Vasectomy Reversal in Vancouver

Vasectomy Reversal in Vancouver2019-09-03T12:25:30-07:00

BC vasectomy reversalVasectomy reversal is a procedure that can restore fertility to men that have previously undergone a vasectomy.

Pollock Clinics is pleased to be collaborating with Dr. Ryan Flannigan for vasectomy reversals.

Dr. Flannigan is a subspecialty male infertility trained Urologist and male reproduction microsurgeon and is Assistant Professor at the University of British Columbia in the Department of Urologic Sciences, and adjunct Assistant Professor position at Weill Cornell Medicine in New York.

Patients should call us directly to connect with Dr. Flannigan’s office.

You will have a consultation and assessment appointment with Dr. Flannigan before a vasectomy reversal in order to discuss your questions and to determine if the vasovasostomy procedure is appropriate for you.

Submit you inquiry online now.

What is Vasectomy Reversal?

A vasectomy reversal is an effective method for regaining male fertility after a vasectomy.

It involves reconnecting the vas deferens to the opposing vas or the epididymal tubules.

Vasectomy reversals are typically more cost effective than sperm retrieval and IVF, especially for couples interested in having multiple children.

The procedure is performed by a sub-specialty trained male reproductive microsurgeon.

Dr. Ryan Flannigan performs vasectomy reversal off-site in a fully equipped operating theatre, using the latest microscopic surgery techniques.


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Expected Benefits of Vasectomy Reversal

  1. High success rate to regain fertility.
  2. Cost-effective compared to IVF.
  3. Reversal is not limited to 1 attempt at having one or more children.
  4. Sperm retrieval can be performed at the same time for freezing.

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Vancouver vasectomy reversal doctor

About Ryan Flannigan, MD

Dr. Ryan Flannigan is a subspecialty male infertility trained Urologist and male reproduction microsurgeon.

Dr. Flannigan trained in New York at Weill Cornell Medicine under microsurgical pioneer Dr. Marc Goldstein, who has high reported success rates that are well documented in the surgical literature.

Dr. Flannigan applies the same techniques that Dr. Goldstein developed such as the microdot, multi-layer VV and the LIVE technique for epididymal reconstruction.

Dr. Flannigan holds an Assistant Professor position at the University of British Columbia in the Department of Urologic Sciences, and adjunct Assistant Professor position at Weill Cornell Medicine in New York.

He is the recipient of numerous international and national awards for his research in male fertility.

Reverse my vasectomy in BC

About the Procedure

A vasectomy is when the tube that transports sperm from the testicles is cut and blocked.

During a vasectomy reversal, these tubes are reconnected.

This is performed using a high-powered microscope to allow the microsurgeon to precisely sew the two ends back together while keeping the hollow part of the tube open.

The tiny stitches reconnect the perimeter of the vas tubes to permit sperm to travel through them again.

The goal is to reconnect your tubes, so sperm can flow to the semen and allow you and your partner to become pregnant.

Possibility of Secondary Blockage

When a vasectomy is performed, the tube carrying the sperm called the vas deferens, is blocked. However, the testicle continues to make sperm, and this can lead to a pressure build up in the storage tubes called the epididymis.

In some men, these very small tubes may rupture and create another blockage. The risk of this secondary blockage increases over time.

If this occurs, a regular vasectomy reversal will not work, and a more delicate connection is required for success.

This is diagnosed at the time of vasectomy reversal. Dr. Flannigan examines the fluid in your tubes using a special microscope to determine which procedure is needed specifically for each testicle to optimize your chance of success.

Multiple Vasectomy Reversal Techniques

For a typical vasectomy reversal where the two ends of the tubes are to be reconnected, Dr. Flannigan uses the multi-layer microdot technique. This technique has a high reported success rate in the medical literature. This technique can be used in the majority of men undergoing vasectomy reversal. Success rates are over 90% for this technique.

If Dr. Flannigan determines that a secondary blockage is present in the epididymal tubes, he will perform an intricate procedure connecting the vas deferens tube, to one of the smaller epididymal tubes.

Dr. Flannigan uses the LIVE technique in the case of a secondary blockage, which for this situation has a relataively high success rate in the medical literature.

This technique is successful in up to 50% of cases where a conventional reversal would fail.

Possible Risks and Complications

Often this procedure is well tolerated. However, as with all surgical interventions, potential complications may arise:

  1. Mild bleeding into the scrotum (~1-4%).
  2. Scrotal hematoma. A bleed in the scrotum that can swell to the size of a grapefruit. This can be tender and disabling for a couple months, or require a secondary surgical procedure (1-4%).
  3. Infection. This may be mild and require antibiotics, or more serious where an abscess forms and requires intravenous antibiotics and possible drainage (1-3%).
  4. Failure of procedure. In some cases, the tubes cannot be successfully joined in some cases, (1-10% if recent vasectomy; 30-50% if vasectomy is decades previous).
  5. Late failure of procedure. Some men may have a successful procedure initially, but the connection continues to scar and block off resulting in no sperm in the semen, (1-15%).
  6. General anesthetic complications.

Common Questions on Vasectomy Reversal

What is the success rate of vasectomy reversals?

Conventional vasectomy reversals can have success rates as high as 90%. The amount of time since the original vasectomy procedure is an important factor in the success rate. Generally, more recent vasectomies can be reversed at a higher rate.

Does vasectomy reversal work even after 10+ years since time of vasectomy?

Over time, the epididymal tubules may rupture leading to secondary epididymal obstruction. Performing a conventional vasectomy reversal, where the two ends of the vas deferens are reconnected, will NOT result in a successful procedure.

However, Dr. Flannigan assesses the patients’ reconstructive needs during the procedure and performs an individualized treatment based upon the findings. Dr. Flannigan is an expert in alternative techniques if the conventional vasectomy reversal is not optimal treatment for the patient. Using the LIVE technique has a success rate up to 50% of cases where conventional vasectomy reversal would otherwise fail.

Why does one choose vasectomy reversal over IVF?

Men with a previous vasectomy that desire children using their sperm, have two options:

1. Vasectomy reversal
2. Sperm retrieval and IVF.

If the female partner is younger than 40, and the couple hopes to have more than one child, then vasectomy reversal may be the most cost-effective and best option. This decision is unique to every couple, and Dr. Flannigan will help the couple arrive at their option for success.

When can couples start trying to conceive after vasectomy reversal?

Men are asked to abstain and allow healing for the first 4 weeks after reconstruction. Sperm may return to the semen between 1 and 3.5 months following the surgery.

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We have decided to CLOSE our clinic locations until further notice.

However, we are still conducting complimentary initial visits for erectile dysfunction treatments by telemedicine.

Our staff will still be available by phone and email to schedule appointments.

We will keep you posted with updates on our website.

Read our COVID-19 Information Page

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