samedi 25 janvier 2014

What You Need To Know About Vasectomy Reversals

By Eliza Mendoza


The science of micro surgery was first performed in 1910 by Carl Nylen to correct a middle ear problem. It was not until 1971 that it was first used for vasectomy reversals by Earl Owen. Since the first procedure the discipline has advanced tremendously and the fertility success rate has become much higher than ever thought possible.

Decisions are made to have vasectomies when couples have had as many children as they want to have. The thought that a situation may arise that warrants the need for another pregnancy is rarely considered. Many times a divorce or a death in the family of wife or child brings the need to the fore front of the mind. Some people choose to start new families after their older children have left for college or married and moved away. Another less common reason is post vasectomy pain syndrome when a man suffers pain constantly after the vasectomy.

There is no hospitalization necessary with this procedure and you are usually ready to go home after about four hours. Your doctor will determine which surgical process is needed once he has opened the scrotum. There are two types of surgery that can be used and both are dependent upon what the doctor sees when he makes the incision. The simplest one involves cleaning and reconnecting the vas tubes that were severed originally. The other is more complicated and involves connecting the vas defer to the scrotum, bypassing any clogged tubing you may have.

Recovery time is relatively short with most men returning to normal activities within two or three days. The suggestion is that they not lift heavy items or strain the back or pelvic area for at least two weeks. They are also cautioned to refrain from sexual activity for four to six weeks and then only after the surgeon has released them to do so.

There is some danger of problems after the surgery beyond soreness. There have been cases of infection in the area of the surgery or fluid buildup in the scrotum that will have to be drained. There can also be damage to the arteries and nerves in the scrotum or a condition called sperm granuloma which is an immune system reaction to the seepage of sperm the scrotum causing an inflamed mass. These masses usually indicate that the procedure was not successful.

If it has been three years or less since the original operation the reversal has a much better chance of being successful. The average is approximately fifty percent at three years. After a ten year period the rates of successful impregnation drops to thirty percent or less.

This procedure can be very expensive and the cost may not be covered by your health insurance. This may be an important factor to consider prior to making the decision to proceed. With a thirty percent chance of success after a ten year period and a fifty percent chance of impregnation when there is only three years between the two procedures. Most doctors offer the option of freezing sperm found in the scrotum for use later in artificial insemination in case the reversal does not work.

Many men choose to have vasectomy reversals in their later lives. Their reasons are varied and many. The wisest of them check out the doctors they choose very carefully and give careful consideration to risks and alternative methods of impregnating their spouse prior to committing to surgery.




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