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Vasectomy Reversal

This is a procedure which repairs the vas deferens that have been cut and separated during a vasectomy to render a man sterile. By reconnecting the vas deferens, sperm are free to flow through and out of the body and may make you able to father a child. The restoration of your fertility is dependent upon the length of time it has been since your vasectomy.

This procedure is typically done as an outpatient. You are taken into the operating room and anesthesia is given so that you are asleep. Most men have 2 vas deferens, one on the left, and one on the right. The surgeon works on each separately through an very tiny incision made in the scrotum.

Once the incision is made in your scrotum, the previously cut ends of the vas deferens, or tubes that carry the sperm, are located. By using a special surgical microscope, the surgeon then brings the cut ends out and removes the scar tissue on each end. The tubes are then reconnected using very small sutures. This procedure is repeated on the other vas deferens. Once both tubes are reconnected, small sutures are placed in the scrotum to close the incisions.

After surgery, you will be taken to the postoperative recovery unit. Here you will awaken from anesthesia. At this point, your blood pressure, heart rate, temperature, oxygen level, breathing and surgical site will be assessed. You will continue to be observed per your doctor’s orders until you are stable enough to be discharged.

We do recommend that you have someone that will be able to drive you home. Anesthesia can make you very drowsy and sometimes forgetful. It is unsafe for you to operate any motor vehicle, or make any important decisions on the day you have had surgery/anesthesia.

Prior to discharge, you will be given verbal and written instructions on how to manage your health at home. You may have some prescriptions for new medications that you, or someone taking you home, will need to get from the pharmacy.

Written discharge instructions usually prompt you to contact your provider’s office to make a follow-up appointment in about two weeks. You, or someone staying with you, could call and make this appointment the day you get home or the next day. Make sure to write this appointment somewhere that you can reflect upon as the appointment gets closer.

Depending on your provider, you can usually contact the office, or the after hours nurses or doctors, to help with any questions you may have once you are home.