vasectomy reversal john mchugh md Archives -

The vas deferens closest to the testicle and just before the epididymis is the convoluted portion of the vas. As you see above the vas then “straightens out” the further you get away from the testicle.

Above you see the “old vasectomy” site marked and it is in the mid scrotal area and in the straight not convoluted portion of the vas. This is the ideal location for the reversal doctor because it is away from the inguinal area and up from the smaller and more difficult to isolated convoluted portion.

Dr. McHugh holding Ga vasectomy reversal baby

Although you can feel the vasectomy site through the scrotal skin preoperatively, you really cannot tell where in the course of the vas it actually is.

Recently I performed a reversal and both sides of the vasectomy site were in the convoluted portion of the vas and close to the epididymis. This required more dissection to reach and it is tricky to get a portion of the convoluted vas to reconnect that is straight (as opposed to curved away from the other side of the vas).

So yes if the person who did the vasectomy happened to do it in the middle, that is away from the inguinal area as well as away from the convoluted portion of the vas then the procedure is much easier to locate, to prepare for the reversal, and to perform the reversal.

You might ask, “Why wouldn’t every urologist make a point to do the vasectomy in the best position in case a reversal has to be done years later.”

Well a reasonable enough question but there are two factors to consider as to why urologists don’t think this way.

Vasectomies are usually done in the office under local anesthesia and depending on the patient and the patient’s scrotal anatomy…he gets the vas where he can get it…i.e. sometimes you can’t pick and choose a site the patient’s anatomy dictates that.
Also, the vasectomy is supposed to be considered permanent and the primary goal is a good vasectomy and prevention of pregnancy. Vasectomies are not and probably should not be done with the idea in mind that the patient will reverse it.
In my practice if I were asked to do the vasectomy so it could be more easily reversed, I’d probably tell the couple to re consider a vasectomy until they felt it was permanent and they had no plans for further children.
Having said that, a urologist can try to make a point to be “in the middle” but as I mentioned sometimes you take the vasectomy site where the patient’s scrotum gives it to you.

Kevin Restrepo

2026-05-11

Amazing experience. Quick, easy and painless. Did not even have to use nitrous oxide. Awake the whole time and the doc makes it such a smooth 9 min process.

Basic Dad Email

2026-05-04

Great crew. Answered all my questions. Excellent customer service. Provided great follow-up and checking in post op. Glad this is only something you do once. So grateful for their expertise, kindness, and patience.

Daniel Brown

2026-04-16

Dr. McHugh is a pro. He knows his craft well. Everyone at his office was so professional. Everything was straightforward with no hassle. The vasectomy surgery was a snap (pun intended). And actually almost no pain or complication. I had a hernia surgery two years ago that was so much worse. Didn't post pictures for obvious reasons. Can't recommend him more.

Casey Shoemate

2026-04-13

We are thankful we found Dr McHugh when we did to do my husband’s vasectomy reversal. He is a wonderful doctor and Nurse Lacey was such a blessing. It’s obvious Dr McHugh is experienced, loves his family, and wants to give other families their best chance. I wish it wasn’t so hard to find a good doctor to help bring a life into the world and I feel sad for those who have had to go through what I have to find one.

Stephen Ferrell

2026-04-12

Great staff! They make the experience as easy as possible!

Garrick Richards

2026-04-10

Best medical experience I have had! The team is amazing and I can confirm why they are highly recommended!! Thanks Megan, Daphne and staff!! My wife is a practice administrator and she was seriously considering poaching some of y’all!! Lol!

Joseph Tapley

2026-04-06

Excellent experience. Very nice people with great knowledge and concern for your needs. My recovery has been great with no issues. Thanks again team. 😎😎😎

Jeff McHugh

2026-03-27

I cannot recommend Dr. McHugh and his team highly enough. From the moment I checked in to the moment I walked out the door, the entire process was seamless and professional. The customer service was incredible; the administrative staff made the paperwork easy, and the nurses were absolutely fantastic—personable, reassuring, and clearly experts at what they do. Dr. McHugh himself was phenomenal. He talked me through the steps, and the procedure was over in a surprisingly short amount of time. I felt zero stress throughout the visit. If you’re considering this procedure, this is the place to go. I’m extremely grateful for the top-tier care I received! -TM

Jacob Born

2026-03-20

The experience was great. This was something I dreaded doing but these guys made the experience a breeze. I will recommend to anyone who will listen!

Casey King

2026-03-16

Dr McHugh and his staff did an amazing job with me and my wife during my reversal. They treated us so well from the beginning to the end. We went to Dr. McHugh because he was the most experienced and happens to be 5 hours away. I’m day 4 right now and am doing well. I will update if the surgery was successful. If the Lord allows we may have another baby. Also, I love the fact that if I have questions I can ask the Dr himself or his lovely staff.

Reversals Are What We Do.

Vasectomy Reversal after Obstructive Intervals

Urology – March 1, 2003 – Vol. 17 – No. 09

Even after prolonged obstructive intervals of 15 to 20 years, vasectomy reversal offers better or comparable success rates to intracytoplasmic sperm injection.

Article Reviewed: Outcomes for Vasectomy Reversal Performed After Obstructive Intervals of at Least 10 Years. Kolettis PN, Sabanegh ES, et al: Urology 2002; 60 (November): 885-888.