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Impact of reversal of vasectomy in sperm

Sarah Vij explains. However, some men will consider vasectomy reversa l down the line. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services.
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Vasectomy Reversal Risks & Complications

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Vasectomy Reversal Risks & Complications - Side Effects of Reverse Vasectomy

Vasectomy reversal is a commonly practiced but technically demanding microsurgical procedure that restores patency of the male excurrent ductal system in 80— The discrepancy between the anastomotic patency rates and clinical pregnancy rates following vasectomy reversal suggests that some of the biological consequences of vasectomy may not be entirely reversible in all men. Herein we review what is known about the biological sequelae of vasectomy and vasectomy reversal in humans, and provide a succinct overview of the evaluation and surgical management of men desiring vasectomy reversal. Vasectomy reversal began with the work of Edward Martinat from the University of Pennsylvania. The goal of vasovasostomy and vasoepididymostomy is to bypass the obstruction of the male excurrent ductal system that results from vasectomy, thereby enabling unassisted reproduction. Although these procedures are commonly utilized in clinical practice, our understanding of vasal and epididymal physiology after vasectomy and vasectomy reversal in humans remains somewhat limited.
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What is Vasectomy Reversal?

Vasectomies can be reversed even after very long periods of time, sometimes after more than 25 years. Sperm are constantly being produced in men, even after a long time from a vasectomy, there should be viable sperm. However, the success of the reversal, in terms of achieving a pregnancy, is dependent upon the experience of the surgeon, the age and fertility status of the female partner, and the length of time since the vasectomy. The outcome of the surgery is more dependent upon what is found at the time of the reversal as well as the experience of the surgeon performing the reversal surgery.
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In general, vasectomy reversal is a very safe procedure. In healthy men, vasectomy reversal risks are very unusual. It is defined as a sizeable collection of blood that pools in the scrotum because of a ruptured blood vessel. Turek gives a single dose of antibiotics 1 hour before the procedure to minimize this. An infection may require oral antibiotics, or in its most serious form, intravenous by vein antibiotics and hospitalization.
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