididymostomy will afford you another chance for conception.