Vasectomy Reversal

Appointment scheduling options

Option #1: Come in for a consultation visit and schedule the vasectomy reversal surgery at a later date. The cost for the surgery will need to be paid at the time of check-in for the appointment. If the patient decides to schedule the surgery for later, the fee will be deducted from the amount of the surgery since it has already been paid.

Option #2: Select a surgery date and come in the afternoon before for the preoperative appointments.

There are three mandatory preoperative appointments that the patient will need to attend prior to the procedure.

• Discussing the procedure and sign the consents
• Business office to make the full payment
• Anesthesia/day surgery assessment

Patients who are over 50 or have other health problems such as heart disease, lung disease, high blood pressure or diabetes will need to come with a note of clearance from their primary care provider.

Patients must be off aspirin, ibuprofen or any blood thinners 10 days before their vasectomy reversal procedure in Temple.

What to expect

During surgery

A typical vasectomy reversal will take 90 minutes. If a vasoepididymostomy (VE) is required, this will add an additional one or two hours.

With a standard vasectomy, six to 10 sutures are placed; however, we require only three to four. Fibrin glue is then added to seal the anastomosis.

Fibrin glue is an FDA-approved product for surgical hemostasis (stoppage of bleeding) called TISSEEL VH Fibrin Sealant. It has also been used for many years for a variety of procedures—plastics, pediatric, trauma, orthopedics and reconstruction. In more than 20 years of use, there have been no cases of hepatitis A, B or C or HIV caused by fibrin glue. Similar to other medical products and devices, allergic reactions are possible but are very rare.

After surgery

Following the vasectomy reversal surgery, patients can expect:

• More pain and swelling compared to a vasectomy
• A plastic gauze will cover the scrotum and should be left on for at least three days. Blood staining on the gauze is normal and expected
• An ice pack should be applied to the scrotum for the first 12 hours
• Patients may shower after two to three days. Tub baths are not allowed until the incision has completely healed and hot tub baths are prohibited
• Prescribed pain medication and antibiotics will be administered
• Notify the urologist if there is increasing redness around the incision, progressive swelling, fever or other emergent concerns
• Refrain from strenuous activity (running, jogging, biking, etc.) and any heavy lifting (anything over 30 pounds) for four weeks. The patient should also refrain from sexual activity for three weeks

Procedure success and follow-ups

Ultimately, the goal is for couples to experience a pregnancy through natural conception.

Patients remote from vasectomy (over 10 to 15 years) and spouses with advanced maternal age may require assisted reproductive technology that is not included in the package.

After the vasectomy reversal procedure is performed, patients are asked to provide a semen analysis every three months until a pregnancy is achieved. This analysis will allow the patient to see the results of the procedure