Vasectomy Reversal Q&A

Dr. Ajay Nangia

A Conversation About Vasectomy Reversal with Dr. Ajay Nangia

Q. What do I need to do to prepare for a vasectomy reversal? 
A. The first step is to schedule a consultation with our office, as well as ensure that your female partner has checked with her gynecologist about her reproductive status. You can prepare for the procedure by trying to be in good general health and staying away from hot tubs/hot baths. You should not start taking testosterone or any other drugs that affect sperm including illicit drugs.

Q. What should I expect during the procedure? How is it different from the original vasectomy procedure? 
A. The original vasectomy is most often performed in the clinic setting with local anesthetic and takes about 30 minutes. A vasectomy reversal is more complicated and best performed under a microscope under general anesthesia in the operating room. The reversal can take 3-4 hours depending on the complexity of the reconnection.

Q. How long is the recovery time? 
A. It is recommended that patients take a week off work if possible, with no heavy lifting or ejaculation for 3 weeks. Ibuprofen and ice packs are recommended for a few days following the procedure.

Q. How soon after the procedure can we try to conceive?
A. You can try to conceive after 3 weeks.

Q. What is the success rate of a vasectomy reversal? 
A. The success of the vasectomy reversal is based on length of time from original vasectomy, type of connection needed (vasovasostomy versus vasoepididymostomy) and female age.

Q. Should I expect any sexual performance issues? 
A. There will be no effect on sexual performance. 

Q. Are there any long-term risks with having a vasectomy reversal? 
A. There are very few long-term risks. There is a risk of failure of sperm or failure to achieve a pregnancy. There is a small chance of fluid buildup around the testicle (hydrocele) as well as a minor chance of chronic pain.

Q.  Can I have a second vasectomy after the reversal?
A. Yes, you can. It can be a little more complicated to do, but typically can be achieved.

Q. Are reversals covered by insurance? 
A. Unfortunately, vasectomy reversals are rarely covered by insurance.

Q. How much does a vasectomy reversal cost? 
A. The cost can be checked through our office. 

To make your first consultation, call 913-945-6600.

Dr. Ajay Nangia works closely with our team of reproductive endocrinologists and in the community when couples desire to pursue assisted reproduction–insemination or in vitro fertilization, also called IVF. Dr. Nangia is fellowship-trained from the Cleveland Clinic in male infertility and microsurgery and specializes in vas and epididymis reconstruction, sophisticated sperm retrieval techniques, as well as problems of fertility following cancer and other illnesses, including spinal cord injury. Dr. Nangia is a national leader in this field, as well as issues of male contraception.

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