The use of surgical contraception options (vasectomy and tubal ligation) has increased tremendously in recent times. They are by far the most effective methods of birth control for both men and women. In some cases, however, some patients may need to reverse the procedure in a bid to regain their fertility. There are a number of things on sterilization reversal you need to know if you have plans of undergoing the procedure.
The microsurgical technique is the commonest method that is used in the restoration of fertility in men that have undergone vasectomy. The technique is so named because of the small incisions that are used during the process. Microscopes are often needed to magnify the anatomical structures that are being operated. Although other surgical techniques exist, success rates have been shown to be highest when the microsurgical approach is used.
The flow of semen can be restored using one of two options. The first involves the re-joining of old vas deferens stumps (left during the previous operation). This is also known as vasovasotomy. The second option is where one of the stumps left behind is joined to the vas deferens, the region in which synthesised sperms undergo maturation. This option is thus referred to as vasoepididymostomy. The results from the two are comparable.
Microsurgical vasectomy reversal is a relatively safe procedure. The complications that may be encountered include bleeding, infections and blood accumulation within the scrotum. Between 70% and 90% of patients who undergo the procedure regain fertility in a couple of months. It is important to bear in mind that success is greatly influenced by the duration of time of sterility with the best results seen within the first three years.
The surgery is considered a day case in most centres. What this means is that one can go home on the same day that they are operated. The operating time is anything between two and four hours depending on whether or not complications are encountered. Regional (spinal) anaesthesia is usually used for the procedure which ensures that the patient remains awake. Return to regular routine is immediate.
Tubal ligation has many similarities to vasectomy. The actual procedure involves interrupting the continuity of the fallopian tubes. The effect of this is the prevention of fertilization of the ovum by the sperm. There are a number of different methods that can be used. They include clipping, cauterisation and cutting among others. Although tubal ligation was originally designed as a permanent contraceptive method, many people have had it reversed successfully.
The technique that is used in performing tubal ligation is a great determinant of successful reversal. For example, if cutting was done reversing is more difficult than when clips are used. There may be a need to be taken through a number of tests to establish whether other problems exist. In some cases, the surgery may not be helpful and other options may have to be used straight away.
Failure of reversal may be attributed to a number of factors. Extensive scarring after the corrective surgery may block the tubes and block the movement of sperms or the ova through them. In men, vasectomy may also fail due to the presence of anti-sperm antibodies which have been shown to reduce the number of active sperms. It is important to establish the presence of these antibodies before one undergoes the procedure.
The microsurgical technique is the commonest method that is used in the restoration of fertility in men that have undergone vasectomy. The technique is so named because of the small incisions that are used during the process. Microscopes are often needed to magnify the anatomical structures that are being operated. Although other surgical techniques exist, success rates have been shown to be highest when the microsurgical approach is used.
The flow of semen can be restored using one of two options. The first involves the re-joining of old vas deferens stumps (left during the previous operation). This is also known as vasovasotomy. The second option is where one of the stumps left behind is joined to the vas deferens, the region in which synthesised sperms undergo maturation. This option is thus referred to as vasoepididymostomy. The results from the two are comparable.
Microsurgical vasectomy reversal is a relatively safe procedure. The complications that may be encountered include bleeding, infections and blood accumulation within the scrotum. Between 70% and 90% of patients who undergo the procedure regain fertility in a couple of months. It is important to bear in mind that success is greatly influenced by the duration of time of sterility with the best results seen within the first three years.
The surgery is considered a day case in most centres. What this means is that one can go home on the same day that they are operated. The operating time is anything between two and four hours depending on whether or not complications are encountered. Regional (spinal) anaesthesia is usually used for the procedure which ensures that the patient remains awake. Return to regular routine is immediate.
Tubal ligation has many similarities to vasectomy. The actual procedure involves interrupting the continuity of the fallopian tubes. The effect of this is the prevention of fertilization of the ovum by the sperm. There are a number of different methods that can be used. They include clipping, cauterisation and cutting among others. Although tubal ligation was originally designed as a permanent contraceptive method, many people have had it reversed successfully.
The technique that is used in performing tubal ligation is a great determinant of successful reversal. For example, if cutting was done reversing is more difficult than when clips are used. There may be a need to be taken through a number of tests to establish whether other problems exist. In some cases, the surgery may not be helpful and other options may have to be used straight away.
Failure of reversal may be attributed to a number of factors. Extensive scarring after the corrective surgery may block the tubes and block the movement of sperms or the ova through them. In men, vasectomy may also fail due to the presence of anti-sperm antibodies which have been shown to reduce the number of active sperms. It is important to establish the presence of these antibodies before one undergoes the procedure.
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