Vasectomy and Vasectomy Reversal

Academic Urology & Urogynecology of Arizona tackles complex male urology problems and issues with state-of-the-art procedures and compassionate care.

Are you a male in search of a permanent but safe contraceptive? Have you undergone a vasectomy procedure but now wish to have children? If so, the Urologists of Academic Urology & Urogynecology of Arizona (AUUA) can help. Together, Doctors Jeffrey A. Stern and Aaron LaTowsky combine their expertise to address the male urological problems of individuals situated throughout the Phoenix, Arizona region. No scalpel vasectomies and vasectomy reversals (vasovasostomy) are such specialties and are performed routinely in an out-patient setting.

Vasectomy: Definition, Risks, and Success

What is a vasectomy? A vasectomy is a minimally invasive surgical procedure that involves the disconnection of the vas deferens, the tubes that carry sperm to the ejaculatory ducts. While men will not notice a reduction in their ejaculatory volume, their semen will be devoid of sperm to prevent pregnancy. Today, technological advances have made surgical vasectomy a low-risk and effective procedure. Using the no scalpel vasectomy technique, the urologic specialists of Academic Urology & Urogynecology of Arizona make a midline puncture in the scrotal skin. The vas deferens are then guided through this hole and are clipped and cauterized to prevent the flow of sperm. This non-invasive approach reduces the risk of side effects, infection, and delayed recovery as the surrounding blood vessels and nerves are left undamaged and intact. When performed by an experienced surgeon, such as the Urologists of Academic Urology & Urogynecology of Arizona, vasectomies are considered 99 percent effective as a form of male contraceptive. In terms of risk, men may experience some degree of bruising, swelling, and tenderness at the incision site. In rare cases, more serious complications may occur, a topic AUUA will review with considering patients.

Vasectomy Reversal Options

The reversal of a vasectomy is a procedure known as a vasovasostomy. In this microsurgical procedure, the vas deferens connection is restored to permit the flow of sperm to the ejaculatory ducts and into the semen. It is important to note that while a vasovasostomy is possible, success is not a guarantee. Research indicates that the restoration of fertility is more likely for men who elect to pursue a vasectomy reversal within ten years of their original procedure. As with vasectomies, reversal procedures are typically performed on an out-patient basis. Risks include bruising, swelling, infection, damage to blood vessels and nerves, and the accumulation of fluid in the scrotum, a condition known as hydrocele. During the procedure, should the flow of sperm in the vas deferens be low or not detected, a blockage between the epididymis and the vas deferens is likely. In this instance, the urologic specialists will perform a vasoepididymostomy, a highly technical micro surgical procedure of which the Urologists of Academic Urology & Urogynecology of Arizona are experienced.

Should you be interested in the male fertility services of Academic Urology & Urogynecology of Arizona, please contact us today to schedule a consult with one of our Urologists. With thirteen locations in Anthem, Buckeye, Glendale, Phoenix, Litchfield Park, Scottsdale, Sun City, Sun City West, and Wickenburg, we are just a short drive away from Peoria and Glendale, Arizona.