The two general types of vasectomy reversal are:
vasoepididymostomy and vasovasostomy. Vasovasostomy is
when the surgeon sews the cut ends of the vas deferens
back together. This is the most common type of
vasectomy reversal. Vasoepididymostomy is more
complicated. It is performed when there is blockage in
the epididymi and is done by attaching the vas
deferens to the epididymis, hence its name.
The Significance of the Length of Time
There is a correlation between the time your vasectomy
was performed, and the time you want to have a
vasectomy reversal. The longer you wait to have the
vasectomy reversal done the more your chances decrease
of being able to regain your fertility. Up to three
years after your vasectomy your chances are higher to
get your fertility back. After three years your
chances begin decreasing slowly the longer you wait.
While there is no period of time considered too long
to perform a vasectomy reversal, the
sooner you do so after your vasectomy the better the
chances are that you will be able to father a
child.
Modern Microsurgical Techniques
The medical breakthrough which makes vasectomy
reversal possible is the relatively new development of
microsurgical techniques. Prior to the discovery of
these techniques vasectomy reversal was thought to be
too complicated, as well as unlikely to help men who
had a vasectomy regain their fertility. Microsurgery
or the use of an operating microscope during surgery
allows the surgeon to see the vas deferens in much
greater detail and as such to perform the vasectomy
reversal with much greater success.
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