The following information provides an overview of the surgical procedure and answers to the most frequently asked questions regarding vasectomy reversals.

Your Vasectomy Reversal surgery is performed in an accredited hospital or freestanding ambulatory surgery center. These facilities have been chosen for their friendly and professional staff and their sophisticated operating microscopes. All types of anesthesia can be used, from local anesthesia, regional block to general anesthesia. This is, in part, determined by patient’s preference with input from the anesthesiologist and myself. We also offer sperm banking at the time of the procedure in our on-site, licensed and accredited sperm bank (click here to learn more about sperm banking with New York Cryo ).

What is a Vasectomy Reversal?

There are two Vasectomy Reversal procedures that can be performed to ‘reverse’ the blockage caused by a prior vasectomy (cutting the tubes that bring the sperm from the testes to the urethra). These Vasectomy Reversal procedures are a vasovasostomy and vasoepididymostomy. Use of an operating microscope has been documented to provide the best success rate.

The first Vasectomy Reversal procedure is a microsurgical vasovasostomy.  This is the reconnection of the two severed ends of the vas deferens (as shown below). The vas deferens is the conduit for sperm to travel from the testis to the urethra. This is the preferred procedure and offers the best chance of sperm returning to the ejaculate and subsequent pregnancy.

ends of vas deferens prior to reconnection

The other Vasectomy Reversal procedure is a microsurgical vasoepididymostomy(VE).  This is the connection of the end of the vas deferens to the epididymis. This is a more extensive procedure and is performed when there is a congenital blockage of the vas deferens or when sperm does not flow from the opened end of the vas deferens at the time of reconstructive surgery. A VE will always be performed if required.

vas deferens and epididymal tubule prior to reconnection

Are there ways to obtain sperm other than a vasectomy reversal?

Yes, several ways! These involve taking sperm from either the open end of the vas deferens, from the epididymis (MESAMicrosurgical Epididymal Sperm Aspiration) and from the Testes (TESE;TEsticular Sperm Extraction). Sperm retrieved in this manner can be cryopreserved (sperm banked) for future use. This can be done at the time of a vasectomy reversal or as a separate procedure. Sperm retrieved in this manner can only be used with In Vitro Fertilization (IVF) procedures. This is because of the low number and decreased motility (movement of sperm).

If you would like more information about Vasectomy Reversals please contact Dr. Bruce Gilbert, The Vasectomy Reversal Expert at: 516-487-2700 or 877-769-2796 (toll free) or by e-mail: