Vasectomy Reversal
Microsurgery to restore the flow of sperm and the chance of natural conception
A vasectomy reversal reconnects the tubes (the vas deferens) that were cut or sealed during a vasectomy, so that sperm can once again reach the semen. For many men it offers the chance to conceive naturally with their partner.
Who is it for?
Vasectomy reversal is for men who have had a vasectomy and would now like to have more children — often after a change in circumstances such as a new relationship. It is one of the procedures Mr Wiseman performs as part of more than 1,000 fertility operations.
What the procedure involves
The reversal is carried out as microsurgery, using an operating microscope to join the very fine tubes with great precision — which gives the best chance of success. In most cases the two ends of the vas are rejoined directly (vasovasostomy). Occasionally, if there is a blockage in the epididymis, a more complex connection (vasoepididymostomy) is needed; Mr Wiseman will discuss this possibility with you beforehand.
The operation is usually performed under general anaesthetic as a day case, so you can normally go home the same day.
What affects success?
- Time since vasectomy — success tends to be higher when less time has passed, though reversals remain worthwhile years later.
- Surgical technique — a meticulous microsurgical approach.
- Your partner's fertility and age — an important part of the overall picture for the couple.
Recovery
Expect some bruising and discomfort for a few days, helped by simple pain relief and supportive underwear. Most men avoid heavy lifting, exercise and sex for a few weeks. A semen test a little later confirms that sperm have returned to the ejaculate.
The alternative: sperm retrieval with IVF
If a reversal is less likely to succeed, or if there is also a female fertility factor, sperm can instead be collected directly from the epididymis or testicle (PESA or TESE) and used with IVF/ICSI. Mr Wiseman will help you decide which route is right for you.
Frequently asked questions
How successful is a vasectomy reversal?
Success depends mainly on how long ago the vasectomy was performed, the surgical technique used, and your partner’s fertility and age. In general, microsurgical reversal restores sperm to the semen in a high proportion of men, with many couples then able to conceive naturally. Mr Wiseman will give you a realistic estimate for your own situation.
Is there a time limit after which reversal will not work?
There is no absolute cut-off, but the chance of success tends to fall the longer it has been since the vasectomy. Reversals are still worthwhile many years later, and your individual chances can be assessed at consultation.
Vasectomy reversal or sperm retrieval with IVF — which is better?
Both are good options. A reversal offers the chance of natural conception and avoids IVF, and can allow more than one pregnancy. Sperm retrieval with IVF/ICSI may be preferred if there is also a female fertility factor, or if a reversal is less likely to succeed. Mr Wiseman will help you weigh up the two.
What does recovery involve?
Most men go home the same day and take it easy for a week or so, wearing supportive underwear and avoiding heavy lifting and strenuous activity for a few weeks. A semen test is arranged afterwards to confirm that sperm have returned.
Considering a vasectomy reversal?
Book a consultation with Mr Wiseman to discuss whether reversal or sperm retrieval is the best option for you and your partner.