There are two surgical techniques used to perform vasectomy reversals: vasovasostomy and vasoepididymostomy. In most cases, the surgeon makes the decision which procedure is most appropriate during the operation, and you may need a combination of both techniques.

Vasovasostomy (pronounced vas-o-vay-ZOS-tuh-me)

With this procedure, the surgeon sews the ends of the tube that were cut during the vasectomy (vas deferens) back together. However, this may not reestablish the sperm flow.

Vasoepididymostomy (pronounced vas-o-ep-ih-did-ih-MOS-tuh-me)

This surgery attaches the tube that carries sperm from each testicle to your semen (vas deferens) directly to the epididymis (the coiled tube on the back of each testicle where sperm matures). This surgery is used when sperm flow is blocked and a vasovasostomy won’t work.