Overview of vasectomy reversal

Vasovasostomy is the surgery to reconnect the vas deferens and restore fertility in men, other names for this procedure are vasovasoanastomosis or simply vasectomy reversal.
The reasons for reversing vasectomy are:

  • Desire to have one or more children with a new partner after divorce
  • After the loss of a child
  • After improving family income
  • Change of mind about not having any more children with current partner

Benefits of reversing vasectomy
The goal of doing a vesectomy reversal is to reconnect both of the vas deferens, with this an attempt is made to achieve one or more pregnancies. Vasectomy reversal is cheaper than some artificial reproductive techniques such as testicular sperm extraction (TESE) or intracytoplasmic sperm injection (ICSI). By recanalizing the vas deferens, pregnancy can be achieved in a physiological way through intercourse. The patency rate after surgery is 80% and the pregnancy rate is 60%.
Risks and complications of vasectomy reversal
The potential risks and complications of doing vasectomy reversal are the same that can occur in general with any surgical procedure and these are: bleeding, damage to nearby organs, reactions to anesthesia, etc. However, these complications occur infrequently and can mostly be resolved during the surgery. Other risk of reversing vasectomy is the inability to generate a pregnancy after reversal, there are several prognostic factors that can affect the possibility of pregnancy after vasectomy reversal, like: maternal age, time elapsed between vasectomy and reversal, lifestyle, among others.
Alternatives to vasectomy reversal
There are other assisted reproductive options to achieve a pregnancy

  • Artificial insemination
  • TESE (testicular sperm extraction)
  • In vitro fertilization
  • ICSI (intracytoplasmic sperm injection)

How is vasectomy reversal done?
Through scrotal incisions, the vas deferens are extracted, the segment with the vasectomy scar is cut away and the two edges are joined to restore the passage of sperm.