As with everything else in life, plans for the future will often change. Some men who opt for vasectomy will have life changes later on and have a renewed interest in childbearing. In some couples, this will best be managed by performing microsurgical vasectomy reversal.
This is a technically challenging microsurgical procedure that should be performed by an experienced microsurgeon. The surgery usually takes about 3 hours, and depending on a number of factors can have success rates, in terms of recovery of sperm in the ejaculate, of about 90%.
Having an experienced and well-trained microsurgeon will clearly influence the success rates of all of these microsurgical procedures. Most urologists, despite their claims, have not been trained in microsurgery and will do rare, occasional cases with suboptimal results. Dr. Berookhim has completed prestigious fellowships (over and above the standard urology training) in male reproductive medicine, microsurgery, and sexual dysfunction. He is also the director of a fellowship training program infertility and microsurgery at a major academic center in Manhattan.
This very delicate operation is performed under general anesthesia, and seeks to bring back together the microscopic openings of the two ends of the vas deferens at the site where the vasectomy occurred. The surgery usually takes about 3 hours, and depending on a number of factors can have success rates, in terms of recovery of sperm in the ejaculate, of about 90%.
Patients undergoing vasectomy reversal are able to proceed with attempting conception naturally. This can therefore avoid expensive IVF cycles. In couples looking for more than one child after a previous vasectomy, this also proves to be cost effective.
Risks are minimal andi include standard uncommon surgical risks of bleeding and infection. Uncommonly, vasectomy reversal may fail to recover sperm in the ejaculate.
Insurance coverage for microsurgical vasectomy reversal is variable and depends on your plan benefits. Our office will work closely with your insurance carrier to determine eligibility. In patients where this is not covered, we will work with you to best determine how to proceed.
Having an experienced and well-trained microsurgeon will clearly influence the success rates of all of these microsurgical procedures. Dr. Berookhim has completed prestigious fellowships (over and above the standard urology training) in male reproductive medicine, microsurgery and sexual dysfunction. He is also the director of a fellowship training program in fertility and microsurgery at a major academic center in Manhattan.