The vasectomy is a relatively simple procedure that has a short recovery time and pain that is manageable through oral medication. The procedures that are used to reverse vasectomies are similar in complexity, recovery time and pain. If a man has decided that being sterile is no longer appropriate for him, then getting a vasectomy reversal may be good option.
Recovery is fairly quick, generally taking about a week to perform light work. Heavy lifting and sex is generally not recommended until 2 to 3 weeks after a surgery is performed. Many times a jockstrap is also recommended during the recovery time in order to provide support. About half of men who have had the procedure report that the post-operation pain experienced is comparable to that experienced after the initial vasectomy.
Pregnancy after the surgery takes about a year on average. However, some men are able to impregnate their partners a few months after surgery. For some, it may take several years. The amount of time it takes can be influenced by how long the reversal procedure took place after the initial procedure. The longer a man is sterile due to a vasectomy, the longer it will take for his sperm count to come up after a vasectomy reversal.
Types of vasectomy reversals
There are two procedures that are usually performed in order to reverse a vasectomy. The first is a vasovasostomy. A vasovasostomy is a relatively simple procedure that reconnects the vas deferens, which is the sperm duct, that was severed in the original vasectomy. The vas deferens is what sperm travels through in order to reach the penis. Once this structure is restored, sperm can once again flow freely.
The other method is called a epididymovasostomy. This procedure is more complex than the vasovasostomy and is done when a break is found to have occurred in the small tube that leads to the vas deferens called the epididymal tubule. In order to bypass this route, the surgeon must connect the abdominal end of the vas deferens with the epididymal tubule above the point of the break.
An alternative to getting vasectomy reversal procedure done is for the urologist to take a sample of sperm directly from the testicle. This sperm can then be used in an in vitro fertilization procedure. However, these procedures only have a 30 to 50 percent pregnancy rate and can be expensive.