Firstly, one must understand that reversal of a vasectomy is a slightly complicated and expensive procedure. Although it can be accomplished as a daycare procedure, it still requires a high degree of precision and training.
As a start, the patient will be required to stop taking certain medications leading up to the procedure – these include blood-thinning medicines and pain relievers. It is best to wear loose-fitting clothing, including undergarments, for the procedure.
Before the procedure
Prior to the procedure, the patient will be required to undergo a comprehensive medical check to ascertain any underlying health complications that may make the procedure either risky, or infective. It is important to be sure that the patient is not suffering from any other forms of infertility and is able to make healthy sperm – capable of fertilization prior to the procedure. Also, it is important to ascertain the fertility status of the partner. Given that vasectomy reversal is just as permanent as vasectomy itself, it is important to be doubly sure of all the other factors prior to the procedure.
During the procedure
Vasectomy reversal can be performed in one of two methods – firstly, sewing up the two ends of tubes that carry the sperm from the testicles to the penis. Secondly, attaching the vas deferens to the small organ behind the testicles that produce the sperm. This is determined by the analysis that precedes the procedure and often, the decision is made while the procedure is underway based on the condition of the patient.
The doctor will make a small incision on the scrotal area and expose the tube that carries the sperm to the penis. A similar incision on the vas deferens to examine the fluid flow is done, based on which the procedure to reattach the two is made. With the advent of robotic and microscopic surgeries, most vasectomy reversals happen by the same method.
After the procedure
Once the procedure is completed and the site of the procedure is covered up, the patient can return home with some measures for caution. It is best to avoid wearing tight clothes for a brief period, and the application of ice is suggested for 24 to 48 hours to reduce swelling. Sporting an athletic supporter helps, and it is best to abstain from physical and strenuous activity for a week. For resumption of sexual activity, take the opinion of the doctor before proceeding.