Vasectomy reversals – A Look at Second Attempt

Posted by admin | Posted in Uncategorized | Posted on 24-02-2010-05-2008

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If you have experienced the and of an unsuccessful reversal procedure, you may want to ask a reversal doctor if another attempt is worthwhile.

Generally, 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 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

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

Second Attempt Reversal Techniques

Generally, if your reversal doctor finds the vas deferens have little damage caused by the original 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 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, reversal techniques become more complicated and lengthy. In such cases, 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 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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