Vasectomy & Vasectomy Reversal

Vasectomy is a safe and effective way to permanently end male fertility — that is, unless you later change your mind and opt for vasectomy reversal. The expert urologists at Urology Associates offer both vasectomy and vasectomy reversal as simple outpatient procedures.

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Questions and Answers


What is a Vasectomy?

A vasectomy is a permanent birth control method in which your Urology Associates surgeon severs and closes your vas deferens, the tubes that transport sperm from your testicles into your seminal stream.

We perform this minimally invasive surgery in the office as a simple outpatient procedure. It’s a safe procedure with minimal side effects in most patients.

Some men may experience short-term bleeding, bruising, and swelling immediately after vasectomy. Most men recover in about a week.

A vasectomy doesn’t affect your hormones, sex drive, or sexual function in any way. The only permanent change is that your ejaculate lacks sperm in the future.

After a vasectomy, you’re not sterile immediately. Your Urology Associates doctor schedules a sperm analysis after your vasectomy to make sure that there’s no sperm in your ejaculate. When your sperm count is zero, your doctor typically tells you that it’s safe to rely on the vasectomy for birth control.


How Effective is a Vasectomy?

Vasectomy is highly effective for permanent birth control. Just 1-2 women in 1,000 get pregnant after their partner has a vasectomy.


What is a Vasectomy Reversal?

A vasectomy reversal is a procedure that you might want if you’ve changed your mind about permanent sterilization. In this procedure, your Urology Associates surgeon reconnects your vas deferens to allow sperm to reach your seminal fluid.

There are two approaches to vasectomy reversal:

  • Vasovasostomy: In a vasovasostomy, your surgeon sews the two ends of your vas deferens together, restoring a path for your sperm to travel to the seminal fluid.

  • Vasoepididymostomy: In a vasoepididymostomy, your surgeon connects your vas deferens to the epididymis, the tiny organ above your testes. The epididymis stores sperm, so this creates a direct way to deliver sperm into your seminal fluid if a vasovasostomy won’t work. Your surgeon checks your vasal fluid once you’re under anesthesia. If the fluid contains sperm, you typically have a vasovasostomy. Otherwise, you likely need a vasoepididymostomy. Both can give you an excellent chance of restored fertility

To learn more about vasectomy or vasectomy reversal, call your preferred Urology Associates location to book your consultation.

If you have further questions or are experiencing symptoms of a urologic condition, call us or schedule an appointment today.