Urology

Vasectomy Reversal

Although vasectomy should be considered an irreversible procedure, this is not technically true. Changing social circumstances may lead to a new desire for fertility. If a man has had a vasectomy in the past, the tubes may be reconnected by bypassing the scarred area that is associated with the previous vasectomy. This is done as an outpatient surgery, usually under general anesthesia.

There are various methods for doing a vasectomy reversal, and your surgeon will discuss the differences in each technique. Typically, insurance does not cover vasectomy reversal; the cost depends on location but is typically around $5,000 for everything, including surgery and anesthesia.

Advantages:

  • Much less expensive than in vitro fertilization (IVF) or most reproductive technologies
  • Multiple pregnancies are possible after vasectomy reversal, unlike other reproductive technologies (in which each “cycle” is designed to result in one pregnancy and birth)

Disadvantages:

  • No sperm or sperm in low numbers, even if the vas is reconnected; this can be because of scarring, chronic congestion or the development of “anti-sperm antibodies.” If the vasectomy reversal “fails”, the patient will likely have to go on to IVF or an alternative reproductive technology.

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