A vasectomy is often considered permanent, but circumstances change. Whether due to a new relationship, the desire to grow a family or simply a change of heart, many men explore reversal options years after their original procedure. At CU Medicine Urology – South Denver at Highlands Ranch Specialty Care Center, men have access to advanced microsurgical techniques and experienced specialists who guide them through every step of the process.

What is a vasectomy reversal?

A vasectomy reversal is a surgical procedure that reconnects the tubes, called the vas deferens, that were cut or blocked during the vasectomy to prevent pregnancy. The goal is to restore the flow of sperm into semen, allowing for the possibility of natural conception.

There are two primary techniques for vasectomy reversal:

Vasovasostomy – this procedure reconnects the two cut ends of the vas deferens.

Vasoepididymostomy – a more complex procedure that connects the vas deferens directly to the epididymis.

“We won’t know the right procedure until we get into the microsurgery,” said Jeff Morrison, MD, a board-certified urologist at CU Medicine. “That’s why it’s important to choose an experienced urologist who is fellowship-trained and can decipher which procedure is best.”

The right approach to vasectomy reversal depends on findings during surgery.

Who is a good candidate for vasectomy reversal?

Most men who want to restore fertility are candidates for reversal, but several factors affect success, including the amount of time since the original vasectomy, the female partner’s age and fertility and the surgical technique used during the original procedure.

Vasectomy reversals performed within 10 years of the original vasectomy tend to have higher success rates, though many men see positive outcomes well beyond that window.

The top factors Dr. Morrison considers when discussing vasectomy reversal are:

-          Time since vasectomy

-          Age of the female partner

-          If the male has fathered any children in the past

“We want the full history of the couple to better understand their chances of conception and if any other additional interventions are needed,” said Dr. Morrison.

What to expect during a vasectomy reversal

Vasectomy reversal is performed using microsurgical techniques under high magnification, allowing for precise reconnection of small structures. The procedure typically takes two to four hours and is done on an outpatient basis under general or local anesthesia. Most men return home the same day.

Vasectomy reversal success rates and recovery

Recovery from a vasectomy reversal generally involves a few days of rest followed by a gradual return to normal activity over one to two weeks. Strenuous exercise and heavy lifting are typically restricted for several weeks to support healing. Patency rates (the return of sperm to the semen) are high, particularly when the procedure is performed soon after the original vasectomy and by a surgeon experienced in microsurgical reconnection.

“Recovery from a vasectomy reversal is similar to a vasectomy,” said Dr. Morrison. “We want the patient to ice and lay low for a few days to let that delicate connection heal.”

Where to get a vasectomy reversal

Men considering vasectomy reversal benefit from working with a fellowship-trained urologic team that specializes in male fertility and microsurgery.

CU Medicine Urology - South Denver at Highlands Ranch Specialty Care Center offers a coordinated approach that includes preoperative counseling, advanced surgical techniques and dedicated follow-up care.

“One advantage of coming to CU Medicine is access to specialists like our partners in reproductive endocrinology,” said Dr. Morrison. “I’m very quick to send them to get a second opinion and find the best path forward for their goals.”

Vasectomy reversal is one part of a broader conversation about men’s health. From fertility to hormone health to overall wellness, CU Medicine urology providers offer comprehensive care designed around men’s needs at every stage of life. Learn more about men’s health services and schedule an appointment at CU Medicine Urology – South Denver at Highlands Ranch Specialty Care Center by calling 303-265-3940.