Dr. Buch, a vasectomy reversal surgeon, has been featured in M.D. News – a business and lifestyle magazine reaching professionals in the health care industry that delivers a unique perspective for the health care professional. Dr. Buch performs both a simple vasectomy reversal, called vasovasectomy and complex vasectomy reversal procedures such as the epididymovasostomy with extremely high vasectomy reversal success rates. Dr. Buch has developed his own variations on vasectomy reversal techniques to yield the best possible results for his patients.
Dr. Buch-vasectomy reversal surgeon featured in M.D. News
June 18th, 2009April 20, 2009 vasectomy reversal blog entry
April 20th, 2009April 20, 2009 vasectomy reversal blog entry. Vasectomy reversal success rates, a vasectomy reversal guarantee, and a discussion of vasectomy reversal cost in our prior blog entries can only go so far to give you the answers you need to choose the right vasectomy reversal doctor. Taking charge and taking personal responsibility to educate yourself about vasectomy reversal and related services is the best way for you to choose the best doctor to perform your procedure. Continued communication and the doctor’s dedication to your success after the procedure are needed to achieve pregnancy in most cases. Call 972-612-7131 for an honest discussion of your chances for a successful vasectomy reversal.
Vasectomy Reversal Alternatives
April 5th, 2009
Many men are looking for an alternative to vasectomy reversal. Currently there is only one alternative and that is to combine a sperm retrieval procedure with a special type of in vitro fertilization with intracellular sperm injection into the egg (IVF-ICSI). The simplest method of sperm retrieval under local anesthetic in the doctor’s office can cost $1,000 to $2,000. IVF-ICSI has a cost of $13,000 to $14,000 with pregnancy rates that vary from 40 % to 60 % per try, and half of those pregnancies are twins! Therefore, the cost of the alternative is nearly twice the cost of vasectomy reversal. Some couples will ask why can’t you retrieve the sperm for artificial insemination so as to avoid the higher cost of IVF-ICSI? The reason that won’t work is because the sperm backed up behind the vasectomy are not fully mature, and they cannot penetrate the egg on their own. However, once a successful vasectomy reversal allows sperm to return to the ejaculate, they are able to fully mature and penetrate the egg on their own so as to allow for natural conception or artificial insemination. Clearly, microsurgical vasectomy reversal in the hands of an expert surgeon is the most cost effective option. Find out more at www.vasectomyreversal.com .
Sperm Antibodies
March 30th, 2009Sperm antibodies are immune factors that react against sperm causing them to lose motility or to occasionally prevent sperm from penetrating the egg. Normally, our immune system produces antibodies to fight off infection or cancer. However, nearly all men form antibodies against their sperm after a vasectomy. Fortunately, these sperm antibodies will usually disappear after a successful vasectomy reversal. When they persist, motility and egg penetration by the sperm can be improved by treatment with medication or the use of sperm processing in the laboratory in association with artificial insemination of the wife. This is one of the many reasons to have your vasectomy reversal performed by a doctor who has “in depth” knowledge of the complete field of male infertility. Find out more at www.vasectomyreversal.com .
Mini-incision (no scalpel) Vasectomy Reversal
March 22nd, 2009An article was recently published in the medical literature and videos are being posted on the internet promoting no scalpel mini-incision vasectomy reversal. The authors have adapted techniques that have been used for several years to perform no scalpel vasectomy. The doctors and their patients anticipate reduced pain and more rapid recovery while preserving current success rates. However, in my experience from redo reversals of previously failed vasectomy reversals from doctors who attempted small incisions, there was greater pain from the original reversal than from my redo reversal with a larger incision. Rather than incision size, lack of pain and more rapid recovery seem to be related to the surgeon’s experience and to a more careful technique with attention to details. Since the “official” no scalpel vasectomy reversal has only been used by a few surgeons over the past 2 years, it is too early to make any strong conclusions about it’s utility. Lastly, in my experience, at least one third of cases will require the more technically demanding epididymovasostomy which cannot be performed through an incision smaller than one inch in length and many cases of vasovasostomy require longer incisions than a no scalpel technique allows for when there are large gaps between the two vas ends. In conclusion, it is too early to say that no scalpel vasectomy is a preferred technique, and it may only be usable in 50 % of cases. Please review more details on our website at www.vasectomyreversal.com .
Vasectomy Reversal Success Rates
March 16th, 2009Many vasectomy reversal websites do not publish their success rates. Most commonly, success rates are reported for bilateral vasovasostomy, the straight forward vas-to-vas reconnection, and they reflect rate of return of sperm. Published success rates will range from 90-98% return of sperm after vasovasostomy from most clinics that specialize in microsurgical repair. However, you also need to know the success rates for return of sperm when one side requires a vasovasostomy (VV) and the other requires an epididymovasostomy (EV). Furthermore, we have seen many cases less than 5 years from time of vasectomy to time of reversal that needed bilateral epididymovasostomy. When one side is a VV and the other side is an EV, Dr. Buch still has a 95% success rate to return sperm to your ejaculate. When both sides require EV, Dr. Buch still has an 85% success rate to return sperm to your ejaculate. Only a money back guarantee or refund program can assure you of the honesty of a program’s reported success rates. Pregnancy rates, as a measure of success, are the subject for a later post to the blog. Find out more at www.vasectomyreversal.com .
Vasectomy reversal and Guarantee programs
March 10th, 2009Many doctors say that they guarantee results from your vasectomy reversal by offering to “redo” your reversal at little or no additional cost if your original reversal fails. However, this is a hollow guarantee. Think about whether you will have the confidence to repeat a vasectomy reversal with the same doctor if the first attempt failed. A real vasectomy reversal guarantee only exists when the doctor offers to refund all or a significant portion of his surgeon’s fee should your reversal fail to return sperm. Only then can you have confidence in the honesty of that doctor’s statistics. You can find out more about money back guarantee for vasectomy reversal at www.vasectomyreversal.com or at www.vasectomyreversalguarantee.com .
Vasectomy Reversal Cost
March 1st, 2009The cost of vasectomy reversal is not simply just the dollar amount charged by the doctor. Ultimately, the vasectomy reversal cost is a reflection of the dollar amount charged, the corresponding success rates for return of sperm and pregnancy, and the level of care delivered by the doctor and his staff before, during and after your surgery. Typically, the lowest cost providers deliver lower vasectomy reversal success rates and they are not as easy to reach and get helpful responses from as those doctors who factor their higher success rates and a commitment to excellent patient care into a higher cost structure. This is true with almost any product or service that you might think of. Vasectomy reversal is a highly skilled procedure, best performed by doctors who have dedicated their careers to this field from early in their training. Unfortunately, the prospective vasectomy reversal client who makes their decision by dollar cost alone will get what they pay for. A more complete discussion on this topic can be found at www.vasectomyreversalcost.com
Select the Right Vasectomy Reversal Surgeon
February 12th, 2009Selecting the right vasectomy reversal surgeon: A successful vasectomy reversal does not necessarily lead to pregnancy. You need a highly skilled microsurgeon who is fellowship trained in Male Infertility to have the best chance for pregnancy after vasectomy reversal. Follow-up care is equally as important as the vasectomy reversal surgery itself. Many prospective reverse vasectomy clients don’t realize that scar tissue can close off an initially successful reversal in an estimated 5-15 % of cases as reported in the medical literature, and this delayed closure can develop without any warning signs. This process occurs in an estimated 6 % of Dr. Buch’s cases. Your best bet is to select a vasectomy reversal surgeon such as Dr. Jeffrey Buch, who is a recognized leader in the broader field of Male Infertility in addition to his recognized skill as a microsurgeon. Male Infertility specialists realize the need for careful regular follow up semen exams that allow early recognition of microscopic healing issues that can be corrected with medication to achieve your maximal potential fertility. The lowest cost surgeons who perform vasectomy reversal surgery do not have this level of training and a career long commitment to the field of male infertility. As a potential vasectomy reversal client, you owe it to yourself to call today for a free phone consult with Dr. Buch at 972-612-7131 to discuss your individual goals and expectations. During your consult, Dr. Buch will assess your chances for success and answer all questions needed to confirm that he is the right doctor for you.
Learn about the full range of male infertility services Dr. Buch offers at the Legacy Male Health Institute by visiting our website at www.vasectomyreversal.com. Here, you will find valuable information about our Money Back Guarantee and Cryopreservation (sperm freezing) services for “back-up insurance” during your vasectomy reversal.
Welcome to the vasectomyreversal.com website
February 5th, 2009
Welcome to Legacy Male Health Institute’s new website. Our site: http://www.vasectomyreversal.com is for people looking for information on vasectomy reversal, vasectomy, cryopreservation, male infertility, sexual dysfunction and male reproductive health services.
Please feel free to use our website to find detailed information on vasectomy, vasectomy reversal procedure, success rates, vasectomy reversal cost and alternatives, FAQ’ s, and insurance coverage details. You can schedule your appointments directly through this website. The central theme for launching this website is to provide the best information to help you to make informed decisions.
Vasectomy reversal specialist, Dr. Jeffrey Buch, M.D. says, “We assist people with the selection of their vasectomy reversal surgeon and help to increase their understanding of the procedures and services our institute offers. The goal of vasectomyreversal.com is to provide state-of-the-art services in a context of individualized patient care. In this way, treatments are designed to suit each patient’s needs and goals, working within personal timeframes, needs and financial constraints”









