Vasectomy Reversal: Failure and Complications

When choosing to have a vasectomy reversal, you should be aware that there are possible complications and even the risk of failure. Complications are rare but do happen.

Vasectomy Reversal Failure

When undergoing a vasectomy reversal, there is a change that it will not work, even though the technology used today is better than ever. The failure rates depend on a variety of things. One of the main factors is how long it has been since the male had the vasectomy. If the vasectomy was performed over 15 years ago, the chances of achieving a pregnancy is only around 25% to 30%. If the vasectomy was performed less than 3 years ago, the chances of achieving a pregnancy would be around 70% to 75%.

The technique that was used is another factor in determining if the reversal will work. There are a few different techniques used, such as ligation of the vas ends. In this procedure, there are no surgical clips used to help with the separation. If this technique was used, it can fail before a reversal is necessary.

There are other techniques used, but the risk of failure greatly increases if the surgeon is not experienced. It is best to find a surgeon who has a great deal of experience with vasectomy reversal.

Vasectomy Reversal Complications

There are chances of complications with a vasectomy reversal. The risk of complications are usually minimal when the proper precautions are taken. Choosing a doctor with a strong background in vasectomy reversals can greatly decrease these risks. Other risks may include hematoma. A hematoma is a collection of blood that is pooled in the scrotum. In the most severe cases, a hematoma can take a month or more to heal. The best treatment for a hematoma is rest, ice, compression and elevation. The pain caused by a hematoma can usually be treated with over-the-counter pain relievers.

Testicular pain can also be a complication associated with a vasectomy reversal. This can last a few days to long term. This is rare, but can happen. Cutting and performing surgery on the testicles can develop nerve damage. In some cases, men can have sexual problems. These problems can be caused by high amounts of stress due to trying to conceive a child. Talking to a counselor may help with the stress.

There also may be a decline in sperm count. This happens in around 10% of men. This can be caused by the development of scar tissue or because of the interruption of the blood supply to the testes. This is also a rare complication, but it can still happen.

A vasectomy reversal is a low-risk procedure when performed by a trained and experienced surgeon. There is always the chance that the reversal can fail. These risks are unpredictable and doctors cannot tell for sure if the reversal will work. If you are considering a vasectomy reversal, talk to you doctor to see if you are a good candidate. He can help guide you through the process.