Vasoepididymostomy Surgery In London
Vasoepididymostomy surgery is the reversal procedure for a vasectomy.
The surgery involves reattaching the vas deferens and the epididymis, and is a more complex procedure than a typical vasectomy reversal.
Vasoepididymostomy surgery is also facilitated to eliminate a blockage in the tubules or abdomen.
The operation is completed with the use of a microscope and fine stitches are used to seal the reattached vas deferens and epididymis.
Preparation for vasoepididymostomy surgery
All patients need to be examined prior to vasoepididymostomy surgery.
The surgeon will take into consideration the patient’s medical history and determine if they are a well enough candidate for the operation.
He will also perform a highly positive blood anti-sperm antibody test to confirm sperm production.
All patients must be able to produce sperm for the procedure to be undertaken.
If highly positive blood anti-sperm antibody test confirms sperm can be produced, patients won’t have to undergo a testis biopsy to confirm there is an obstruction.
A testes biopsy will only be used to confirm sperm production if the highly positive blood anti-sperm antibody test is unable to find sperm.
The surgeon will also search for any obstruction that may be causing a blockage.
What does the procedure involve?
During the procedure, the vas deferens is opened and vasal fluid is sampled.
The presence of sperm means proximal vasal or ejaculatory duct obstruction and a vasogram is completed.
If no sperm is located in the vasal fluid it means there is an epididymal obstruction which must be removed.
Vasoepididymostomy surgery can take between three and five hours to complete and is performed under general anaesthetic.
Recovery from vasoepididymostomy surgery
Patients who undergo vasoepididymostomy surgery can often return to work as early as three days following their surgery.
However, men who work in strenuous physical jobs – or perform regular physical activity such as jogging or working out – need to wait one month before resuming these activities.
All patients should attend follow-up appointments with the surgeon.
He will inspect the incisions and healing of the process, and a semen specimen would need to be analysed.
He will also analyse the semen for the presence of sperm.
Often sperm is present in the first sample following a successful vasoepididymostomy surgery.