Most common reason for a vasectomy reversal?

Obviously there are a lot of reasons for a man choosing to reverse a vasectomy. The two most common reasons are:

  • The male is divorced, has had children and a vasectomy. He then remarries a younger woman who has not had children and wants to have children. Often times the discussion regarding the male undergoing the inconvenience and expense of a reversal  and his willingness to have it done, occurs before the couple is married.
  • A couple with several children decide after vasectomy they’d like to have more children. Interesting enough, in my practice, this reason for having a reversal is increasing.

Regardless of the reason we at Northeast Georgia Urological Associates look forward to helping you with a new addition to your family.

As a side note, the other day a patient told us that another doctor could tell him what he’d charge for a reversal but could not tell him what the hospital would be charging. In fact, the doctor told the patient to call the hospital to find out the costs. Because we own our Surgery Center we will be able to tell you exactly what the total cost will be and because we don’t use a hospital our costs are lower than most reversal centers.

 

Post vasectomy pain syndrome-Myth?

This real phenomenon in my experience happens rarely, but it happens. There are reports that show that doing a reversal has been dramatically beneficial.

The reversal surgeon however cannot assure that there will be resolution of symptoms if a reversal is done. This should weigh heavily in the decision making process of the patient wanting to pursue this.

I will mention that I performed a reversal on a man who wanted children but also felt he had PVPS. He wrote me after the procedure stating that he had had complete resolution of his pain and was very pleased.

Here are several links on the discussion of this:

Wikipedia

PubMed Article

CMRM Article

Review of literature-Note those patients that did not improve with reversal.

 

Are vasectomies reversible?

Yes…but that doesn’t mean it will work!

This is a common question by the person wanting a vasectomy. I often explain that yes they are reversible but that is not the entire issue. As explained elsewhere, there are many factors involved in a “successful” reversal to include the health of the couple, who does the reversal and the time between the reversal and the vasectomy.

Urologists always tell the vasectomy couple that they should consider the procedure permanent. We mention that it can be reversed but the success rates vary and that they should not depend on that.

If there is any doubt  about wanting another child you probably are not ready to nor should you have a vasectomy.

A good option for some is to bank sperm. The fee for this varies but is around $300 a year.

A funny memory for me… awaiting our third child my wife informed me that she did not want anymore children and that she had arranged for her tubes to be tied after the delivery. I asked, “What if you change your mind and we do want another one in a few years.” (I was one of five boys and had always wanted a large family.)

“John we can adopt. My body is done with having babies.”

Well…there you go. Having three children now all over the age of thirty I understand the wisdom of her decision.