Are you considering vasectomy reversal? Have you changed your mind about fathering children in future after getting a vasectomy done a few years ago? There may be several reasons for the change of heart from a divorce to the death of a child or simply a change in the economic status of the family. Fortunately, excellence and the immense progress in medical science have now made it possible to reverse a vasectomy with a microsurgical procedure. The surgery has a very high success rate.
If you are looking for a long term, hassle free and permanent form of contraception; then you needn’t look beyond vasectomy. The procedure is usually conducted when a couple is quite sure about their decisions to not want children in future. However, almost 5% of the men who opt for the procedure change their mind in due course for one of several reasons such a remarriage, the demise of a child, improvement in the financial condition of the family or simply the desire to experience the euphoria of becoming a father. Two decades ago, it would be simply impossible to reverse a vasectomy but today it is possible and the procedure has enriched the lives of many men.
Like all other surgical procedures, there are certain risks associated with vasectomy reversal as well besides the procedure does not come cheap to add to the issue, your insurance company will not pick up the tab for the surgery which means you will have to dole out money from your own coffers which may pose another problem. Given all these issues, you will do yourself a favor if you thoroughly research vasectomy reversal instead of jumping the gun and lying on the operating table.
Vasectomy Reversal Info
One of the most common techniques used for vasectomy reversal is known as vasovasostomy; this is one of the more common surgical procedures used for the purpose; it involved joining the two ends of the vas deferens to create an unhindered passage for the sperms to flow from the epididymis to the prostrate glands. However, this procedure is only possible if vasectomy has been conducted less than three years before the vasectomy reversal surgery. If more than ten years have lapsed since you got the vasectomy done, there may be certain internal complication that will render vasovasostomy futile. In such a case, another procedure called vasoepididymostomy is conducted. The procedures can be performed under the influence of epidural or general anesthesia. It is generally an outpatient procedure so you can go back home the same day.
The success of the procedure primarily depends on the selection of the surgeon The doctor’s skills, expertise and relevant experience will go a long way so it is recommended that you choose a surgeon who has quite a bit of experience in conducting similar microsurgical procedures to get the best results.
The reversal procedure is conducted in three steps; the first step involves the examination of the scrotum; often this can give the doctor leads into the type of surgery that may be required for the patient. The next step of the procedure s to ascertain that sperms are still being produced in the body and that they are viable. To examine this, a drop of fluid is removed from the testicles and examined. The surgery is only performed if the sperms are found to be relatively healthy. The third step is of course the actual surgery, you will be asked to come in an hour or two early so that you can get enough time to ask any questions that you may have. The surgery takes two to three hours to be completed and you can resume your normal activities after a month.
A vasectomy reversal cost of the procedure can vary from clinic to clinic and among various places; however, the surgery can cost upwards of $10,000. Several clinics offer easy payment plans so that men who want to get a vasectomy reversal do not have to stop themselves because they don’t have the funds needed for the surgery.
Vasectomy - No Scalpel Vasectomy Introduction
If you are one of those considering Vasectomy reversal surgery, you obviously need to consider the costs before visiting a specialist. Insurance typically will not cover a vasectomy reversal procedure so you are left on your own to cover the expense. In this article, we will outline the costs of vasectomy reversal operations as well as other facts to consider that will impact the total cost of the procedure.
There are several costs associated with a vasectomy reversal operation. Many times people forget to look at the total cost before committing to the procedures. The total bill for the procedure itself will be anywhere from $4,000 to over $20,000. If you are interested in looking at Canada to have your procedure it will be much less at around $5,000. We will cover traveling to other countries as well later in the article.
The first and most obvious cost you will incur is for the surgery itself. Most qualified Surgeon's will charge from $2,000 to upwards of $10,000. The other variable in cost is how many procedures the reversal requires. This is dependent on how long it has been since your initial vasectomy.
The second cost you will incur is for the anesthetic fee. These are fees that the anesthetist charges for the local or general anesthetic. These costs range from $2,000 to $6,000 depending again on how many visits your reversal procedure takes.
Last but not least, the Hospital will charge you fees for the few days that you are admitted into the Hospital after your procedure. In addition, you will be charged for any lab work that is required after your surgery.
Obviously, there are other options when it comes to vasectomy reversal surgery. There are physicians who will charge much less than the Hospitals. They will typically do these in their office. The catch is if you need much more invasive surgery to accomplish the goal. In that event, you will still need to go to the Hospital and have the procedure anyways.
Another option for reducing the expense is going to Canada or other countries to have the procedure. Medical tourism is growing due to the highly trained staff as well as the massive cost savings. Even with the cost of travel, these operations can end up being significantly less money than having the operation here in the US.
India is becoming more and more popular for those looking to save money on invasive surgery. Make sure that the facility or group you are considering is JAHCO compliant. This will let you know they meet international standards for compliance.
Before you select your surgeon solely based on price, make sure you consider a few other factors. Always make sure that your surgeon is licensed to practice medicine in your state. Second, ask how many microsurgical vasectomy reversals they have performed. This is crucial, as the more experience they have the better chance you have of reaching your desired results. Last, ask that the surgeon's complication rates are for vasectomy reversals. If you do a little homework you can find an experienced surgeon for a price that is affordable.
Sperm Production and Quality After Vasectomy Reversal
After vasectomy, the sperm continues to be produced. The movement of the sperm however is restricted and as a consequence, the pressure continues to build up. This pressure build-up eventually leads to blowouts in the epipidymis, leading to blockages at the vasectomy site, and sometimes closer to the testicles as well. Both these blockages have to be carefully treated during vasectomy reversal microsurgery to achieve pregnancy.
A vasectomy reversal surgeon works to suture the two severed ends of vas deferens to ensure a renewed smooth transportation of sperm. This leads to the release of built-up pressure. The suturing procedure must be conducted under a powerful microscope by an experienced and skilful vasectomy reversal expert, to ensure a secure connection. There is no room for errors, as partial obstruction or poor channelization may lead to improper flow or leakage of sperm, greatly marring the chances of accomplishing a pregnancy
The sperm count is expected to be back to normal within a period of six to eight months. If no healthy or motile sperm is noticed even after that period of time, a vasectomy reversal is declared a failure. In that case a couple may decide to undergo a re-do vasectomy reversal or explore alternatives such as in-vitro fertilization or artificial insemination.
Vasectomy reversal is said to be successful only when pregnancy has been achieved. Thus, regular follow-ups are a necessity. Semen analysis is conducted first after one to two months of the surgery and similar follow-ups are continued until the sperm count is found to be absolutely normal, or till the occurrence of pregnancy. If instead of a vasovasostomy, a vasoepididymostomy has been conducted, it may take a longer time for the sperm to appear in the ejaculate. In both cases, the normal sperm count is usually attained within a period of four to six months.
In certain cases, sperm is seen in the ejaculate within a couple of months after vasectomy reversal. However, the sperm count remains low and the sperm quality is degraded. This is a result of imprecise surgery, in which the sperm channel is not properly established, restricting sperm movement, resulting in lesser and infertile sperms. With such poor quantity and quality of sperms, chances of attaining pregnancy are bleak!
Certain studies have also revealed that quite a few men who have had successful vasectomy reversals may face a deterioration in sperm count within a period of two to four years. This happens in approximately 10% of men who've undergone vasovasostomy and in 20% of men who have undergone vasoepididymostomy, successfully. The reason behind decline in sperm count may be the formation of scar tissue due to sperm leakage at the reversal site or from a disruption of the blood supply at the site of the surgery. Thus, sperm banking is always a good consideration, especially after vasoepididymostomy!
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