Overview
Vasectomy reversal is a surgery to undo a vasectomy. After successful vasectomy reversal, sperm are present in your semen again and you may be able to get your partner pregnant. A more complicated surgery than vasectomy, vasectomy reversal re-connects the tubes that carry sperm from the testicles into the semen. Vasectomy reversal can be attempted even if a long time has passed since you had your vasectomy. However, only about half of vasectomy reversals are successful.
Why it's done
Men decide to have the surgery to restore fertility for a number of reasons, including loss of a child, remarriage or improved finances making it feasible to raise a child. A small number of men have a vasectomy reversal to treat testicular pain.
Risks
Major complications following vasectomy reversal are rare. Risks of vasectomy reversal include:
- Bleeding within the scrotum. This may lead to a collection of blood (hematoma) that causes painful swelling. You can reduce this risk by avoiding aspirin before and after surgery and following your doctor's instructions to rest after surgery.
- Infection at the surgery site. This isn't common, but is a risk with any surgery.
- Inflammation. Sperm leakage into the scrotum can prompt your immune system to form an inflammatory mass called a sperm granuloma. Granulomas usually occur sometime after surgery and can be a sign that a vasectomy reversal wasn't successful.
- Damage to nerves and blood vessels. In some cases, this reduces fertility after a vasectomy reversal.
Call your doctor if you develop any of these signs and symptoms after your vasectomy reversal:
- Fever
- Swelling that worsens or won't go down
- Difficult urination
- A marble-sized lump in your scrotum
- Bleeding from an incision that continues after you've pinched the site between two gauze pads for 10 minutes
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