Is a reversal possible?
The answer is generally 'yes,' but some people are better candidates than others. Rejoining the cut ends of the vas deferens is technically possible, but it is a significantly greater challenge than the vasectomy. Advances in microscopic surgery have made this extremely delicate surgery more common and more available than in the past.
During a vasectomy, the vas deferens are cut, and a portion of may have been removed, so that these two tiny tubes no longer carried sperm from the testicles and epididymis to the penis during sex. By interrupting the flow of sperm, men become sterile, although ejaculations and sexual climax are otherwise exactly the same.
Stitching tiny tubes.
Disconnecting this miniature pipeline (the vas) is easier, obviously, than stitching it back together again. The vas itself is about the diameter of a round shoelace. The inner channel, which must be aligned, is one third of a millimeter in diameter. The surgical thread (suture material) that a surgeon needs to knit the two ends together is finer than a human hair, and nearly invisible. This microsurgery must be done under a powerful microscope.
The work of the surgeon is to reconnect the previously cut ends of the vas deferens in order to rebuild an open vas channel. In some cases, if part of the vas is damaged, the surgeon must connect the vas end to the epididymis even further upstream from the damage. This more complicated procedure is called a vasoepididymostomy.
Will this work for me?
Chances for success depend on many factors. These include the microsurgical skill and experience of the surgeon and the condition of the patient's tissue after the original vasectomy. Assuming an experienced surgeon, there are clues before and during the surgery, which help predict the condition of the tissues and thereby help predict the chances of success.
A key question, according to most surgeons, is how long ago the vasectomy was performed. In general, men who are less than 10 years out from their vasectomy have a better chance of success. If the vasectomy was performed less than three years ago, the statistical likelihood of reopening a vas channel is 97 percent. But if 15 years or more have passed, the chances drop to 71 percent.
Years since vasectomy Chance of rebuilding an open vas channel Chance of pregnancy
Less than 3 years 97 % 76 %
3 to 8 years 88 % 53 %
9 to 14 years 79 % 44 %
Greater than 15 years 71 % 30 %
2007-11-20 09:16:19
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answer #1
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answered by stargazer 5
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He can go via his GP for either an NHS or more probably a private referral. However he will have been told at the time of his vasectomy that he must consider the procedure irreversible. There is a fail rate, both at operation, and even if the ' plumbing ' is fixed there is a rate of conception failure due to the production of sperm antibodies. The risk of this increases with time from vasectomy. Under 3 years the pregnancy rate is 76%, unfortunately after that it drops to little more than 50%.
2007-11-20 09:43:16
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answer #2
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answered by Dr Frank 7
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For all practical purposes the answer is no. Success stories are few and far between. Much of the industry is a fraud.
The clinics that perform vasectomy reversals are more than willing to sell you 'false hope' for about 10 grand. Some of the ones that advertise on the Internet are not even connected with a real clinic. They are out to commit medical identity theft.
2007-11-23 22:35:14
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answer #3
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answered by Marvin 7
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I hope other young guys reading this will realise that 28 is much too young to have had this operation as circumstances can and often change by mid 30's
However that being the case for your boyfriend he obviously needs to consult his GP for a referral to a consultant
The operation can be reversed but is not always successful;l
2007-11-20 19:55:40
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answer #4
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answered by Anonymous
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I don’t know anyone whom has tried. I do know that success rates are less than %30, if the vasectomy was performed in the last 5 years. After 26 years. I think your chances are slim to none. My friend is a law student. He says there is a lot of fraud in that line of work. Maybe you should adopt.
2016-05-24 08:50:41
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answer #5
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answered by Anonymous
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Vasectomy reversal surgery is possible.Since the age of your friend is only 33 there is 99.99 percent chance for success.It is a little bit costly in the west.I understand that in India there are many excellant hospitals for this at very reasonable charges.
Some of the specialist hospitals do this.Other wise you get it referred by a GP.Good luck
2007-11-20 17:40:36
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answer #6
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answered by leowin1948 7
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It is possible to have a reversal op, but 100% success is not guaranteed. See your gp and get a referral, or go to a reliable private clinic. Sorry, daren't name one on here.
Good Luck
2007-11-20 09:12:53
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answer #7
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answered by ? 6
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I really can't answer that but, usually most plp that get vasectomy's have the choice to freeze/save their sperm in sperm-banks. Or something like that. Check if he saved it!!
2007-11-20 09:07:02
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answer #8
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answered by Amo la pallacanestro 5
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