What is Vasectomy Reversal?

Vasectomy reversal is a surgery performed to undo a vasectomy and restore a man’s reproductive capacity. A vasectomy is a male sterilization procedure which involves cutting, tying or sealing the tubes (vas deferens) that carry sperm from the testicles in order to prevent sperm from getting into the semen. A vasectomy reversal, on the other hand, involves reconnecting each of the tubes to enable sperm to move from the testicles to the semen.

Vasectomy Reversal Success Rates

Today, many men have embraced vasectomy as a form of contraception. However, a lot of them always want to know if vasectomy is reversible and the success rates of the procedure. To clear the doubts and misconceptions, vasectomy is reversible in most cases. Although vasectomy is considered permanent, advances in microsurgery have made it possible to reverse it. The vasectomy reversal procedure is successful most of the time, but it cannot be guaranteed. It is always better to check your doctor’s success record before undergoing the procedure.

Why it’s Done

Men decide to undo a vasectomy for different reasons. It could be due to remarriage, loss of a child or a change of heart. In other cases, men undergo vasectomy reversal due to testicular pain that may have been caused by a vasectomy. Studies show that 10% of vasectomy patients experience post-vasectomy pain syndrome. Some have chronic pains while others have pain during sexual intercourse.

Vasectomy Reversal Cost and Health Insurance

While a vasectomy is a minor surgery that can take less than 30 minutes, a reversal procedure is considered a major surgery which is also quite complex and hence can be costly. In most cases, the procedure can cost anywhere between $4,000 and $15,000, depending on the clinic. Most health insurance plans do not cover vasectomy reversal, but you can persuade your doctor to approach the insurance company.

Vasectomy Reversal Procedure

The vasectomy reversal procedure is complicated and takes about 2-5 hours. The operation can be done in two ways:

Vasovasostomy: This technique involves sewing all the severed ends of the sperm carrying tubes (vas deferens) back together to enable sperm to pass from the testicles to the semen. The procedure’s success depends on the length of time that has passed since the vasectomy, the nature of the surgery, the usage of microscopic surgical equipment, and the age of the person.

Vasoepididymostomy: This method involves attaching the vas deferens directly to the epididymis. It is more complicated than vasovasostomy and is usually chosen if vasovasostomy is not successful.

The surgeon decides on the technique that is likely to work best depending on your anatomy and other factors. However, sometimes both procedures may be required – a vasovasostomy on one side and a vasoepididymostomy on the other. The procedures are complicated hence it’s important to look for an experienced surgeon.

Vasectomy Reversal Results

The typical measure of the success of the reversal procedure is the man’s ability to have a child. The reversal operation has to work for a man to become fertile again. The more the years it has been since having the vasectomy operation, the more difficult it is to reverse it.

Alternatives if Vasectomy Reversal Fails

Vasectomy reversals are not always successful. Couples who wish to have a child have other alternatives such as in vitro fertilization and adoption. People are always advised to freeze their sperm before getting a vasectomy. If they didn’t have sperm frozen, in vitro fertilization can still happen using sperm retrieved directly from the testicles. Alternatively, the couple can get sperm from sperm banks.


  • Is A Vasectomy Reversible?

    Yes, vasectomy reversals are possible, although the procedure is a lot more complicated than the initial vasectomy surgery. For this reason, we advise everyone contemplating a vasectomy to think carefully in advance.

  • What’s The Cost?

    The cost of a vasectomy can range from $4,000 to $15,000 depending on the clinic or doctor you choose to work with. It’s important to make the right choice and discuss your options since a vasectomy reversal isn’t guaranteed to bring back your fertility.

  • What’s The Success Rate?

    Results can vary, and it’s best to discuss your case with a urologist. One study reveals that of the patients with motile sperm present in the vasa 95% achieved potency within six months, while only 76% achieved potency in 6 months with no motile sperm in the vasa.

  • How To Choose A Physician?

    You should ideally choose a doctor with a high success rate when it comes to vasectomy reversals.

  • Is Pregnancy Possible After A Vasectomy Reversal?

    It can be possible, but there are no guarantees. That’s why it’s highly recommended to think carefully before opting for a vasectomy in the first place.

  • Does Health Insurance Cover Vasectomy Reversal Cost?

    Generally, health insurance does not cover the cost. However, it is essential to persuade your doctor to inquire about coverage in your specific case.