The science of micro surgery was first performed in 1910 by Carl Nylen to correct a middle ear problem. It was not until 1971 that it was first used for vasectomy reversals by Earl Owen. Since the first procedure the discipline has advanced tremendously and the fertility success rate has become much higher than ever thought possible.
Most couples consider vasectomies when the desired family size is achieved and the question of reversal comes about when there is a divorce or some other reason that the male wishes to begin another family. Sometimes the empty nest syndrome plays into this decision when couples decide to start a new group of children after the first set is grown.
These surgeries are outpatient procedures and generally take up to four hours to complete. There are two types of surgery that can be performed but which one is necessary cannot be determined until the surgery is initiated. The first option is to clean and reconnect the two vas defer ens ends to one another. The other is a little more complicated and involves connecting the vas defer ens to the epididymis to allow sperm to bypass the tubing that may be blocked.
Most patients can return to their normal activities within three days. You will be cautioned about lifting or straining and to watch for swelling. The swelling can be treated by placing ice packs on the affected area.
There is some danger of problems after the surgery beyond soreness. There have been cases of infection in the area of the surgery or fluid buildup in the scrotum that will have to be drained. There can also be damage to the arteries and nerves in the scrotum or a condition called sperm granuloma which is an immune system reaction to the seepage of sperm the scrotum causing an inflamed mass. These masses usually indicate that the procedure was not successful.
One factor to consider when determining whether to attempt a reversal will be how long ago the original sterilization took place. If the procedure took place less than three years previously you have the best chance of successfully reversing the process and achieving impregnation within a three year period. If the original process took place over ten years ago the window of success narrows considerably.
Most health insurance companies do not cover this type of procedure so it is wise to check the cost prior to making any decision. While a fifty percent chance of impregnation may not sound bad that number can drop perceptively under a number of circumstances. You must consider the potential of surgical complications, recovery complications, the time factor is a big issue and most doctors will offer to freeze any sperm they find while doing the surgery to be used for artificial insemination in the event your sperm are not viable afterwards.
Vasectomy reversals are generally considered by couples who are in a second marriage and wish to have children. Researching the doctor as well as the process is wise and searching alternative methods of impregnation is imperative. A perfect solution would be to freeze sperm prior to the original vasectomies and keep them in storage them until they are needed.
Most couples consider vasectomies when the desired family size is achieved and the question of reversal comes about when there is a divorce or some other reason that the male wishes to begin another family. Sometimes the empty nest syndrome plays into this decision when couples decide to start a new group of children after the first set is grown.
These surgeries are outpatient procedures and generally take up to four hours to complete. There are two types of surgery that can be performed but which one is necessary cannot be determined until the surgery is initiated. The first option is to clean and reconnect the two vas defer ens ends to one another. The other is a little more complicated and involves connecting the vas defer ens to the epididymis to allow sperm to bypass the tubing that may be blocked.
Most patients can return to their normal activities within three days. You will be cautioned about lifting or straining and to watch for swelling. The swelling can be treated by placing ice packs on the affected area.
There is some danger of problems after the surgery beyond soreness. There have been cases of infection in the area of the surgery or fluid buildup in the scrotum that will have to be drained. There can also be damage to the arteries and nerves in the scrotum or a condition called sperm granuloma which is an immune system reaction to the seepage of sperm the scrotum causing an inflamed mass. These masses usually indicate that the procedure was not successful.
One factor to consider when determining whether to attempt a reversal will be how long ago the original sterilization took place. If the procedure took place less than three years previously you have the best chance of successfully reversing the process and achieving impregnation within a three year period. If the original process took place over ten years ago the window of success narrows considerably.
Most health insurance companies do not cover this type of procedure so it is wise to check the cost prior to making any decision. While a fifty percent chance of impregnation may not sound bad that number can drop perceptively under a number of circumstances. You must consider the potential of surgical complications, recovery complications, the time factor is a big issue and most doctors will offer to freeze any sperm they find while doing the surgery to be used for artificial insemination in the event your sperm are not viable afterwards.
Vasectomy reversals are generally considered by couples who are in a second marriage and wish to have children. Researching the doctor as well as the process is wise and searching alternative methods of impregnation is imperative. A perfect solution would be to freeze sperm prior to the original vasectomies and keep them in storage them until they are needed.
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