The doctor says vasectomy reversal surgery is delicate. Find out more!
A vasectomy It is a permanent contraceptive method that prevents the sperm, produced in the testicle, from reaching the seminal fluid ejaculated during orgasm, making fertilization of the egg and, consequently, pregnancy impossible.
“This is a surgery that involves cutting off a piece of the vas deferens, which has the job of transporting sperm from the testicles so they can be ejaculated through the penis,” explains the Doctor Rodrigo Spindolaandrologist at the Clínica Origen.
But after all, if a man changes his mind after having a vasectomy and decides to have biological children, is it possible to reverse course?
Is it possible to reverse a vasectomy?
According to the doctor, yes Is it possible to reverse a vasectomy?. This procedure is performed using microsurgery and is considered uneventful delicate.
“The reverse vasectomy operation lasts a long time, about 3-4 hours, and is very delicate. This is because, during the operation, very small and fragile structures are manipulatedSo everything must be very precise and without sudden movements. The indication involves, in addition to the couple’s decision, a preventive evaluation of the health and fertility conditions of both partners”, highlights Dr. Rodrigo.
“From a medical point of view, during surgery, which does not involve vital structures, the patient does not run many risks. In fact, the risks are those associated with any other surgery, for example bruising, swelling, infections and adverse reactions to anesthesia , but these events are very rare,” he adds.
After surgery, it is recommended take care of the wound at the site, rest for 7-10 days, use painkillers AND antibiotics prescribed by the doctor e maintain clinical monitoring.
Furthermore, to ensure proper healing, it is necessary go at least 30 days without sexual intercourse and without ejaculating.
“The first spermiogram after reversal is done within 30 days, and if by chance there are no sperm in the first spermiogram, we repeat the test after a while,” he explains.
Chance of success
Reversal success rates depend on a few factors, the main one being time elapsed since vasectomy.
Although it is always possible to reverse the procedure, regardless of the time, patients with less than 8 years of vasectomy current rates above 90% success in reversal, while over 10 yearsthese probabilities tend to decrease.
“The success of vasectomy reversal is have sperm after ejaculation. Even if the individual ejaculates 100 or 200 sperm, which will probably not be enough to produce a baby naturally, the reversal is successful. In other words, success is determined by the passage of sperm and not by the pregnancy itself”, recalls the andrologist.
“Other aspects that influence are things that happened after the vasectomy, for example, infections of the testicles, epididymis or prostate, the use of certain drugs and the diagnosis of cancer and chemotherapy. In these cases, the patient may no longer produce sperm and reversal, since it is not effective, is not recommended”, adds the specialist.
He also states that the professional experience during the execution of the procedure it can also affect the success of the rollback. “The surgeon must have experience and the whole team must be technically trained,” she reveals.
In vitro fertilization
For men who cannot or do not want to reverse the vasectomy but wish to have biological children, an alternative is in vitro fertilization. In the end, Vasectomy does not affect sperm production.
The collection is carried out by puncture aspiration of the epididymis or testicular biopsy, with a success rate of more than 95% in sperm recovery.
The choice between reversal and IVF is influenced by several factors, including the duration of the obstruction, the patient’s age, the couple’s expectations and the presence of conditions that affect female fertility.
“Evaluation of the man’s hormonal axis and reproductive health is essential for treatment to be successful. If, for example, the patient was using hormone replacement therapy, preventive treatment is necessary,” he concludes.
Source: Terra
Ben Stock is a lifestyle journalist and author at Gossipify. He writes about topics such as health, wellness, travel, food and home decor. He provides practical advice and inspiration to improve well-being, keeps readers up to date with latest lifestyle news and trends, known for his engaging writing style, in-depth analysis and unique perspectives.
