This content does not have an Arabic version. Overview Vasectomy reversal is surgery to undo a vasectomy. Request an Appointment at Mayo Clinic. Vasectomy reversal Open pop-up dialog box Close. Vasectomy reversal A vasectomy reversal reconnects the severed vas deferens, the tube that carries sperm from each testicle. Share on: Facebook Twitter.
Show references Hayden RP, et al. Microsurgical vasectomy reversal: Contemporary techniques, intraoperative decision making, and surgical training for the next generation. Fertility and Sterility. Complications of surgery of the testicle, vas deferens, epididymis, and scrotum.
In: Taneja's Complications of Urologic Surgery. Elsevier; Accessed Jan. Patel AP, et al. Vasectomy reversal: A clinical update. Asian Journal of Andrology. What is vasectomy reversal? Urology Care Foundation. Smith-Harrison LI, et al.
Vasectomy reversal for post-vasectomy pain syndrome. Translational Andrology and Urology. Viera AJ. Kirby EW, et al.
Vasectomy reversal: Decision making and technical innovations. Partin AW, et al. Surgical management of male infertility. In: Campbell-Walsh-Wein Urology. Savage J, et al. Reinforcing vasal suture technique improves sperm concentration and pregnancy rates in men undergoing vasovasostomy for vasectomy reversal. Mayo Clinic. Smith JA, et al. Vasovasostomy and vasoepididymostomy. In: Hinman's Atlas of Urologic Surgery. Warner KJ. Allscripts EPSi. The results were compared with those obtained after cases of primary microsurgical vasovasostomy.
The interval between vasectomy and reversal surgery was relevant to the outcome, with four out of four men having sperm in the ejaculate within 5 years and three achieving paternity.
The presence of sperm in the ejaculate was related to whether or not sperm were found in the testicular end of the vas at operation, but absence did not preclude a successful outcome. For some couples the road to parenthood is a little more complicated. In some cases the vasectomy reversal may be unsuccessful, and in others previous medical procedures may preclude the use of a vasectomy reversal.
In either case, there are alternatives that can help you build your family. A failed vasectomy reversal is when sperm is not found in the ejaculate 12 months past the reversal. One in ten men undergoing vasovasostomies and two out of five men having a vasoepididymostomy 1 Thomas AJ.
Urologic Clinics of North America have no healthy sperm after surgery. In experienced hands, an additional vasectomy reversal procedure may be more cost effective than IVF and other fertility treatments. Vasoepididymostomy is a similar procedure to a vasovasostomy and may be performed if a blocked epididymis has been diagnosed or no sperm is found in the fluid of the exposed vas deferens.
The epididymis blockage can develop by scar tissue forming after infection or trauma, which may have been caused by the vasectomy.
0コメント