The majority of our patients are men who remarry and want their vasectomy reversed so they can have children with their new spouse. Another type of patient is a man who is in a long standing marriage/relationship that decides to have additional children with his spouse/partner.
The chances of reestablishing fertility following a vasectomy are good, and are constantly improving. A successful vasectomy reversal depends mostly on the skill and experience of the surgeon. Dr. Meacham, our vasectomy reversal specialist, has performed hundreds of vasectomy reversals, and is a nationally renowned expert in the field.
A vasectomy reversal utilizes state-of-the-art microsurgical techniques to reconnect the vas deferens, allowing the return of sperm to the semen. A vasectomy reversal procedure is usually performed on an outpatient basis, taking from 2-1/2 to 3-1/2 hours. The patient can return to his home or a nearby hotel, saving the expense of a hospital stay. Out-of-town patients stay in Denver for one day before returning home.
Postoperative care includes a clinic visit several weeks following the procedure, to evaluate the healing process, and a semen analysis after six weeks. Monthly semen analyses are then obtained for 4 to 6 months or until the analysis results stabilize.
The two most widely accepted techniques for vasectomy reversal are the modified two-layer closure (vasovasostomy) and strict two-layer closure (epididymovasostomy). The choice of technique depends largely on the performance of the surgeon as well as the condition of the vas deferens at the time of surgery. In all cases, the surgeon’s goal is to obtain precise alignment of the ends of the vas deferens and achieve a watertight closure.