The vas deferens closest to the testicle and just before the epididymis is the convoluted portion of the vas. As you see above the vas then “straightens out” the further you get away from the testicle.
Above you see the “old vasectomy” site marked and it is in the mid scrotal area and in the straight not convoluted portion of the vas. This is the ideal location for the reversal doctor because it is away from the inguinal area and up from the smaller and more difficult to isolated convoluted portion.
Although you can feel the vasectomy site through the scrotal skin preoperatively, you really cannot tell where in the course of the vas it actually is.
Recently I performed a reversal and both sides of the vasectomy site were in the convoluted portion of the vas and close to the epididymis. This required more dissection to reach and it is tricky to get a portion of the convoluted vas to reconnect that is straight (as opposed to curved away from the other side of the vas).
So yes if the person who did the vasectomy happened to do it in the middle, that is away from the inguinal area as well as away from the convoluted portion of the vas then the procedure is much easier to locate, to prepare for the reversal, and to perform the reversal.
You might ask, “Why wouldn’t every urologist make a point to do the vasectomy in the best position in case a reversal has to be done years later.”
Well a reasonable enough question but there are two factors to consider as to why urologists don’t think this way.
- Vasectomies are usually done in the office under local anesthesia and depending on the patient and the patient’s scrotal anatomy…he gets the vas where he can get it…i.e. sometimes you can’t pick and choose a site the patient’s anatomy dictates that.
- Also, the vasectomy is supposed to be considered permanent and the primary goal is a good vasectomy and prevention of pregnancy. Vasectomies are not and probably should not be done with the idea in mind that the patient will reverse it.
- In my practice if I were asked to do the vasectomy so it could be more easily reversed, I’d probably tell the couple to re consider a vasectomy until they felt it was permanent and they had no plans for further children.
- Having said that, a urologist can try to make a point to be “in the middle” but as I mentioned sometimes you take the vasectomy site where the patient’s scrotum gives it to you.
cole partin2024-04-08Professional, thorough, reached out several times after the procedure to check on my recovery. Doctor Mchugh and his staff is excellent.
Patrick O2024-03-27Amazing place and people. You could not be in better hands.
Abby Holst2024-03-07Dr. McHugh and his staff truly go above and beyond for every patient that walks through the door. Dr. McHugh made sure to explain everything and answer all of our questions, which put my very nervous husband at ease. My husband was comfortable throughout the whole process, including the procedure. We have nothing but great things to say when it comes to Dr. McHugh and his staff. They do not make you feel like a patient…they make you feel like family.
Jeff Henke2024-02-19Dr. McHugh and his staff are all excellent! Best experience ever with them all. They were very patient and knowledgeable with all of my concerns and questions before the vasectomy. If you are thinking about using him don't think about it any longer, just book the appointment and be happy that you did. I give him and his staff an 11 out of 10 and have zero regrets in my decision to use his services!
Mitch Rider2024-02-17Dr. Mchugh and ALL of his staff were amazing. This experience could not have been any better. The pre/post op nurse was super friendly and helpful making sure all questions were answered and my wife and I were comfortable. The nurses who were with me during the procedure had great patient care and talked me through everything as it happened. The Anesthesia Nurse was also very reassuring and helpful. I was awake the whole time but felt nothing. I could not have asked for a better experience.
Nicholas Johnson2024-02-1710/10 would snip again
Brock Balis2024-02-12Excellent support from the staff from the consultation through after the procedure. Very happy that we went with Dr. McHugh
Greg Fischer2024-02-03I was very apprehensive about the entire process and this team was able to put me at ease. I opted for full sedation and they made the whole process as easy as a check up. I would highly recommend this facility for anyone who is nervous and wants to have a painless, shameless, and stress free (as much as possible) experience.
Skyler Mullins2024-01-25I commenced my role as a patient care technician in September 2023 and unfortunately had to depart in January 2024 due to scheduling conflicts with my nursing classes. However, I aspire to rejoin the team when my schedules align in the future. This work experience significantly enriched my education, even more than my other clinicals. The staff is remarkably intelligent, friendly, and supportive. Despite being an employee rather than a patient during my time there, I observed the outstanding level of care and commitment to safety that defines this establishment's approach to patient well-being. Whether one is seeking a vasectomy or vasectomy reversal, I wholeheartedly recommend Dr. McHugh and his team. Their dedication goes above and beyond, transforming what could be a nerve-racking experience into one that is remarkably comfortable and seamless.
Reversals Are What We Do.
