Can My Vasectomy be Reversed?
The short answer is, yes. While vasectomy should always be considered permanent birth control, advancements in microsurgery have made reversal of vasectomy more common and more likely to be successful. Dr. Gittens — fellowship trained in microsurgery and sexual medicine — is one of a small cadre of urologists qualified to perform this procedure.
Vasectomy reversal refers to two possible procedures: Vasovasostomy, and the more technically advanced, Vasoepididymostomy. During the procedure, we evaluate the consistency of the fluid from the vas deferens and examine if sperm is present. With this information, Dr Gittens will determine if the patient should have the vasovasostomy or the more technically challenging vasoepididymostomy performed.
The vasovasostomy is performed under an operating microscope. Using a two-layer approach, Dr. Gittens places small sutures in the inner portion of the vas deferens bringing the inner tubing back together. The outer portion of the vas deferens is then approximated and sutured back together.
The vasoepididymostomy is performed when the vasovasostomy is likely to be unsuccessful. Few physicians are qualified to perform this procedure. In order to ensure the best change of a positive outcome, seeing a doctor qualified in is essential. The decision to perform the vasoepididymostomy is based on whether the tubules (epididymis) that exit the testicle are occluded. If so, Dr. Gittens will find a small tubule before the occlusion and connect the vas deferens to that segment.
Choosing a Vasectomy Reversal Surgeon
There are many urologists qualified to perform vasectomies, but only a few trained in the microsurgery necessary to have a successful reversal. The Philadelphia Center for Sexual Medicine specializes in Vasectomy Reversals with a success rate greater than 95% when motile sperm is present. Are you looking to reverse a previous vasectomy? Request a consultation with Dr. Gittens today.
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