Welcome New Additions to the Family
It is natural to experience a newfound desire for children, whether you want to expand your family or have recently remarried. A vasectomy reversal is a surgical treatment that restores sperm to the ejaculate after a vasectomy has been performed. A vasectomy reversal is not only less expensive than most infertility treatments and has a high success rate and a short recovery period.
Therefore, choosing a vasectomy reversal surgeon specializing in these surgeries is critical because the first chance is the best chance for regaining fertility. Fortunately, Healthy Male - El Camino Urology Medical Group has the perfect surgeon for you — Dr. Edward Karpman. With years of experience and expertise in Vasectomy Reversals in Mountain View, he is the ideal choice to help you achieve your family planning goals.
Expand Your Options
The most economical method of getting pregnant after a vasectomy is vasectomy reversal. Vasectomy reversal offers the best possibility of pregnancy, whether a couple wants to have more children together or wants to start a new relationship with a child-bearing goal.
Each year, more than 35,000 vasectomy reversals are carried out in the US. The most frequent causes of this surgery include the death of a child, divorce and remarriage, and the desire to have more children in an existing partnership. A Vasectomy Reversal may occasionally be carried out for no other reason than that the guy has changed his mind and wants to restore the continuity of his reproductive system or he is experiencing pain.
A High Success Rate
When sperm is discovered during surgery, the success rate for vasectomy reversal is better than 95 percent. The likelihood of finding sperm during vasectomy reversal is governed by two significant factors: the time since the vasectomy and the location of the vasectomy. The risks of getting a subsequent epididymal blockage are roughly 70 percent when the time period between the vasectomy and the vasectomy reversal is more than 15 years.
Furthermore, these risks are increased when the vasectomy is performed low on the vas deferens. If no sperm are found during your Mountain View Vasectomy Reversal procedure, an epididymovasostomy will be performed to reverse your vasectomy. The success rate of vasectomy reversal by epididymovasostomy is 65-70 percent.
Personalized Care and Support
If you're considering a Vasectomy Reversal with Dr. Edward Karpman at Healthy Male - El Camino Urology Medical Group in Mountain View, CA, you'll first need to schedule a consultation with him. During the consultation, Dr. Karpman will evaluate your medical history, discuss the details of the procedure with you, and answer any questions or concerns you may have. He will also perform a physical examination to determine if a vasectomy reversal is a right option for you.
If he determines that you are a good candidate, he will explain the procedure in detail, including the potential risks and benefits, and discuss the expected outcomes. He will also provide you with pre-operative instructions and schedule the procedure at a time that is convenient for you. At El Camino Urology Group, we are committed to providing personalized care and support to our patients throughout the entire vasectomy reversal process.
A vasectomy can be reversed using one of two techniques: vasovasostomy or epididymovasostomy. These methods entail avoiding the impediment in the reproductive tract. When sperm are found in the vas deferens during surgery, vasovasostomy is the preferred method of Vasectomy Reversal. When sperm cannot be found in the vas deferens, epididymovasostomy is the preferable procedure.
The Microdot method for performing vasectomy reversal is a variation of the standard multi-layer reverse vasectomy procedure. Similar 10-0 Nylon and 9-0 Nylon sutures to microsurgical vasovasostomy are used to re-approximate both layers of the vas deferens.
The microdot technique allows for easy placement of the mucosal 10-0 Nylon sutures. The microdots guarantee even placement of the mucosal sutures. Re-alignment of the vas deferens is performed during the reverse vasectomy procedure to ensure patency of the lumen of the vas deferens and to prevent long-term scarring of the Vasectomy Reversal procedure.
Once the inner luminal sutures are tied, the knots are cut precisely. Because of the very small size of the vas deferens lumen, any redundant suture material can obstruct the flow of sperm along the vas deferens. Likewise, sperm leakage outside of the lumen can cause obstruction of the vas deferens. A water tight closure of the vas deferens mucosa prevents sperm from leaking out of the vas deferens after the procedure.
The outer serosal sutures are equally important in the Vasectomy Reversal procedure. These sutures relieve tension off of the finer inner luminal sutures and prevent the ends of the vas deferens from separating after the reverse vasectomy procedure. Liberal placement of these outer serosal micro-sutures needs to be done under a microscope as well to ensure that the ends of the vas deferens are precisely approximated.
Epididymovasostomy is required during vasectomy reversal when there is absent sperm in the vas deferens. This signifies that a secondary epididymal obstruction has developed upstream from the vasectomy site. This situation is encountered in approximately 40% of individuals after a vasectomy. Epididymovasostomy can only be performed using a high powered operating microscope, under general anesthesia, by microsurgeons using the finest suture (10-0 nylon).
The epididymis is opened and a single tubule is isolated to bypass the obstruction that has developed.
The vas deferens is then attached to the epididymis using fine sutures (9-0 nylon). This attachment brings the vas deferens into close proximity of the single epididymal tubule.
The single epididymal tubule is sewn to the inner lumen of the vas deferens using microscopic sutures to create a water-tight closure, similar to vasovasostomy.
Additional fine sutures are placed in the outer layer of the epididymis to secure the vas deferens in place and to release tension off of the fine inner sutures.
This final lower power image shows the relationship of the testis, epididymis and the bypass site after an epididymovasostomy. Sperm are made in the testis, stored in the epididymis and bypass the second obstruction through the bypass site.
A Return to Fertility
You may be sore for several days to a week following the operation. Dr. Karpman gives extensive post-operative instructions and may prescribe pain medication. After a Vasectomy Reversal Mountain View patients could take six months to a year for their fertility to restore following the operation. Dr. Karpman frequently advises sperm analysis three months later to assess sperm count and quality.
It can take up to a year for your sperm to be numerous enough to result in conception, but it could take as little as a few months.
The price of vasectomy reversal is $9,500. This price takes several factors into consideration, including the complexity of the procedure and the skill and experience of the surgeon. You want to make sure your procedure is performed by a board-certified urologist with experience performing vasectomy reversals. Vasectomy Reversal is not a surgery where you want to cut corners. This is a delicate procedure and paying a little bit more for an expert surgeon will improve your chances at a successful surgery. Financial Information.
Start your journey to reclaim your sexual reproductive health. From infertility to erectile dysfunction and more, Dr. Edward Karpman has your best interests in mind. Schedule your consultation today!
2490 Hospital Drive, Suite 210, Mountain View, CA 94040