What is a Vasectomy Reversal?
There are two small tubes "vasa" through which sperms travel away from the testicles to the penis. A vasectomy operation involves cutting these tubes to prevent the transfer of sperms. A vasectomy reversal operation reconstructs the vas on both sides in order that sperms may again complete the journey from the testicles to the penis. A midline scrotal incision is usually made under general anaesthetic as this allows the vasa to be found easily and re-connected. The vasa are first located, then any scar tissue arising from the vasectomy is removed before delicately joining the two ends together. About 4% of all men who have undergone a vasectomy require it to be reversed.
As an additional service, it is possible to retrieve sperm and testicular tissue during the vasectomy reversal operation. This is analysed by an embryologist to assess the quality of the samples to establish their suitability for cryopreservation (freezing). This can provide the opportunity to use the samples in future for IVF if required. This service is especially relevant to patients that might have a lower expected chance of a successful vasectomy reversal operation, for example, those patients whose vasectomy reversal operation is carried out many years after the vasectomy. For these people, sperm retrieval offers a backup option for IVF treatment.
Are There Different Techniques?
The operation can be performed basically in either of two ways. It can be performed using the naked eye (possibly aided by glasses). It can also be performed with the aid of an operating microscope. This second option not only provides a much enhanced view of the site of the operation but facilitates the intricate work that is required to complete the anastomosis. Significant magnification facilitates accurate suture placement.
How Long Does The Operation Take?
The operation usually takes between 2 and 2.5 hours. Operations are carried out in the morning and an overnight stay is recommended.
Why Mr Swinn?
As with most many operations, vasectomy reversals surgery demands a great deal of skill, care and also patience. It is important to choose an experienced surgeon familiar with microsurgical techniques and who performs large numbers of such operations in order to maximise your chances of success.
Why Spire Gatwick Park Hospital?
At Spire Gatwick Park Hospital you will be seen quickly by Mr Swinn, at a time and under circumstances that suit you, in a private hospital with high standards of cleanliness and infection control.