Vasectomy Reversal Center of New Jersey
(800) 332-2827
About the In-Office Vasectomy Reversal Procedure
About the Procedure
The vasectomy reversal (vasovasostomy procedure) is performed at the Vasectomy Reversal Center of New Jersey under local anesthesia and may take from three to four hours. The shorter the time between vasectomy and vasectomy reversal, the greater the percentage of success, due to the minimized risk of epididymal damage and secondary obstruction. However, the presence of sperm granuloma at the testicular end of the vas predicts a high probability of success, regardless of the time interval since vasectomy. For optimal results, fluid samples from the testicular side should contain normal sperm. A vasoepididymostomy (joining the vas directly to the epididymis with a similar multilayer approach) is the preferred method if no fluid or sperm are found at the cut end of the testicular side of the vas, and is performed by Dr. Wosnitzer during the procedure if determined to be necessary.
The scarred ends of the vas must first be identified through high scrotal incisions, then a saline vasogram is performed to determine patency on the abdominal side. If the vas has been damaged or large segments removed, the incision may have to be extended in order to achieve adequate length for tension-free anastomosis. The testicular side of the vas is serially transected until free flow of fluid can be observed under 25x to 40x magnification. The inner mucosal layer is approximated using seven to eight interrupted sutures of 22µ diameter (10-0) monofilament nylon, armed with a 100µ diameter bicurve microedge taper point needle. Multiple (9-0) monofilament nylon sutures are used to close the muscular layer of the vas. Upon closure, drains are left in the scrotum overnight. The patient can usually leave the Vasectomy Reversal Center within 30 minutes following surgery. He returns the next morning, for removal of drains and scrotal exam, and can return home immediately thereafter. The patient can usually resume moderate activity within several days and intercourse in approximately four weeks. He should wear an athletic support for one month to decrease the downward tension on the spermatic cord. Success rates vary particularly with the length of time since your vasectomy: if under 10 years the rate is better than over 10 years. We have, however, had many successful surgeries at 15 years and even 25 years. There is never a guarantee with vasectomy reversal, but it is the simplest, most viable alternative for a first step at trying to have your own child. If Dr. Wosnitzer can find sperm with long tails at the testicular side of the cut end of the vas, there is a better than 90% chance for a successful reversal. Dr. Wosnitzer has helped many couples to have healthy babies of their own.
Now that we are performing this procedure in our office with state-of-the-art technology, using a Leica™ operating microscope at 25x to 40x magnification, it is much simpler and far less expensive than surgery performed in the hospital. The in-office vasectomy reversal procedure is equivalent to the in-hospital vasectomy reversal in terms of the quality of the surgery and its success.
The price of $150.00 for the consultation, and $6000.00 for the surgery includes the next day follow-up visit and two post-operative semen analyses. This cost is about one third of the $15,000 to $20,000 charge for a hospital surgery which includes an anesthesiologist, preadmission testing, etc. Dr. Wosnitzer uses only local anesthesia, which is essentially risk free, as opposed to the use of general anesthesia in the hospital and offers the identical success rate. Dr. Wosnitzer performs reversals on patients coming from many diverse geographic areas, who prefer this most affordable procedure, which is without the risks associated with general anesthesia. The Vasectomy Reversal Center is performing the most superior procedure available for each and every patient in our comfortable in-office surgical suite.