Why Is Vasectomy Removal Done?
Men can have vasectomy removal for many reasons, such as a new marriage or an improved economic situation to raise a child. Vasectomy removal can be done years after the vasectomy, but the longer it is waited, the less likely it will work. Some men have vasectomy reversal to treat pain after vasectomy.
What Are the Risks of Vasectomy Removal?
Vasectomy reversal rarely has serious complications. Risks may include:
Bleeding within the scotorum. This can cause painful collections of blood (hematoma). In order to reduce the risk of hematoma after the operation, you should consider your doctor's recommendations for rest. Ask your doctor if you should avoid aspirin or other blood-thinning medications before and after surgery.
Infection in the operating area. It is not common, but there is this risk with any surgery.
sperm granuloma. Sperm leaking into the scrotum can cause the immune system to form an inflamed mass called a sperm granuloma. Granulomas usually appear after surgery, indicating that vasectomy reversal has not worked.
Chronic pain. After vasectomy reversal, a small group of people may experience testicular pain.
Fluid accumulation (Hydrocele). Fluid accumulation around the testicle can cause swelling. Hydrocele may disappear on its own, and sometimes it may need to be removed with a needle or surgical operation.
Call your doctor if you develop the following signs and symptoms after vasectomy:
Fire
Pain that does not decrease or worsens
Urinary difficulties
Large deposit in the scrotum
Blood flowing from the cut and not stopping
How Should You Prepare for Vasectomy Removal Operation?
If you want to have a vasectomy reversal operation, you need to review a few items below:
The vasectomy removal operation is generally more successful than the operations performed with the microsurgery method.
Vasectomy reversal can be expensive and may not be covered by health insurance. Do your research about the cost.
After choosing your doctor, meet with your doctor and discuss the procedure, risks, and potential complications. If possible, bring your partner to this meeting. Do not hesitate to ask your doctor how many operations he has had before, what techniques he has used, and what you wonder about pregnancy after the operation.
Before Vasectomy Removal Operation
Before having a vasectomy reversal, your doctor may want to do or know the following:
He or she may want to make sure that the vasectomy removal is likely to work. Your doctor may ask you some questions about your health by performing a physical test, and may want to make sure that you have a health problem that will affect the operation.
He or she may want to know how much healthy sperm you produce. For most men, having previously impregnated a woman may be sufficient proof. If your doctor isn't sure you're producing healthy sperm, he or she may do a testicular biopsy. In this test, it is checked whether the fluid taken from your testicles through a needle contains sperm.
He or she can confirm whether your partner is fit to become pregnant. Your doctor may also want to check if your partner has any fertility problems. This is more likely, especially if she has passed the age of 35 and has not given birth to a child before. In this case, gynecological examination and other tests can be applied.
Make sure you know the steps you need to take before the surgery. Your doctor will likely ask you to:
Stop taking blood thinning medications. Two weeks before vasectomy reversal, your doctor may tell you to stop taking medications such as aspirin or ibuprofen (Advil, motrin, etc.) as they increase the risk of bleeding. Likewise, your doctor may ask you to stop other medications.
Bring a clean suspension on the day of surgery. After surgery, your doctor may want you to wear a suspension to support your testicles and keep the bandages in place.
Get someone to help after surgery. The surgery usually takes between two and four hours. You may need extra time to recover from the effects of your anesthesia. Ask your doctor about what to do after surgery.
Vasectomy Removal: What Can You Expect?
Doctors usually perform Vascotemia Removal operations in hospitals or surgery centers. The procedure usually includes standards that can be treated as an outpatient.
Your doctor may use general anesthesia to avoid problems during the operation, or he may administer anesthesia in a way that makes you sleepy but not painful. (such as epidural, spinal or local anesthesia)
Vascotemia Removal operation is more difficult than normal vascotemia operation. It requires expertise and special talent. Doctors can perform this operation in two ways:
vasovasostomy. With this method, the ends of the sperm carrying tubes (vas deferens) are stitched together.
Vasoepididymostomy. This operation is done by connecting the vas deferens directly to the canal (epididymis) behind each testis. Vasoepididymostomy operation is generally more difficult than vasovasostomy operation. This operation is usually performed when other alternatives are unavailable or unlikely to work.
You probably won't know which technique is needed. Most of the time, your surgeon will determine the technique that is best for you. In some cases, a combination of two techniques can be applied (vasovasostomy for one testis and vasoepididymostomy for the other).
What can happen during the surgery?
During surgery, your doctor may make small incisions under your scrotum. This will allow the tissues around the testis to be exposed. Next, your doctor will cut the tubes that carry sperm (vas deferens) and examine the fluid inside. Ideally, this fluid contains healthy and motile sperm and lots of clear fluid. If the fluid is thick and runny, contains no sperm, or contains a small amount of sperm, it is likely that scar tissue is blocking the flow of sperm. In this case, the vasoepididymostomy method may be the best option.
What can happen after the surgery?
Immediately after vasectomy reversal, your doctor will bandage the incisions. You should then put on the suspension, creating enough pressure to minimize movement and slipping, and keep the bandages in place.
Take it slow when you get home. Apply an ice pack to your testicles periodically to reduce swelling. You may feel pain or cramps as you come out of the effect of the anesthetic. For most people, the pain is not intense and goes away completely in a few days to a week.
It is normal to feel pain for a few days. There may also be bruising that will heal within a few weeks. All your stitches will dissolve in seven to ten days.
For two days after surgery, avoid activities that will wet the surgical area, such as showering or swimming.
Take a break from sports or weight lifting for three weeks.
If you have a desk job, you can return to work after a few days. If you have a job that requires physical activity or you have to walk or drive a lot, talk to your doctor about when you can return to work.
Do not masturbate or have sexual intercourse until your doctor approves. Most people should wait until two or four weeks after surgery.
For several weeks, you need to wear a continuous suspension, except in the shower. Afterwards, you still need to wear suspension while exercising.
Bandages are usually removed after a few days. You can consult your doctor about when to remove it.
Post-Surgery Results
Six weeks after the surgery, your doctor will analyze your sperm under the microscope and inform you about the success of the operation. Your doctor may want to check your sperm every two to three months. Unless your partner is pregnant, checking your sperm is the only way to tell if your vasectomy reversal was successful.
When the vasectomy removal operation is successful, sperm cells will appear in the semen within a few months, in some cases this process may take a year or more. Half of the couples who have had a vasectomy reversal can have a child within two years.
If Vasectomy Removal doesn't work,
Vasectomy Removal operation can sometimes fail in cases such as the sperm blockage cannot be opened during the surgery or a blockage occurs after the surgery. Some men may try a second operation after the unsuccessful operation.
At the same time, you can become a father with the in vitro fertilization method by freezing your sperm. If you do not have frozen sperm or your frozen sperm does not work, you have a chance to become a father with sperm directly from your testicles with in vitro fertilization.
