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See a selection of our latest blogs.

What is Blow-out? How is it diagnosed? What can be done if there is a Blow-out?

Posted on September 10, 2018 by Manohar Jesuraj

What is Blow out? 

Blow out is a rupture and blockage of the very thin epididymis tube (only 0.2 mm in diameter) situated on top of the testis. It is caused by the back pressure of fluid trapped in the tubes below the vasectomy and peak...

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New Site Launch

Posted on August 28, 2018 by Manohar Jesuraj

We welcome you to our new fully responsive and secure website, designed and developed with Freetimers, the original digital agency for the site who put the site at the top of its field many years ago now.  We hope you too will enjoy the new site and we look forward to developing it more into the future with our digital partners.

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Consultations– What’s Included?

Posted on June 25, 2018 by Manohar Jesuraj

Face to Face Consultation When it’s possible, we  always encourages consultations and this is because it gives our team the opportunity to see if our patients are suitable for vasectomy reversals. A typical consultation will include a discussion about microsurgery and the techniques we use.  There will also be counselling and an examination that allows us to assess the length and quality of the remaining vas and predict any potential challenges. As we do both Vaso-vasostomy a...

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Does The Technique And The Type Of Sutures Matter In Vasectomy Reversal?

Posted on March 22, 2018 by Manohar Jesuraj

The vas tubes are 3-5 mm wide in humans. The lumen of the tube is only 0.2-0.4 mm diameter. The cut end of the tubes during vasectomy can be disproportionate in diameter.

It makes sense to approximate the cut ends by aligning as perfect as possible. This is achieved by a three layers closure by using extremely fine sutures 10-0 and 9-0. Such fine sutures are used in eye surgery. This takes 1.5 to 2 hours per side and the total operation time can be from 3 to 5 hours depending on the diffic...

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Suitability For Vasectomy Reversals

Posted on May 14, 2014 by Manohar Jesuraj

Fortunately, most are suitable for vasectomy reversals (approximately 95%), but it’s important to have an initial consultation beforehand. The Dawson Microsurgery Clinic always encourages patients to visit and it gives us the opportunity to check that the sufficient tube remains for our surgeons to perform the reversal. Our face to face consultation will cost £150 which will be reduced from the procedure fee if you decide to go ahead with the procedure.

Our experienced assessme...

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Sperm Extraction During Vasectomy Reversal – Who Benefits?

Posted on March 29, 2013 by Manohar Jesuraj

Sounds good. Couples exploring the subject of vasectomy reversal will read many web sites from all over the world. One of the seemingly attractive ad-ons to the procedure is sperm extraction. ‘If the reversal doesn’t work then at least we have benefitted because we have extracted some sperms that you can then use’ is the line. There is a cost, often £400 or so (plus storage charges etc.) which is added to you bill. But is this a good idea?

Using the sperms requires ...

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Post Vasectomy Pain

Posted on January 04, 2013 by Manohar Jesuraj

Post Vasectomy Pain (PVP) What is PVP?    

• A chronic relapsing testicular ache whose onset may be as little as 8 weeks to as long as 5 years or more post vasectomy.

• PVP may occur immediately after ejaculation or the pain may be of insidious onset over subsequent days.

• The pain is chronic, lasting for years with relapses usually lasting 1-4 days though very variable in frequency

• Often the pain is unilateral or at le...

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