Types of Vasectomy Reversals
There are two types of vasectomy reversals namely a vasovasostomy and a vasoepididymostomy. The former, vasovasostomy, is the operation most frequently performed for the vasectomy reversal procedure. With this procedure the microsurgeon will stitch together the cut ends of the vas deferens.
Consequently, the success rates may vary. Factors affecting the success rates post vasectomy are:
- The age of the man
- The presence of antisperm antibodies
- Time elapsed since the vasectomy
- The age of the woman
The option of reversal of vasectomy is not one that we would encourage. Depending on the ‘definition’ of a successful reversal, many patients will have sperm in the ejaculate after a reversal of vasectomy. HOWEVER, for the purpose of viability, a vast majority of ejaculates after a reversal will not result in adequate quality of sperm production for natural conception to occur. So a fertility treatment may have to be administered for conception to take place.
Sperm aspiration followed by ICSI would be the ideal treatment option in this instance.