| Vasectomy & Vasectomy Reversal |
| California Vasectomy & Reversal Center |
Vasectomy and Vasectomy Reversal
Information regarding vasectomy and vasectomy reversal
Our goal is to provide patients with a comprehensive guide to vasectomy and vasectomy reversal. We
offer patients an in-depth understanding of the procedures along with answers to the most commonly
asked questions about vasectomy and vasectomy reversal. Information regarding the procedures,
success, financial considerations, recovery and risks associated with each procedure is discussed here.
Our goal is to provide patients with a comprehensive guide to vasectomy and vasectomy reversal. We
offer patients an in-depth understanding of the procedures along with answers to the most commonly
asked questions about vasectomy and vasectomy reversal. Information regarding the procedures,
success, financial considerations, recovery and risks associated with each procedure is discussed here.
What does it mean to be fellowship trained?
Learn More About Vasectomy, Vasectomy Reversal and alternatives:
Only 1-2% of urologists annually are awarded a fellowship in male infertility and microsurgery.
These highly coveted positions are given only to the top urologists in the country. Don't expect
anything less when it comes to your vasectomy or vasectomy reversal.
These highly coveted positions are given only to the top urologists in the country. Don't expect
anything less when it comes to your vasectomy or vasectomy reversal.
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Vasectomy is the most common form of permanent birth control. It is safe and easily performed in the
doctor's office, usually in less than 20 minutes. There is minimal discomfort during or after the
procedure. Most men resume their regular activities within 48 hours.
Vasectomy Reversal is the most cost-effective way to get pregnant after a vasectomy. Approximately
5% of men will decide to have their vasectomy reversed. Reasons for this include divorce/remarriage,
desire to have more children or loss of a child. Regardless of the reason, a man can change his mind
and successful vasectomy reversal is possible, especially when it is done correctly the first time.
Choosing a microsurgeon who specializes in vasectomy reversal is important!
doctor's office, usually in less than 20 minutes. There is minimal discomfort during or after the
procedure. Most men resume their regular activities within 48 hours.
Vasectomy Reversal is the most cost-effective way to get pregnant after a vasectomy. Approximately
5% of men will decide to have their vasectomy reversed. Reasons for this include divorce/remarriage,
desire to have more children or loss of a child. Regardless of the reason, a man can change his mind
and successful vasectomy reversal is possible, especially when it is done correctly the first time.
Choosing a microsurgeon who specializes in vasectomy reversal is important!
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Can a vasectomy be reversed?
Vasectomy reversal is the most cost-effective way of achieving pregnancy after a vasectomy. Whether a couples desires more children in a relationship
or the desire for children in a new relationship, vasectomy reversal offers the best chance of pregnancy.
There are over 35,000 vasectomy reversals performed annually in the United States. The most common reasons for this procedure include
divorce/remarriage, desire for more children in a current relationship or death of a child. Occasionally, a vasectomy reversal will be performed simply
because a man has changed his mind and wishes to restore continuity of his reproductive tract.
or the desire for children in a new relationship, vasectomy reversal offers the best chance of pregnancy.
There are over 35,000 vasectomy reversals performed annually in the United States. The most common reasons for this procedure include
divorce/remarriage, desire for more children in a current relationship or death of a child. Occasionally, a vasectomy reversal will be performed simply
because a man has changed his mind and wishes to restore continuity of his reproductive tract.
How is a vasectomy reversal performed?
What is the success rate of a vasectomy reversal?
The success rate for vasectomy reversal is greater than 95% when sperm are identified at the time of surgery. The chances of finding sperm at the time
of vasectomy is determined by two important factors: the time elapsed since the vasectomy and the site of the vasectomy. When the time interval
between the vasectomy and the vasectomy reversal is greater than 15 years, the chances of developing a secondary epididymal obstruction is
approximately 50-60%. Also, when the vasectomy is performed low on the vas deferens then these chances are compounded. If sperm are not
identified at the time of vasectomy reversal, an epididymovasostomy will be required to reverse your vasectomy. Vasectomy reversal success with
epididymovasostomy is 65-70%.
of vasectomy is determined by two important factors: the time elapsed since the vasectomy and the site of the vasectomy. When the time interval
between the vasectomy and the vasectomy reversal is greater than 15 years, the chances of developing a secondary epididymal obstruction is
approximately 50-60%. Also, when the vasectomy is performed low on the vas deferens then these chances are compounded. If sperm are not
identified at the time of vasectomy reversal, an epididymovasostomy will be required to reverse your vasectomy. Vasectomy reversal success with
epididymovasostomy is 65-70%.
There are two ways to reverse a vasectomy: vasovasostomy and epididymovasostomy. Both techniques involve bypassing the obstruction in the
reproductive tract. Vasovasostomy is the preferred method of vasectomy reversal when sperm are identified in the vas deferens at the time of surgery.
Vasovasostomy
Vasectomy reversal performed by vasovasostomy is done using an operating microscope that provides magnification 25 times the normal image size.
This is important since the size of the vas deferens is about the same as a piece of spaghetti and should be sewn in two-layers to offer the highest
pregnancy rates. Microscopic suture (10-0 nylon) unseen by the naked eye is used during the vasectomy reversal. It is important to use this fine a
suture to prevent leakage of sperm and to minimize obstruction of the lumen of the vas deferens by the suture itself. The cost of the suture itself is over
$900 per vasectomy reversal!
reproductive tract. Vasovasostomy is the preferred method of vasectomy reversal when sperm are identified in the vas deferens at the time of surgery.
Vasovasostomy
Vasectomy reversal performed by vasovasostomy is done using an operating microscope that provides magnification 25 times the normal image size.
This is important since the size of the vas deferens is about the same as a piece of spaghetti and should be sewn in two-layers to offer the highest
pregnancy rates. Microscopic suture (10-0 nylon) unseen by the naked eye is used during the vasectomy reversal. It is important to use this fine a
suture to prevent leakage of sperm and to minimize obstruction of the lumen of the vas deferens by the suture itself. The cost of the suture itself is over
$900 per vasectomy reversal!
The initial step during a vasectomy reversal is to identify whether or not
there are sperm in the fluid from the cut end of the vas deferens. If sperm
are identified then a vasovasostomy can be performed successfully using
microsurgical technique. If sperm are not identified then a secondary
epididymal obstruction has developed and re-connecting the vas
deferens at the site of vasectomy will universally be unsuccessful. This
occurs 30% of the time and is dependent on several factors such as the
time since your vasectomy and the site of your vasectomy. If sperm are
not seen then an epididymovasostomy will be required in order to reverse
the vasectomy. (see below)
there are sperm in the fluid from the cut end of the vas deferens. If sperm
are identified then a vasovasostomy can be performed successfully using
microsurgical technique. If sperm are not identified then a secondary
epididymal obstruction has developed and re-connecting the vas
deferens at the site of vasectomy will universally be unsuccessful. This
occurs 30% of the time and is dependent on several factors such as the
time since your vasectomy and the site of your vasectomy. If sperm are
not seen then an epididymovasostomy will be required in order to reverse
the vasectomy. (see below)
The next step in a vasectomy reversal is to
re-approximate the ends of the vas deferens in
a tension-free manner. The 10-0 Nylon suture
provide a water-tight closure for the sperm to
travel. This is important since leakage of
sperm outside the lumen can cause
obstruction itself.
re-approximate the ends of the vas deferens in
a tension-free manner. The 10-0 Nylon suture
provide a water-tight closure for the sperm to
travel. This is important since leakage of
sperm outside the lumen can cause
obstruction itself.
Epididymovasostomy
Epididymovasostomy is required during vasectomy reversal when there is absent sperm in the vas
deferens. This signifies that a secondary epididymal obstruction has developed upstream from
the vasectomy site. This situattion is encountered in approximately 30% of individuals after a
vasectomy. Epididymovasostomy can only be performed under a powerful operating microscope
and only by specially trained microsurgeons using the finest suture (10-0 nylon).
Epididymovasostomy is required during vasectomy reversal when there is absent sperm in the vas
deferens. This signifies that a secondary epididymal obstruction has developed upstream from
the vasectomy site. This situattion is encountered in approximately 30% of individuals after a
vasectomy. Epididymovasostomy can only be performed under a powerful operating microscope
and only by specially trained microsurgeons using the finest suture (10-0 nylon).
The typical appearance of the vasal lumen
after it has been precisely sewn together using
10-0 nylon suture. The suture is non-reactive
and extremely fine to prevent any scarring of
the lumen after the surgery.
after it has been precisely sewn together using
10-0 nylon suture. The suture is non-reactive
and extremely fine to prevent any scarring of
the lumen after the surgery.
An outer layer of 9-0 nylon suture is placed
to reinforce the inner layer and to relieve
tension from the important inner layer.
Numerous interrupted sutures are placed
around the outer layer ensuring a
tension-free closure.
to reinforce the inner layer and to relieve
tension from the important inner layer.
Numerous interrupted sutures are placed
around the outer layer ensuring a
tension-free closure.
The epididymis is opened and a single
tubule is isolated to bypass the
obstruction that has developed.
tubule is isolated to bypass the
obstruction that has developed.
The vas deferens is then attached to the
epididymis using fine sutures (9-0 nylon).
This attachment brings the vas deferens
into close proximity of the single
epididymal tubule.
epididymis using fine sutures (9-0 nylon).
This attachment brings the vas deferens
into close proximity of the single
epididymal tubule.
The single epididymal tubule is sewn to
the inner lumen of the vas deferens using
microscopic sutures to create a
water-tight closure, similar to
vasovasostomy.
the inner lumen of the vas deferens using
microscopic sutures to create a
water-tight closure, similar to
vasovasostomy.
Additional fine sutures are placed in
the outer layer of the epididymis to
secure the vas deferens in place and to
release tension off of the fine inner
sutures.
the outer layer of the epididymis to
secure the vas deferens in place and to
release tension off of the fine inner
sutures.
Who should perform my vasectomy reversal?
The leading reproductive society, ASRM, has issued practice guidelines stating that:
"Since it is seldom possible to determine pre-operatively if epididymovasostomy will be required in a man undergoing vasectomy reversal, only surgeons
skilled in both epididymovasostomy and vasovasostomy should perform vasectomy reversal"
It was also stated in the practice committee guidelines that the success and pregnancy rates of men undergoing micro-surgical (24 times magnfication)
vasectomy reversal was much higher than in men undergoing the macro-surgical technique (2.5 times magnification, Loupe assisted).
Choosing a doctor who is a fellowship trained microsurgeon will guarantee that your surgeon meets the guidelines established by the leading reproductive
society in this country. Many urologists offer vasectomy reversal services, but only 1-2% of urologists hold the distinction of being fellowship trained and
capable of assuring their patients that they meet the guidelines set forth by the leading reproductive society in this country.
Some urologists will try to compensate for the lack of this advanced training by offering their patients seasonal specials, vacation packages or even a
money back guarantee along with their vasectomy reversal. These are gimmicks! Most respectable physicians do not ethically participate in such business
practices. These specials are designed to lure unsuspecting patients into a sub-optimal situation for a vasectomy reversal. It is important to remember that
the ultimate goal of your process and journey is to have a natural pregnancy after your vasectomy and not receive a free vacation or cut-rate procedure.
Additionally, most of these money back guarantees are designed to only give you back a small portion of your investment and not the entire amount. Read
the fine print and you will see that it really isn't a true money back guarantee!
Instead of offering gimmicks or vacation packages, we provide the highest quality service. We are so proud of our technique and quality of vasectomy
reversal that every patient receives high resolution photographs of the critical steps of their reverse vasectomy procedure. We stand behind the quality of
our work by providing you proof of the high quality of the procedure with actual photos from the surgery. Without these photos, patients are left wondering
what happened on the inside and oftentimes only can evaluate the quality of the incision, which has no relevance to the success of the reverse vasectomy
procedure.
This is why the California Vasectomy and Reversal Center is the leading vasectomy and vasectomy reversal center in Northern California. We provide our
patients with the latest techniques and most sophisticated equipment when it comes to their vasectomy or reverse vasectomy procedure. We are
conveniently located to all major metropolitan areas of San Jose, San Francisco, Oakland, Sacramento, Santa Cruz, Monterey, Fresno, Stockton, Santa
Rosa, and Modesto. Our patients come from virtually every corner of California, Nevada, Oregon and Hawaii. Patients from Reno, Las Vegas, Portland,
Bakersfield, Los Angeles, San Diego, Orange County, Riverside, Palm Springs, San Luis Obispo, Visalia and Santa Barbara have all had successful reverse
vasectomy procedures performed at our center.
"Since it is seldom possible to determine pre-operatively if epididymovasostomy will be required in a man undergoing vasectomy reversal, only surgeons
skilled in both epididymovasostomy and vasovasostomy should perform vasectomy reversal"
It was also stated in the practice committee guidelines that the success and pregnancy rates of men undergoing micro-surgical (24 times magnfication)
vasectomy reversal was much higher than in men undergoing the macro-surgical technique (2.5 times magnification, Loupe assisted).
Choosing a doctor who is a fellowship trained microsurgeon will guarantee that your surgeon meets the guidelines established by the leading reproductive
society in this country. Many urologists offer vasectomy reversal services, but only 1-2% of urologists hold the distinction of being fellowship trained and
capable of assuring their patients that they meet the guidelines set forth by the leading reproductive society in this country.
Some urologists will try to compensate for the lack of this advanced training by offering their patients seasonal specials, vacation packages or even a
money back guarantee along with their vasectomy reversal. These are gimmicks! Most respectable physicians do not ethically participate in such business
practices. These specials are designed to lure unsuspecting patients into a sub-optimal situation for a vasectomy reversal. It is important to remember that
the ultimate goal of your process and journey is to have a natural pregnancy after your vasectomy and not receive a free vacation or cut-rate procedure.
Additionally, most of these money back guarantees are designed to only give you back a small portion of your investment and not the entire amount. Read
the fine print and you will see that it really isn't a true money back guarantee!
Instead of offering gimmicks or vacation packages, we provide the highest quality service. We are so proud of our technique and quality of vasectomy
reversal that every patient receives high resolution photographs of the critical steps of their reverse vasectomy procedure. We stand behind the quality of
our work by providing you proof of the high quality of the procedure with actual photos from the surgery. Without these photos, patients are left wondering
what happened on the inside and oftentimes only can evaluate the quality of the incision, which has no relevance to the success of the reverse vasectomy
procedure.
This is why the California Vasectomy and Reversal Center is the leading vasectomy and vasectomy reversal center in Northern California. We provide our
patients with the latest techniques and most sophisticated equipment when it comes to their vasectomy or reverse vasectomy procedure. We are
conveniently located to all major metropolitan areas of San Jose, San Francisco, Oakland, Sacramento, Santa Cruz, Monterey, Fresno, Stockton, Santa
Rosa, and Modesto. Our patients come from virtually every corner of California, Nevada, Oregon and Hawaii. Patients from Reno, Las Vegas, Portland,
Bakersfield, Los Angeles, San Diego, Orange County, Riverside, Palm Springs, San Luis Obispo, Visalia and Santa Barbara have all had successful reverse
vasectomy procedures performed at our center.
Vasectomy Reversal
|
Additional resources to learn about Vasectomy Reversal and IVF:
All information provided on this website has been written and approved by Edward Karpman, M.D.
Disclaimer - The californiavasectomyreversal.com website strives to advance our mission of providing excellence in medical education about
vasectomy, vasectomy reversal and patient care. This website has been funded exclusively by Edward Karpman, MD. No sponsorship or funding from an
affiliated company has been accepted to publish this site and we do not host any advertisement on this site. The materials provided at this site are
reviewed regularly by Edward Karpman, MD and are for educational and informational purposes only. The information is not intended for use as
diagnosis or treatment of a health problem or as a substitute for consulting a licensed medical professional. Never disregard professional medical advice
or delay seeking it because of something you've read on the californiavasectomyreversal.com website. We encourage visitors to confirm the information
contained herein with other sources and review the information carefully with their professional health care provider. We will not be liable for any direct,
indirect, consequential, special, exemplary, or other damages arising there from.
Privacy Policy - Edward Karpman, MD and his staff are respecting your privacy when visiting our website. We honor the legal requirements of patient
privacy rights in California and follow the strict regulations of HIPAA. We track any information when visiting our website with cookies and we record your
IP address for internal use only.
Last updated 2/22/2007
Disclaimer - The californiavasectomyreversal.com website strives to advance our mission of providing excellence in medical education about
vasectomy, vasectomy reversal and patient care. This website has been funded exclusively by Edward Karpman, MD. No sponsorship or funding from an
affiliated company has been accepted to publish this site and we do not host any advertisement on this site. The materials provided at this site are
reviewed regularly by Edward Karpman, MD and are for educational and informational purposes only. The information is not intended for use as
diagnosis or treatment of a health problem or as a substitute for consulting a licensed medical professional. Never disregard professional medical advice
or delay seeking it because of something you've read on the californiavasectomyreversal.com website. We encourage visitors to confirm the information
contained herein with other sources and review the information carefully with their professional health care provider. We will not be liable for any direct,
indirect, consequential, special, exemplary, or other damages arising there from.
Privacy Policy - Edward Karpman, MD and his staff are respecting your privacy when visiting our website. We honor the legal requirements of patient
privacy rights in California and follow the strict regulations of HIPAA. We track any information when visiting our website with cookies and we record your
IP address for internal use only.
Last updated 2/22/2007
Is there an alternative to vasectomy reversal?
When attempting to get pregnant after a vasectomy, some couples may choose an alternative to
vasectomy reversal. This can be accomplished by retrieving sperm from the epididymis or testicle.
Sperm from the epididymis or testicle can only be used for In Vitro Fertilization with Intracytoplasmic
Sperm Injection (IVF/ICSI). Your male infertility specialist can help you make all the necessary
arrangements.
vasectomy reversal. This can be accomplished by retrieving sperm from the epididymis or testicle.
Sperm from the epididymis or testicle can only be used for In Vitro Fertilization with Intracytoplasmic
Sperm Injection (IVF/ICSI). Your male infertility specialist can help you make all the necessary
arrangements.
