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Vasectomy Reversal Alternatives and Options

What if the Vasectomy Reversal Fails?

Vasectomy reversal is considered as failed when sperm is not found in the ejaculate after 12 months past the reversal. One in ten men undergoing vasovasostomies and two out of five men having a vasoepididymostomy have no healthy sperm after surgery.

Dr. Bastuba has “redone” many failed vasectomy reversals and successfully reversed previous vasectomy reversal re-do failures from other doctors who gave their patients no hope. In experienced hands, even a second attempt at vasectomy reversal after an initial failure has proven cost effective.

Alternative to Vasectomy Reversal - Vasovasostomy
Vasoepididymostomy

Vasoepididymostomy is a similar procedure to a vasovasostomy and may be performed if a blocked epididymis has been diagnosed or no sperm is found in the fluid of the exposed vas deferens. The epididymis blockage may develop by scar tissue forming after infection or trauma, which may have been caused by the vasectomy.

During vasoepididymostomy the vas is connected to the tubule of the epididymis, which allows healthy sperm pass through the unblocked vas deferens. This is one of the most demanding procedures in microsurgery and most surgeons with limited experience are wise enough not to attempt vasoepididymostomy due to its technical difficulty. For Dr. Bastuba this demanding procedure is routine and performed at no extra cost.

Sperm Retrieval and In Vitro Fertilization–
MESA and IVF and (Microscopic Epididymal Sperm Aspiration)

An excellent alternative treatment to start a family after a vasectomy is sperm retrieval combined with in-vitro fertilization . The woman’s eggs and the man’s sperm are retrieved to be combined in the lab via intracytoplasmic sperm injection (ICSI). Sperm retrieval rates are outstanding at approximately 95%, especially if the male has been involved with prior pregnancy rates. Pregnancy rates are approximately 50% in fertile females. This treatment combination of sperm retrieval for IVF has proven itself to be more expensive than a vasectomy reversal alone. However, it is save, effective and achieves a result almost immediately. When female fertility factor is a major concern or when expediency is demanded, sperm retrieval combined with in-vitro fertilization is a wonderful alternative. Typical IVF cycle treatment costs are between $8,000 to $18,000.

There are situations where Dr. Bastuba recommends IVF as the appropriate method for having a child. For example, if the woman’s tubes are tied or blocked or if she is in advanced reproductive age. Dr Bastuba works together with all fertility clinics in San Diego performing state-of-the-art sperm retrieval techniques in combination with IVF treatment. Read more about vasectomy reversal vs. IVF in our frequently asked questions and read our IVF Overview on our main website.