Vasectomy Reversal Success Rate/Money Back Guarantee on Reverse Vasectomies
A vasectomy reversal with a money back guarantee, what's the deal? It's our way of communicating to patients how seriously we are committed to your having a successful reverse vasectomy. The following questions and answers will address the money back guarantee and also our success rate for vasectomy reversal procedures performed at Legacy Male Health. We hope after reading this, you will fill out the contact form or contact our office for further information.
Why do we offer a money back guarantee on Dr. Buch's surgeon fees for vasectomy reversals?
Dr. Buch is confident because of the excellent success rates his patients have experienced. His experience includes the simpler straightforward first time attempts at vasectomy reversal in Dallas, as well as the more complicated "redo" cases of previously failed vasectomy reversal by other surgeons. We have learned that many patients will only make the commitment to reverse their vasectomy when they are reassured by the statement of confidence along with the offer of a money back vasectomy reversal guarantee. In order to benefit this large group of patients, Dr. Buch became the first nationally recognized expert in performing both simple microsurgical vasectomy reversal called vasovasostomy (VV) and complicated vasectomy reversals called vasoepididymostomy (VE) to offer a money back guarantee. Our guarantee assures that you will get the vasectomy reversal procedure needed for the best chance to return sperm to your ejaculation, which is why patients come to us for vasectomy reversal from Florida and other states.
Are there any restrictions on the vasectomy reversal money back guarantee?
A complete and straight-forward description of the money back guarantee can be obtained from our office at the time you schedule an initial consultation visit.Briefly, a full refund on the surgeon's portion of the total cost of the vasectomy reversal will be given in cases of first time vasectomy reversals 9 years or less from the time of the vasectomy that fail to return sperm to the ejaculate by one year after reversal. A 50% refund of the surgeon's fee portion of the total cost will be refunded if we fail to return your sperm to your ejaculation within 18 months on a second ("redo") vasectomy reversal or if it has been 10 years or more since the time of your vasectomy. Please note that this money back guarantee program may be terminated at any time.
What is your success rate for vasectomy reversal?
The success rate for vasectomy reversal varies depending on the type of reconnection (vasovasostomy or epididymovasostomy) that is required. This can only be determined at the time of surgery. However, where a straight forward vasectomy reversal (VV) can be performed on both sides, regardless of the number of years since the vasectomy, sperm return in 98% of our cases, with a corresponding 65% pregnancy rate. (Please note that of all couples trying to conceive, only 85% will achieve a natural conception at the end of one year). When a bypass to the epididymis (EV) is required on both sides due to a secondary blockage or "epididymis blow-out," we still achieve return of sperm in 80% of such cases, with a corresponding 50% pregnancy rate. Since nearly one half of our cases are complicated redo cases of previously failed vasectomy reversals from other surgeons, our overall statistics are 89% for return of sperm and 55% pregnancy rate, with an average of 11.5 years from time of vasectomy to time of reversal.
Male Infertility
A Male Fertility Specialist can provide the best approach needed to maximize a couple's chance to conceive after a successful vasectomy reversal. Our vasectomy reversal surgeon will with work with you to make the best decisions for your family, You will find additional information on male infertility below. Please feel free to schedule a consultation to discuss vasectomy reversals or any other male fertility questions.
Why should the vasectomy reversal microsurgeon also be a fully trained specialist in Male Fertility?
Your goal is to achieve a pregnancy, not simply to get sperm back to your ejaculate. In many cases the sperm count and quality may not return to the original pre-vasectomy levels. This cannot be predicted prior to the vasectomy reversal. Only a Male Fertility Specialist can provide the comprehensive approach needed to maximize a couple's chance to conceive after a successful vasectomy reversal.
What about sperm granulomas found during a vasectomy reversal?
A sperm granuloma forms when sperm leaks out slightly from the testicle side of the vasectomy in some men, resulting in a nodular area that you may be able to feel on your own. This is often a positive sign that sperm will be present on the testicle side of the vasectomy at the time of reversal, and allow a straight forward vasovasostomy. However, the granulomas are an unreliable indicator of level of repair needed for a successful microsurgical vasectomy reversal. Therefore, all men considering vasectomy reversal should pursue their surgery with a microsurgeon such as Dr. Buch who is proficient at performing epididymovasostomy as well as vasovasostomy.
What if sperm antibodies are found after a vasectomy reversal?
Sperm antibodies are immune reactions against one's own sperm. They are found in the blood and on sperm of many men after a routine vasectomy, and they can impair sperm movement and function. Fortunately these antibodies disappear in the majority of men who undergo a successful vasectomy reversal, and there is no reason to check for antibodies prior to performing the vasectomy reversal. If antibodies do persist after surgery, they can be successfully treated with medication.
What about sperm freezing at the time of a vasectomy reversal?
Dr. Buch was one of the first microsurgical vasectomy reversal specialists in the world to offer the option of freezing sperm at the time of the reversal. His early results were published in the medical journal Fertility and Sterility in 1994. Sperm cryopreservation offers another option for conception to our few couples who fail to return sperm to the ejaculate after what appears to be a technically successful vasectomy reversal at the time of surgery. The frozen sperm from behind the vasectomy can only achieve reliable pregnancy rates when used for in vitro fertilization (IVF) with intracellular sperm injection (ICSI) which bypasses the inability of the immature sperm from behind the vasectomy to penetrate the egg on their own.
Contact our reverse vasectomy doctor, Dr. Buch or visit our FAQ section to clarify any doubt you might have regarding a reverse vasectomy procedure.