Can a Redo or Repeat Vasectomy Reversal be Successful in 2024?
Yes, Redo / Repeat Vas Reversals Can Be Successful!
Absolutely yes! Redo vas reversals can be very successful when performed by trained, experienced vas reversal experts. This page is written by leading microsurgical authority, educator and author, Sheldon H.F. Marks, MD, to review some of the key concepts with redo, repeat or “salvage” vasectomy reversal success rates after the first vas reversal attempt failed.
“We wish that we had come here the first time” is what we hear weekly after we perform a redo vasectomy reversal at our full time, vas reversal only center.
We have Proven, High Success Rates in Redo Vasectomy Reversals at ICVR
Proven Results
The good news is that our full-time, vas reversal only Center of Excellence has a proven, very high redo vasectomy reversal success rates! In fact, the doctors of ICVR presented our experience with hundreds of redo vasectomy reversals at an international fertility meeting where we showed that the chances for a high success rate at our high volume specialty program is the same here as if the patient never a failed vas reversal before, whether with the same partner or new partner.
Cost Effective
Studies have shown that a redo vas reversal is usually still highly successful and even still more cost-effective than moving to in-vitro fertilization (IVF) with Intra-Cytoplasmic Sperm Injection (ICSI). We just had a patient who had a vas-to-vas connection on both sides elsewhere with a redo vas-to-epididymal bypass here and as of today, just 3 months later, he is already at 20 million motile sperm, totally normal!
We're True Experts
We assume two opposites when we perform a redo vas reversal to ensure the highest redo vas reversal success rates for each patient. First, that the procedure was performed correctly and that the patient scarred up at the connection from excessive inflammation, which may progress untreated, often from minimal to no follow-up. The other assumption is that the doctor did not do a technically precise multi-layer closure, which is why the connection scarred and now needs to be redone.
*Actual ICVR Success Baby
*Actual ICVR Success Baby
*Actual ICVR Success Baby
REDO VASECTOMY REVERSAL FAQS
How does ICVR do Redo Vasectomy Reversals?
Is there an actual difference in the redo vasectomy reversal process?
Considering what is at stake, Experience Matters!
The Bottom Line with Redo Vasectomy Reversals
Bottom line: What we see at the repeat salvage surgery often involves a tremendous amount of scarring in and around the prior vas reversal connection. There are times when we see retained vasectomy tissues or a granuloma which was left behind, even though we always remove these and teach the importance of removing these at the time of the vas reversal. We feel that the best results will most often be with a urologist who has completed a formal fellowship after their urology residency, using only high powered surgical microscopes which provide better visualization with far superior vas reversal success rates.
We have found that we achieve the highest reverse vasectomy success rates when we perform a meticulous multi-layer microsurgical vas reversal using a high-powered surgical microscope which can take about 2 to 2½ hours on average in order to achieve the very highest vas reversal results and stay up on cutting edge advances, both doctors of ICVR attend yearly specialty fertility society meetings where experts from around the world all get together to talk about how to improve patient and vas reversal care. Because of our desire to provide the highest level of care and improve on our techniques and care, this is an important part of our continuing education. Sadly, many doctors do not attend these meetings. I can only assume that they think that what they learned years ago is still up-to-date.
*Actual ICVR success baby!
Contact Us at ICVR for all your questions about Redo Vasectomy Reversals
ICVR’s team of senior professionals are available to answer any questions about our personalized, custom full time, reversal only practice or about precision microsurgical vasectomy reversals or aftercare. When ready to set up a no-cost, zero obligation in office or Google Meet consultation with either of our two microsurgeons, please call today to start the process.
This page was reviewed, edited and updated March 27, 2024 by Sheldon H.F. Marks, MD.
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