IS VASECTOMY REVERSAL FOR YOU?
Couples often receive confusing advice regarding their best and most affordable options regarding
vasectomy reversal. This confusion stems from the uncertain nature of pregnancy with all
reproductive techniques. The American Society of Reproductive Medicine published the results
comparing the monetary cost per delivery for either in-vitro fertilization or vasectomy reversal.
They concluded that vasectomy reversal costs 3 times less and has a 14% better delivery rate
compared to in-vitro fertilization. Therefore, when a female factor infertily component is absent
(ovulatory dysfunction, endometriosis, polycystic ovaries), microsurgical vasectomy reversal should
be offered as a first line treatment.
The success rates for microsurgical vasectomy reversal depend on often-unpredictable variables
including, semen fluid quality (thick or thin), presence and quality of sperm in the semen, and
location of the reversal (vas or epididymis). The rates of success quoted for
vasectomy reversal only apply to experienced, dedicated microsurgeons.
http://www.laser-vasectomy-reversal.com
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"It’s one thing to be ‘rusty’ after not swinging a club for a few months, but in microsurgery and vasectomy reversals, the personal stakes are so high, the surgeon needs to be totally committed and never ‘rusty’." |
Dr. Burrows performs a two-layer anastomosis for his vasectomy reversals. He does not use a
laser as part of the surgery as it was clearly shown over 5 years ago to worsen the success of
surgery. Dr. Burrows and Dr. Marks will each only perform one microsurgical vasectomy reversal
a day. This philosophy prevents surgeon fatigue and allows for the best possible surgical results.
Our office will readily assist you with hotel and transportation arrangements. You will, at most,
require one night in a hotel to recover. However, many patients are driven home the same day
without any difficulties.
Three common scenarios and their associated pregnancy rate are as follows:
- If sperm are found in the vasal fluid during surgery, we anticipate over 90% will have sperm in
their semen and 60-70% should achieve pregnancy.
- If no sperm a discovered in the vasal fluid, but the fluid appears healthy,
vaso-vasostomy will result in 50% of patients having sperm in their semen.
- If no sperm are seen in the vasal fluid and the fluid is thick and unhealthy, then
epidiymovasostomy should be performed with successful return of sperm to the semen in 40-50%
of men.
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Semen analysis are requested at 4-6 months from vasectomy reversal if indicated. If semen quality
is less than expected, anti-inflammatory medications will usually be prescribed. We encourage our
patients to stay in touch with us by phone or e-mail.
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