Vasectomyreversalnj.com source of Vasectomy information
Title
Welcome to the Vasectomy Reversal Center of NJ
Description
The vasectomy reversal (vasovasostomy procedure) is performed at the Vasectomy Reversal Center of New Jersey under local anesthesia and may take from three to four hours. The shorter the time between vasectomy and vasectomy reversal, the greater the percentage of success, due to the minimized risk of epididymal damage and secondary obstruction. However, the presence of sperm granuloma at the testicular end of the vas predicts a high probability of success, regardless of the time interval since vasectomy. For optimal results, fluid samples from the testicular side should contain normal sperm. A vasoepididymostomy (joining the vas directly to the epididymis with a similar multilayer approach) is the preferred method if no fluid or sperm are found at the cut end of the testicular side of the vas, and is performed by Dr. Wosnitzer during the procedure if determined necessary.
The scarred ends of the vas must first be identified through high scrotal incisions, then a saline vasogram is performed to determine patency on the abdominal side. If the vas has been damaged or large segments removed, the incision may have to be extended in order to achieve adequate length for tension-free anastomosis. The testicular side of the vas is serially transected until free flow of fluid can be observed under 25x to 40x magnification. The inner mucosal layer is approximated using seven to eight interrupted sutures of 22µ diameter (10-0) monofilament nylon, armed with a 100µ diameter bicurve microedge taper point needle. Multiple (9-0) monofilament nylon sutures are used to close the muscular layer of the vas. Upon closure, drains are left in the scrotum overnight. The patient can usually leave the Vasectomy Reversal Center within 30 minutes following surgery. He returns the next morning, for removal of drains and scrotal exam, and can return home immediately thereafter. The patient can usually resume moderate activity within several days and intercourse in approximately four weeks. He should wear an athletic support for one month to decrease the downward tension on the spermatic cord. Success rates vary particularly with the length of time since your vasectomy: if under 10 years the rate is better than over 10 years. We have, however, had many successful surgeries at 15 years and even 25 years. There is never a guarantee with vasectomy reversal, but it is the simplest, most viable alternative for a first step at trying to have your own child. If Dr. Wosnitzer can find sperm with long tails at the testicular side of the cut end of the vas, there is a better than 90% chance for a successful reversal. Dr. Wosnitzer has helped many couples to have healthy babies of their own.
Now that we are performing this procedure in our own offices with state-of-the-art technology, using a Leica™ operating microscope at 25x to 40x magnification, it is much simpler and far less expensive than surgery done in the hospital, and without compromising in any way, the quality of the surgery or its success.
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