Tag Archives: vas reversal cost

What does sperm look like under a microscope after vasectomy reversal?

Sperm-egg

Evaluation of Sperm after Vasectomy Reversal

Several times a month a patient, who has had a vasectomy reversal,  will drop off a specimen to see if there are any sperm present. This evaluation takes just a minute to do. If sperm is present it means that the reversal mechanically is open and has been successful. This evaluation however doesn’t count the sperm, that would require a full semen analysis which is done through the hospital lab and quantitates the actual number of sperm present.

For the purposes of seeing if the reversal “worked or not” the in office check for sperm is sufficient. If there are no sperm and it has been three months post reversal this may either means that reversal is not open but probably more likely that the testicles have not “picked up the ball” and started producing sperm yet. It can take four to twelve months for the sperm to be produced in numbers sufficient for conception. The time to producing sperm by the testicles post vasectomy is large part dependent on the interval between the vasectomy and the reversal.

It is always a “drum roll” moment when the specimen is dropped off for me to evaluate and always rewarding to see sperm moving about so excited to be set free and get to work.

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The following is not a post reversal sample but it shows what you want to see in the ejaculate after a reversal. It is also interesting how the maker of the video created the project.

Want to schedule a vasectomy reversal phone consultation? Call 770-535-000 or use the contact form below. We respond to contact forms on weekends!

A selection of our Vasectomy Reversal Success Stories.

Dr. McHugh success vasectomy reversal stories.
Vasectomy Reversal Logo

Best Atlanta Vasectomy Reversal Cost-John McHugh M.D.

 

Atlanta Vasectomy Reversal Cost  All-Inclusive Components

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

  • The surgeon’s fee 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.
  • A board certified anesthesiologist and the anesthesia supplies necessary to put a patient to sleep.
  • The cost of overnight accommodations (if necessary).

Vasectomy Reversal Accreditation and Safety

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.

Vasectomy Reversal Cost

The all inclusive cost for a  microscopic vasectomy reversal at the Northeast Georgia Ambulatory Surgery Center is $7,200.00.

For more information or to schedule a free consultation call 770.535.0000 or email: ngurology@gmail.com.

CareCredit is an option for couples preferring to pay with a medical credit card.

A previous post further explaining why reversals are more expensive than a simple vasectomy.

Contact Us for Free Phone Consultation

Do you have a question or want to schedule a free reversal consultation? Simply leave your contact number below and our office or Dr. McHugh will contact you as soon as possible. We look forward to hearing from you. 

Vasectomy Reversal Happiness

Ga Vasectomy Reversal Baby

“Dr. McHugh we wanted to thank you from the bottom of our hearts! You reversed my husbands 5 year old vasectomy 9/29/22 and our son was born 9/10/23! We are so grateful.”

Meet Theo!

Ga Vasectomy Reversal Success

“Hey Doc!!!

Back in Jan 2019 you reversed my vasectomy. In March or his year our new baby finally arrived. Thank you for what you’ve done for us, and what you do every day. And, meet Leo….”

Worth the Wait!

Ga Vasectomy Reversal Success Story

“Good afternoon. I had my reversal done May 2022. We now have a very healthy, beautiful little girl. Born 8/21/23!”

A honey of a Georgia reversal success!

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” I was one of Dr McHughs patients about 1 year ago.   I was emailing to let you all know the operation was a success.  We now have a one week old baby boy.   Thank you all for everything! ”  D.C.

Atlanta Ga Vasectomy reversal success baby

A Reversal “Thumbs Up!”

vasectomy reversal baby and siblings

Kalani was born December 31, 2022 at home under the care of a midwife and nurse at 8:11 pm. It was magical as the fireworks from the New Years celebrations exploded outside along the Florida coastline on a foggy sort of mystical night. Our boys are so in love with their baby sister!

No need to test a specimen…We’re Pregnant!

Atlanta GA Vasectomy Reversal Success! Thank you picture and congratulations!

 

Vasectomy Reversal Baby Success

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Vasectomy Reversal Success

Cooper Knox

Vasectomy Reversal Success!

 

Vasectomy Reversal Baby Success

Thanks for coming by the office with the blessed news…on your way home from the hospital! Congratulations.

 

Dr. McHugh with mother and father reversal baby

Dr. McHugh with vasectomy reversal success baby

Blessed vasectomy reversal success!

Vasectomy Reversal Baby

“Seven months after the vasectomy we were expecting our new daughter.  We cannot thank the practice enough and highly recommend them!”

Vasectomy Reversal baby

Our little Pumpkin!

Vasectomy reversal baby.

Dr. McHugh, my husband had his vasectomy reversed 10/7/21 and we had our sweet baby girl 9/29/22!! Here’s some pictures of our beautiful girl.   H.S.

Vasectomy reversal baby

Wonderful Addition!

Vasectomy Reversal

Thank you so much for my husband’s successful reversal that you performed in October 2021. We found out we were expecting in the beginning of January and our son was born on September 7th.

Jen and Kristafur

 

Thankful for Dr. McHugh’s talent and the whole experience!

vasectomy reversal baby

Dr. McHugh is very thorough and answered any questions we had prior to surgery. His team was very kind and thorough post surgery as well, following up via phone and email to be sure my husband had the best recovery he could. Our chances for conceiving were less than 50% and we just had our daughter a month before the one year mark from surgery. Leanna T.     September  2022

 

“A beautiful gift from God”

Thank you for the 5 Star Vasectomy Reviews.

Vasectomy Reversal: 0 Sperm to 66 Million!

Reversal easier than the vasectomy? Thank you!

Reversal success times two!

We try to make it “fun!”

“Dr. McHugh is loads of fun. Really nice guy. Excellent staff. Easy, short, and (mostly) painless procedure. Great practice here.”  D.D.
Georgia Vasectomy/ Vasectomy Reversal -John Clay McHugh M.D.
Thank you so much for the positive feedback. Enjoyed comparing “Beatles Trivia!” I hope you do well. John McHugh
McHugh No Scalpel Vasectomy

Happy result in Tennessee!

This is Shawn and Jayna Porter. We are writing to let you all know that surgery was a success and we’d like to send you all pictures of our new addition! Harper Quinn Porter.

Thank you back!

Dr. McHugh and his wonderful staff are without a doubt the best in the industry.

“You and your staff were wonderful! I love the relaxed and laid back atmosphere that y’all provided especially the Music! Definitely helped my anxiety. Thank you.”

Blessing after ten year successful vasectomy reversal!

I appreciate everyone’s friendliness and kindness during the multiple office visits and surgery center procedure. Thank you for the good care you gave me!

P.H.

Even after a miscarriage, with time, prayers and of course a great surgeon we now have a healthy 7lbs 2oz  baby boy! Thank you.

Hannah M.

Thank you!

“You were very professional!”

Thank you!

Review - 3 - Social Post

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Two for the price of one!

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a vasectomy reversal success

After extensive research, we found that the technique performed by Dr. McHugh was the best fit for us. It was the least invasive, and offered the fastest recovery. Dr. McHugh & his team delivered a high caliber of service & comfort for me, & I am extremely thankful for his practice.

Naomi  was born just 12 months after having my surgery, & we couldn’t be happier with our newest addition! 

R.P.

 

Thank you Dr. McHugh and staff!

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Welcome…Ella Grace.

Success!

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Thanks for dropping by!

Reversal success story!

What a delightful surprise!

Dr. McHugh is the best! Our family was also blessed by his surgical expertise.


Fantastic bedside manner, office and surgical staff were top notch. This coming from a nurse of 12 years. I was never nervous or uncomfortable. (Microscopic Vasectomy Reversal)

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Stephen

Thank you!

I had my vasectomy reversal in February 2018 and my wife got pregnant in May 2018, only 3 months later! The service and attention received before, during and after the procedure was excellent. The team was very warm and super easy to work with.

My wife and I are happy to announce that we are now expecting in March of 2020. This wouldn’t be possible without Dr. McHugh and his amazing staff! Thank y’all!

We are happy to report that we are pregnant! Thank you to all of you who participated in our care, especially Dr. McHugh. We are so pleased and excited.

With time, prayers and of course a great surgeon we now have a healthy baby boy! Thank you!

Twice as Nice!

My husband asked questions ahead of time and from friends that previously had the procedure. He felt confident going in and completely comfortable during the procedure. Highly recommend them.

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Dr. McHugh is the one you should see. We HIGHLY recommend him! Thank you so much again to him and all of his staff. INCREDIBLE!

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Pretty in Pink

Another happy reversal result!

Tyler Mathis
Tyler Mathis
2023-11-23
Dr. McHugh is an absolute professional. I had a consultation with a different practice last year and was basically told horror stories afterwards. Dr. McHugh made me feel 100% confident with his knowledge and ability to answer my questions and concerns thoroughly. During the procedure, Dr. McHugh and his staff had the best bedside manner. They made sure I was still confident in our decision and made sure I was comfortable. I would recommend Dr. McHugh’s practice to any and all my peers looking to move forward with the snip.
Brian Etress
Brian Etress
2023-11-07
The Dr and staff are absolutely the best ever. Made an otherwise uncomfortable situation very comfortable and the level of caring for the individual is unsurpassable. Actually now feel like I have an extended family.
Casey Demore
Casey Demore
2023-11-07
Great Experience! Everything went great! Highly recommend!
anthony schinina
anthony schinina
2023-10-23
Just had my surgery last week so time will tell of its success. I did want to give thanks to Dr Mchugh for being so helpful and kind before my surgery. I also want to thank nurses Daphne, Becky, and Melanie for taking such good care of me pre and post op. This is my second reversal because my first one (done by another doctor) failed. If I could go back I would have come here first. I highly recommend coming to see Dr McHugh and his staff if you are considering a reversal. Thanks guys!
Alex Matthews
Alex Matthews
2023-10-21
Great staff! Super helpful and friendly.
ricardo perez jr
ricardo perez jr
2023-10-16
Overall the best experience possible for a vasectomy. The staff is great and caring.
Sid Smithson
Sid Smithson
2023-10-12
Pre-op was Top notch service! Customer Service was great! No complaints and the best 15 minutes of anesthesia I’ve had in a while🤪😁
Chris Hansel
Chris Hansel
2023-10-11
Great experience and service! I was a little apprehensive to get my vasectomy, but after the professionalism and great team they have I realized I had nothing to worry about. The communication in the time leading up to, as well as follow up was fantastic. Very informative and willing to answer any questions or concerns I might have. The procedure was extremely fast and painless for me and I would highly recommend this team to anyone looking to have this done! Thanks to everyone who made my experience great!

Why is an operating microscope necessary for a vasectomy reversal?

The suture is the size of hair and the vas opening is the size of the O in God on a penny.

Also…12-15 sutures are placed on each side.

And now you know!

It’s your move!!!

FAQ-Vasectomy Reversal

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Frequently asked questions about a microscopic vasectomy reversal-Vasectomy.com

If it was easy to get pregnant before the vasectomy…will it be easy to get pregnant after the reversal? Well…it depends.

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So…I hike a trail most every evening after work and on the weekends that takes about an hour. My vasectomy reversal coordinator Kathy get several calls a day about scheduling either a reversal or a free consultation about arranging for a reversal. Many of our patient live a long way away and ask, “Can I speak to the doctor by phone?”

Kathy routinely says, “Can he call you between 5 and 6 tonight?”

The interested couple most commonly says, “Yes. Perfect.”

So last night Kathy gives me two people to call who have an interest in reversing their vasectomy. The second patient I call asked the question, “My wife and I got pregnant very quickly. I mean one the first try. Does this mean that we’ll get pregnant just as quickly after the reversal?”

Good question and very similar to this common question, “Will the reversal surgery be like the vasectomy?”

Regarding the latter, the reversal takes approximately two and half hours, a vasectomy less than 15 minutes. So no a vasectomy is not like a reversal.

Regarding the former question: the issue is not that you and your partner are very fertile, the success of the reversal depends on the experience of the surgeon and the time interval since the vasectomy.

The perfect scenario? A short time since the vasectomy and a urologist who does reversals microscopically often. It does not hurt that the wife was fertile, that is good. For the male however the production of good sperm suitable for pregnancy decrease as time elapses since the vasectomy.

It was a good question and I hope this helps you understand the nuances of a microscopic vasectomy reversal. You might check out this internal site link.

Success rates.

Reversal consults are free. Leave a number or email and we’ll schedule an in office consultation or Dr. McHugh will call you while on his walk!

Vasovasostomy vs. Vasoepididymostomy-Nuance #1

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Many institutions recommend a vasoepdidymostomy if no sperm are seen in the fluid of the transected vas deferens at the time of the reversal. The article below begs to differ.

Vasovasostomy Recommended When Only Sperm Parts Noted

Urology – November 30, 2006 – Vol. 22 – No. 04

Vasovasostomy can and should be performed when only sperm parts are noted intraoperatively in the transected vas.

Article Reviewed: Outcomes for Vasovasostomy Performed When Only Sperm Parts Are Present in the Vasal Fluid. Kolettis PN, Burns JR, et al: J Androl; 2006; 27 (July/August): 565-567.

Outcomes for Vasovasostomy Performed When Only Sperm Parts Are Present in the Vasal Fluid.

Kolettis PN, Burns JR, et al:
J Androl; 2006; 27 (July/August): 565-567

Objective: To determine vasovasostomy outcomes in instances in which only sperm parts are present intraoperatively in the vasal fluid, rather than in full sperm. Design: Retrospective review of outcomes from 3 institutions with experienced male reproductive microsurgeons for men undergoing vasovasostomy in cases where only sperm parts were noted in fluid from the transected vas.Participants: 34 men who underwent bilateral (n=31) or unilateral (n=3) vasovasostomy. Methods: Men who were identified with sperm parts (sperm heads or sperm with partial tails) in the vasal fluid bilaterally or sperm parts on 1 side with intravasal azoospermia on the contralateral side when the vas was transected during vasovasostomy were included in the study. Microsurgical vasovasostomy was performed using either a modified 1-layer technique or a formal 2-layer technique. Results: The overall patency rate was 76% (26 of 34 men), and the pregnancy rate was 35% (7 of 20). Analyzing 8 procedures that did not result in sperm in the ejaculate, 2 had only an occasional sperm head bilaterally from the transected vasa, and 1 had observed an occasional sperm head on 1 side and contralateral intravasal azoospermia. Excluding these 2 cases, the patency rate was 84% (26 of 31). Conclusions: These results are similar to or better than those of epididymovasostomy outcomes, and argue that vasovasostomy should be performed in cases where only sperm parts are noted intraoperatively in the transected vas. Reviewer’s Comments: Mounting evidence supports that vasovasostomy can and should be performed when only sperm parts or even clear fluid is noted intraoperatively in the transected vas. (Reviewer–Craig S. Niederberger, MD).

Getting a vasectomy increases sexual intercourse…true or false?

Over the years men have told me they were having a vasectomy because their wife told them that, “I’ll want to have sex more if I don’t have to worry about getting pregnant.” One such patient, a neighbor, stopped me in my drive way three months after his vasectomy to tell me,  “She lied!”

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Vasectomy May Lead to Increased Sexual Intercourse Frequency 

Urology – April 30, 2016 – Vol. 34 – No. 1

Vasectomy is not associated with decreased frequency of sexual intercourse.

Article Reviewed: Relationship Between Vasectomy and Sexual Frequency. Guo DP, Lamberts RW, Eisenberg ML: J Sex Med; 2015;12 (September): 1905-1910.

Background: Men often report the concern that having a vasectomy will impair their future sexual function.

Objective: To determine in an objective and quantifiable manner if vasectomy leads to a decrease in sexual frequency.

Design: The authors analyzed data from the National Survey of Family Growth (NSFG), which is a large survey of American households.

Methods: Data were extracted from 2 cycles of the NSFG (2002 and 2006-2008) and analyzed. Men were included if they were previously sexually active and were aged >25 years. Female partners were also surveyed in the NSFG and were included if they were between 25 and 45 years of age. Sexual frequency was compared between men (or male partners of female respondents) who had a vasectomy and those who did not. The database captured sexual intercourse frequency over the preceding 4 weeks.

Results: A total of 5838 men met inclusion criteria, with 353 of these having a previous vasectomy. Men who had a vasectomy engaged in intercourse at a mean rate of 5.9 times per month compared to 4.9 times in men who had not had a vasectomy (P =0.0004). Additionally, men who had a vasectomy were less likely to have not engaged in any sexual intercourse in the preceding month. In the survey of female partners, 5211 women responded regarding their male partners, and 670 partners had a previous vasectomy. Again, men with a previous vasectomy had a higher frequency of sexual intercourse during the previous month (6.3 vs 6.0), although this difference was not statistically different (P =0.1341).

Conclusions: Vasectomy does not appear to negatively influence sexual frequency.

Reviewer’s Comments: The more invasive tubal ligation still outnumbers vasectomy among the options for permanent sterilization for couples. The rationale for this involves speculation, but male partner anxiety surrounding issues of sexual function have been proposed and are certainly evident when counseling males before vasectomy. Previous reports have investigated if vasectomy has any effect on sexual function and satisfaction, with most finding minimal to no effect on sexual function. In fact, some reports have demonstrated improved sexual function with improved sexual satisfaction, likely due to the loss of anxiety about unwanted pregnancy. The authors of this article demonstrate through objective survey results that sexual frequency does not decrease and may increase with vasectomy. While no explanation can be extracted from these data, the results are encouraging and can certainly be mentioned while counseling men before vasectomy.(Reviewer–Charles Welliver, MD).

Who’d a thought? Heart healthy diets improve sperm health.

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Heart-Healthy Foods With Lower Saturated Fat Equals Sperm Health

Urology – May 30, 2013 – Vol. 30 – No. 5

Ongoing indirect evidence suggests that heart-healthy diets are associated with the potential to improve sperm parameters.

Article Reviewed: High Dietary Intake of Saturated Fat Is Associated With Reduced Semen Quality Among 701 Young Danish Men From the General Population. Jensen TK, Heitmann BL, et al: Am J Clin Nutr; 2013;97 (February): 411-418.

Background: Saturated fat consumption has been correlated with some cancers and cardiovascular disease. Yet, whether saturated fat is correlated with abnormal sperm parameters needs more research.

Objective: To determine the impact of dietary fat on semen parameters among 701 young Danish men without azoospermia.

Design/Methods: This was a cross-sectional study of men recruited from their military fitness exam (2008 to 2010). Three-month recall-validated 136-item food frequency questionnaire, single semen sample, and physical examination were conducted for each participant. Median age was 19 years and median body mass index (BMI) was 22.5.

Results: Men with a high intake of saturated fat had lower total sperm counts. Men in the highest quartile of saturated fat intake had a 38% significantly lower concentration and a 41% significantly lower total sperm count compared to men in the lowest quartile. There were no other significant correlations found between semen parameters and other forms of dietary fat intake.

Conclusions: Diet may be a partial explanation for the reported greater abnormalities observed in sperm counts from other studies of the general population. Reducing the intake of saturated fat may improve reproductive and overall health parameters.

Reviewer’s Comments: This is part of a continuing series of studies that suggest you are what you consume in your diet regarding certain areas of health and – to some extent – fertility. Second, this is a cross-sectional study, whether it is a semen sample or dietary questionnaire is not level 1 evidence. In fact, the correlation between food frequency questionnaires and reality is still far apart. I do not remember what I ate yesterday, let alone months ago. Yet, the beauty of a large questionnaire and this study is that these snapshots might reveal a hidden general pattern or overall behavior that can provide some answers. I found it interesting that a higher percentage of men with a very low BMI were more likely to consume more saturated fat (seems counterintuitive, right?). Yet, men consuming more saturated fat were slightly more likely to smoke, drink more alcohol, report a sexually transmitted disease, consume more overall calories, eat more omega-6 fatty acids, and probably had less muscle mass. And, although the authors did adjust for most of these parameters in their study – which they believe makes the theory of saturated fat being a marker of unhealthy overall behavior less likely – I disagree (>30% of the saturated fat was coming from cheese and dairy products). There is a pattern of behavior to suggest a less healthy lifestyle in those who consume more saturated fat, which is similar to what has been found in many prostate cancer studies and cardiovascular reviews.(Reviewer–Mark Moyad, MD, MPH).

 

Vasectomy Reversal Complications

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Although vasectomy reversal complications are rare, any surgery carries some degree of risk. Because vasectomy reversal is a longer and more complicated procedure than an original vasectomy, it has a greater chance of side effects.

In spite of the low risk factor, it is important to be aware of the potential complications associated with a vasectomy reversal. Before undergoing the surgery, ask a physician to go over these. Read More…

Vasectomy Reversal Cost-Georgia Vasectomy Reversal

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The cost of vasectomy reversal varies depending on the physician’s office, your geographic location, and the type of procedure performed. It is not inexpensive, but there are a few options that may help you fit it into your family budget.

Most insurance plans won’t cover the cost of reversal surgery, which can range anywhere from $5,000 to $15,000. (However, now that success rates have increased, some insurers are reconsidering this policy so be sure to check with your provider.) For now, reversal is usually an elective, fee-for-service procedure and it is still less expensive than many of the alternatives. Read More…

Microscopic Vasectomy Reversal Cost with General Anesthesia at Northeast Georgia Urological Associates