Information for those interested in Vasectomy Reversal treatment in Dallas TX
If you have changed your mind about your vasectomy, you may be wondering if the procedure can be reversed. In most cases, the answer is yes. Determining if you are a candidate for a vasectomy reversal requires a visit to a specialist. Your surgeon’s skill and expertise greatly impact the success of the procedure. Therefore, it is crucial to choose the right vasectomy reversal doctor. For patients in the greater Dallas area, renowned vasectomy expert, Dr. Jeffrey Buch of Legacy Male Health in Dallas, TX offers male reproductive health services including vasectomy reversal treatment.
A vasectomy is a safe, permanent birth control method that keeps sperm from flowing into the seminal fluid. During this procedure, the tubes called the vas deferens are cut or blocked. These tubes carry sperm from the testes to the penis. The procedure is often performed as an outpatient procedure under local anesthesia.
Later, a man may have second thoughts about the vasectomy. When the procedure is reversed, the tubes must be rejoined. A reversal is generally more complicated than the original vasectomy and may be done using one of two methods. Both are usually performed under general anesthesia. A vasovasostomy involves sewing the testicular side of the vas deferens to the abdominal side of the vas deferens back together. During a vasoepididymostomy, the abdominal side of the vas deferens is attached to the small organ at the back of each testicle called Epidydimis in order to bypass a secondary blockage behind the vasectomy due to back pressure or infection that can only be diagnosed at the time of the reversal surgery. Repeat vasectomy reversal attempts after a reversal fails are often successful when performed by an expert such as Dr. Buch. After a successful vasectomy reversal, sperm are present in the semen so that the couple can try to conceive by natural means in order to achieve pregnancy.
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Candidates for vasectomy reversal
A vasectomy reversal is performed to restore fertility with the hope of conceiving a child naturally. A man who has undergone a life change such as a getting remarried, wanting to start or add to the family, or simply having a change of heart in the same marriage may consider a vasectomy reversal. For a small number of men, a vasectomy may cause pain in the testicles. Vasectomy reversal often relieves this discomfort. Regardless of your family situation, this procedure may be an option to reverse the original procedure.
A patient who has decided to undergo a vasectomy reversal needs to be healthy enough to tolerate the surgery. The procedure is usually performed under general anesthesia and takes a few hours. As with any surgery, anesthesia has its own risks especially if the patient’s heart and/or lungs are not healthy.
Once the patient has been cleared medically for the procedure, the physician will discuss the procedural options and factors that may impact the outcome. Aspects that impact the likelihood of a successful vasectomy reversal include:
- Length of time since the vasectomy
- Prior surgery in the groin area
- The man’s partner
The longer it has been since the original vasectomy, the more the success rate could potentially be affected. This is because the chance for epididymal blockage increases over time. Advanced microsurgical techniques have greater success rates for reversals regardless of when the original vasectomy occurred. However, if the vasectomy was more than 15 years prior, viable pregnancy rates can decrease.
Prior surgeries in the groin area, including those to repair a hernia or a previous vasectomy reversal attempt, can affect the success of a new procedure. A groin surgery may create an obstruction in the vas deferens or restrict its position. Either would make a vasectomy reversal more difficult. At Legacy Male Health, we often treat complicated cases and failed previous attempts. It is important to select the correct vasectomy reversal doctor.
Vasectomy reversals may be more successful for couples under the age of 40. If the female partner is under 40, successful pregnancy rates are significantly higher than if the partner is over 40.
Vasectomy reversals are complex microsurgical procedures. Your surgeon’s skill and the findings at the time of surgery will determine the type of procedure performed. The doctor can determine if you are a good candidate for a reversal procedure. Dr. Buch is an expert in male reproductive health and offers treatment options for vasectomy reversal, vasectomy, microsurgery, male infertility, low testosterone, and male sexual function.