The science of micro surgery was first performed in 1910 by Carl Nylen to correct a middle ear problem. It was not until 1971 that it was first used for vasectomy reversals by Earl Owen. Since the first procedure the discipline has advanced tremendously and the fertility success rate has become much higher than ever thought possible.
Most couples consider vasectomies when the desired family size is achieved and the question of reversal comes about when there is a divorce or some other reason that the male wishes to begin another family. Sometimes the empty nest syndrome plays into this decision when couples decide to start a new group of children after the first set is grown.
These surgeries are outpatient procedures and generally take up to four hours to complete. There are two types of surgery that can be performed but which one is necessary cannot be determined until the surgery is initiated. The first option is to clean and reconnect the two vas defer ens ends to one another. The other is a little more complicated and involves connecting the vas defer ens to the epididymis to allow sperm to bypass the tubing that may be blocked.
After the surgery you will recover quickly. You will be able to return to work in a few days if you have a job with little or no physical effort. You may have moderate pain for a couple of days and you will be encouraged to use ice packs on the affected area to reduce swelling.
The after surgery risks and problems may include infection of the incision or fluid or blood build up in the scrotum, which must be drained. There are also instances where the nerves or arteries on the scrotum have been damaged. This damage is not reversible. Saving the worst for last, a condition called sperm granuloma can occur when sperm leaks into the scrotum causing your immune system to react by creating an infected feverish mass in your bag.
If it has been three years or less since the original operation the reversal has a much better chance of being successful. The average is approximately fifty percent at three years. After a ten year period the rates of successful impregnation drops to thirty percent or less.
These procedures are very expensive and the success rate at best is only fifty percent. Most insurance companies do not cover this type of surgery. The rate of pregnancies at three years or less is about fifty percent where as at ten years it drops to thirty percent chance of impregnating the woman. It is usually recommended that sperm be removed from the scrotum and frozen for use in artificial insemination procedures should pregnancy not occur naturally.
When they have made the decision to go ahead with their vasectomy reversals the first step is to choose a doctor who has done this procedure many times. The experience factor is very important because micro surgery can go wrong so easily. These men should also seriously consider alternative means of impregnation prior to consenting to undergo any type of surgery. The options are many and some are less expensive and dangerous than surgery.
Most couples consider vasectomies when the desired family size is achieved and the question of reversal comes about when there is a divorce or some other reason that the male wishes to begin another family. Sometimes the empty nest syndrome plays into this decision when couples decide to start a new group of children after the first set is grown.
These surgeries are outpatient procedures and generally take up to four hours to complete. There are two types of surgery that can be performed but which one is necessary cannot be determined until the surgery is initiated. The first option is to clean and reconnect the two vas defer ens ends to one another. The other is a little more complicated and involves connecting the vas defer ens to the epididymis to allow sperm to bypass the tubing that may be blocked.
After the surgery you will recover quickly. You will be able to return to work in a few days if you have a job with little or no physical effort. You may have moderate pain for a couple of days and you will be encouraged to use ice packs on the affected area to reduce swelling.
The after surgery risks and problems may include infection of the incision or fluid or blood build up in the scrotum, which must be drained. There are also instances where the nerves or arteries on the scrotum have been damaged. This damage is not reversible. Saving the worst for last, a condition called sperm granuloma can occur when sperm leaks into the scrotum causing your immune system to react by creating an infected feverish mass in your bag.
If it has been three years or less since the original operation the reversal has a much better chance of being successful. The average is approximately fifty percent at three years. After a ten year period the rates of successful impregnation drops to thirty percent or less.
These procedures are very expensive and the success rate at best is only fifty percent. Most insurance companies do not cover this type of surgery. The rate of pregnancies at three years or less is about fifty percent where as at ten years it drops to thirty percent chance of impregnating the woman. It is usually recommended that sperm be removed from the scrotum and frozen for use in artificial insemination procedures should pregnancy not occur naturally.
When they have made the decision to go ahead with their vasectomy reversals the first step is to choose a doctor who has done this procedure many times. The experience factor is very important because micro surgery can go wrong so easily. These men should also seriously consider alternative means of impregnation prior to consenting to undergo any type of surgery. The options are many and some are less expensive and dangerous than surgery.
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