Vasectomy reversals are performed in an outpatient setting at The Men's Clinic at UCLA in Los Angeles and Santa Monica. There are two types of vasectomy reversal procedures: vasovasostomy and vasoepididymostomy.
A vasovasostomy is performed to restore the flow of sperm to the vas deferens and allow for couples to pursue spontaneous pregnancy. This procedure utilizes an operating microscope and ultra-fine sutures to reattach the inner and outer layers of the vas deferens. When a vasovasostomy cannot be performed because of inflammation or scarring blocking the epididymis, a vasoepididymostomy is performed. Here, the vas deferens is connected to the epididymis in a location away from the blockage.
Success rates of the reverse vasectomy are high. The most important factors contributing to the success rate of the vasectomy reversal are the experience of the surgeon, the amount of time since the vasectomy and the quality of sperm fluid at the time of reversal.
A vasectomy reversal is a more complicated procedure than a vasectomy and therefore the vasectomy reversal recovery time is longer. Vasectomy reversal patients at The Men's Clinic at UCLA remain on very limited activity for the first 24 hours following the reversal and must refrain from all physical activity. Pain from the procedure is usually minimal and can be treated with over the counter medication. After the two-week recovery time, patients are cleared to begin sexual intercourse and normal activities.
Dr. Mills and his staff will want to see the man back in the office at 2 weeks post-op. He usually checks a semen analysis at 6 weeks post-operatively and periodically after that to ensure sperm counts are stable.
Dr. Jesse Mills, UCLA Urologist and Director of The Men's Clinic at UCLA, is a nationally renowned microsurgeon who has helped hundreds of couples achieve pregnancy with his surgical skills. He uses a state of the art microscope and ultra-fine sutures to provide a 2-layer closure of the vas deferens and the epididymis. He performs hundreds of microsurgeries every year with excellent outcomes. Dr. Mills has very low complications; most men can return to regular activity including intercourse within 2 weeks.
If you are coming to UCLA Los Angeles from out of town for your vasectomy reversal, Dr. Mills will typically see the man, or couple, the day before surgery to examine him, answer any and all questions and describe the procedure in detail. Occasionally, this is not possible for the couple and, if the man has no chronic medical conditions, Dr. Mills will see the patient on the day of the procedure. It is usually safe to return home the day of or the day after the procedure. Travelling from outside the Los Angeles area is no problem. Dr. Mills’ staff can recommend a number of hotels at multiple price points that offer UCLA discounts.
Pregnancy rates following a reverse vasectomy depend on a number of factors. If Dr. Mills finds sperm in the vas deferens at the time of vasectomy reversal, success rates are close to 100%. Pregnancy factors depend, of course, on female factors as well. Dr. Mills will therefore want to know the age of the female partner, her fertility and medical history and he can then determine if vasectomy reversal is a good option for the couple. In general, the longer ago a man’s vasectomy was, the lower the chances Dr. Mills will find sperm in the vas deferens. If this is the case, Dr. Mills can perform a vasal bypass operation called a vasoepididymostomy. The success rates of this operation drop to around 60-70%. Dr. Mills may suggest sperm banking at the time of reversal if the man is over 10 years out from his vasectomy.
Board-certified urologists staff The Men’s Clinic at UCLA and you can be assured you are getting an experienced physician performing your vasectomy reversal in a relaxed and comfortable environment. For more information and to schedule an appointment, please call the UCLA Urology Appointment line at (310) 794-7700.
Over the years Dr. Mills has performed this procedure, a number of commonly asked questions have come up. The following is a list of frequently asked questions about vasectomy reversal: