Vasectomy reversals are complicated, so you’re sure to have a ton of questions.
Below are answers to some common inquiries. But since each patient's situation is unique, during your consultation, Dr. Matson will guide you through the range of personal factors that will inform your specific treatment plan in pursuit of having a child.
A vasectomy reversal is an advanced microsurgery where the scar from the vasectomy is removed and the end of the vas deferens is reconnected to the source of sperm. The most straightforward procedure (the vasovasostomy or VV) surgically rejoins the ends of the vas deferens. The more complicated vasoepididymostomy (VE) connects the vas deferens to a different, tiny tube in the epididymis. You can get a more detailed overview (with diagrams) of the procedures here.
Vasectomy reversal using vasovasostomy (VV) has success rates of 75-95%. But each patient’s situation is different. Dr. Matson has specialized training in vasectomy reversal and will meet with you to discuss factors specific to your case.
Some insurance companies do cover vasectomy reversal. The coverage is specific to your policy. A call to your insurance company can usually get you an answer to this question.
Vasectomy reversal is a long and complex surgery performed in the hospital that requires general anesthesia, making the procedure relatively expensive. Dr. Matson suggests having a consultation with him to discuss your case and the specific costs involved. If covered by your insurance company, vasectomy reversal may be low in out-of-pocket expenses.
Dr. Matson performs vasectomy reversals in the hospital as an outpatient surgery, meaning you will go home the same day.
General anesthesia is used for the patent’s comfort and immobilization. (Any movement at all is disruptive to this precise procedure.)
Dr. Matson recommends at least one week off from work, then 2-3 weeks of light duty, followed by a return to normal activity at about one month post operation.
There are many factors that may affect success. Some of these factors won’t be known until the surgery begins. Important factors include the amount of time since the vasectomy, the age and fertility of the female partner, the patient’s pre-vasectomy fertility, the identification of secondary obstruction during the surgery, and the type of reconnection performed.