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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%.

Who may benefit

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.

We offer a variety of appointment types. Learn more or call 913-588-1227 to schedule now.

Our doctor 

Vasectomy reversal locations

  • Medical Office Building
    1. Medical Pavilion
    • 2000 Olathe Blvd., Level 2A
    • Kansas City, KS 66160
    • Mon 8:00 a.m. - 4:30 p.m.
    • Tues 8:00 a.m. - 4:30 p.m.
    • Wed 8:00 a.m. - 4:30 p.m.
    • Thur 8:00 a.m. - 4:30 p.m.
    • Fri 8:00 a.m. - 4:30 p.m.
    • Sat Closed -
    • Sun Closed -
    Office Contact:
  • 10777 Nall Avenue Map
    2. Corporate Medical Plaza
    • 10777 Nall Ave.
    • Suite 210
    • Overland Park, KS 66211
    • Mon 8:00 a.m. - 4:30 p.m.
    • Tues 8:00 a.m. - 4:30 p.m.
    • Wed 8:00 a.m. - 4:30 p.m.
    • Thur 8:00 a.m. - 4:30 p.m.
    • Fri 8:00 a.m. - 4:30 p.m.
    • Sat Closed -
    • Sun Closed -
    Office Contact:

Why choose us

  • 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.
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Ranked among the nation's best

Our program ranked among the nation’s best in U.S. News & World Report’s Best Hospitals 2020-21. Rankings are based on measurable achievements in quality, safety, nursing excellence and more. We are proud to provide you and your loved ones with nationally recognized urology care.

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Frequently asked questions about vasectomy reversal

  • A. You can try to conceive after 3 weeks.

  • A. The cost can be checked through our office. 

  • A. The original vasectomy is most often performed in the clinic setting with local anesthetic and takes about 30 minutes. A vasectomy reversal is more complicated and best performed using a microscope under general anesthesia in the operating room. The reversal can take 3-4 hours depending on the complexity of the reconnection.

  • Unfortunately, vasectomy reversals are rarely covered by insurance.
  • A. There will be no effect on sexual performance. 

  • A. The first step is to schedule a consultation with our office, as well as ensure that your female partner has checked with her gynecologist about her reproductive status. You can prepare for the procedure by trying to be in good general health and staying away from hot tubs/hot baths. You should not start taking testosterone or any other drugs that affect sperm, including illicit drugs.

  • A. It is recommended that patients take a week off from work if possible, with no heavy lifting or ejaculation for 3 weeks. Ibuprofen and ice packs are recommended for a few days following the procedure.

  • A. Yes, you can. It can be a little more complicated to do, but typically can be achieved.

  • A. There are few long-term risks. There is a risk of failure of sperm or failure to achieve a pregnancy. There is a small chance of fluid buildup around the testicle as well as a minor chance of chronic pain.

  • A. Factors in the vasectomy reversal success rate include the length of time from the original vasectomy, the type of connection needed and the age of the prospective mother.

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