Vasovasostomy, known as vasectomy reversal, is a surgical procedure that involves reconnecting the vas deferens, which were previously severed during a vasectomy. The purpose of this procedure is to restore fertility, allowing the possibility of conceiving children again.
Dr. Carlos Guarín, Urologist from the city of Barranquilla, Colombia, explains what vasovasostomy consists of, an ideal surgery for all men who want to become fathers again after a vasectomy. This procedure allows fertility to be restored and gives a second chance to those who seek to conceive again.
What factors influence the success of vasectomy reversal?
Time elapsed since vasectomy: As the obstruction time increases, success rates tend to decrease. The best results are achieved within the first 5 years after vasectomy, although successful cases have also been reported in patients who had undergone the procedure more than 15 years ago.
The age of the partner is important, since women under 35 are more likely to become pregnant due to a greater ovarian reserve.
The patient's health: Before the procedure, the patient's general condition is evaluated, verifying the absence of chronic diseases such as hypertension, diabetes, or smoking, which could affect the success of the surgery. Basic preoperative examinations are performed according to the patient.
The surgeon's experience is vital, for the success of vasovasostomy. Dr. Carlos Guarín, based in Barranquilla, performs an average of 2 to 4 procedures per month, using advanced microsurgical techniques to ensure precision in the reconnection of the vas deferens. His extensive experience and skill in this type of surgery are key to increasing the chances of success in restoring fertility.
What does vasovasostomy consist of and how long does the procedure take?
The surgery, which takes approximately two hours, is performed using microsurgical techniques and a microscope to ensure precision in joining the ducts, using very fine sutures (8-0 to 10-0).
Effectiveness of vasectomy reversal
Vasectomy reversal has a high success rate, with 75% to 90% of cases achieving the presence of sperm after surgery. As for the pregnancy rate, it varies between 50% and 80%, largely influenced by the age of the couple.
In addition to being a rewarding option when a pregnancy is achieved, reversal is more successful and less expensive than other assisted reproduction techniques, such as ICSI (Intracytoplasmic Sperm Injection), which offers success rates of around 30%.
Complications of vasectomy reversal
Being a high-precision surgery performed under a microscope and with a low rate of complications, some problems may occur such as:
- Swelling or edema of the scrotum
- Infection
- Hematoma
- Failure of surgery (without success in restoring fertility)
Disability time and care after vasectomy reversal
Disability from surgery is 5 to 7 days, where relative rest is recommended. Regular physical activity can be resumed between 3 and 4 weeks after the procedure. It is crucial to avoid ejaculation during the first 15 to 20 days, after this period sexual activity can be resumed.
3 to 6 months post-surgery, the first spermogram is requested. It is recommended to maintain a healthy diet, perform regular physical activity and consider supplements to improve sperm production.
Medical tourism in Colombia
Dr. Carlos Guarín offers vasovasostomy to patients from abroad, providing specialized care and comprehensive follow-up to ensure the success of the procedure. Those who reside outside of Colombia can coordinate their surgery with Dr. Guarín's team, who will take care of all the necessary details to make the stay comfortable and efficient.
I live abroad, how long do I need to stay to undergo this procedure?
If you come from another city to undergo the procedure, the recommended stay is at least 5 days, for evaluation before surgery and postoperative follow-up.
If you are interested in undergoing vasovasostomy and recovering your fertility, do not hesitate to contact Dr. Carlos Guarín. With his extensive experience and personalized attention will guide you through the entire process to ensure the best result. Schedule your consultation today!