Surgical contraception has become one of the most preferred options of birth control. The method is typically chosen by persons who wish to have permanent contraception. However, in some cases, due to one reason or the other, there is a need to regain fertility meaning that the procedure has to be reversed. If you have plans of undergoing sterilization reversal, there are a number of things that you need to understand beforehand.
Microsurgery is the most commonly employed technique when performing vasectomy reversal. It is a method that involves the use of very small surgical cuts (hence the name). Due to the delicate nature of the operation and the small size of structures involved, microscopes are an integral inclusion. There are many other alternative techniques that can be used when performing vasectomy reversal but the microsurgical technique appears to yield the best results.
The flow of semen can be restored using one of two options. The first involves the re-joining of old vas deferens stumps (left during the previous operation). This is also known as vasovasotomy. The second option is where one of the stumps left behind is joined to the vas deferens, the region in which synthesised sperms undergo maturation. This option is thus referred to as vasoepididymostomy. The results from the two are comparable.
The surgery is regarded as being safe generally but a number of complications may be encountered in rare circumstances. They include excessive blood loss, post-operative infections and hematoma formation within the scrotal sac. Fortunately, these complications are fairly easy to deal with when they occur. The overall success rate (return to fertility) ranges from 70% to 90%. The likelihood of succeeding is highest if the procedure is done less than three years from the time of vasectomy.
Microsurgical vasectomy reversal is performed as a day case in most centres. This means that one can be allowed home as soon as the procedure is completed. The procedure lasts between two and four hours depending on the degree of complications encountered. Regional (spinal) anaesthesia is usually used hence you will be awake during the entire exercise. After the operation, you may experience a bit of pain but this should not prevent you from resuming your regular routine.
Tubal ligation has many similarities to vasectomy. The actual procedure involves interrupting the continuity of the fallopian tubes. The effect of this is the prevention of fertilization of the ovum by the sperm. There are a number of different methods that can be used. They include clipping, cauterisation and cutting among others. Although tubal ligation was originally designed as a permanent contraceptive method, many people have had it reversed successfully.
The technique that is used in performing tubal ligation is a great determinant of successful reversal. For example, if cutting was done reversing is more difficult than when clips are used. There may be a need to be taken through a number of tests to establish whether other problems exist. In some cases, the surgery may not be helpful and other options may have to be used straight away.
Failure of reversal may be attributed to a number of factors. Extensive scarring after the corrective surgery may block the tubes and block the movement of sperms or the ova through them. In men, vasectomy may also fail due to the presence of anti-sperm antibodies which have been shown to reduce the number of active sperms. It is important to establish the presence of these antibodies before one undergoes the procedure.
Microsurgery is the most commonly employed technique when performing vasectomy reversal. It is a method that involves the use of very small surgical cuts (hence the name). Due to the delicate nature of the operation and the small size of structures involved, microscopes are an integral inclusion. There are many other alternative techniques that can be used when performing vasectomy reversal but the microsurgical technique appears to yield the best results.
The flow of semen can be restored using one of two options. The first involves the re-joining of old vas deferens stumps (left during the previous operation). This is also known as vasovasotomy. The second option is where one of the stumps left behind is joined to the vas deferens, the region in which synthesised sperms undergo maturation. This option is thus referred to as vasoepididymostomy. The results from the two are comparable.
The surgery is regarded as being safe generally but a number of complications may be encountered in rare circumstances. They include excessive blood loss, post-operative infections and hematoma formation within the scrotal sac. Fortunately, these complications are fairly easy to deal with when they occur. The overall success rate (return to fertility) ranges from 70% to 90%. The likelihood of succeeding is highest if the procedure is done less than three years from the time of vasectomy.
Microsurgical vasectomy reversal is performed as a day case in most centres. This means that one can be allowed home as soon as the procedure is completed. The procedure lasts between two and four hours depending on the degree of complications encountered. Regional (spinal) anaesthesia is usually used hence you will be awake during the entire exercise. After the operation, you may experience a bit of pain but this should not prevent you from resuming your regular routine.
Tubal ligation has many similarities to vasectomy. The actual procedure involves interrupting the continuity of the fallopian tubes. The effect of this is the prevention of fertilization of the ovum by the sperm. There are a number of different methods that can be used. They include clipping, cauterisation and cutting among others. Although tubal ligation was originally designed as a permanent contraceptive method, many people have had it reversed successfully.
The technique that is used in performing tubal ligation is a great determinant of successful reversal. For example, if cutting was done reversing is more difficult than when clips are used. There may be a need to be taken through a number of tests to establish whether other problems exist. In some cases, the surgery may not be helpful and other options may have to be used straight away.
Failure of reversal may be attributed to a number of factors. Extensive scarring after the corrective surgery may block the tubes and block the movement of sperms or the ova through them. In men, vasectomy may also fail due to the presence of anti-sperm antibodies which have been shown to reduce the number of active sperms. It is important to establish the presence of these antibodies before one undergoes the procedure.
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