Vasectomy Reversal Surgery in India

Vasectomy Reversal Surgery in India
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Vasectomy Reversal

A vasectomy reversal is an operation which is carried out with the intent to regain male fertility after a vasectomy operation. Fertility is restored by reconnecting the ends of the severed vas deferens or vasa deferentia (a tube that carry sperm from the testicles to the penis), which is located in each side of the scrotum, or by connecting the vas deferens to the epididymis, the small organ on the back of the testis where sperm matures. These procedures can be accomplished through various approaches, including microsurgery, to restore the passage for sperm to be ejaculated out the urethra are usually accomplished with microsurgical technique. Vasectomy is a minor surgical procedure in which the sperm duct, or vas deferens, is cut in order to achieve sterility.

• The best candidates for vasectomy reversal surgery are men who’ve had their vasectomies performed within the past five years. The length of time from vasectomy to reversal surgery correlates with success.
• The site of the vasectomy is a factor in the outcome of reversal surgery. A vasectomy can be performed close to the testicle and epididymis or farther away. A disruption of the vas deferens farther away from the testicle will leave a long length of vas deferens (vas remnant) and increase the chance of a successful reversal.
• Also patients who are generally in good health and who evidenced healthy sperm in the seminal fluid somewhere in the vas or epididymis during their first reversal surgery
• If healthy sperm exists, failure of the initial reversal may have been the result of other factors. Consequently, these candidates should ask their vasectomy reversal doctor about redoing the reversal surgery.

Types of Vasectomy Reversal

There are two types of vasectomy reversal procedures that can be performed; the type of operation carried out by the surgeon is dependent on the location of the initial vasectomy incision:

• Vasovasostomy:-This is the method of choice but depends on which technique was used during the original vasectomy. If the vasectomy was performed by an incision through the middle of the vas deferens then rejoining these two ends is called a vasovasostomy.
• Vasoepididymostomy:-In this type of vasectomy reversal, the vas deferens is joined with the epididymis. This method is carried out if the original incision is made near the epididymis, or there is permanent blockage of the lower end of the vas deferens due to scarring or infection. The blocked lower end of vas deferens is by-passed and the upper end is joined to the epididymis and the procedure is called a "vasoepididymostomy".

Preparing for Vasectomy Reversal Surgery

In order to have the safest and most comfortable experience with your surgery, certain preparations are important. The following information is provided to help you prepare for your vasectomy reversal surgery.

• Stop smoking
• You should avoid taking any aspirin or aspirin-containing products for two weeks before your surgery. Products containing anti-inflammatory medication, such as ibuprofen or similar drugs should be avoided for one week prior to surgery.
• You should shower or bathe the evening before surgery.
• You must have a completely empty stomach for at least 12 hours before the scheduled time of your surgery.
• You will need to shave the scrotal area the night before or morning of surgery. Shaving should be done within 24 hours of the surgery.

Vasectomy Reversal Surgery Procedure

• Once the patient is anesthetized, the urologist will make a small opening (cut) on each side of the scrotum and first remove the scarred ends of the vas at the point of blockage created by the vasectomy.
• The urologist will then extract a fluid sample from the end closest to the testicle to see if the fluid contains sperm.
• The presence of sperm in the fluid is an indication that there is no obstruction between the testicle and the location in the vas from which the fluid was obtained, and particularly that there is no blockage in the epididymis.
• When sperm are present in the fluid, the ends of the vas can be connected to re-establish the passageway for sperm. The medical term for reconnecting the ends of the vas is vasovasostomy.
• If the urologist does not find sperm in the fluid sample, it may be because the original vasectomy resulted in back pressure that caused a break in the epididymal tubule. Because any break in this single, continuous tube can result in a blockage, the urologist will have to employ a more complicated reversal technique called an epididymovasostomy or vasoepididymostomy. In this procedure, the urologist must bypass the blockage in the epididymis by connecting the "upper" (abdominal) end of the vas to the epididymis above the point of the blockage.

Recovery after Vasectomy Reversal Surgery

• Pain may be mild to moderate. You should be able to resume normal activities, including sex, within 3 weeks.
• Most patients are back to normal routine and light work within a week. Urologists usually want their patients to refrain from heavy physical activity for two to three weeks. If your job requires strenuous work, you should discuss with your surgeon the earliest time you can return to work.
• You will be advised to wear a jockstrap for support for several weeks.
• It takes on average one year to achieve a pregnancy after a vasectomy reversal. Some pregnancies occur in the first few months after the reversal procedure, while others do not occur until several years later.
• The urologist will request a semen analysis every two to three months after surgery until your sperm count either stabilizes or pregnancy occurs. Unless a pregnancy occurs, a sperm count is the only way to determine surgical success.
• While sperm generally appear in the semen within a few months after a vasovasostomy, it may take from three to 15 months to appear after a vasoepididymostomy.

Benefits of Vasectomy Reversal Surgery

Complications of Vasectomy Reversal Surgery

Any surgery carries some degree of risk, but a vasectomy reversal is a comparatively low-risk procedure and reversal complications are uncommon. Before your surgery, have your physician go over any possible vasectomy reversal risks with you.

It is important to note that reversals carry a somewhat greater risk of complications than do vasectomy procedures. That is because reversal procedures take much longer and longer operating times usually lead to more bleeding and risk of infection. Fortunately, in the case of reversals, there is better exposure than with a vasectomy. This better exposure allows for better control of bleeding.

Vasectomy Reversal Surgery in India

Indian doctors and hospitals have immense experience of handling Vasectomy Reversal Surgery cases. The hospitals in India use the latest techniques in microsurgery which has revolutionized the success rate of these procedures. There are numerous private clinics, surgeons and vasectomy specialists offering reversal treatment, in India. Vasectomy reversal surgery cost in India is around 50 to 70 percent less expensive than in the US and other developed countries. The standard of treatment at such low cost is unparalleled. A combination of many factors has lead to the recent increase in popularity of medical tourism in India, which include rising costs of healthcare in industrialized nations, ease and affordability of international travel, favorable currency exchange rates in the global economy, rapidly improving technology and proven, superior internationally accredited standards of care.

Cities in India offering Vasectomy Reversal Surgery at some of the best hospitals and clinics are as follows;

Cost of Vasectomy Reversal Surgery in India

Having a vasectomy reversed is generally a tough situation and a costly one. Most insurance plans do not cover the cost of a vasectomy reversal surgery and is considered a cash procedure that is paid upfront like cosmetic surgery. That is why most individuals look for the low cost vasectomy reversal options. While having a child may be very important, finding an affordable vasectomy reversal can also be very necessary. India offers a one stop solution to all problems related to infertility that too at a highly reasonable price.

Cost Comparison of Vasectomy Reversal Surgery

Some of the common countries from which patients travel to India for surgery are: