Vasectomy Reversal: What to Expect
Before vasectomy reversal surgery, your doctor will want to:
- Make sure vasectomy reversal is likely to work. Your doctor will do a physical examination and ask a number of questions about your health. He will want to make sure that you don’t have health concerns that could complicate surgery.
- Check to see whether you can produce healthy sperm. For most men, having gotten a woman pregnant before is proof enough. If your doctor is unsure whether you are producing healthy sperm, you may need a testicular biopsy. In this test, a needle is used to remove fluid from your testicles to check for sperm.
Prior to your vasectomy reversal, your doctor will ask you to:
- Stop taking blood thinning medications. One week before your vasectomy reversal, your doctor may tell you not to take pain relievers such as aspirin or ibuprofen because they can increase your risk of bleeding. Your doctor may also have you stop taking other medications.
- Arrange for someone to drive you home following surgery. Surgery generally takes about two to three hours. You may need additional time to recover from anesthesia.
During and After Surgery
Vasectomy reversal is usually performed on an outpatient basis, taking two and a half to three and a half hours. The patient can return to his home the same day. Post-operative care includes an office visit several weeks later to evaluate the healing process and a semen analysis six weeks following surgery. Periodic semen analyses are then obtained for four to six months or until the analysis results stabilize.