Archive for June, 2011

Five Biggest Impacts on Cost of Vasectomy Reversal

Wednesday, June 29th, 2011

Many men who chose vasectomies at a relatively young age are now learning that a vasectomy reversal is possible.  Many times, couples inquire about vasectomy reversal after a divorce or the death of a spouse, or in some cases, the couple may have just had a change of heart about having more children.  Refinement of microscopic surgery techniques have increased vasectomy reversal success rates tremendously, allowing couples to add to their family without using in-vitro fertilization.  However, the procedure is considered elective surgery by most insurance companies, and the surgery can be expensive.  Rates for vasectomy reversals can run from $3,000 to $12,000 dollars.  There are several reasons why the reversal surgery costs this much.

Results Are Rarely Guaranteed

Unfortunately, even with the current high success rates for the surgery in the hands of the true specialists, not all reversals are successful.  A couple may go through the healing from the procedure, as well as the high cost of a vasectomy reversal, only to learn that they still cannot conceive without other methods.

Procedure Requires More Skill than Vasectomy

A vasectomy is a relatively simple procedure that is usually performed in the doctor’s office.  A vasectomy reversal is a complicated procedure that can take up to 4 hours to perform.  In addition, the procedure is best performed in a surgery center as an outpatient rather than in the doctor’s office.  The facility stay, surgeon fees, anesthesia, specialized equipment and medications all add to the cost of vasectomy reversals.

Reversal Specialists Are Highly Trained

Although most urologists are taught how to perform a vasectomy reversal, the procedure is extremely delicate and complicated.  Therefore, to increase vasectomy reversal success rates, it is important to locate a physician who specializes in this type of surgery.  It is important, however, to choose a vasectomy reversal specialist in order to achieve success (www.vasectomyreversal.com/blog/)

Length of Time Since Vasectomy

As time passes, blockages can form in the vas deferens or in the epididymis, the tube connecting the vas deferens and the testicle.  The chance of this type of blockage forming increases significantly if the vasectomy was performed more than 10 years ago.  If there is an epididymis blockage, the doctor must perform a vasoepididymostomy, which may increase the cost of the vasectomy reversal.

Microscopic Surgery

The main reason for the cost of vasectomy reversal is that the surgery requires the use of high tech surgical microscopes and microscopic sutures in order to increase the rate of success.  The surgery is time consuming and delicate, so that microsurgical vasectomy reversal doctors must spend additional time training on the equipment.  Therefore, the doctor fees will be significantly higher with skilled microsurgeons.

Vasectomy reversal is possible with the refinement of microscopic surgeries and improvements in vasoepididymostomies. The cost is sometimes prohibitive for couples, but the addition of a child to their families is well worth the investment. It is important to discuss all options with a male infertility doctor in order to make an informed decision.  For more information about the cost of vasectomy reversals, visit www.vasectomyreversal.com.

Myths vs. Facts – Vasectomy Reversal Success Rates

Friday, June 10th, 2011

It is important to separate the myths from the facts when determining whether a vasectomy reversal is the right option.  Choosing the right vasectomy reversal doctor is one of the most important things to do as it increases the chances of a successful reversal greatly.  In most cases, the doctor who performed your vasectomy may not be the one to ask about the success rate of reversals, unless they have significant experience in performing them.  In addition, knowing which are myths and which are facts regarding vasectomy reversals can also aid in making the proper decision.

Men Stop Making Sperm After Vasectomy

This is a commonly believed myth but the truth is that men continue making sperm even after vasectomy.  Injury, chemical or toxin exposures or other medical factors are the only things that will cause a man to stop making sperm.  Some urologists still perform sperm production tests before agreeing to do a vasectomy reversal, yet protocol used by vasectomy reversal specialists indicates that such additional testing is not necessary.

Vasectomy Reversals Do Not Work After 10 Years

It is true that success rates do decline the longer after a vasectomy that the reversal is performed.  However, that does not mean reversals will not work after a certain period of time. Recent studies showthat areversal performed less than 3 years after the vasectomy results in a 97% success rate, while reversals performed more than 15 years after the vasectomy results in a 71% success rate. With refinement of the vasoepididymostomy surgery, there has been a dramatic increase in the success rate of vasectomy reversals performed more than 15 years after the vasectomy, and true experts have success rates of 85 percent or more in such cases.

Sperm Antibodies Will Prevent Pregnancy

Before vasectomy, sperm is protected by the testicles against the immune system so that the body does not even know they exist.  After vasectomy, some sperm may leak from the vasectomy site, and the sperm appears as a foreign substance, so the body creates antibodies to fight off what it perceives as a threat.  Although these antibodies will appear in the bloodstream, they cause no harm and typically disappear after a successful vasectomy reversal. In some cases, sperm antibodies persist after successful reversal but they are treatable with medication. Rarely do sperm antibodies prevent pregnancy.

My Urologist Can Perform My Reversal

Before using the same doctor who performed your vasectomy to perform your vasectomy reversal, it is important to know how much experience the doctor has had in successfully reversing vasectomies. A vasectomy is a very simple procedure that takes only a short period of time to perform. A reversal is a lengthy procedure, requiring significant microsurgery techniques and microsuturing. Therefore, it is important to choose a surgeon with extensive experience in performing vasectomy reversals.

By separating myth from fact, couples can make better informed choices in order to regain fertility after vasectomy.  By choosing a highly-qualified doctor with experience in the delicate reversal surgery, their success rate will be significantly higher than choosing a doctor with less experience.  For more information regarding microsurgical vasectomy reversal, visit www.vasectomyreversal.com.