Vasectomy Reversal

A vasectomy is a common procedure for birth control in men. About 6% of men who have had a vasectomy later wish to have children. Extraction of sperm is a possible option, but so is vasectomy reversal.

The urology experts at The University of Kansas Health System offer deep experience in vasectomy reversal. The procedure can be performed in 1 of 2 ways. The best choice for each patient is determined at the beginning of the surgery itself. It is important for patients to choose a provider skilled in both techniques and able to make the best decision for the best outcome.

Methods of vasectomy reversal include:

• Vasovasostomy, in which the surgeon removes the area of the vasectomy and makes a new end-to-end connection.
• Vasoepididymostomy, a highly specialized microsurgery in which the surgeon connects the vas and the back of the testicle.

Vasectomy reversal is an outpatient surgery. A semen analysis is performed about 4 weeks following and then periodically until conception has occurred. Vasectomy reversal success rates range from 30-75%.

It is a common myth that vasectomies cannot be reversed. In fact, the procedure is successful for many.

The decision to reverse a vasectomy is based on a full evaluation, including a physical examination, and discussion of the couple’s wish to have children and the desired timeline. The length of time since the vasectomy is also an important factor, as may be the age and gynecologic history of the female partner.

We will also discuss vasectomy reversal cost with you. Unfortunately, post-vasectomy fertility management is not often covered by insurance.

• More patients choose vasectomy reversals at our health system than any other hospital in Kansas or the Kansas City region.
• Our experts offer a range of treatment options to address male infertility. In addition to being able to receive either vasectomy reversal surgery pending the best fit, patients may choose from nonsurgical sperm aspiration/retrieval techniques or cryopreservation. Based on your unique condition and goals, we help you choose the treatment likely to give you the best result.
• Our surgeons are some of the few trained to use microscopes during your vasectomy reversal procedure. This allows your surgeon to visually assess and choose the best technique to complete your procedure.
• We provide upfront, competitive pricing. Our pricing includes either reversal procedure as well as general anesthesiology.
• We offer interdisciplinary, collaborative care to deliver a comprehensive approach. We partner with other specialists who may be involved in your care, such as reproductive medicine specialists, oncologists, spinal injury specialists or genetic counselors.
• As part of an academic medical center, we offer innovative treatments often not widely available.