How Can a Prior Vasectomy Procedure Be Reversed with Vasectomy Reversal?

Key Takeaways:

  1. Men who have had a vasectomy can consider a vasectomy reversal procedure to restore fertility and have a chance of fathering a child again.
  2. A successful vasectomy reversal involves making small incisions in the scrotum to reconnect the vas deferens, and success rates can be improved by entrusting the reversal to a reputable urologist.
  3. Alternative options such as IVF remain viable if the vasectomy reversal is unsuccessful or not feasible.

First Steps: Determining Your Eligibility for Reversal

You may think it is impossible to start or expand your family after a vasectomy procedure. However, there is hope through a ground-breaking medical solution known as vasectomy reversal. Reid Graves, a reputable urologist at St. Pete Urology, asserts that men who have undergone vasectomy but now wish to have children again can consider this remarkable procedure. The need for a vasectomy reversal often arises when men form new relationships with partners who desire to have children. The cut vas deferens from the prior vasectomy renders them unable to conceive, creating this necessity.

Delving into the Procedure: How Vasectomy Reversal Works

Graves explains that, to achieve a successful vasectomy reversal, small incisions are made in the scrotum. These incisions bring the isolated ends of the vas deferens back together. Using advanced medical equipment such as a microscope or robotic technology, the urologist then meticulously sutures the vas deferens. This surgical intervention restores the natural pathway for sperm to travel from the testicles to the penis. Consequently, it allows the possibility of fathering a child once more.

Considering the Odds: The Success Rates

As with any medical procedure, there are no guarantees with vasectomy reversal. However, it is worth noting that the overall success rates are promising. A key determining factor of success lies in the expertise of the urologist performing the procedure, as well as their proficiency in utilizing advanced medical technology. By entrusting your reversal to a reputable urologist, you substantially increase your chances of welcoming a new addition to your family.

Weighing Your Options: The Benefits and Alternatives to Vasectomy Reversal

Beyond the possibility of fathering a child again, it offers the added benefit of minimal invasiveness. The small incisions made during the procedure are essential to reconnecting the vas deferens while reducing the risk of complications. In the event that your vasectomy reversal is unsuccessful or not feasible, assisted reproductive techniques such as in vitro fertilization (IVF) remain viable alternatives for having children.

Reclaiming Your Fertility at St Pete Urology

If you find yourself contemplating the possibility of a vasectomy reversal in St. Petersburg, FL, look no further than the experienced urologists at St Pete Urology. Dr. Reid Graves and his team of specialized professionals are dedicated to providing top-tier urological care and utilizing the latest advancements in medical technology for reversing your vasectomy.

Trust the experts at St. Pete Urology. They have built their reputation on ensuring that reversing your vasectomy is as seamless and successful as possible. Partner with a team that recognizes the deep-rooted desire to create or expand your family. They are eager to make it a reality for you. Schedule a consultation with St Pete Urology in St. Petersburg, FL, today. Take the first step toward reclaiming your fertility.

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Transcription:

My name is Reid Graves and I’m a urologist at St. Pete Urology. Sometimes men who have had vasectomies will meet a new partner that desires children and one of the complexities with this is since the vas deferens has been cut with the prior vasectomy they’re unable to have children. And when the patient’s partner wants a baby the only option is to try to reconnect these tubes back together. We can do that with what’s called a vasectomy reversal. In order to do this we have to make small incisions in the scrotum, explore the scrotum and then bring the little tiny vas deferens back out together and using a microscope or even with robotic technology we’re able to sew the vas deferens back together so that the sperm can then travel from the testicle back to the penis so that the person can have a child.

What You Need to Know About Vasectomy Reversal

Key Takeaways:

  1. A vasectomy reversal is a procedure that can help restore fertility in men who have had a vasectomy.
  2. The success rate of a vasectomy reversal ranges between 40 and 80% and is contingent on many factors, including age and timing.
  3. There are options available for financing a vasectomy reversal and support groups to help answer questions and provide emotional support.

Introduction

A vasectomy reversal is a surgical procedure that reverses a vasectomy. During a vasectomy, the doctor cuts, blocks, or seals the tubes called vas deferens, thus preventing sperm from reaching semen. During the procedure, a skilled doctor reconstructs the tubes to restore the man’s fertility. Men who have had a vasectomy, but now want to become fathers can benefit from a vasectomy reversal.

What are the Pros and Cons of Vasectomy Reversal?
Vasectomy reversals offer many potential benefits, although there are also a few risks to consider.

Pros

The most obvious benefit of a vasectomy reversal is the opportunity to have children. This procedure may provide a better chance of getting pregnant than taking fertility drugs or attempting in vitro fertilization. Additionally, the procedure is typically less costly than other fertility treatments, and there is no egg retrieval, which simplifies the procedure.

Cons

The success of a vasectomy reversal procedure can vary significantly, and there is no guarantee that it will work. The procedure also involves risks such as infection, bleeding, and negative reactions to the anesthesia, none of which should be taken lightly. It is also important to keep in mind that the procedure does involve some degree of discomfort, and it is possible that a second procedure would be necessary for full reversal to occur.

The Surgery

During a vasectomy reversal procedure, the doctor first makes a small opening in the patient’s scrotum. He then reconnects the two previously cut ends of the vas deferens tubes, a process called vasovasostomy. Depending on the skill of the doctor and the condition of the tubes, he may need to construct a new vas deferens. This process is called epididymovasostomy. Then, the doctor uses sutures to secure the reconstructed tubes.

Recovery time can vary from person to person, depending on the type of procedure, with some taking as little as a few days to recover, while others may need up to six weeks for complete healing. Generally, it is best to avoid strenuous activity and heavy lifting for several weeks after the procedure.

Risks

Like any other surgery, there are potential risks associated with a vasectomy reversal. These may include infection, negative reactions to the anesthesia, excessive bleeding, or development of a hematoma. Additionally, the procedure may not restore fertility, and a repeat surgery may be necessary.

Cost and Insurance Coverage

The average cost of a vasectomy reversal is approximately $5,000, though this number may vary depending on several factors and where the procedure is performed. Fortunately, some insurance companies may cover the cost, although it is important to note that coverage depends on the specific plan. If insurance is not an option, payment plans or financial assistance options may be available.

Success Rates

The success rate of a vasectomy reversal procedure is contingent on many factors. Generally, however, the success rate typically ranges between 40 and 80%. Factors that can affect the procedure’s success are the age of the patient, the amount of time since the initial vasectomy, and the type of procedure used.

Support and Resources

It is important for those considering a vasectomy reversal to understand that it is not a decision to be taken lightly, and that there are many factors to consider before undergoing the procedure. Fortunately, there are several support groups available that provide information, advice, and emotional support. Additionally, there are numerous online resources available, such as the Vasectomy Reversal Guide, for individuals seeking more information about the procedure.

Conclusion

A vasectomy reversal is a procedure that can offer a chance at fatherhood to men who have had a vasectomy but have now changed their minds. While there are many potential benefits to having a reversal, men should weigh the risks before making a decision. Fortunately, there are several options for affording the procedure, and there are support groups available to provide information, advice, and emotional support.

At St Pete Urology, we understand that a vasectomy reversal is an important and personal decision. Our team is dedicated to providing the highest quality of care and support to ensure the best possible outcome of the procedure.

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How Much Does a Vasectomy Cost?

Key Takeaways:

  1. Vasectomies are a permanent form of contraception and are typically a cost-effective solution.
  2. Costs of vasectomies can range from under a thousand dollars to several thousand depending on associated fees.
  3. St Pete Urology is a reliable and experienced urology practice offering a range of services including vasectomies and reversals.

Vasectomies have become an increasingly popular form of permanent contraception for couples who have decided not to have children. But along with this growing popularity comes the question of how much does a vasectomy cost? In this article, we will address the procedure, cost factors, advantages and disadvantages, and more.

Introduction

A vasectomy is a surgical procedure performed by a qualified physician or urologist that renders a male patient sterile by sealing off the tubes that carry sperm from the testes. Patients must be informed of the permanent nature of a vasectomy before they proceed with the procedure. Couples may consider a vasectomy for various reasons. These reasons include family planning, a desire for longer-term contraception, and personal health considerations.

What Does a Vasectomy Involve?

The vasectomy itself is a relatively straightforward procedure typically performed in a physician’s office. After receiving local anesthesia, the healthcare provider cuts and seals the patient’s vas deferens. These tubes transport sperm to the penis along with seminal fluid, and this procedure is performed using surgical techniques. The entire procedure is minimally invasive and typically only requires a few stitches in the scrotum. However, potential side effects can include swelling, infection and bleeding.

Cost Overview

There is no single price for a vasectomy. Costs can vary depending on several factors. These factors include the complexity of the procedure, the office’s location, the urologist’s fees, the type of anesthesia administered, and any prescribed medications. Generally speaking, however, the basic procedure rarely costs more than $1,000 and is often covered under insurance, although some policies may have exclusions. Anesthesiology and aftercare, such as follow-up visits, can add anywhere from $200-$500 or more to the overall cost. In some cases, a sliding scale fee system may be available, which adjusts the fee based on the patient’s income level. Alternatively, financing options may be offered to assist with covering the costs of the procedure.

Advantages of Vasectomy

The main benefit of a vasectomy is that it is a permanent form of contraception. Additionally, a vasectomy is considered a minimally invasive procedure. Furthermore, it can typically be completed in less than an hour at a doctor’s office. When factoring in the recovery time, a vasectomy proves to be a cost-effective method of birth control. This cost-effectiveness becomes evident when compared to other long-term forms of contraception.

Disadvantages of Vasectomy

The main disadvantage of a vasectomy is that it is irreversible. The technique of vasectomy reversal, or vasovasostomy, is available, but it is not always successful or cost-effective, and can require multiple surgeries. Veins may form in the connective tissues that are cut and create scarring, which can reduce or prevent their function. Additionally, the procedure itself can involve complications such as infection, swelling and bleeding. Lastly, a vasectomy can also have emotional and psychological consequences for a couple if they decide at a later point that they want to have children.

Conclusion

A vasectomy is a permanent form of contraception that can be a cost-effective solution for couples who have decided not to have children. The cost of a vasectomy can range from under a thousand dollars, to several thousands depending on associated fees. Additionally, the procedure can have associated risks and potential emotional effects. When considering a vasectomy, it is important for couples to manage expectations, understand the potential risks, plan for any changes that may occur, and be aware of any potential for the procedure to be reversed.

St Pete Urology is a trusted urology practice located in St Petersburg, Florida. Their team of experienced registered nurses, nurse practitioners, and physician assistants partner with highly skilled and experienced urologists to provide the highest quality of urological care. St Pete Urology has earned a positive reputation among patients and their peers, and they offer a wide range of services that include vasectomies and vasectomy reversals.

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The Pros and Cons of Vasectomy

Penis enhancement surgery is a procedure to correct structural and functional problems of the penis. It may be recommended after an injury, defect, or loss of function. But usually, it is a corrective measure for a micropenis or a buried penis. Both of which cause functional issues with urinating, sexual intercourse, or hygiene.

In rare cases, the procedure may be considered for making the penis longer or larger. It may also be used to make the stomach smaller in order to allow the penis to appear longer and wider. However, surgery to increase the size or width of the penis is medically discouraged. It is a deeply personal decision that requires careful consideration. 

That’s because most men who usually think they have a small penis tend to actually have a normal-sized penis. Also, most of the penis enhancement claims are false and tend to involve techniques and products that may be harmful to the penis.

Alternatives to surgery

  1. Jelqing exercises

Jelqing is a natural penis enlargement exercise involving a hand-over-hand rolling motion to increase blood flow to the head of the penis and stretch the organ. Though a fairly safe practice that can enhance the penis, it is not backed by enough medical studies. And it may lead to pain, irritation, or scar tissue formation if done too often or aggressively.

  1. Pills, potions, and lotions

While there are numerous penile enlargement vitamins, pills, herbal preparations, hormones, and lotions, most of the claims about them aren’t supported by evidence. Some may even interfere or interact with other medications or be harmful to users.

  1. Penile extenders

Penile extenders are non-invasive devices that use traction to stretch the penis. Studies have reported that extenders help to increase the length of a flaccid penis by more than 1.5 centimeters after 3 months of use. 

But more research is necessary to assess their safety and effectiveness. Plus, they are uncomfortable and cumbersome to use, and can overstretch the penis causing nerve damage, bruising, or blood clots.

  1. Vacuum pump

Though they are designed to treat erectile dysfunction, some people use them to occasionally “exercise” and stretch their penis. In the process, they can trigger tissue damage and cause erectile problems.

  1. Clamps and rings

Clamps and rings are used by some people to stretch and elongate their penis. The devices are placed around the base of an erect penis to reduce blood flow out of the penis. While wearing one of these devices may temporarily enlarge the penis, having it on for more than 30 minutes may cut off blood flow and damage penile tissues.

What are the pros and cons of penile enhancement surgery?

Typically, a urologist recommends penile enhancement surgery to correct an injury, treat a defect, or improve function of the organ. Only in very rare cases can the doctor recommend surgery to increase the length or width of the penis.  

That’s because penis enhancement surgery comes with the risk of serious complications such as scarring, pain, infection, loss of penile sensation, and erectile dysfunction. 

Pros of penis enhancement surgery

  1. Helps to correct a micropenis – defined as a very small penis. A micropenis is a condition you’re born with, but which needs correction because it causes functional problems. 
  2. Helps to correct a buried penis – defined as a penis buried under the skin from your stomach, thighs or scrotum. A buried penis can be a congenital condition or a result of aging.
  3. Helps to restore a functional penis by correction of penile abnormalities caused by injuries or disease. Penile abnormalities may make it difficult to urinate while standing up or hinder penetrative sexual intercourse.
  4. Helps to achieve a satisfactory appearance of the penis, particularly in those with persistent, bothersome, and embarrassing concerns about their penis size or width.
  5. Helps to create a new sense of masculinity and sexual potency, which in turn improves personal relationships, overall mood, and productivity in daily work.
  6. Helps to increase confidence and self-esteem by achieving a penis length and girth that meets personal goals and expectations.

Cons of penis enhancement

  1. Is associated with surgery risks such possible infection, bleeding, or damage to nerve endings.
  2. There may be adverse reactions to anesthesia.
  3. It may produce a lop-sided penis appearance, where the penis seems to hang from the scrotum instead of from the abdomen.
  4. Fat used to widen or enlarge the penis can be reabsorbed, which eventually reduces the width of the enhanced penis.

Safe, effective penis enhancement 

At St Pete Urology, we perform penis enhancement surgery on a regular basis to correct congenital and acquired micropenis. The goal of the surgery is usually to restore a functional penis size in order to achieve normal standing urination, satisfying sexual intercourse, and enhanced quality of life.  

Occasionally, we perform penis enhancement procedure on men with normal length penises, but who perceive themselves to have small ones—something that is usually a psychological condition. But for such a procedure, a lot more consultations and a multidisciplinary approach are usually necessary to come up with a highly individualized surgery that meets patient goals and expectations.

For more information on penis enhancement and other procedures for treating urologic disorders, visit the site “St Pete Urology.”

What are the Success Rates of a Vasectomy Reversal?

A vasectomy reversal is the surgical procedure to undo a vasectomy.  The operation involves reconnecting each vas deferens that was cut and sealed off during vasectomy. Once reconnected, each vas deferens becomes a channel through which sperm can again pass through from the testicle into the semen.

The reversal procedure is a more difficult and delicate procedure compared to the vasectomy. It is performed with the aid of a powerful surgical microscope that helps to magnify the vas deferens by as much as forty times in size. And most importantly, the surgery demands a high degree of skill and experience to carry out.

What is a successful vasectomy reversal?

A successful vasectomy reversal not only restores sperm in semen, but also enables a man to get his partner pregnant. Many men undergo the reversal procedure due to loss of a child, change of heart or remarriage and with their motivation being the opportunity to have more children. 

So the measure of a successful reversal is fundamentally on whether or not a man is able to make his partner pregnant. Unfortunately, this is not a straightforward measure as many factors are involved in achieving a pregnancy. 

For instance, getting a pregnancy depends on the man’s age, age of his partner, and on the health and motility of his sperm.  This means that having a vasectomy reversal after the age of 50 years when the number of healthy sperm and their motility has reduced significantly may not be successful. In contrast, having a vasectomy reversal done when a man is younger and with a younger partner may increase the chances of success of the procedure.

Success of a vasectomy reversal also depends on the type of vasectomy procedure a man had and how long it has been in place. The more time after a vasectomy, the more likely you are to develop scar tissue in the vas deferens that will make it difficult to have sperm pass through the tube and reach semen.

What are the success rates of a vasectomy reversal?

The success rates of vasectomy reversal range from 10-90 percent depending on the type of procedure, time that has elapsed since the vasectomy, age of the partner, the surgeon’s experience and training, and whether you had fertility issues before the vasectomy. 

When the reversal procedure is done soon after the vasectomy, the chances of success are quite high. In fact, if a vasectomy is reversed within 10 years after the procedure, there is more than 95-percent possibility of having sperm back in the ejaculate and over 50-percent chance of achieving pregnancy. But a reversal performed more than 15 years after the vasectomy has a lower potential of restoring sperm back in semen and as low as 30-percent rate of pregnancy.

Success rates of vasectomy are:

  1. Up to 97 percent success rate of sperm in semen and 76-percent rate of pregnancy when reversal is done within 3 years after the vasectomy.
  2. Up to 88 percent success rate of sperm in semen and 55 percent rate of pregnancy when reversal is done between 3-8 years after the vasectomy.
  3. Up to 79 percent success rate of sperm in semen and 44 percent pregnancy rate when the reversal is done 9-14 years after the vasectomy.
  4. Up to 71 percent success rate of sperm in semen and 30 percent rate of pregnancy when the reversal is done 15-19 years after the vasectomy.
  5. Up to 52-percent sperm in semen and less than 10 percent rate of pregnancy when the reversal is done after 20 years since the vasectomy.

The reversal technique used and its eventual success depend on the part where the surgeon finds sperm during the procedure. If the surgeon finds sperm within the blocked vas deferens, the vasectomy is reversed by simply reconnecting the two ends of the vas deferens back together. This is a simple procedure that offers 75-97 percent chance of restoring sperm in semen and over 50 percent chance of achieving pregnancy.

But when there is no sperm in the tubes, which is often due to a blockage nearer the testicles, the surgeon will often perform the vasoepididymostomy procedure. During vasoepididymostomy, the vas deferens is connected to the epididymis. This procedure gives a 58-85 percent success in having sperm in semen and produces an average 34 percent rate of pregnancy.

For more information on vasectomy and vasectomy reversal, visit the site “St Pete Urology.”

Can a vasectomy reverse itself after 14 years?

A vasectomy is one of the safest and most effective birth control methods. But like other medical procedures, it isn’t foolproof. 

There is a possibility that a vasectomy can fail to prevent pregnancy in extremely rare cases with roughly a 1-percent chance of failure. 

Though vasectomy failures can be due to various reasons, several cases are due to a reversal of the procedure over time. 

How can a vasectomy reverse itself?

In rare instances, a vasectomy can reverse itself and is known to occur in about 0.025 percent of cases, equivalent to 1 reversal in 4,000 vasectomies. Such a reversal involves reconnection of the vas deferens after successful surgery and an effective post-vasectomy plan.

Remember that during a vasectomy, the vas deferens—the two tubes that carry sperm from the testicles to the urethra—are cut and sealed off to block sperm from reaching semen. The channel in the vas deferens is broken at the point where it is cut to eliminate the passageway of the sperm to combine with the semen.

However, in some cases, the vas deferens grow back several years after the procedure. The growth may continue until a connection is recreated, allowing the free flow of sperm to the urethra.

An extremely rare and successful reconnection can occur after 10 to 14 years or more and is usually almost impossible to notice. 

Most men only realize that their vas deferens have reconnected after their sexual partners get pregnant.

What can make a vasectomy reverse itself?

After a vasectomy, sperm may leak from the vasectomy site or a rupture and directly into the epididymis. Since sperm have immune system stimulating properties (antigenic qualities), it recognizes sperm as foreign and attacks them.

The sperm leakage triggers an inflammatory reaction that causes the body to develop pockets to trap the sperm in scar tissues and inflamed cells. 

With time, spheres of cells called sperm granulomas form and produce nodules in the vas deferens that may grow and result in the reconnection of the vas deferens. 

The risk of a reversal increases with the presence of sperm tissue at the vasectomy site.

Another reversal mechanism is scar tissue. 

With cells present after a vasectomy forming tiny channels that allow sperm to squirm their way through the tiny tears in the scar tissue, small drainage channels appear in the tissue on the ends of the severed vas deferens. Over time, these channels may reconnect to the divided vas deferens, providing a pathway for sperm to the seminal vesicles. The risk of a reversal via scar tissue increases with open-ended vasectomy, where only one end of the vas deferens is closed.

However, you shouldn’t be overly concerned if you consider a vasectomy or have already undergone the procedure.

The chances of a reversal are pretty rare—almost negligible—and extremely unlikely in most cases. 

At St. Pete Urology, we are proud of our excellent record of successful vasectomies. Our skilled and experienced urologists understand the factors that may lead to vasectomy failure, including non-severance of the vas deferens, non-observance of a period of sperm-free ejaculate, reconnection of the vas deferens, and duplication of the vas deferens. So we tailor and conduct every vasectomy under strictest adherence to best practices. 

Call St. Pete Urology today for more information on vasectomy and vasectomy reversal.

Long Term Risks of Vasectomy

Vasectomy is a one-time male contraception procedure that provides 99.9 percent efficacy in preventing pregnancies. It offers permanent contraception and, compared to the female procedure of tubal ligation, vasectomy is:

  • Simpler.
  • More effective.
  • Safer, with fewer complications to patients.
  • Much less expensive.
  • Conveniently performed on an outpatient basis.

Following a vasectomy, you will find sex with your partner more spontaneous and enjoyable. After all, you will no longer have to worry about a potential pregnancy or need to interrupt pleasure to apply contraception.

So what are the long-term benefits and risks of a vasectomy?

Vasectomy is typically performed on younger men in their thirties and forties. These men still have many years of their lives during which long-term health effects might appear.

Luckily, medical studies have examined the long-term health impact of vasectomy and the evidence suggests there are no significant risks. In fact, men who have undergone vasectomy have basically the same risk of developing heart disease, cancer, or other health problems as those who have not.

Let us now consider the specific issues.

1. Vasectomy and testosterone levels

Vasectomy does not affect the secretion and release of testosterone—the male hormone responsible for facial hair, sex drive, deep voice and other masculine traits. Hormonal tests in those who have had a vasectomy show that there is no significant change in both free and total testosterone. Hormone levels in the body remain within normal range. There is also no significant difference in testicular or epididymal size after a vasectomy.

2. Vasectomy and sexual function

Can a vasectomy affect your sexuality negatively? Studies indicate there is no such effect. Apart from changing your fertility, a vasectomy will not influence your sexual and reproductive physiology. The nerves that are critical for erectile function and ejaculation remain intact and you will still achieve normal erections, climax and produce the same amount of ejaculate—only that your semen will not have sperm.

The procedure will not diminish your libido, which is related to various hormones in the body that are not altered by the surgery. Even your sperm production remains normal except that they are reabsorbed in the body. So the only change you are likely to have is ability to enjoy yourself without the worry of pregnancy.

3. Pain, discomfort and abscesses

The cause of post-vasectomy pain syndrome is unclear, but on rare occasions when it occurs, it can be a challenging urological problem. An estimated 1-2 percent of men experience chronic scrotal pain after a vasectomy that ranges from a dull, aching sensation to a sharp, biting pain. There is no single treatment for the pain, but your urology will tailor a solution for you should it occur, and it will rarely require further surgery to reduce or correct.

Abscesses are quite rare after a vasectomy, but they may occur. In typical cases, they result from post-operation infection at the surgical site. Fortunately, most respond to treatment with antibiotics and eventually resolve. However, when left untreated, the abscesses can fill with fluid and may need to be drained. So if you suspect you have an abscess after a vasectomy, you should see your urologist immediately to stop the condition from getting worse.

4. Epididymitis

In 1-3 percent of men who undergo vasectomy, inflammation of the epididymis may occur—a condition called epididymitis. The epididymis is a duct found behind the testicles that allows flow of sperm to the vas deferens. It is highly coiled and very narrow; since sperm still flows through the epididymis to the vas deferens after a vasectomy, the duct may get inflamed when the sperm get backed up as the vas deferens is already severed.

Inflammation of the gland is rare, but is often characterized by tenderness, pain and swelling. Some urologists recommend anti-inflammatory drugs to help with epididymitis, though the swelling should be gone within a week or so after surgery. If it gets worse after the first week, speak with your urologist about it.

5. Sperm granulomas

Cutting the vas deferens during a vasectomy ensures sperm is stopped from reaching scrotal tissues. In some cases, however, the sperm may leak through the cut vas deferens into scrotal tissues. When this occurs, the sperm may form a hard, occasionally painful lump or mass, the size of a pea, called granuloma in the scrotal tissue.

Once formed, a lump can cause small bumps or cysts, which range in size from 1 millimeter to 1 centimeter. Lumps may also produce multiple lesions that tend not to produce symptoms, though some men may experience pain at the granuloma areas. Studies estimate that 15-40 percent of men undergoing vasectomy have sperm granulomas.

While sperm granulomas are not usually dangerous and often gets absorbed by the body, some cause pain and swelling in the genital region. Actually, the entire area may become sensitive to temperature and pressure changes. Most granulomas respond to anti-inflammatory drugs and the sensitivity and swelling subsides within a week after treatment. But in some extremely rare cases, reverse vasectomy may be necessary if the leakage does not stop and the swelling becomes increasingly worse.

6. Vasovenous fistula

This is another rare risk of vasectomy. It occurs when several blood vessels adhere to the vas deferens injured when vasectomy is done. It can cause pooling of blood vessels leading to development of a fistula, or abnormal association between the vas deferens and close by blood vessels. The symptoms of vasovenous fistula may include blood in ejaculate or urine. Although the risk is quite rare, you need to seek immediate medical attention should these symptoms occur.

7. Immune based illnesses

Some men may have immune reactions to the sperm that gets absorbed in their bodies after a vasectomy. The effect is the possibility of immune reactions that may lead to heart disease and other immune-based illnesses. However, many extensive studies have concluded that a vasectomy does not lead to immune-based illnesses or heart disease later in life. In fact, studies show that the risk of immune-based illnesses is so insignificant that it should not concern either the urologist or the patient.

8. Vasectomy and cancer

One serious concern has been the possibility of a vasectomy increasing the risk of having prostate or testicular cancer. A study published in the Journal of the American Medical Association in 1993 suggested that 20 years or more after a vasectomy, men who have undergone the procedure are twice as likely to develop prostate cancer compared to men of the same age group who have not undergone the procedure.

However, reviews of the study by the medical community have since demonstrated that the study did not include enough participants and the findings are therefore not statistically significant. In fact, compared to other studies that have used PSA tests to establish the possible risk of prostate cancer, the general consensus is that vasectomy comes with no increased risk of the cancer.

The risk of prostate cancer among men who have and those who have not undergone the procedure is the same when PSA tests are combined with digital rectal exam, ultrasound or prostate biopsy. Therefore, as a rule, men should undergo prostate cancer screening whether or not they have had a vasectomy. Likewise, there have been no reports of increased risk of testicular cancer after a vasectomy.

At St Pete Urology, we have offered vasectomy services for decades and we are proud of the results. The procedure has minimal long-term risks compared to other surgical procedures and provides men the freedom to enjoy sex without having to worry about a possible pregnancy. And the risk of prostate cancer, testicular cancer, heart disease, immune-based illnesses and other conditions are too insignificant to stop you from having a vasectomy.

We are ready to answer all your vasectomy related questions and concerns during your consultation. For more information, schedule a consultation or visit the St Pete Urology website.

How soon can I have sex after a vasectomy?

Men have a vasectomy in order to not have to worry about conception when they are making love. A vasectomy is one of the few ways men can have control over their reproductive capacity. It’s also one of the most reliable ways to prevent an unwanted pregnancy.You may have questions before or right after having a vasectomy. Here are some answers to the most frequent questions.

What is a Vasectomy?

Considered a minor surgery, a vasectomy is when the vas deferens is cut and the two ends are seal and tied together. Depending on factors that your urologist can discuss with you, you will either have a conventional vasectomy or a “no-scalpel” vasectomy.

During a conventional vasectomy, the surgeon will make one or two small incisions in the skin of the scrotum to access the vas deferens. The surgeon may remove a small piece of the vas deferens before searing the ends and tying them off with a suture. The procedure is repeated on both sides. The small cuts in the scrotum may be closed with dissolvable stitches or simply left to close on their own.

For a no-scalpel vasectomy, your urologist will locate the vas deferens by feeling for it under the skin of your scrotum and place a small clamp on the vas. A minute hole is made in the skin, which is stretched open so the vas deferens can be lifted out to cut, and then the ends are tied or seared, and replaced.

What will sex be like?

A vasectomy is a fairly simple procedure without long-term effects on sexual activity. Your surgeon may recommend abstaining from sex for a short time afterward. This is to allow the incisions and sutures time to heal.

Normally the recommendation is to wait for any pain or swelling to resolve before having sex. The reason you should wait to have sex is because if it is too soon, you could reopen the site of the incisions and infection-causing bacteria might enter the incision.

Most men can resume sexual activity within a week or two. During the time shortly after your vasectomy you should use an alternative form of birth control because it takes a little while before all the sperm is cleared from your ejaculate. Your doctor will test your semen sometime after surgery, usually around six to twelve weeks.

Having a vasectomy rarely changes anything about ejaculation or orgasm. There are a few cases of post-vasectomy pain syndrome. But most patients have only the following post-surgical inconveniences which generally go away on their own:

  • mild to moderate pain or discomfort
  • bruising or soreness of the scrotum
  • blood clots in the scrotum
  • swelling in your genital area or scrotum
  • blood in the semen

Having the peace of mind that a vasectomy delivers sometimes can enhance sex life, with better arousal and erections. About three months after your surgery, you can have unprotected sex without fear a possible pregnancy. However, it is always wise to use protection with a new partner.
To find out more about the vasectomy procedure, visit St Pete Urology’s websit.

Can a vasectomy fail?

A vasectomy is a form of male contraception that is administered through a minor surgical procedure. During a vasectomy, the patient’s vas deferens are cut and the ends are tied up or seared so they are blocked. The vas deferens is made up of two narrow tubes that transport sperm to the ejaculatory duct during ejaculation. A vasectomy inhibits the transportation of the sperm to the duct, so only seminal fluid is discharged when a man ejaculates. The absence of sperm removes the possibility of conception. A vasectomy is considered to be the most efficient form of birth control. However, there are instances, though very rare, in which pregnancy occurs even after the man has had a vasectomy.

Reasons why a vasectomy may fail

1. Recanalization

This is a medical term for when the cut vas deferens reconnect and revert to something like what they were before the vasectomy. This process happens naturally when tissue from the cut ends gradually grows until the two ends reach one another and reconnect.

Tiny channels also can form in the healing scar tissue of the snipped vas deferens and provide a passageway for sperm from one end of the vas deferens to the other.

2. Surgical error

In very rare cases, surgeons have been known to make an error during the procedure. This might mean either that the vasectomy was not done at all or that it was done in a manner that might cause it to fail.

Such errors could be:

a. Cutting one vas deferens and leaving the other;

b. The surgeon cuts completely different tubes that are not the vas deferens; and

c. In the very rare cases where the patient has duplicated vas deferens, that is to say two vas deferens on each side rather than one on each side as is the normal case, and the urologist cuts only one of the two .

d. Having intercourse too soon

Men who have had vasectomies are always advised to avoid having sex too soon, and if they do, to use another form of contraception. This is because semen does not become clear of sperm immediately after the vasectomy. The standard practice is to wait for three months after the procedure. After the three months, a urologist should conduct a semen analysis and advise accordingly.

Vasectomies are largely successful. Any man considering it has absolutely no reason to fear that it will fail because they rarely do. However, after undergoing the procedure, the patient must take care to observe all guidelines given by the urologist. A little anxiety before the procedure might be expected but the advice of a trained urologist, such as those available at St Pete Urology should dispel the worry. The team of specialists at St. Pete Urology can help with questions, consultation, surgery and follow up steps for a vasectomy. For more information, visit the St Pete Urology website.

5 Facts Men Need to Know About Vasectomy Reversal

Vasectomy is a form of male contraception. It is achieved through surgically cutting or sealing the vas deferens, which transport sperm from the epididymis to the ejaculatory duct during ejaculation. The result is that during ejaculation, the semen ejaculated does not contain sperm. Vasectomies are so efficient in preventing conception that for a long time they have been considered as a form of sterilization. The reality, however, is that with modern medicine, a vasectomy does not have to equal sterilization. It can be reversed through a procedure called a Vasectomy Reversal.

Facts about Vasectomy Reversal

A vasectomy reversal aims at rejoining the cut ends of the epididymis or unblocking them if they had been sealed. Important facts include:

1. It is a precise but outpatient procedure. A vasectomy takes about two hours. The patient can go home the same day. The fact that it is an outpatient procedure, however, should not take away from the fact that vasectomy reversal is a very precise operation that makes use of micro surgical techniques. The sutures made are extremely fine.

2. High success rate. Vasectomy reversal procedures are reported to have a success rate of over 90 percent. Even so, patients should appreciate that the rate of conception will be influenced by factors beyond themselves, such as the fertility of their partner. As such, conception may not happen immediately.

3. The procedure. A vasectomy reversal involves making two incisions on the side of the scrotum through which the vas deferens can be accessed. The surgeon then cuts open the tied or sealed ends and sutures them together.

4. Age of the vasectomy may affect success rate. Reports indicate that vasectomies done not more than ten years ago have the highest success rates. The success rate starts to decline when the vasectomy was performed more than fifteen years ago.

5. Short recovery period. Due to its relatively minor nature, a vasectomy reversal heals quickly and requires little after care. Patients, however, are advised to wait at least six weeks before they return to having sex.

The success of a vasectomy reversal requires almost pinpoint accuracy. A patient, therefore, should place a great deal of weight on the experience and training of the urological specialist or surgeon who does the procedure. St. Pete Urology has a strong track record of experienced specialists who can work with the individual in determining what is the best plan for him and answer questions or concerns. For more information, visit the St Pete Urology website.