Are vasectomies permanent?

You may have made the permanent decision to go for a vasectomy so you do not father any more children. But now, the circumstances of your life have changed and you and your partner want a baby. Can you reverse your condition? Well, yes.

Vasectomy reversal surgery can allow you to father a child again. In the U.S. about 600,000 vasectomies are performed each year, but 5 percent of men also seek a vasectomy reversal surgery annually. While there is no guarantee that your fertility will be restored after reversing a vasectomy, the American Urology Association has confirmed that 75-99 percent of men will have sperm return to their semen after the reversal and 30-75 percent of female partners become pregnant following the reversal.

Vasectomy Reversal Procedure

Surgery to reverse a vasectomy is a risk and takes longer to complete than the initial vasectomy procedure, usually 2-4 hours when performed by an experienced urologist. The urologist will apply a local anesthesia or just use general anesthesia. With the help of a powerful surgical microscope, the urologist will reattach the previously severed sperm ducts or vas deferens, with various incisions made on the scrotum to expose the ends of the vas deferens that were severed. The task takes a patient and skilled surgeon to reattach the ends successfully. After reversal surgery, a jockstrap and dressing is applied to create pressure on the incisions. Intermittent ice packs and pain medication are prescribed to reduce swelling and discomfort. The stitches will dissolve in ten days.

What Results Should You Expect?

A critical factor that determines the success of a vasectomy reversal is how long ago the original vasectomy procedure was performed. For instance, if you opted for vasectomy reversal 3-10 years after the original vasectomy, you have up to 97 percent chance of success in rebuilding your vas deferens and at least 50 percent chance of impregnating your partner. Waiting for more than 15 years reduces pregnancy rates to 30 percent. Secondly, one of the effects of a vasectomy is that your body may actually stop recognizing its own sperm, developing antibodies against them. If this occurs, there is a very low chance that vasectomy reversal will restore your ability to impregnate your partner. The urologist will help you determine if this has occurred.

Even though vasectomy reversal is a tempting option, a vasectomy should always be considered permanent. Remember, pregnancy success rates after a vasectomy reversal are very low, influenced by length of time since the original vasectomy, your general health and age, your partner’s fertility, presence of sperm antibodies, and the technique used for reversal. Therefore, you must never take a vasectomy as a sort of experiment that you will reverse in the future. Similarly, results for a vasectomy reversal are not immediate, often taking up to 15 months for sperm to reappear.

Talk to your urologist to determine if you can reverse your vasectomy. For more information on reversing vasectomies, visit the site, St Pete Urology.

How much can a vasectomy cost?

If you and your partner have decided that you do not want any more children, you may be considering a vasectomy. If so, you are definitely not alone. About 600,000 men get vasectomies every year in the United States. And even though you may have questions about the techniques, safety, success rate, reversal, pain or side effects of the procedure, it is also important to consider the cost of a vasectomy.How much does a vasectomy cost? Across the United States, prices vary from one clinic or surgeon to another, ranging between $300 and $3,000 in many urology clinics, or as high as $4,000 to $5,000 in others. Follow-up analysis of semen for the presence of sperm may also cost an extra $75 per visit, though some practices include this fee in their overall package price.

Factors that determine the cost of a vasectomy include:
Where you live – Your residential area or city determines which hospitals and urologists are available. Some areas generally have higher prices than others.

Your personal health status – You will have additional expenses if there are pre-existing health problems.
The technique used for the vasectomy – Various surgical procedures have different degrees of complexity and therefore different costs.

Risks of the procedure – You may have unexpected or additional costs if any emergencies occur during the procedure.

Your health insurance plan – Depending on whether the urologist is in network or out-of-network, your co-insurance, deductible and co-pay amounts will vary, affecting your out-of-pocket payments.

Vasectomies in the United States are evenly divided between providers offering the traditional procedure versus the no-needle, non-scalpel procedure. Typically, the traditional incision vasectomies take 20-30 minutes to perform while non-incision techniques take less time. The recovery time is the same for the traditional and non-incision non-scalpel technique, which is 1 or 2 days of rest followed by a week of no strenuous exercise or work. Pregnancy is still possible after a vasectomy and you are expected to get follow-up sperm counts to confirm complete sterility. Using another form of contraception, such as condoms, is recommended for 2-4 months (12-24 ejaculations) while the presence of sperm in semen is still being monitored.

Cost of Vasectomy Reversal Surgery

While vasectomies are considered permanent, a change in circumstances may call for a reversal. Reverse vasectomy, also called Vasovasostomy, means reconnecting the tubes (vas deferens) that were cut during a vasectomy. Vasectomy reversal surgery has a success rate of 85%-98%, but the procedure is not inexpensive, costing at least $4,900 compared to the lowest vasectomy cost of $300.

At St Pete Urology, we understand that cost is not the only consideration when selecting a urologist for your vasectomy procedure. Therefore, we strive to provide competitive rates for all our procedures without compromising the quality of our health care. We offer many treatment options and we are committed to making the procedure as quick and comfortable as possible. For more information about our medical services and rates, visit St Pete Urology in St Peetersburg, Florida.

What is the success rate of vasectomy?

Do you have the number of children you’ve always wanted? Have you decided that parenthood is not for you? If you feel ready for a family planning method that will free you from ever worrying about unexpected pregnancies again, vasectomy may be the permanent birth control method for you. During a vasectomy procedure, the surgeon will cut the tube known as the vas deferens in order to stop sperm from getting into semen and causing pregnancy.

How reliable is vasectomy?

Success rate of vasectomyVasectomy is a more reliable method of preventing pregnancy than any other method of birth control. For instance, in comparison to the female equivalent called tubal ligation (a surgery performed to tie off the fallopian tubes and prevent an egg from meeting sperm cells) there are zero fatalities per 100,000 vasectomies but about 4 deaths for the same number of tubal ligations. The cost of a vasectomy is $700-900 while tubal ligation is about $2,500, and the overall failure rate of vasectomy is 1 in 1000 as opposed to tubal ligation’s rate of 1 in 200. Vasectomy is simpler, safer and has a shorter recovery time than tubal ligation.

What is the success rate of vasectomy?

Vasectomy has a success rate of more than 99%. It is generally agreed that a 1 in 2000 failure rate with vasectomy is vastly better than the 1 in 200 cases of tubal ligation. In fact, according to a 2005 review of total failures with vasectomy, it was reported that only 183 failures occurred in 43,642 vasectomies (just 0.4%), with 60 pregnancies occurring after 92,184 vasectomies (0.07%). Nevertheless, a vasectomy may fail if your surgeon misses the vas deferens during the operation or, in extremely rare cases, if the tube grows back. If tube re-growth occurs, the vas deferens will be much smaller than it was before the vasectomy.

In some cases, sperm can cross from one cut end of the vas deferens to the other, particularly during the first 3 months of the procedure. This is why your urologist will advise you that the procedure is not immediately effective and you must use another form of contraception until you have provided two semen samples that are sperm free, typically 2-3 months after a vasectomy. If your urologist finds sperm after repeated tests of your semen, you may have to repeat the procedure. About 1% of vasectomies are repeated before they become fully effective.

Will vasectomy affect your performance?

After many years of study, vasectomy has not been associated with any physical or health problem. It will not affect your virility as it does not change the production of the male hormone, testosterone. Therefore, your sex drive, erection, ejaculation, sexual pleasure and male characteristics will remain unchanged. In fact, 30% of men have reported improved sexuality after vasectomy, an improvement attributed to reduced worries about pregnancy. Following vasectomy, sperm production will continue but at a reduced rate and the sperm produced will die and get absorbed by the body as it normally happens in men who do not ejaculate their sperm.

Remember, a vasectomy means you will not be able to father a child, at least not without the huge cost and complications of reversal surgery. Therefore, you must never undertake vasectomy lightly. Before you and your partner choose this method of birth control, you should both consider it carefully. Talk to your doctor about the pros and cons of the procedure, the technique to be used, and whether it is appropriate for you. Want to know more about vasectomy? Visit St Pete Urology in St Petersburg, Florida.

What are the risks of getting a vasectomy?

Vasectomy is a popular and effective method of family planning. It carries less risk than the equivalent of tubal ligation in women, and it provides greater efficacy. In fact, it stands out as one of the best and safest forms of contraception provided that the patient fully understands potential risks associated with the procedure. For example, a common concern with vasectomy is that a man might later change his mind about wanting to have children. Although vasectomy can be reversed, there is usually no guarantee that the reversal will be a success and the reversal surgery is also more complicated and expensive. Therefore, before you opt for a vasectomy, be certain that you do not want to father a child in the future.

So what risks are associated with a vasectomy? For most men, vasectomy does not cause noticeable side effects and rarely causes complications. Nevertheless, while vasectomy is safe and highly effective, some problems might occur after surgery and over time.

Surgical Risks

Following the procedure, most men experience mild pain, discomfort, bruising and mild swelling, all of which disappear within two weeks. However, certain problems may require the attention of a health care provider. Bleeding or hematoma (blood clot) inside the scrotum or bleeding under the skin may cause painful swelling and requires urgent medical attention. As with any surgery, the area operated on may become infected. Scrotal redness, tenderness and fever are signs of infection.

Delayed Risks

The risk of delayed problems is quite small, but they do occur. One such possibility is the presence of a granuloma (lump in the scrotum) formed from leakage of sperm out of the vas deferens and into the tissue. Another is post-vasectomy pain syndrome, a chronic pain in the testicles that occurs in a small percentage of men. A spermatocele is an abnormal cyst that develops in the epididymis and a hydrocele is a fluid-filled sac that may form around the testicle and cause swelling in the scrotum.

Vasectomy failure, although extremely rare, is known to happen. There is a 1-in-1000 risk that a vasectomy will fail. If this occurs, pregnancy may occur and a repeat procedure may be necessary.

Some men have certain unfounded concerns about vasectomies. It is important to know that a vasectomy will not affect sexual performance or cause permanent damage or severe pain to your sexual organs, nor will it increase your risk of testicular or prostate cancer or heart disease.

At St Pete Urology in St Petersburg, Florida we have offered vasectomy services for many years. We have a team of experienced, board-certified urologists and medical staff to guarantee a successful procedure. At St Pete Urology, you will get an initial consultation, treatment, recovery advice and aftercare assistance 24/7. For more information, visit St Pete Urology at our clinic or online.

What happens during a vasectomy procedure and how does it work?

Vasectomy is considered a permanent birth control method because it prevents the release of sperm during ejaculation. During a vasectomy, the tube (vas deferens) from each testicle is carefully clamped, sealed or cut to prevent the mixing of sperm with ejaculated semen. The testicles will continue to produce sperm but the female egg cannot be fertilized without sperm in the semen. Since the tubes are sealed off before the seminal vesicles and prostate, a man will still ejaculate the same amount of fluid.

So what happens during a vasectomy?

  • (a) The testicles and scrotum are first cleaned with antiseptic and may be shaved.
  • (b) You may be given an intravenous (IV) or oral medicine to minimize anxiety and make you sleepy. If given the medicine, you may not remember much of what happens during the procedure.
  • (c) The urologist will locate each vas deferens by touch and then inject a local anesthetic into the area.
  • (d) The doctor will make 1 or 2 small openings on the scrotum. Then through an opening, the 2 vas deferens tubes are cut, tied and stitched, or sealed. Scar tissue from the operation will help block the tubes.
  • (e) The urologist will then replace the vas deferens inside the scrotum and close the skin with stitches that dissolve on their own. A vasectomy procedure takes 10-30 minutes and can be done in a clinic or office of a urologist, general surgeon or family medicine doctor.

How does vasectomy work?

The scrotum will be numb for 1 to 2 hours after the surgery. You are expected to apply cold packs to the area and get as much rest as possible while lying on your back. Wearing a jockstrap or snug underwear will protect the area and ease the discomfort. You may experience minor pain and swelling for a few days, but rarely anything more serious. After two days you can resume light work, but must wait for at least a week for heavy lifting and strenuous work.

While you can resume sexual intercourse as soon as you feel comfortable, waiting for a week is advisable. Remember, your sperm count will not be zero and you can still get your partner pregnant, so use an alternative birth control method such as condoms until follow-up sperm count tests show no sperm in the semen, usually two months after the procedure.

Vasectomies are 99.85% effective, with only 1 or 2 women in 1000 getting pregnant after their partners have undergone the procedure. It will not interfere with your sex drive, sensation of orgasm, ability to ejaculate or ability to have erections. However, it is a permanent birth control method that must only be considered by those who do not want to have children in the future. For more information on vasectomies, visit St Pete Urology in St Petersburg, Florida.

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