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Introduction
Selecting Your Surgeon
Frequently Asked Questions
Vasectomy Reversals with a money back guarantee by Dr. Donald R. Pohl vasectomy reversal specialist in The Woodland, Texas. -- RELATED Subjects:: pregnancy,baby,sperm,vasectomy,surgery,fertility,ivf,vasectomy reversal,born,reverse,pregnancy after vasectomy,video of a vasectomy,vasectomy procedure,vasectomy reversal costs,reverse vasectomy,vasectomy complications,vasectomy failure rate,in-vitro fertilization,male vasectomy,post vasectomy,vasectomy failure,vasectomy information,low cost vasectomy reversal,reversal,information on vasectomy,reversal vasectomy,microscopic,free vasectomy reversal,vasectomy reversal success rate,vasectomy reversal clinic,cost of vasectomy reversal,vasectomy reversal cost,microscopic vasectomy reversal,vasectomy reversal,vasectomy reversal surgery,vasectomy reversal,vasectomy reversal success,cost of a vasectomy reversal,vasovasostomy,post vasectomy information
Medical Facility Center for Vasectomy Reversal, Pioneered the procedure for microsurgical vasectomy reversal,offers microsurgical vasectomy reversal. The website includes vasectomy reversal information, an overview of the surgical procedure,assist your selection of a quality vasectomy reversal surgeon,FAQ on Commonly asked vasectomy reversal questions,and success stories.'>"
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Why do you want a vasectomy reversal? Here are some basic considerations in choosing a reverse vasectomy Doctor.'>"
The leading site about vasectomy reversal, to informed consumers,to assist your selection of a quality reversal surgeon,and to increase your understanding of the procedure.
There has been an increasing number of men seeking vasectomy reversal, DR. Donald R. Pohl, M.D has performed over 2,100 microsurgical vasectomy reversals. Since vasectomy reversal was removed from the Medicare benefit schedule in 1996, it has been difficult to estimate the number of procedures but it is estimated that about 6% are reversed.
Surgeons who do vasectomy reversals quote two levels of success. The first is the patency rate – the proportion of men who have sperm in their semen after surgery, demonstrating that their tubes are working well enough for sperm to get through. A figure of 80-90% is quite common. The second measure of success – the pregnancy rate – is much lower, often around the 40-60% mark. This lower rate reflects the poor mobility of sperm after a vasectomy.
Vasectomy reversal (vasovasostomy) reconnects the tubes (vas deferens ) that were cut during a vasectomy . Vasectomy reversal is usually an outpatient procedure without an overnight stay.
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VASECTOMY REVERSALS of TEXAS welcomes you to our website. The primary goal of this website is to assist your selection of a quality reversal surgeon and to increase your understanding of the procedure. All patients inquire about cost. However, comparison of surgeons, various surgical techniques, and many other ancillary services can be quite difficult. This website contains frequent warnings, while providing unique guidance in your selection of a vasectomy reversal surgeon.
Vasectomy Reversals have become a fairly common procedure over the past twenty years due to dramatically improved success with microscopic techniques. Only two conditions must be satisfied for sperm to be returned to a patient's semen with vasectomy reversal. The patient must have sperm available to pass through the reconnection and also the reconnection must be essentially watertight. The surgeon's goal is to achieve a very precise circumferential reconnection of the sperm canal edges by using meticulously placed microsurgical sutures.
WARNING: Do NOT consider any non-microsurgical reversal techniques, minimal experience, or various excuses for non-accountability for surgical results. Also, do NOT limit your search for a surgeon to just your local area. There are very few true "vasectomy reversal surgeons" who do not practice in or near a major city. There are urologists all over the country who do an occasional (less than one monthly) vasectomy reversal, usually by "naked eye" technique or minimal magnification. A significant percentage of the cases done by true vasectomy reversal surgeons are re-operations after an occasional reversal surgeon's failure. You must use strict criteria in the selection of your reversal surgeon.
Introduction
Selecting Your Surgeon
Frequently Asked Questions
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The primary goal of this website is to assist your selection of a quality reversal surgeon and to increase your understanding of the procedure. All patients inquire about cost. However, comparison of surgeons, various surgical techniques, and many other ancillary services can be quite difficult. This website contains frequent warnings, while providing unique guidance in your selection of a vasectomy reversal surgeon.
Vasectomy Reversals have become a fairly common procedure over the past twenty years due to dramatically improved success with microscopic techniques.
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Almost all true “vasectomy reversal surgeons” have received formal microsurgical training. Many took a two year fellowship in male infertility after completing their four or five years of urology training.
vasectomy reversal with a ZEISS (West Germany) Model OPMI MDM operating microscope
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vasectomy-reversals-of-texas.com good resource for web dataAlmost all true “vasectomy reversal surgeons” have received formal microsurgical training. Many took a two year fellowship in male infertility after completing their four or five years of urology training.
vasectomy reversal with a ZEISS (West Germany) Model OPMI MDM operating microscope
Only two conditions must be satisfied for sperm to be returned to a patient's semen with vasectomy reversal by vasovasostomy (VV). The first condition is rather obvious. The patient must have sperm available to pass through at least one reconnection. The second condition is that each reconnection must be as watertight as possible. The surgeon's goal is to achieve a very precise reconnection of the sperm canal edges. Many microsurgical sutures (size 10-0) with meticulous placement greatly enhance this goal.
Dr. Pohl strongly believes that a much closer and more precise approximation of the mucosal edges of the vas canal (inner circle) is obtained with a 12 to 14 FT suture technique. Twelve to fourteen FT, very tiny (size 10-0) sutures are precisely placed for each reconnection of a normal size vas. Compare this approximation of the edges of the vas canal to the four sutures with the modified one-layer VV, or the 6 to 8 sutures of the two-layer VV. VV's that leak sperm generally fail due to scarring.
Vasovasostomy Reversal Technique - The Key to Successful Vasectomy Reversal
All potential vasectomy reversal patients ask the cost and this is usually one of the most important factors in their choice of surgeon. Unfortunately, even this is often surprisingly complicated. Is the price given just the surgeon’s fee, or the surgeon and facility charges, or the entire cost including anesthesia? You must ask, if the services included are not clearly described.
The prognosis for each of my patients is determined by my pre-operative examination of his vasectomy sites besides consideration of the time interval between vasectomy and reversal. If a patient has a sperm granuloma at one of his vasectomy sites, the time interval becomes almost unimportant. If there is no granuloma at either vasectomy site, the prognosis is then based completely on the time interval since the vasectomy. I define a sperm granuloma as a hard knot at least the size of a BB-gun BB, often a little larger, at the tip of the lower vas end, which is usually next to the top of the testicle. A local urologist can easily determine whether you have 0, 1, or 2 sperm granulomas by a painless examination of each vasectomy site. This exam can be fairly inexpensive, if you inform his office in advance that this is the only service you wish and you obtain the cost for only this specific examination. If the interval since your vasectomy is less than fifteen years, your prognosis will be 70% or better and this local examination is probably not needed. A sperm granuloma develops from post-vasectomy sperm leakage and somehow it behaves like a safety valve preventing internal pressure build up and ruptures of the delicate epididymis tubules with subsequent obstructive scarring.