Vasectomy Reversal


A vasectomy is meant to be a permanent form of male contraception – and please note that it is not always possible to reverse the procedure.

However, we do understand that circumstances change, and you and your partner may decide you want your vasectomy reversed.

Vasectomy reversal is not usually available on the NHS, and where it is there is usually a very long waiting list. That’s why it makes sense to have the operation performed by Somerset Urology Associates. We can take away the hassle, and with our modern facilities and experienced surgeons we can turn a ticklish situation into a smooth operation.

What happens during vasectomy reversal?

Reversing a vasectomy is a complicated procedure that involves rejoining the sperm-carrying tubes that were cut or blocked during the original operation

Vasectomy reversal is performed under general anaesthetic and usually takes between an hour and an hour and a half.

Cuts are made on each side of your scrotum, allowing the surgeon to find the place where the vas deferens tubes were separated during your vasectomy. After examination of each testicle, the tubes will be opened up and any scar tissue removed. A bespoke specialised microscope will be used to stitch the ends of the tubes back together, after which the slits in the scrotum will be closed with stitches.

After a Vasectomy Reversal

You should be able to go home the same day, but please arrange for someone to drive you.

Any discomfort should respond to ordinary, over-the-counter painkillers, and gentle walking may help your recovery.

Strenuous activity, heavy lifting or contact sports should be avoided for at least 3 weeks after surgery. Return to work should be discussed with your consultant.

About 6-8 weeks later you will be invited to give a semen sample, which will be examined for sperm.

Failure to Restore Fertility

There is no guarantee that your fertility will return: whether or not a vasectomy reversal is successful may depend on what type of vasectomy you had and how long ago, as the more time that has passed since your vasectomy, the more scar tissue will have developed in the tubes that carry sperm to your penis. A reversal after more than 10 years has a 1 in 4 chance of success.

In some cases, pregnancy still may not happen even when tests show there is sperm in your semen. This is because your sperm may be less mobile after the procedure than they were before. In such cases, it may be possible to have fertility treatment.


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