Vasectomy Reversal in Vancouver
Vasectomy reversal is a procedure that can restore fertility to men that have previously undergone a vasectomy.
Pollock Clinics is pleased to be collaborating with local urologists for vasectomy reversals.
We have affiliations with subspecialty male infertility trained urologists and male reproduction microsurgeons.
Patients should call Pollock Clinics directly with inquiries regarding vasectomy reversal. Our staff will schedule a consultation with an affiliate surgeon and review next steps with you.
You will have a consultation and assessment appointment 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.
Conventional vasectomy reversals where the two ends of the vas tube are connected can be successful in as high as 90 % of cases.
In cases where secondary blockage occurs in the epididymis, conventional vasectomy reversal will not work, but a highly specialized procedure connecting the vas tube to the epididymis is successful in up to 50% of cases.
Vasectomy reversals are typically more cost effective than sperm retrieval and IVF, especially for couples interested in having multiple children.
Vasectomy reversal is peformed off-site in a fully equipped operating theatre, using the latest microscopic surgery techniques.
Expected Benefits of Vasectomy Reversal
- High success rate to regain fertility.
- Cost-effective compared to IVF.
- Reversal is not limited to 1 attempt at having one or more children.
- Sperm retrieval can be performed at the same time for freezing.
Find out if vasectomy reversal could be a good option for you.
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. The surgeon may examine 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, the multi-layer microdot technique is used. 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 the doctor 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.
The LIVE technique is generally used 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
- Mild bleeding into the scrotum (~1-4%).
- 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%).
- Infection. This may be mild and require antibiotics, or more serious where an abscess forms and requires intravenous antibiotics and possible drainage (1-3%).
- 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).
- 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%).
- General anesthetic complications.
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Or For Any Questions
Common Questions on Vasectomy Reversal
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, the urologist assesses the patients’ reconstructive needs during the procedure and performs an individualized treatment based upon the findings. Using the LIVE technique has a success rate up to 50% of cases where conventional vasectomy reversal would otherwise fail.
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 the doctor will help the couple arrive at their option for success.
LEARN MORE ABOUT
Dr. Ryan Flannigan
About Our Vasectomy Reversal Doctor
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.
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