Contact us today Tel: 01642 939798
Text: 07984448243
Email: contact@bestlifeclinic.org
This is the operation performed for men to regain fertility after previous vasectomy (Snip). Though men undergo vasectomy with the intention of achieving permanent contraception, due to changing life’s situations, six percent of men regret their decision and some of them prefer to undergo reversal operation.
Two types of procedures are available to deal with the intentional blockage caused by the vasectomy. If your surgeon or the clinic does not have the skills and resources to do both type of procedures, the reversal will be incomplete in a proportion of men who had late consequences of vasectomy such as blow-out or blockage upstream at the level of epidydimis.
Vaso-vasostomy: This means connecting the cut ends (segments) of the vas. This is the most common reversal procedure needed.
Vaso-Epididymostomy: If there is blockage upstream at the level of epididymis due to damage by back pressure called Blow-out, simply connecting the cut ends will not be helpful. The vas will need to be connected directly to the even more minute tube, epididymis.This is called Vaso-epididymostomy. Not many surgeons in the UK take steps to diagnose the blow out and do vaso-epididymostomy. You need to check that with the surgeon. The risk of blow-out goes up with every passing year since vasectomy.
Unfortunately there is no standardised way of doing the vasectomy reversal in the UK.The reversal operations are done in the following ways.The type of procedures is chosen mostly due to limitations in surgeon's experience, resources, need to limit the operation time and the need to offer the procedure in a cost effective way. Therefore it may not necesssarily be at the only interest of the patient. So you need to make your research and choose the clinic and surgeon diligently.
We offer the same advanced Microdot Multilayer Microsurgical Vasovasostomy (MMMV). This service is unique in the UK. We are very cost effective and may be even less expensive than those clinics offering basic procedures. You can very easily identify from how long the actual operation takes and what size stiches the surgeons are using. We have not come across any other surgeon in the UK fully transparent that they do this multilayered procedure though this is the standard of care in most male-infertility centres in the United States. This operation usually takes four hours using expensive purpose made sutures. The full magnification power of the operating microscope will have to be used during the difficult and minute steps of the procedure.
The inside diameter of the vas is just 0.2-0.4mm, so infinite care and microscopic stitches that do not obstruct the flow of sperms are required to make a reconnection that will be as close to the original as possible. Preserving the patency of the ultra minute lumen (opening) of the vas is the essence of the procedure. This can be only achieved by highly skilled and Experienced team and specialist equipment.
We also perform Vaso-Epididymostomy in the event of Blow-out that is disgnosed at the time of the operation. So there is hope even if there is a blow-out. At the time of the procedure, we check the fluid from the testicular end of the vas multiple times. This is to ensure that the procedure we are doing carries the highest possible chances of success.
We accept that when you chose to have a vasectomy you did so with the best of intentions and in the belief that under the circumstances you made the correct decision for you at that time. Personal circumstances change and we are simply here to help you regain your fertility. If you had vasectomy within the last 10 years and if your partner is less than 35 years, you are best placed to have a reversal and achive a natural pregnancy. Even if the interval since vasectomy is longer, still there is fair chance of achieving patency but the success in achieving the pregnancy depends on other factors.
The patients cover a range in age from 24 to 60. Majority of patients have formed a new relationship and wish to consolidate this with a child between them. 10% of patients just decide they just want to change their minds and want more children. The remainder just feel dissatisfied with their vasectomy or have post vasectomy pain syndrome and wish to be returned to ‘normal’.
Contact us today Tel: 01642 939798
Text: 07984448243
Email: contact@bestlifeclinic.org
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