Surgical contraception has become one of the most preferred options of birth control. The method is typically chosen by persons who wish to have permanent contraception. However, in some cases, due to one reason or the other, there is a need to regain fertility meaning that the procedure has to be reversed. If you have plans of undergoing sterilization reversal, there are a number of things that you need to understand beforehand.
One of the most commonly used techniques used in performing vasectomy is the microsurgical method. This method uses very small incisions hence its name. Microscopes are used to magnify the small structures involved (the fallopian tubes and the sperm ducts). Although other methods can also be used in cutting the sperm duct, the microsurgical procedure has been shown to have the best outcomes.
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.
The surgery is regarded as being safe generally but a number of complications may be encountered in rare circumstances. They include excessive blood loss, post-operative infections and hematoma formation within the scrotal sac. Fortunately, these complications are fairly easy to deal with when they occur. The overall success rate (return to fertility) ranges from 70% to 90%. The likelihood of succeeding is highest if the procedure is done less than three years from the time of vasectomy.
Microsurgical vasectomy reversal is performed as a day case in most centres. This means that one can be allowed home as soon as the procedure is completed. The procedure lasts between two and four hours depending on the degree of complications encountered. Regional (spinal) anaesthesia is usually used hence you will be awake during the entire exercise. After the operation, you may experience a bit of pain but this should not prevent you from resuming your regular routine.
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 success of reversing tubal ligation is hugely dependent on the technique that is used in blocking the tubes. Clipping, for instance, can be reversed more easily as compared to cutting or cauterizing. You will be subjected to a number of tests by your fertility doctor before undergoing the reversal procedure. This include blood tests as well as radiological imaging studies such as the hysterosalpingogram.
Failure of these procedures can be caused by a number of things. Among the commonest causes is the presence of extensive scar tissues in and around the tubes. The scar tissue may block the tubes which subsequently interferes with the movement of the ovum or the sperm cells. Another common cause of failure in men is the presence of anti-sperm antibodies. There is a need for screening for these antibodies before the surgery is undertaken.
One of the most commonly used techniques used in performing vasectomy is the microsurgical method. This method uses very small incisions hence its name. Microscopes are used to magnify the small structures involved (the fallopian tubes and the sperm ducts). Although other methods can also be used in cutting the sperm duct, the microsurgical procedure has been shown to have the best outcomes.
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.
The surgery is regarded as being safe generally but a number of complications may be encountered in rare circumstances. They include excessive blood loss, post-operative infections and hematoma formation within the scrotal sac. Fortunately, these complications are fairly easy to deal with when they occur. The overall success rate (return to fertility) ranges from 70% to 90%. The likelihood of succeeding is highest if the procedure is done less than three years from the time of vasectomy.
Microsurgical vasectomy reversal is performed as a day case in most centres. This means that one can be allowed home as soon as the procedure is completed. The procedure lasts between two and four hours depending on the degree of complications encountered. Regional (spinal) anaesthesia is usually used hence you will be awake during the entire exercise. After the operation, you may experience a bit of pain but this should not prevent you from resuming your regular routine.
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 success of reversing tubal ligation is hugely dependent on the technique that is used in blocking the tubes. Clipping, for instance, can be reversed more easily as compared to cutting or cauterizing. You will be subjected to a number of tests by your fertility doctor before undergoing the reversal procedure. This include blood tests as well as radiological imaging studies such as the hysterosalpingogram.
Failure of these procedures can be caused by a number of things. Among the commonest causes is the presence of extensive scar tissues in and around the tubes. The scar tissue may block the tubes which subsequently interferes with the movement of the ovum or the sperm cells. Another common cause of failure in men is the presence of anti-sperm antibodies. There is a need for screening for these antibodies before the surgery is undertaken.
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