Wednesday, June 27, 2012

All About Microsurgical Vasectomy Reversal

By Chloe Gib


The only permanent birth control method available to men is a vasectomy. Making a decision like this is not to be taken lightly, but there are always circumstances that cannot be anticipated. Microsurgical vasectomy reversal procedures are the most effective of modern methods, and have a fairly high rate of success.

Vasectomies have a goal of removing fertile sperm from the equation without changing any other aspect of the man's sexuality. This is accomplished by severing the vas deferens, the tube that moves sperm from the testicles to ejaculation. To reverse the effects of the procedure, the cut ends of the vas must be rejoined. Since this is a small piece of internal tissue, it can be tricky to do so.

There are many different factors that affect success rates for reversions. The length of the remaining vas deferens can factor into this sometimes. If there is constant pressure on the tube after the ends are rejoined because the remaining length isn't enough, the stitches are more likely to fail and scar tissue is more likely to form.

Another factor involved in the success rate by vasectomy reversal doctors is the amount of scar tissue that has built up. When the doctor originally cuts the vas deferens, the cut pieces heal and they often heal closed. This means that the end of the vas must be removed in order to have two open pieces of tubing to reconnect. Some men have more scar tissue at the ends of the tubing than others.

Vasectomy reversals performed by experienced doctors using certain techniques are more successful than the average. Those performed more quickly after the initial procedure also have a higher rate of success. Microsurgical vasectomy reversal techniques involve using a microscope to perform the operation, and are more successful than other types.

If you do decide to go ahead with the procedure, contact an experienced surgeon. Discuss your chances of success versus costs, both health and financial. A good surgeon can give you a better idea of whether you are a good candidate, and the pros and cons of the procedure.

The procedure itself generally takes longer than the one that it reverses, but the recovery is very similar. Depending on the doctor, general or local anesthesia may be used, because of the length of the process. Patients can return to normal sedentary activities within a day or two, and full activities in a few weeks.




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