Gross and Painful-ish

For those that have no clue how a vasectomy reversal works, it basically goes like this. Depending on how long ago you had your vasectomy, and how the vasectomy was done, a doctor or surgeon will decide in the operating room (yes, while the procedure is being done), which type of reversal will be done. As far as I know, there are two different types of vasectomy reversals. They include:

-a vasovasostomy, and

-a vasoepididymostomy

Basically, you are hoping that the doctor will have to do a vasovasostomy, as the success rates for that procedure are much higher. To determine which procedure to use, the doctor will cut open your scrotum, and using both a microscope and surgical scalpels, will open the previously cut ends of the vas deferens tube. After doing this, he will test for sperm (and crossing your fingers you will hope that he finds some), and if he finds some will do a vasovasostomy, and if he doesn’t find any, will do a vasoepididymostomy.

In a vasovasostomy, the doctor will reconnect the ends of the vas deferens. In a vasoepididymostomy, a blockage has been formed that is not allowing sperm to move into the vas deferens. To bypass this, doctors will connect the upper part of the vas deferens to the epididymis past the point of the blockage. If you have had a vasovasostomy done, you can expect sperm motility to return within a few months, but if you have had a vasoepididymostomy done, you can expect sperm motility to return after a year!

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