Category Archives: vas reversal cost

Atlanta, Ga. Microscopic Vasectomy Reversal-How big is a micron?

Georgia Vasectomy Reversal | Experience, Success and the Best All-Inclusive Price in the Southeast.

Atlanta Ga Experienced Vasectomy Reversal Urologist | Dr. McHugh is one of southeast’s most experienced microscopic vasectomy reversal specialists. Significantly, vasectomy reversals are performed in our accredited surgery center with general anesthesia on a weekly basis.

GA Vasectomy Reversal success baby with tongue out.

Atlanta Ga Experienced Vasectomy Reversal Urologist | Why do so few Atlanta Urologists perform vasectomy reversals commonly?

how-big-is-a-micron

Why is an operating microscope and the expertise of an experienced surgeon important for successfully reversing a vasectomy?

Interestingly, the answer is complicated. Below detail several of the reasons. Notably, only 5% of the men who have had a vasectomy will desire to reverse it.

Additionally, a reversal is not covered by insurance. This requires the surgeon to arrange a package plan for all of the costs involved.

Operating microscope, microscopic suture, and a very small opening to place 14-16 sutures in each vas deferens.

The thickness of a strand of hair is 100 microns.

Surprisingly, the suture used used for a microscopic vasectomy reversal is 70 – 100 microns. Therefore, the suture is about the diameter of the human hair.

As a matter of fact, the outside thickness of the vas deferens is about 2 mm. The lumen of the vas (the part of the vas that is connected with the reversal procedure and the tube in which the sperm travels) averages about .56 mm.

Interestingly, 14-16 microscopic sutures the size of hair are used to join a tube that is less than a millimeter in diameter. (The lumen of the vas deferens is approximately the size of the “O” in God on a penny.”)

Moreover, 500 microns is about the size of the opening in the vas deferens (.5mm).

Notably, the suture that is used to close an incision of any common non-microscopic surgical procedure would be bigger than the tube in which sperm travels in the vas deferens.

Very small sutures must be used to connect very small openings if there is going to be enough room after connecting the tubes for sperm to travel in their quest to achieve pregnancy.

drawing of sperm in the vas deferens

Contact Us.

← Back

Thank you for your response. ✨

Vasectomies and Vasectomy Reversals performed by Dr. McHugh since 2020!

1811

Vasectomies

495

Vas Reversals

2306

Vasectomies and Reversals

Dr. McHugh holding a GA Vasectomy Reversal success baby

Experienced Vasectomy Reversal Urologist | Necessary components of a successful vasectomy reversal practice:

✅ Experienced and skilled microscopic surgeon. Dr. McHugh has performed hundreds of microscopic vasectomy reversals.

✅ Practice owned and nationally accredited surgery center. This assures safety, oversight and the ability to offer general anesthesia.

✅ Success. See some of our success stories.

✅ Acceptable all-inclusive price with no hidden fees. See breakdown of cost package.

✅ Board Certified: American Board of Urology.

✅ Experienced staff (R.N.s), operative microscope, microscopic instruments and sutures.

✅ Awarded “Best in Georgia.” Dr. McHugh is one of the southeast’s most experienced microscopic vasectomy reversal specialists.

✅ Performs vasectomy reversals on a regular basis. Dr. McHugh does two reversals each week.

Informative website with content written by Dr.McHugh based on personal experience and national studies. See In link bio|Dr. McHugh

✅ Free and convenient vasectomy reversal phone consultation.

Common Vasectomy Reversal Questions:

  • What is the success rate? This depends on the experience of the surgeon, the interval of time between the vasectomy and the reversal and the findings at the time of the surgery. The shorter the interval the better the chances of success.  Success rates-Click here.
  • How many microscopic vasectomy reversals has Dr. McHugh done? Thousand of procedures and hundreds of vasectomy reversals have been successfully performed in our accredited Urological Surgery Center.
  • What is the cost? Our fee is all-inclusive and “no hidden fees.” (Surgeon fee, Accredited Facility Expense, Anesthesia, R.N. nursing, Operative microscope, microscopic suture and… an experienced, skilled and pleasant staff.)
Dr. McHugh performing a microscopic vasectomy reversal in an operationg room.

Notably, Dr. McHugh performs two reversals every week in our practice owned and accredited surgery center.

  • We perform microscopic vasectomy reversals on a weekly basis in our practice owned, accredited for general anesthesia and dedicated reversal facility.
  • Do you have a payment program? Yes, we are in network with CareCredit which offers installment plans. (See CareCredit.com)
  • Will I have any pain during the procedure? No, we provide anesthesia by a board certified anesthesiologist. Our safety record has been impeccable. The pain after the procedure is slightly more than you may have experienced during the vasectomy.
  • Is it like having a vasectomy? No, a vasectomy takes 15 minutes and done through a “size of rice” opening. A vasectomy reversal takes our team approximately 2 hours. As a result, one can expect a bit more swelling and bruising. “The procedure  involves the same tube… but it’s a different operation!”
  • Is the age of my wife important? Yes. Success rates begin to decline as the female’s age goes above 39. The male is less age dependent.
Ga Vasectomy reversal success baby sleeping on pillow.
  • What if I have to travel a long distance to go home? Most couples will arrive the day of the procedure and then spend the night afterwards in a local hotel.  Hotel accommodations if necessary is complimentary for one night. (As a rule, couples within a few hours drive from our facility prefer to go home after the procedure and this is acceptable.)
  • How long before I can drive?  Usually within a week.  If the surgery is on a Thursday, for instance, the longer you can be off your feet with the scrotum elevated the less swelling you will experience.  The complete healing doesn’t occur until around a month, but patients can be active but careful during that time. Tight compression exercise underwear is better than the traditional “jock support.”
Dr. McHugh holding sleeping and peaceful vasectomy reversal baby newborn

After the Vasectomy Reversal Common Questions

  • When can I resume sexual activity? In three weeks.
  • When can I return to work? Desk work, with caution and being careful, in one week. If one has a strenuous job usually three weeks, however a lot of patients go back in one week but they have made arrangements to gradually get back to their normal work routine. (With the help of their co-workers.)
  • How long does it take for the testicles to produce sperm again? Usually 4-6 months depending on when the vasectomy was done. (The shorter the interval between the reversal and vasectomy, the sooner the vesicles begin to produce sperm.)
  • If pregnancy occurs, what is the most common time frame? 6-18 months. This is important to remember this as achieving pregnancy after a vasectomy reversal is a patient process.
Dr. McHugh Ga Vasectomy Reversal Success Baby Sleeping peacefully
  • Are birth defects more common after a vasectomy reversal?  No.
  • Which is better in vitro methods or a vasectomy reversal? This is a decision which the couple should research and based on what is best for them. Proponents of a reversal state cost, the ability to have more than one pregnancy, less requirements by the female, and a more streamlined process from the decision to having the procedure.
  • How soon can I schedule the procedure? It is unusual not to  be able to schedule within a 6-8 weeks of inquiring. Our practice owns our surgery center, so it is not uncommon to open another operative day and perform two reversals on the same day to accommodate demand. (We also have an active “Waiting list” for couples who want to have the procedure sooner and are zable to be available on short notice.)
Dr. McHugh Ga Vasectomy Reversal Success baby standing near bed
  • Is it necessary to have an in person consultation visit? In most cases no. The anesthesia doctors do not require new blood work or EKG if the patient is less than 50 and not on certain medications. The only thing that can’t be done ahead of the procedure is the exam of the testicles.
  • Is there a safety risk of the procedure or of the anesthesia? It is rare to have any injury to the testicles. Infections are uncommon, bruising is  common. There is no change in the male sexuality. The anesthesia is very safe and to date we have had no issues/complication related to this. Our anesthesiologists are all certified. Our safety record has been impeccable since opening our facility in 2008.
Ga Vasectomy Reversal Success baby playing in in bathtub with toys.

Few AL Urologists Perform Microscopic Vasectomy Reversals | Why?

Georgia Vasectomy Reversal | Experience, Success and the Best All-Inclusive Price in the Southeast.

Few AL Urologists Perform Microscopic Vasectomy Reversals | Dr. McHugh is one of southeast’s most experienced microscopic vasectomy reversal specialists. Significantly, Dr. McHugh performs reversals weekly in our practice owned and accredited surgery center.

GA Vasectomy Reversal success baby with tongue out.

Few AL Urologists Perform Microscopic Vasectomy Reversals | Surprisingly, few urologists perform vasectomy reversals commonly?

  • There is a steep learning curve to master. A microscopic vasectomy reversal is difficult to perform.
  • The ability to provide the necessary components to perform microscopic vasectomies is expensive.
  • Very view of the patients who have a vasectomy want to reverse it (5%). Active reversal surgeons draw their patients from a large very market area.
  • A reversal is not covered by insurance.
  • Success is not guaranteed.
  • Having to use a hospital increases the cost dramatically and performing in an office limits the type and level of anesthesia offered.
  • The procedure takes 2-4 hours to perform.
how-big-is-a-micron

Why is the skill in using an operating microscope and having an experienced surgeon reverse your vasectomy important?

Interestingly, the answer is complicated. Below detail several of the reasons. Notably, only 5% of the men who have had a vasectomy will desire to reverse it. As a result, this limits the number of patients who need a reversal. Furthermore, most urologists uncommonly see patients who need a reversal.

Additionally, insurance does not cover a vasectomy reversal. The surgeon offers a package plan for all of the costs involved. In other words, the surgeon coordinates and pays the various entities necessay to perform a reversal.

Incidently, Dr. McHugh utilizes an operating microscope and uses microscopic suture to join the very small openings. Additionally, he uses the microscope to place 14-16 sutures in each vas deferens.

For example, the thickness of a strand of hair is 100 microns.

Moreover, the surgeon operates with suture measuring 70 – 100 microns. Therefore, the suture is about the diameter of the human hair.

Of note, the outside thickness of the vas deferens is about 2 mm. The lumen of the vas(the inner channel) averages about 5.6mm in diameter.

500 microns equals about the size of the opening in the vas deferens (.5mm).

Interestingly, Dr. McHugh places 14-16 microscopic sutures the size of hair to join a tube that is less than a millimeter in diameter. As a matter of fact, the lumen of the vas deferens is approximately the size of the “O” in God on a penny.

Notably, surgeons use suture to close an incision of any common non-microscopic surgical procedure that is bigger than the tube in which sperm travels in the vas deferens.

In summary, reversal surgeons use very small sutures to connect very small openings. In other words, there has to be enough room after connecting the tubes for sperm to travel in their quest to achieve pregnancy.

drawing of sperm in the vas deferens

Contact Us.

← Back

Thank you for your response. ✨

Vasectomies and Vasectomy Reversals performed by Dr. McHugh since 2020!

1811

Vasectomies

495

Vas Reversals

2306

Vasectomies and Reversals

Dr. McHugh holding a GA Vasectomy Reversal success baby

Few AL Urologists Perform Microscopic Vasectomy Reversals | Finally, necessary components of a successful vasectomy reversal practice:

✅ Experienced and skilled microscopic surgeon. Dr. McHugh has performed hundreds of microscopic vasectomy reversals.

✅ Practice owned and nationally accredited surgery center. This assures safety, oversight and the ability to offer general anesthesia.

✅ Success. See some of our success stories.

✅ Acceptable all-inclusive price with no hidden fees. See breakdown of cost package.

✅ Board Certified: American Board of Urology.

✅ Experienced staff (R.N.s), operative microscope, microscopic instruments and sutures.

✅ Awarded “Best in Georgia.” Dr. McHugh is one of the southeast’s most experienced microscopic vasectomy reversal specialists.

✅ Performs vasectomy reversals on a regular basis. Dr. McHugh does two reversals each week.

Informative website with content written by Dr.McHugh based on personal experience and national studies. See In link bio|Dr. McHugh

✅ Free and convenient vasectomy reversal phone consultation.

Common Vasectomy Reversal Questions:

  • What is the success rate? This depends on the experience of the surgeon, the interval of time between the vasectomy and the reversal and the findings at the time of the surgery. The shorter the interval the better the chances of success.  Success rates-Click here.
  • How many microscopic vasectomy reversals has Dr. McHugh done? Thousand of procedures and hundreds of vasectomy reversals have been successfully performed in our accredited Urological Surgery Center.
  • What is the cost? Our fee is all-inclusive and “no hidden fees.” (Surgeon fee, Accredited Facility Expense, Anesthesia, R.N. nursing, Operative microscope, microscopic suture and… an experienced, skilled and pleasant staff.)
Dr. McHugh performing a microscopic vasectomy reversal in an operationg room.

In fact, Dr. McHugh performs two reversals every week in our practice owned and accredited surgery center.

  • We perform microscopic vasectomy reversals on a weekly basis in our practice owned, accredited for general anesthesia and dedicated reversal facility.
  • Do you have a payment program? No but we accept CareCredit. (See CareCredit.com)
  • Will I have any pain during the procedure? No, we provide anesthesia by a board certified anesthesiologist. Our safety record has been impeccable. The pain after the procedure is slightly more than you may have experienced during the vasectomy.
  • Is it like having a vasectomy? No, a vasectomy takes 15 minutes and done through a “size of rice” opening. A vasectomy reversal takes our team approximately 2 hours. As a result, one can expect a bit more swelling and bruising. “The procedure  involves the same tube… but it’s a different operation!”
  • Is the age of my wife important? Yes. Success rates begin to decline as the female’s age goes above 39. The male is less age dependent.
Ga Vasectomy reversal success baby sleeping on pillow.

What’s more, we include hotel accommodations in our all-inclusive cost.

  • What if I have to travel a long distance to go home? Most couples will arrive the day of the procedure and then spend the night afterwards in a local hotel.  Hotel accommodations if necessary is complimentary for one night. (As a rule, couples within a few hours drive from our facility prefer to go home after the procedure and this is acceptable.)
  • How long before I can drive?  Usually within a week.  If the surgery is on a Thursday, for instance, the longer you can be off your feet with the scrotum elevated the less swelling you will experience.  The complete healing doesn’t occur until around a month, but patients can be active but careful during that time. Tight compression exercise underwear is better than the traditional “jock support.”
Dr. McHugh holding sleeping and peaceful vasectomy reversal baby newborn

After the Vasectomy Reversal Common Questions

  • When can I resume sexual activity? In three weeks.
  • When can I return to work? Desk work, with caution and being careful, in one week. If one has a strenuous job usually three weeks, however a lot of patients go back in one week but they have made arrangements to gradually get back to their normal work routine. (With the help of their co-workers.)

Importantly, Patience is a virtue.

  • How long does it take for the testicles to produce sperm again? Usually 4-6 months depending on when the vasectomy was done. (The shorter the interval between the reversal and vasectomy, the sooner the vesicles begin to produce sperm.)
  • If pregnancy occurs, what is the most common time frame? 6-18 months. This is important to remember this as achieving pregnancy after a vasectomy reversal is a patient process.
Dr. McHugh Ga Vasectomy Reversal Success Baby Sleeping peacefully

Moreover, opportunities for earlier booking is often available for patients choosing to be added to our active waiting list.

  • Are birth defects more common after a vasectomy reversal?  No.
  • Which is better in vitro methods or a vasectomy reversal? This is a decision which the couple should research and based on what is best for them. Proponents of a reversal state cost, the ability to have more than one pregnancy, less requirements by the female, and a more streamlined process from the decision to having the procedure.
  • How soon can I schedule the procedure? It is unusual not to  be able to schedule within a 6-8 weeks of inquiring. Our practice owns our surgery center, so it is not uncommon to open another operative day and perform two reversals on the same day to accommodate demand. (We also have an active “Waiting list” for couples who want to have the procedure sooner and are zable to be available on short notice.)
Dr. McHugh Ga Vasectomy Reversal Success baby standing near bed

Importantly, in the vast majority of cases the pre-operative medical evaluation and consultation can be done over the phone.

  • Is it necessary to have an in person consultation visit? In most cases no. The anesthesia doctors do not require new blood work or EKG if the patient is less than 50 and not on certain medications. The only thing that can’t be done ahead of the procedure is the exam of the testicles.
  • Is there a safety risk of the procedure or of the anesthesia? It is rare to have any injury to the testicles. Infections are uncommon, bruising is  common. There is no change in the male sexuality. The anesthesia is very safe and to date we have had no issues/complication related to this. Our anesthesiologists are all certified. Our safety record has been impeccable since opening our facility in 2008.

In summary, the vasectomy reversal requires many componets to come together for a desired outcome.

Ga Vasectomy Reversal Success baby playing in in bathtub with toys.

Few TN Urologists Perform Microscopic Vasectomy Reversals | Why?

Georgia Vasectomy Reversal | Experience, Success and the Best All-Inclusive Price in the Southeast.

Few TN Urologists Perform Microscopic Vasectomy Reversals | Dr. McHugh is one of southeast’s most experienced microscopic vasectomy reversal specialists. Significantly, Dr. McHugh performs reversals weekly in our practice owned and accredited surgery center.

GA Vasectomy Reversal success baby with tongue out.

Few TN Urologists Perform Microscopic Vasectomy Reversals | Why do so few urologists perform vasectomy reversals commonly?

  • There is a steep learning curve to master. A microscopic vasectomy reversal is difficult to perform.
  • The ability to provide the necessary components to perform microscopic vasectomies is expensive.
  • Very view of the patients who have a vasectomy want to reverse it (5%). Active reversal surgeons draw their patients from a large very market area.
  • A reversal is not covered by insurance.
  • Success is not guaranteed.
  • Having to use a hospital increases the cost dramatically and performing in an office limits the type and level of anesthesia offered.
  • The procedure takes 2-4 hours to perform.
how-big-is-a-micron

Why is the skill to use an operating microscope and choosing an experienced surgeon to reverse the vasectomy important?

Interestingly, the answer is complicated. Below detail several of the reasons. Notably, only 5% of the men who have had a vasectomy will desire to reverse it. As a result, this limits the number of patients who need a reversal. Furthermore, most urologists uncommonly see patients who need a reversal.

Additionally, insurance does not cover a vasectomy reversal. The surgeon offers a package plan for all of the costs involved.

Dr. McHugh utilizes an operating microscope and uses microscopic suture to join the very small openings. Additionally, he uses the microscope to place 14-16 sutures in each vas deferens.

The thickness of a strand of hair is 100 microns.

The surgeon operates with suture measuring 70 – 100 microns. Therefore, the suture is about the diameter of the human hair.

The outside thickness of the vas deferens is about 2 mm. The lumen of the vas (the part of the vas that is connected with the reversal procedure and the tube in which the sperm travels) averages about 5.6mm in diameter.

500 microns equals about the size of the opening in the vas deferens (.5mm).

Interestingly, Dr. McHugh places 14-16 microscopic sutures the size of hair to join a tube that is less than a millimeter in diameter. (The lumen of the vas deferens is approximately the size of the “O” in God on a penny.”)

Notably, surgeons use suture to close an incision of any common non-microscopic surgical procedure that is bigger than the tube in which sperm travels in the vas deferens.

Reversal surgeons use very small sutures to connect very small openings. In other words, there has to be enough room after connecting the tubes for sperm to travel in their quest to achieve pregnancy.

drawing of sperm in the vas deferens

Contact Us.

← Back

Thank you for your response. ✨

Vasectomies and Vasectomy Reversals performed by Dr. McHugh since 2020!

1811

Vasectomies

495

Vas Reversals

2306

Vasectomies and Reversals

Dr. McHugh holding a GA Vasectomy Reversal success baby

Few TN Urologists Perform Microscopic Vasectomy Reversals | Necessary components of a successful vasectomy reversal practice:

✅ Experienced and skilled microscopic surgeon. Dr. McHugh has performed hundreds of microscopic vasectomy reversals.

✅ Practice owned and nationally accredited surgery center. This assures safety, oversight and the ability to offer general anesthesia.

✅ Success. See some of our success stories.

✅ Acceptable all-inclusive price with no hidden fees. See breakdown of cost package.

✅ Board Certified: American Board of Urology.

✅ Experienced staff (R.N.s), operative microscope, microscopic instruments and sutures.

✅ Awarded “Best in Georgia.” Dr. McHugh is one of the southeast’s most experienced microscopic vasectomy reversal specialists.

✅ Performs vasectomy reversals on a regular basis. Dr. McHugh does two reversals each week.

Informative website with content written by Dr.McHugh based on personal experience and national studies. See In link bio|Dr. McHugh

✅ Free and convenient vasectomy reversal phone consultation.

Common Vasectomy Reversal Questions:

  • What is the success rate? This depends on the experience of the surgeon, the interval of time between the vasectomy and the reversal and the findings at the time of the surgery. The shorter the interval the better the chances of success.  Success rates-Click here.
  • How many microscopic vasectomy reversals has Dr. McHugh done? Thousand of procedures and hundreds of vasectomy reversals have been successfully performed in our accredited Urological Surgery Center.
  • What is the cost? Our fee is all-inclusive and “no hidden fees.” (Surgeon fee, Accredited Facility Expense, Anesthesia, R.N. nursing, Operative microscope, microscopic suture and… an experienced, skilled and pleasant staff.)
Dr. McHugh performing a microscopic vasectomy reversal in an operationg room.

Dr. McHugh performs two reversals every week in our practice owned and accredited surgery center.

  • We perform microscopic vasectomy reversals on a weekly basis in our practice owned, accredited for general anesthesia and dedicated reversal facility.
  • Do you have a payment program? No but we accept CareCredit. (See CareCredit.com)
  • Will I have any pain during the procedure? No, we provide anesthesia by a board certified anesthesiologist. Our safety record has been impeccable. The pain after the procedure is slightly more than you may have experienced during the vasectomy.
  • Is it like having a vasectomy? No, a vasectomy takes 15 minutes and done through a “size of rice” opening. A vasectomy reversal takes our team approximately 2 hours. As a result, one can expect a bit more swelling and bruising. “The procedure  involves the same tube… but it’s a different operation!”
  • Is the age of my wife important? Yes. Success rates begin to decline as the female’s age goes above 39. The male is less age dependent.
Ga Vasectomy reversal success baby sleeping on pillow.

We include hotel accommodations in our all-inclusive cost.

  • What if I have to travel a long distance to go home? Most couples will arrive the day of the procedure and then spend the night afterwards in a local hotel.  Hotel accommodations if necessary is complimentary for one night. (As a rule, couples within a few hours drive from our facility prefer to go home after the procedure and this is acceptable.)
  • How long before I can drive?  Usually within a week.  If the surgery is on a Thursday, for instance, the longer you can be off your feet with the scrotum elevated the less swelling you will experience.  The complete healing doesn’t occur until around a month, but patients can be active but careful during that time. Tight compression exercise underwear is better than the traditional “jock support.”
Dr. McHugh holding sleeping and peaceful vasectomy reversal baby newborn

After the Vasectomy Reversal Common Questions

  • When can I resume sexual activity? In three weeks.
  • When can I return to work? Desk work, with caution and being careful, in one week. If one has a strenuous job usually three weeks, however a lot of patients go back in one week but they have made arrangements to gradually get back to their normal work routine. (With the help of their co-workers.)

Patience is a virtue.

  • How long does it take for the testicles to produce sperm again? Usually 4-6 months depending on when the vasectomy was done. (The shorter the interval between the reversal and vasectomy, the sooner the vesicles begin to produce sperm.)
  • If pregnancy occurs, what is the most common time frame? 6-18 months. This is important to remember this as achieving pregnancy after a vasectomy reversal is a patient process.
Dr. McHugh Ga Vasectomy Reversal Success Baby Sleeping peacefully

Opportunities for earlier booking is often available for patients choosing to be added to our active waiting list.

  • Are birth defects more common after a vasectomy reversal?  No.
  • Which is better in vitro methods or a vasectomy reversal? This is a decision which the couple should research and based on what is best for them. Proponents of a reversal state cost, the ability to have more than one pregnancy, less requirements by the female, and a more streamlined process from the decision to having the procedure.
  • How soon can I schedule the procedure? It is unusual not to  be able to schedule within a 6-8 weeks of inquiring. Our practice owns our surgery center, so it is not uncommon to open another operative day and perform two reversals on the same day to accommodate demand. (We also have an active “Waiting list” for couples who want to have the procedure sooner and are zable to be available on short notice.)
Dr. McHugh Ga Vasectomy Reversal Success baby standing near bed

In the vast majority of cases the pre-operative medical evaluation and consultation can be done over the phone.

  • Is it necessary to have an in person consultation visit? In most cases no. The anesthesia doctors do not require new blood work or EKG if the patient is less than 50 and not on certain medications. The only thing that can’t be done ahead of the procedure is the exam of the testicles.
  • Is there a safety risk of the procedure or of the anesthesia? It is rare to have any injury to the testicles. Infections are uncommon, bruising is  common. There is no change in the male sexuality. The anesthesia is very safe and to date we have had no issues/complication related to this. Our anesthesiologists are all certified. Our safety record has been impeccable since opening our facility in 2008.
Ga Vasectomy Reversal Success baby playing in in bathtub with toys.

Few SC Urologists Do Microscopic Vasectomy Reversals | Why?

Georgia Vasectomy Reversal | Experience, Success and the Best All-Inclusive Price in the Southeast.

Few SC Urologists Do Microscopic Vasectomy Reversals | Dr. McHugh is one of southeast’s most experienced microscopic vasectomy reversal specialists.

GA Vasectomy Reversal success baby with tongue out.

Few SC Urologists Do Microscopic Vasectomy Reversals | Why do so few urologists perform vasectomy reversals commonly?

  • Steep learning curve to master. A microscopic vasectomy reversal is difficult to perform.
  • To provide the necessary components to perform is expensive.
  • Very view of the patients who have a vasectomy want to reverse it (5%).
  • A reversal is not covered by insurance.
  • Success is not guaranteed.
  • Using a hospital increases the cost and using an office limits the type and level of anesthesia.
  • The procedure takes 2-4 hours to perform.
how-big-is-a-micron

Why is an operating microscope and the expertise of an experienced surgeon important for successfully reversing a vasectomy?

Interestingly, the answer is complicated. Below detail several of the reasons. Notably, only 5% of the men who have had a vasectomy will desire to reverse it.

Additionally, a reversal is not covered by insurance. This requires the surgeon to arrange a package plan for all of the costs involved.

Using an operating microscope, sewing with microscopic suture, joining a very small opening with 14-16 sutures in each vas deferens is demanding.

The thickness of a strand of hair is 100 microns.

The suture used used for the procedure is 70 – 100 microns. Therefore, the suture is about the diameter of the human hair.

The outside thickness of the vas deferens is about 2 mm and the lumen of the vas (the part of the vas that is connected with the reversal procedure and the tube that sperm travels) averages about .56 mm.

500 microns equals about the size of the opening in the vas deferens (.5mm).

Interestingly, 14-16 microscopic sutures the size of hair are used to join a tube that is less than a millimeter in diameter. (The lumen of the vas deferens is approximately the size of the “O” in God on a penny.”)

Notably, the suture that is used to close an incision of any common non-microscopic surgical procedure would be bigger than the tube in which sperm travels in the vas deferens.

Very small sutures must be used to connect very small openings if there is going to be enough room after connecting the tubes for sperm to travel in their quest to achieve pregnancy.

drawing of sperm in the vas deferens

Contact Us.

← Back

Thank you for your response. ✨

Vasectomies and Vasectomy Reversals performed by Dr. McHugh since 2020!

1811

Vasectomies

495

Vas Reversals

2306

Vasectomies and Reversals

Dr. McHugh holding a GA Vasectomy Reversal success baby

Few SC Urologists Do Microscopic Vasectomy Reversals | Necessary components of a successful vasectomy reversal practice:

✅ Experienced and skilled microscopic surgeon. Dr. McHugh has performed hundreds of microscopic vasectomy reversals.

✅ Practice owned and nationally accredited surgery center. This assures safety, oversight and the ability to offer general anesthesia.

✅ Success. See some of our success stories.

✅ Acceptable all-inclusive price with no hidden fees. See breakdown of cost package.

✅ Board Certified: American Board of Urology.

✅ Experienced staff (R.N.s), operative microscope, microscopic instruments and sutures.

✅ Awarded “Best in Georgia.” Dr. McHugh is one of the southeast’s most experienced microscopic vasectomy reversal specialists.

✅ Performs vasectomy reversals on a regular basis. Dr. McHugh does two reversals each week.

Informative website with content written by Dr.McHugh based on personal experience and national studies. See In link bio|Dr. McHugh

✅ Free and convenient vasectomy reversal phone consultation.

Common Vasectomy Reversal Questions:

  • What is the success rate? This depends on the experience of the surgeon, the interval of time between the vasectomy and the reversal and the findings at the time of the surgery. The shorter the interval the better the chances of success.  Success rates-Click here.
  • How many microscopic vasectomy reversals has Dr. McHugh done? Thousand of procedures and hundreds of vasectomy reversals have been successfully performed in our accredited Urological Surgery Center.
  • What is the cost? Our fee is all-inclusive and “no hidden fees.” (Surgeon fee, Accredited Facility Expense, Anesthesia, R.N. nursing, Operative microscope, microscopic suture and… an experienced, skilled and pleasant staff.)
Dr. McHugh performing a microscopic vasectomy reversal in an operationg room.

Dr. McHugh performs two reversals every week in our practice owned and accredited surgery center.

  • We perform microscopic vasectomy reversals on a weekly basis in our practice owned, accredited for general anesthesia and dedicated reversal facility.
  • Do you have a payment program? No but we accept CareCredit. (See CareCredit.com)
  • Will I have any pain during the procedure? No, we provide anesthesia by a board certified anesthesiologist. Our safety record has been impeccable. The pain after the procedure is slightly more than you may have experienced during the vasectomy.
  • Is it like having a vasectomy? No, a vasectomy takes 15 minutes and done through a “size of rice” opening. A vasectomy reversal takes our team approximately 2 hours. As a result, one can expect a bit more swelling and bruising. “The procedure  involves the same tube… but it’s a different operation!”
  • Is the age of my wife important? Yes. Success rates begin to decline as the female’s age goes above 39. The male is less age dependent.
Ga Vasectomy reversal success baby sleeping on pillow.
  • What if I have to travel a long distance to go home? Most couples will arrive the day of the procedure and then spend the night afterwards in a local hotel.  Hotel accommodations if necessary is complimentary for one night. (As a rule, couples within a few hours drive from our facility prefer to go home after the procedure and this is acceptable.)
  • How long before I can drive?  Usually within a week.  If the surgery is on a Thursday, for instance, the longer you can be off your feet with the scrotum elevated the less swelling you will experience.  The complete healing doesn’t occur until around a month, but patients can be active but careful during that time. Tight compression exercise underwear is better than the traditional “jock support.”
Dr. McHugh holding sleeping and peaceful vasectomy reversal baby newborn

After the Vasectomy Reversal Common Questions

  • When can I resume sexual activity? In three weeks.
  • When can I return to work? Desk work, with caution and being careful, in one week. If one has a strenuous job usually three weeks, however a lot of patients go back in one week but they have made arrangements to gradually get back to their normal work routine. (With the help of their co-workers.)

Patience is a virtue.

  • How long does it take for the testicles to produce sperm again? Usually 4-6 months depending on when the vasectomy was done. (The shorter the interval between the reversal and vasectomy, the sooner the vesicles begin to produce sperm.)
  • If pregnancy occurs, what is the most common time frame? 6-18 months. This is important to remember this as achieving pregnancy after a vasectomy reversal is a patient process.
Dr. McHugh Ga Vasectomy Reversal Success Baby Sleeping peacefully
  • Are birth defects more common after a vasectomy reversal?  No.
  • Which is better in vitro methods or a vasectomy reversal? This is a decision which the couple should research and based on what is best for them. Proponents of a reversal state cost, the ability to have more than one pregnancy, less requirements by the female, and a more streamlined process from the decision to having the procedure.
  • How soon can I schedule the procedure? It is unusual not to  be able to schedule within a 6-8 weeks of inquiring. Our practice owns our surgery center, so it is not uncommon to open another operative day and perform two reversals on the same day to accommodate demand. (We also have an active “Waiting list” for couples who want to have the procedure sooner and are zable to be available on short notice.)
Dr. McHugh Ga Vasectomy Reversal Success baby standing near bed
  • Is it necessary to have an in person consultation visit? In most cases no. The anesthesia doctors do not require new blood work or EKG if the patient is less than 50 and not on certain medications. The only thing that can’t be done ahead of the procedure is the exam of the testicles.
  • Is there a safety risk of the procedure or of the anesthesia? It is rare to have any injury to the testicles. Infections are uncommon, bruising is  common. There is no change in the male sexuality. The anesthesia is very safe and to date we have had no issues/complication related to this. Our anesthesiologists are all certified. Our safety record has been impeccable since opening our facility in 2008.
Ga Vasectomy Reversal Success baby playing in in bathtub with toys.

Asheville Microscopic Vasectomy Reversal-How big is a micron?

Georgia Vasectomy Reversal | Experience, Success and the Best All-Inclusive Price in the Southeast.

GA Vasectomy Reversal success baby with tongue out.

Asheville Experienced Vasectomy Reversal Urologist | Why do so few urologists perform vasectomy reversals commonly?

  • Steep learning curve to master. A microscopic vasectomy reversal is difficult to perform.
  • To provide the necessary components to perform is expensive.
  • Very view of the patients who have a vasectomy want to reverse it (5%).
  • A reversal is not covered by insurance.
  • Success is not guaranteed.
  • Using a hospital increases the cost and using an office limits the type and level of anesthesia.
  • The procedure takes 2-4 hours to perform.
how-big-is-a-micron

Why is an operating microscope and the expertise of an experienced surgeon important for successfully reversing a vasectomy?

Interestingly, the answer is complicated. Below detail several of the reasons. Notably, only 5% of the men who have had a vasectomy will desire to reverse it.

Additionally, a reversal is not covered by insurance. This requires the surgeon to arrange a package plan for all of the costs involved.

Operating microscope, microscopic suture, and a very small opening to place 14-16 sutures in each vas deferens.

The thickness of a strand of hair is 100 microns.

The suture used used for the procedure is 70 – 100 microns. Therefore, the suture is about the diameter of the human hair.

The outside thickness of the vas deferens is about 2 mm and the lumen of the vas (the part of the vas that is connected with the reversal procedure and the tube that sperm travels) averages about .56 mm.

Interestingly, 14-16 microscopic sutures the size of hair are used to join a tube that is less than a millimeter in diameter. (The lumen of the vas deferens is approximately the size of the “O” in God on a penny.”)

500 microns equals about the size of the opening in the vas deferens (.5mm).

Notably, the suture that is used to close an incision of any common non-microscopic surgical procedure would be bigger than the tube in which sperm travels in the vas deferens.

Very small sutures must be used to connect very small openings if there is going to be enough room after connecting the tubes for sperm to travel in their quest to achieve pregnancy.

drawing of sperm in the vas deferens

Contact Us.

← Back

Thank you for your response. ✨

Vasectomies and Vasectomy Reversals performed by Dr. McHugh since 2020!

1811

Vasectomies

495

Vas Reversals

2306

Vasectomies and Reversals

Dr. McHugh holding a GA Vasectomy Reversal success baby

Asheville Reversal Experienced Vasectomy Urologist | Necessary components of a successful vasectomy reversal practice:

✅ Experienced and skilled microscopic surgeon. Dr. McHugh has performed hundreds of microscopic vasectomy reversals.

✅ Practice owned and nationally accredited surgery center. This assures safety, oversight and the ability to offer general anesthesia.

✅ Success. See some of our success stories.

✅ Acceptable all-inclusive price with no hidden fees. See breakdown of cost package.

✅ Board Certified: American Board of Urology.

✅ Experienced staff (R.N.s), operative microscope, microscopic instruments and sutures.

✅ Awarded “Best in Georgia.” Dr. McHugh is one of the southeast’s most experienced microscopic vasectomy reversal specialists.

✅ Performs vasectomy reversals on a regular basis. Dr. McHugh does two reversals each week.

Informative website with content written by Dr.McHugh based on personal experience and national studies. See In link bio|Dr. McHugh

✅ Free and convenient vasectomy reversal phone consultation.

Common Vasectomy Reversal Questions:

  • What is the success rate? This depends on the experience of the surgeon, the interval of time between the vasectomy and the reversal and the findings at the time of the surgery. The shorter the interval the better the chances of success.  Success rates-Click here.
  • How many microscopic vasectomy reversals has Dr. McHugh done? Thousand of procedures and hundreds of vasectomy reversals have been successfully performed in our accredited Urological Surgery Center.
  • What is the cost? Our fee is all-inclusive and “no hidden fees.” (Surgeon fee, Accredited Facility Expense, Anesthesia, R.N. nursing, Operative microscope, microscopic suture and… an experienced, skilled and pleasant staff.)
Dr. McHugh performing a microscopic vasectomy reversal in an operationg room.

Dr. McHugh performs two reversals every week in our practice owned and accredited surgery center.

  • We perform microscopic vasectomy reversals on a weekly basis in our practice owned, accredited for general anesthesia and dedicated reversal facility.
  • Do you have a payment program? No but we accept CareCredit. (See CareCredit.com)
  • Will I have any pain during the procedure? No, we provide anesthesia by a board certified anesthesiologist. Our safety record has been impeccable. The pain after the procedure is slightly more than you may have experienced during the vasectomy.
  • Is it like having a vasectomy? No, a vasectomy takes 15 minutes and done through a “size of rice” opening. A vasectomy reversal takes our team approximately 2 hours. As a result, one can expect a bit more swelling and bruising. “The procedure  involves the same tube… but it’s a different operation!”
  • Is the age of my wife important? Yes. Success rates begin to decline as the female’s age goes above 39. The male is less age dependent.
Ga Vasectomy reversal success baby sleeping on pillow.
  • What if I have to travel a long distance to go home? Most couples will arrive the day of the procedure and then spend the night afterwards in a local hotel.  Hotel accommodations if necessary is complimentary for one night. (As a rule, couples within a few hours drive from our facility prefer to go home after the procedure and this is acceptable.)
  • How long before I can drive?  Usually within a week.  If the surgery is on a Thursday, for instance, the longer you can be off your feet with the scrotum elevated the less swelling you will experience.  The complete healing doesn’t occur until around a month, but patients can be active but careful during that time. Tight compression exercise underwear is better than the traditional “jock support.”
Dr. McHugh holding sleeping and peaceful vasectomy reversal baby newborn

After the Vasectomy Reversal Common Questions

  • When can I resume sexual activity? In three weeks.
  • When can I return to work? Desk work, with caution and being careful, in one week. If one has a strenuous job usually three weeks, however a lot of patients go back in one week but they have made arrangements to gradually get back to their normal work routine. (With the help of their co-workers.)
  • How long does it take for the testicles to produce sperm again? Usually 4-6 months depending on when the vasectomy was done. (The shorter the interval between the reversal and vasectomy, the sooner the vesicles begin to produce sperm.)
  • If pregnancy occurs, what is the most common time frame? 6-18 months. This is important to remember this as achieving pregnancy after a vasectomy reversal is a patient process.
Dr. McHugh Ga Vasectomy Reversal Success Baby Sleeping peacefully
  • Are birth defects more common after a vasectomy reversal?  No.
  • Which is better in vitro methods or a vasectomy reversal? This is a decision which the couple should research and based on what is best for them. Proponents of a reversal state cost, the ability to have more than one pregnancy, less requirements by the female, and a more streamlined process from the decision to having the procedure.
  • How soon can I schedule the procedure? It is unusual not to  be able to schedule within a 6-8 weeks of inquiring. Our practice owns our surgery center, so it is not uncommon to open another operative day and perform two reversals on the same day to accommodate demand. (We also have an active “Waiting list” for couples who want to have the procedure sooner and are zable to be available on short notice.)
Dr. McHugh Ga Vasectomy Reversal Success baby standing near bed
  • Is it necessary to have an in person consultation visit? In most cases no. The anesthesia doctors do not require new blood work or EKG if the patient is less than 50 and not on certain medications. The only thing that can’t be done ahead of the procedure is the exam of the testicles.
  • Is there a safety risk of the procedure or of the anesthesia? It is rare to have any injury to the testicles. Infections are uncommon, bruising is  common. There is no change in the male sexuality. The anesthesia is very safe and to date we have had no issues/complication related to this. Our anesthesiologists are all certified. Our safety record has been impeccable since opening our facility in 2008.
Ga Vasectomy Reversal Success baby playing in in bathtub with toys.

Pensacola Microscopic Vasectomy Reversal-How big is a micron?

Georgia Vasectomy Reversal | Experience, Success and the Best All-Inclusive Price in the Southeast.

Pensacola Experienced Vasectomy Reversal Urologist | Dr. McHugh is one of southeast’s most experienced microscopic vasectomy reversal specialists.

GA Vasectomy Reversal success baby with tongue out.

Pensacola Experienced Vasectomy Reversal Urologist | Why do so few Florida urologists perform vasectomy reversals commonly?

how-big-is-a-micron

Why is an operating microscope and the expertise of an experienced surgeon important for successfully reversing a vasectomy?

Interestingly, the answer is complicated. Below detail several of the reasons. Notably, only 5% of the men who have had a vasectomy will desire to reverse it.

Additionally, insurance does not pay for reversal. This requires the surgeon to arrange a package plan for all of the costs involved.

Operating microscope, microscopic suture, and a very small opening to place 14-16 sutures in each vas deferens.

The thickness of a strand of hair is 100 microns.

The suture used used for the procedure is 70 – 100 microns. Therefore, the suture is about the diameter of the human hair.

The outside thickness of the vas deferens is about 2 mm and the lumen of the vas (the part of the vas that is connected with the reversal procedure and the tube that sperm travels) averages about .56 mm.

Interestingly, 14-16 microscopic sutures the size of hair are used to join a tube that is less than a millimeter in diameter. (The lumen of the vas deferens is approximately the size of the “O” in God on a penny.”)

500 microns equals about the size of the opening in the vas deferens (.5mm).

Notably, the suture that is used to close an incision of any common non-microscopic surgical procedure would be bigger than the tube in which sperm travels in the vas deferens.

Very small sutures must be used to connect very small openings if there is going to be enough room after connecting the tubes for sperm to travel in their quest to achieve pregnancy.

drawing of sperm in the vas deferens

Contact Us.

← Back

Thank you for your response. ✨

Vasectomies and Vasectomy Reversals performed by Dr. McHugh since 2020!

1811

Vasectomies

495

Vas Reversals

2306

Vasectomies and Reversals

Dr. McHugh holding a GA Vasectomy Reversal success baby

Pensacola Experienced Vasectomy Reversal Urologist | Necessary components of a successful vasectomy reversal practice:

✅ Experienced and skilled microscopic surgeon. Dr. McHugh has performed hundreds of microscopic vasectomy reversals.

✅ Practice owned and nationally accredited surgery center. This assures safety, oversight and the ability to offer general anesthesia.

✅ Success. See some of our success stories.

✅ Acceptable all-inclusive price with no hidden fees. See breakdown of cost package.

✅ Board Certified: American Board of Urology.

✅ Experienced staff (R.N.s), operative microscope, microscopic instruments and sutures.

✅ Awarded “Best in Georgia.” Dr. McHugh is one of the southeast’s most experienced microscopic vasectomy reversal specialists.

✅ Performs vasectomy reversals on a regular basis. Dr. McHugh does two reversals each week.

Informative website with content written by Dr.McHugh based on personal experience and national studies. See In link bio|Dr. McHugh

✅ Free and convenient vasectomy reversal phone consultation.

Common Vasectomy Reversal Questions:

  • What is the success rate? This depends on the experience of the surgeon, the interval of time between the vasectomy and the reversal and the findings at the time of the surgery. The shorter the interval the better the chances of success.  Success rates-Click here.
  • How many microscopic vasectomy reversals has Dr. McHugh done? Thousand of procedures and hundreds of vasectomy reversals have been successfully performed in our accredited Urological Surgery Center.
  • What is the cost? Our fee is all-inclusive and “no hidden fees.” (Surgeon fee, Accredited Facility Expense, Anesthesia, R.N. nursing, Operative microscope, microscopic suture and… an experienced, skilled and pleasant staff.)
Dr. McHugh performing a microscopic vasectomy reversal in an operationg room.

Dr. McHugh performs two reversals every week in our practice owned and accredited surgery center.

  • We perform microscopic vasectomy reversals on a weekly basis in our practice owned, accredited for general anesthesia and dedicated reversal facility.
  • Do you have a payment program? No but we accept CareCredit. (See CareCredit.com)
  • Will I have any pain during the procedure? No, we provide anesthesia by a board certified anesthesiologist. Our safety record has been impeccable. The pain after the procedure is slightly more than you may have experienced during the vasectomy.
  • Is it like having a vasectomy? No, a vasectomy takes 15 minutes and done through a “size of rice” opening. A vasectomy reversal takes our team approximately 2 hours. As a result, one can expect a bit more swelling and bruising. “The procedure  involves the same tube… but it’s a different operation!”
  • Is the age of my wife important? Yes. Success rates begin to decline as the female’s age goes above 39. The male is less age dependent.
Ga Vasectomy reversal success baby sleeping on pillow.
  • What if I have to travel a long distance to go home? Most couples will arrive the day of the procedure and then spend the night afterwards in a local hotel.  Hotel accommodations if necessary is complimentary for one night. (As a rule, couples within a few hours drive from our facility prefer to go home after the procedure and this is acceptable.)
  • How long before I can drive?  Usually within a week.  If the surgery is on a Thursday, for instance, the longer you can be off your feet with the scrotum elevated the less swelling you will experience.  The complete healing doesn’t occur until around a month, but patients can be active but careful during that time. Tight compression exercise underwear is better than the traditional “jock support.”
Dr. McHugh holding sleeping and peaceful vasectomy reversal baby newborn

After the Vasectomy Reversal Common Questions

  • When can I resume sexual activity? In three weeks.
  • When can I return to work? Desk work, with caution and being careful, in one week. If one has a strenuous job usually three weeks, however a lot of patients go back in one week but they have made arrangements to gradually get back to their normal work routine. (With the help of their co-workers.)
  • How long does it take for the testicles to produce sperm again? Usually 4-6 months depending on when the vasectomy was done. (The shorter the interval between the reversal and vasectomy, the sooner the vesicles begin to produce sperm.)
  • If pregnancy occurs, what is the most common time frame? 6-18 months. This is important to remember this as achieving pregnancy after a vasectomy reversal is a patient process.
Dr. McHugh Ga Vasectomy Reversal Success Baby Sleeping peacefully
  • Are birth defects more common after a vasectomy reversal?  No.
  • Which is better in vitro methods or a vasectomy reversal? This is a decision which the couple should research and based on what is best for them. Proponents of a reversal state cost, the ability to have more than one pregnancy, less requirements by the female, and a more streamlined process from the decision to having the procedure.
  • How soon can I schedule the procedure? It is unusual not to  be able to schedule within a 6-8 weeks of inquiring. Our practice owns our surgery center, so it is not uncommon to open another operative day and perform two reversals on the same day to accommodate demand. (We also have an active “Waiting list” for couples who want to have the procedure sooner and are zable to be available on short notice.)
Dr. McHugh Ga Vasectomy Reversal Success baby standing near bed
  • Is it necessary to have an in person consultation visit? In most cases no. The anesthesia doctors do not require new blood work or EKG if the patient is less than 50 and not on certain medications. The only thing that can’t be done ahead of the procedure is the exam of the testicles.
  • Is there a safety risk of the procedure or of the anesthesia? It is rare to have any injury to the testicles. Infections are uncommon, bruising is  common. There is no change in the male sexuality. The anesthesia is very safe and to date we have had no issues/complication related to this. Our anesthesiologists are all certified. Our safety record has been impeccable since opening our facility in 2008.
Ga Vasectomy Reversal Success baby playing in in bathtub with toys.

Atlanta Microscopic Vasectomy Reversal-How big is a micron?

Atlanta Vasectomy Reversal | Experience, Success and the Best All-Inclusive Price in the Southeast.

Metro Atlanta Experienced Vasectomy Reversal Urologist | Dr. McHugh is one of southeast’s most experienced microscopic vasectomy reversal specialists.

GA Vasectomy Reversal success baby with tongue out.

Metro Atlanta Experienced Vasectomy Reversal Urologist | Why do so few Atlanta Urologists perform vasectomy reversals commonly?

how-big-is-a-micron

Why is an operating microscope and the expertise of an experienced surgeon important for successfully reversing a vasectomy?

Interestingly, the answer is complicated. Below detail several of the reasons. Notably, only 5% of the men who have had a vasectomy will desire to reverse it.

Additionally, a reversal is not covered by insurance. This requires the surgeon to arrange a package plan for all of the costs involved.

Operating microscope, microscopic suture, and a very small opening to place 14-16 sutures in each vas deferens.

The thickness of a strand of hair is 100 microns.

The suture used used for the procedure is 70 – 100 microns. Therefore, the suture is about the diameter of the human hair.

The outside thickness of the vas deferens is about 2 mm and the lumen of the vas (the part of the vas that is connected with the reversal procedure and the tube that sperm travels) averages about .56 mm.

Interestingly, 14-16 microscopic sutures the size of hair are used to join a tube that is less than a millimeter in diameter. (The lumen of the vas deferens is approximately the size of the “O” in God on a penny.”)

500 microns equals about the size of the opening in the vas deferens (.5mm).

Notably, the suture that is used to close an incision of any common non-microscopic surgical procedure would be bigger than the tube in which sperm travels in the vas deferens.

Very small sutures must be used to connect very small openings if there is going to be enough room after connecting the tubes for sperm to travel in their quest to achieve pregnancy.

drawing of sperm in the vas deferens

Contact Us.

← Back

Thank you for your response. ✨

Vasectomies and Vasectomy Reversals performed by Dr. McHugh since 2020!

1811

Vasectomies

495

Vas Reversals

2306

Vasectomies and Reversals

Dr. McHugh holding a GA Vasectomy Reversal success baby

Metro Atlanta Experienced Vasectomy Reversal Urologist | Necessary components of a successful vasectomy reversal practice:

✅ Experienced and skilled microscopic surgeon. Dr. McHugh has performed hundreds of microscopic vasectomy reversals.

✅ Practice owned and nationally accredited surgery center. This assures safety, oversight and the ability to offer general anesthesia.

✅ Success. See some of our success stories.

✅ Acceptable all-inclusive price with no hidden fees. See breakdown of cost package.

✅ Board Certified: American Board of Urology.

✅ Experienced staff (R.N.s), operative microscope, microscopic instruments and sutures.

✅ Awarded “Best in Georgia.” Dr. McHugh is one of the southeast’s most experienced microscopic vasectomy reversal specialists.

✅ Performs vasectomy reversals on a regular basis. Dr. McHugh does two reversals each week.

Informative website with content written by Dr.McHugh based on personal experience and national studies. See In link bio|Dr. McHugh

✅ Free and convenient vasectomy reversal phone consultation.

Common Vasectomy Reversal Questions:

  • What is the success rate? This depends on the experience of the surgeon, the interval of time between the vasectomy and the reversal and the findings at the time of the surgery. The shorter the interval the better the chances of success.  Success rates-Click here.
  • How many microscopic vasectomy reversals has Dr. McHugh done? Thousand of procedures and hundreds of vasectomy reversals have been successfully performed in our accredited Urological Surgery Center.
  • What is the cost? Our fee is all-inclusive and “no hidden fees.” (Surgeon fee, Accredited Facility Expense, Anesthesia, R.N. nursing, Operative microscope, microscopic suture and… an experienced, skilled and pleasant staff.)
Dr. McHugh performing a microscopic vasectomy reversal in an operationg room.

Dr. McHugh performs two reversals every week in our practice owned and accredited surgery center.

  • We perform microscopic vasectomy reversals on a weekly basis in our practice owned, accredited for general anesthesia and dedicated reversal facility.
  • Do you have a payment program? No but we accept CareCredit. (See CareCredit.com)
  • Will I have any pain during the procedure? No, we provide anesthesia by a board certified anesthesiologist. Our safety record has been impeccable. The pain after the procedure is slightly more than you may have experienced during the vasectomy.
  • Is it like having a vasectomy? No, a vasectomy takes 15 minutes and done through a “size of rice” opening. A vasectomy reversal takes our team approximately 2 hours. As a result, one can expect a bit more swelling and bruising. “The procedure  involves the same tube… but it’s a different operation!”
  • Is the age of my wife important? Yes. Success rates begin to decline as the female’s age goes above 39. The male is less age dependent.
Ga Vasectomy reversal success baby sleeping on pillow.
  • What if I have to travel a long distance to go home? Most couples will arrive the day of the procedure and then spend the night afterwards in a local hotel.  Hotel accommodations if necessary is complimentary for one night. (As a rule, couples within a few hours drive from our facility prefer to go home after the procedure and this is acceptable.)
  • How long before I can drive?  Usually within a week.  If the surgery is on a Thursday, for instance, the longer you can be off your feet with the scrotum elevated the less swelling you will experience.  The complete healing doesn’t occur until around a month, but patients can be active but careful during that time. Tight compression exercise underwear is better than the traditional “jock support.”
Dr. McHugh holding sleeping and peaceful vasectomy reversal baby newborn

After the Vasectomy Reversal Common Questions

  • When can I resume sexual activity? In three weeks.
  • When can I return to work? Desk work, with caution and being careful, in one week. If one has a strenuous job usually three weeks, however a lot of patients go back in one week but they have made arrangements to gradually get back to their normal work routine. (With the help of their co-workers.)
  • How long does it take for the testicles to produce sperm again? Usually 4-6 months depending on when the vasectomy was done. (The shorter the interval between the reversal and vasectomy, the sooner the vesicles begin to produce sperm.)
  • If pregnancy occurs, what is the most common time frame? 6-18 months. This is important to remember this as achieving pregnancy after a vasectomy reversal is a patient process.
Dr. McHugh Ga Vasectomy Reversal Success Baby Sleeping peacefully
  • Are birth defects more common after a vasectomy reversal?  No.
  • Which is better in vitro methods or a vasectomy reversal? This is a decision which the couple should research and based on what is best for them. Proponents of a reversal state cost, the ability to have more than one pregnancy, less requirements by the female, and a more streamlined process from the decision to having the procedure.
  • How soon can I schedule the procedure? It is unusual not to  be able to schedule within a 6-8 weeks of inquiring. Our practice owns our surgery center, so it is not uncommon to open another operative day and perform two reversals on the same day to accommodate demand. (We also have an active “Waiting list” for couples who want to have the procedure sooner and are zable to be available on short notice.)
Dr. McHugh Ga Vasectomy Reversal Success baby standing near bed
  • Is it necessary to have an in person consultation visit? In most cases no. The anesthesia doctors do not require new blood work or EKG if the patient is less than 50 and not on certain medications. The only thing that can’t be done ahead of the procedure is the exam of the testicles.
  • Is there a safety risk of the procedure or of the anesthesia? It is rare to have any injury to the testicles. Infections are uncommon, bruising is  common. There is no change in the male sexuality. The anesthesia is very safe and to date we have had no issues/complication related to this. Our anesthesiologists are all certified. Our safety record has been impeccable since opening our facility in 2008.
Ga Vasectomy Reversal Success baby playing in in bathtub with toys.

Vasectomy Reversal-Age of the female is important.

dsc_0132

In addition to the skill of the surgeon, the character of the fluid at the time of the reversal, and years since the vasectomy…the age of the female is an important factor in achieving pregnancy.

What Affects Pregnancy, Patency Rates After Vasectomy Reversal?

Urology – October 30, 2015 – Vol. 33 – No. 4

The Silber grading scale appears to dictate pregnancy rates after vasectomy reversal with increasing female age being a negative predictive factor.

Article Reviewed: Impact on Pregnancy of Gross and Microscopic Vasal Fluid During Vasectomy Reversal. Ostrowski KA, Polackwich AS, et al: J Urol; 2015;194 (July): 156-159.

Background: The examination of the vasal fluid at the time of vasectomy reversal has implications for surgical decision making with effects on patency and pregnancy rates. The Silber grading system characterizes these findings and has been used to help surgeons with the decision to perform vasovasostomy (VV) or the more technically challenging vasoepididymostomy (VE).

Objective: To determine both intraoperative and patient factors that affect pregnancy rates after vasectomy reversal.

Design: Retrospective review of prospectively maintained database.

Methods: This paper reviewed the results of a single surgeon series that encompassed >30 years of vasectomy reversals. Vasal fluid was characterized as opalescent, creamy, pasty or clear and intraoperative light microscopy was used determined if sperm parts were present or motile. Univariate and multivariate analysis examined the data set for significant factors that affected pregnancy rates.

Results: 2947 vasectomy reversals were included in the analysis. Pregnancy status was only known for 31% of these cases. Bilateral VV was performed 83% of the time and most patients fell into a Silber 1 to 3 classification. No factors met statistical significance for increasing the pregnancy rate, although the presence of motile sperm was almost significant (P =0.075).

Negative predictive factors for pregnancy were identified on multivariate analysis with increasing female age and the findings of either no sperm (odds ratio [OR], 0.08) or sperm heads only (OR, 0.46) on microscopy decreasing pregnancy rates. Rarely were sperm parts identified when pasty fluid was encountered.

Conclusions: The findings from this paper echo the findings of the Vasovasostomy study group, with the Silber grading system essentially dictating pregnancy rates.

Reviewer’s Comments: The decision to perform VV or VE can be a difficult one and is based on many factors including findings from the vasal fluid, time since vasectomy, and surgeon skill level. Few papers have examined this decision-making algorithm since the landmark paper by the Vasovasostomy study group in 1991. While most microsurgeons prefer VV to VE due to increased patency and pregnancy rates, the need to perform a VE is generally encouraged when pasty fluid or no sperm parts are found in the vas at the time of reversal. These findings are interesting and are another important addition to the literature. Unfortunately, despite the authors’ efforts, relatively few predictive factors were found. Their findings do somewhat parallel those published by the Vasovasostomy study group, wherein the Silber grading system appears to correlate with pregnancy rates. The authors identified sperm heads only (Silber 4) or no sperm (Silber 5) as negative predictors with motile sperm (Silber 1) almost achieving statistical significance as a positive factor.(Reviewer–Charles Welliver, MD).

$500.00 off vasectomy reversal-Schedule before 2017!

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Just call our vasectomy reversal coordinator and mention this post. She will schedule your reversal as soon as possible!  770-535-0001 ext 113 or kathy.burton@ngurology.com. 

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Because a vasectomy reversal is usually not covered by insurance, the patient usually pays an all inclusive fee to the surgeon. This fee covers all of the components of having a surgical procedure such as:

  • The fee of the surgeon to perform the reversal.
  • The facility fee which includes the cost of the nurses and staffing, the facility (operating room), suture materials and the operating microscope, the anesthesiologist and the anesthesia supplies necessary to put a patient to sleep.
  • The cost of overnight accommodations (if necessary).

At Northeast Georgia Urological Associates our facility is accredited and owned by our practice which in turn allows our all inclusive fee to be much less than if a hospital were used. Our anesthesiologists are board certified as well as Dr. McHugh.

The all inclusive cost for a  microscopic vasectomy reversal at the Northeast Georgia Ambulatory Surgery Center is $6,500.00. After promotion- $6,000.00.

Kathy Burton 770.535.0001 ext 113 or kathy.burton@ngurology.com is available to help with all things vasectomy reversal. CareCredit is an option for couples preferring to pay over time.