Microscopic Vasectomy Reversal

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Who is suitable for microscopic vasectomy reversal?

What are the advantages of microscopic vasectomy reversal?

How is microscopic vasectomy performed?

What to expect after microscopic vasectomy reversal?

Procedure Outcomes / Risks

Risks

INTRODUCTION

The surgeons at Melbourne Urology Centre are experts in treating patients who desire reversal of vasectomy (vaso-vasotomy). The surgical team comprises an expert Urologist and a specialist reconstructive Micro-surgeon and the use of a high powered surgical microscope. This enables the synergy of each surgeon’s unique skill set to maximise success. Dr Shekib Shahbaz and Dr Tony de Sousa offer this service in Melbourne for patients from all over Australia.

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Who is suitable for microscopic vasectomy reversal?

Melbourne Urology Centre offers Microscopic Vasectomy reversal treatment in Melbourne to local and interstate patients. Your case will be thoroughly evaluated including discussion of other appropriate management options. We also have close affiliation with fertility clinics for those patients that are better suited to Assisted Reproductive Techniques (ART)/ IVF.

What are the advantages of microscopic vasectomy reversal?

  • Minimally invasive
  • Able to have multiple conceptions if successful and desired
  • More cost-effective than assisted reproductive techniques (ART)
  • Allows natural conception
  • Ease of sperm retrieval for ART in future if necessary

How is microscopic vasectomy performed?

  • Detailed pre-operative consultation to evaluate patient suitability for the procedure
  • This procedure is performed under general anaesthesia
  • An incision is made in the scrotum and the vas deferens is identified on each side and delicately separated from surrounding tissue
  • Depending on intra-operative findings a decision is made whether to perform vaso-vasotomy or vaso-epididymostomy. The latter is a more complex procedure, performed if no semen back-flow is identified when the vas deferens is cut close to the testicular end. A high powered microscope with up to 40 times magnification is used
  • The wound is infiltrated with local anaesthetic and absorbable sutures are used to close the skin
  • Protective spray and supportive dressing is applied
  • Most patients will have day-case surgery although some will require overnight stay
  • Strenuous activity and sex should be avoided for 4 weeks. Scrotal support with firm-fitting underwear is recommended for two weeks
  • After a successful microscopic vasectomy reversal, sperm will again be present in the semen allowing for possible subsequent pregnancy

What to expect after microscopic vasectomy reversal?

  • During the first 48 hours, supportive underwear and dressings should be left intact. This can then come off and the sutures do not need to be removed but may take a few weeks to dissolve
  • As the local anaesthetic wears off, the pain may increase over the first 24 hours but this subsides after a few days. Patients can return to light duties at work after a week
  • Any activity that may pull on testes/scrotum should be avoided for six weeks; this includes sports/running and any other strenuous activity
  • Sexual activity should be avoided for four weeks

Procedure Outcomes / Risks

  • Follow up for semen analysis is performed after 8-12 weeks
  • Viable sperm may take up to a year to appear. The presence of sperm does not guarantee successful pregnancy due to sperm antibodies, poor quality sperm and female partner sub-fertility

Risks

  • Scrotal bleeding / haematoma
  • Chronic testicular pain is uncommon but can happen after any scrotal surgery
  • Infection and wound complications are rare
Request an Appointment

We are here to assist you before, during and after your visit to the Melbourne Urology Centre. To request an appointment, simply complete the form below and we will contact you within 48 hours to confirm your appointment with us. For urgent enquiries or consulations please contact us on 1300 702 811