Generally, vasectomy reversal success rates for a second reversal are slightly lower than for first-time procedures. This is usually because the vas has been obstructed longer and scarring increases each time surgery is performed.

The good news is that an unsuccessful first reversal attempt can sometimes be successful the second time around. The following information can help you understand the reasons why the first reversal was unsuccessful and some factors to consider if you are thinking about a second attempt reversal.

When the First Attempt Fails

Vasectomy reversal success rates are influenced by several things. Factors that include success are:

Second Attempt Vasectomy Reversal Techniques

Generally, if your vasectomy reversal doctor finds the vas deferens have little damage caused by the original vasectomy reversal surgery, the chances of a successful second attempt reversal are greater.

Once the condition of the vas deferens has been determined, the surgeon must choose which of the vasectomy reversal techniques to proceed with.

When the vas deferens appears healthy and the first attempt didn’t produce a lot of scar tissue a vasovasostomy is usually performed. However, if injury to the vas deferens is more extensive, or if scarring or blockage of the epididymis is suspected or detected, vasectomy reversal techniques become more complicated and lengthy. In such cases, vasectomy reversal surgeons may opt for vasoepididymostomy for the second reversal.

This procedure attempts to bypass the obstructed or damaged portion of the vas in order to successfully reconnect the tiny tubes at a higher point near the epididymis. Vasoepididymostomy can result in a successful outcome. It’s important to note that men, who needed a vasoepididymostomy as the first reversal procedure, will not be the best candidates for a second attempt reversal.

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