Reverse Vasectomy

Enabling us to welcome our baby into this world

Our eternal thanks go to the staff for all their skill in enabling us to welcome our baby into this world. He has enriched our lives in so many ways.

A 'reverse vasectomy'  is an operation which is carried out with the intent to regain male fertility after a vasectomy operation. At Oakdin Clinic, we use the latest techniques in microsurgery which has revolutionised the success rate of these procedures.

Operation

The vasectomy reversal operation takes approximately 2.5 to 3 hours. In such circumstances, the comfort of the patient is paramount. At Oakdin, the reversal procedure is performed under a combination of local anaesthetic and sedation which ensures that the patient is comfortable and pain free.

Oakdin Surgical Team

Throughout the entire operation you will be in the safe hands of our surgical team. Our team comprises:

Consultant Urologist FRCS

A highly skilled surgeon, who specialises in operating on the male uro-genital system. Experience in vasectomy reversals is paramount to our success rate and allows possible complications to be expertly dealt with.

Consultant Anaesthetist FRCA

A Consultant Anaesthetist is present throughout the procedure and specifically monitors pain control, the patient's blood pressure, pulse, oxygen saturations and ECG tracing all of which is essential for the safety of the patient.

Co surgeon

Our co-surgeon has received vasectomy reversal training at the Scott Department of Urology in the world renowned Baylor College of Medicine in Houston Texas USA. In addition he has been performing vasectomies for the past 20 years.

Theatre Sister

Our theatre nurse is a fully registered trained nurse who has had over 30 years experience and has assisted in vasectomy reversals for the past ten years. She is very experienced at putting patients at ease and ensuring the smooth running of the entire procedure.

Types of Reversal - Vasovasostomy and Vasoepididymostomy

There are two types of vasectomy reversal procedures that can be performed; the type of operation carried out by the surgeon is dependent on the location of the initial vasectomy incision:

Vasovasostomy diagram

Vasovasostomy

This is the method of choice but depends on which technique was used during the original vasectomy.

If the vasectomy was performed by an incision through the middle of the vas deferens then rejoining these two ends is called a vasovasostomy.


Vasoepididymostomy diagram

Vasoepididymostomy

In this type of vasectomy reversal operation, the vas deferens is joined with the epididymis.

This method is carried out if the original incision is made near the epididymis, or there is permanent blockage of the lower end of the vas deferens due to scarring or infection. The blocked lower end of vas deferens is by-passed and the upper end is joined to the epididymis and the procedure is called a "vasoepididymostomy".


Post Reversal

After the reversal, you will not need to stay overnight. If you are travelling a long distance then we will be more than happy to arrange nearby accommodation.

Sperm Tests

Oakdin Clinic reception area

After the reversal you will be expected to take two sperm tests, which should be carried out on the 3rd and 6th month after the operation. The tests will provide an indication as to whether your operation was a success.

However we do recommend that you get your sperm tests done annually. This is because if the vas deferens is joined correctly sperm can start flowing even after several years.

One of our previous patient’s who had a vasectomy reversal was informed after two sperm tests that his operation was unsuccessful. Three years after the operation he contacted the surgery and requested another sperm test. This time the test was positive and there was enough sperm to achieve pregnancy.

Frequently Asked Questions

Is the vasectomy reversal performed using microsurgery?

Yes. At Oakdin the vasectomy reversal procedure is performed by microsurgery.

Is the reversal performed under general anaesthesia or local anaesthesia?

The reversal procedure is carried out under local anaesthesia and sedation. The combination leaves the patient in a pain free relaxed state.

Is the operation performed by a Consultant Urologist?

Yes. Our Consultant Urologist FRCS frequently performs vasectomy reversals. As a Consultant, he is able to deal with complications that may arise more effectively and convert any reversal into a vasoepididymostomy if need be. Moreover, he is skilled in re-doing vasectomy reversals.

What is the cost of a vasectomy reversal procedure?

In the first instance you will have to come along for a consultation, which is at a cost of £130. Thereafter if you decide to proceed with having a vasectomy reversal this will be at a cost of £2700. If it is a redo reversal it will also be at a cost of £2700. However, we do require a booking fee of £250 which is deductible from the total cost of the operation. Please note that the price is inclusive of 2 sperm tests which are to be carried out on the 3rd and 6th month after the operation.

How long does the vasectomy reversal take?

The vasectomy reversal procedure takes approximately 2.5 - 3 hours. It is essential that a family member or friend accompanies you and can take you home after the operation.

Is a vasectomy reversal 100% successful?

A vasectomy reversal is not 100% guaranteed to be successful. Generally speaking, chances of a successful reversal are reduced when a greater amount of time has elapsed between the initial vasectomy and the vasectomy reversal.

What is your success rate?

According to our last audit we have an 81% success rate for patients who have had a reversal within ten years of having a vasectomy. For those patients who had a vasectomy 11 years ago or more our reversal success rate is approximately 65%. These figures may fluctuate slightly over a longer period of time.

I have had a reversal previously which was unsuccessful. Is there any point in trying again?

A re-do reversal is possible. At Oakdin Clinic we have performed re-do reversals with success.

How much time after the reversal will I need to take off work?

This depends primarily on the nature of your work. Generally speaking you will need 7 – 10 days off from work after the operation, but the Consultant Urologist will provide greater clarity on this issue at the consultation.

When will I be able to resume normal sexual activity after a reversal?

This is normally dependent upon the comfort of the patient. However, we generally recommend that you abstain from sex for about 4 weeks.

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