Microsurgical Vasoepididymostomy Vasectomy Reversal Surgery

Considered one of the most technically challenging procedures performed by urologists, Phoenix vasectomy reversal surgeons explain that a microsurgical vasoepididymostomy is a type of vasectomy reversal surgery where the vas deferens is attached to a tubule of the epididymis. A Vasoepididymostomy is performed when a vasovasostomy, a technique that is used to rejoin the severed ends of the vas deferens, is not possible due to a blockage in the vas deferens or part of the epididymis, the coiled tube which connects the testicle with the vas deferens.

Blockage in the epididymis can occur due to inflammation, excessive pressure, or scarring resulting from the vasectomy.  Many times a surgeon will not know that a vasoepididymostomy is needed until vasectomy reversal surgery has begun.

How is Vasoepididymostomy Performed?

Based on a number of different factors a vasectomy reversal surgeon will determine where the vas deferens should be reattached to the epididymis, re-establishing sperm flow, which must occur above the blockage.

Using microsurgical sutures finer than a human hair and microscopes to magnify an area no larger than the tip of a ball-point pen, microsurgical vasectomy reversal surgeons and specialists, meticulously perform reversal surgery effectively reversing the effects of a prior vasectomy.

What if the Surgery Is Not Successful?

Like many dealing with male infertility due to a prior vasectomy, if past attempts to reverse infertility have failed, revision surgery performed by a doctor or specialist may be a great option to explore. It is important to keep in mind that the doctors you choose for your surgery can have a significant impact on how successful your procedure is. While many urologists in Phoenix are trained to perform a vasectomy, most do not deal solely in surgery to undo, or reverse them. Often a lack of repetition or familiarity with vasoepododymostomy, may impact some doctors success rates, as the determination as to which reversal procedure is appropriate is usually made during the actual surgical procedure. Selecting a doctor specializing in both types of reversal procedures can help ensure that they can deal with all possible scenarios that arise during your surgery, which can often give you the best chance for success.