Vasectomy Reversal Pictures

See Vasectomy Reversal Pictures from an Actual Procedure at MFS

Have you ever wondered what a vasectomy reversal procedure looks like under the microscope? Follow Dr. Bastuba into the operating room and look over his shoulder to view a microsurgical vasectomy reversal pictures.



Vasovasostomy

The vasovasostomy is the most commonly performed vasectomy reversal surgery. During a vasovasostomy, the separated ends of the vas deferens are reconnected. See Dr. Bastuba perform a vasovasostomy with these step-by-step reverse vasectomy pictures.

The testicles are marked for the incisionsCAUTION: The pictures in this slideshow contain explicit  photographic content.

Many of our patients are very interested in seeing an actual vasectomy reversal procedure.
Others are uncomfortable seeing detailed photographs and prefer not to know all of the particulars.
If you are ready to get started, please use the arrows to the left and right to navigate our slideshow.

vasectomy reversal procedure - incision in testicles

After our board-certified anesthesiologist put the patient under general anesthesia, the testicles are marked for the vasectomy reversal incisions. The incisions are no more than 1-2 inches wide.

 

vasectomy reversal pictures - vas deferences located with microscope

The two separated ends of the vas deferens are located under the microscope.

vasectomy reversal pictures - vas deferens under the microscope

The two ends are isolated from the scar tissue, which had developed after the vasectomy.

 

vasectomy reversal pictures - seminal fluid from the vas deferens

The vas deferens close to the testicle is examined for seminal fluid.

vasectomy reversal pictures - indicator sperm is present

The color (white dot) and consistency of the seminal fluid are good indicators that sperm is present in the vas fluid.

 

dr bastuba prepares a sample of the vas fluid

Dr. Bastuba prepares a sample of the vas fluid to be inspected under a laboratory microscope.

dr. bastuba inspects the sample through a microscope

If sperm is found in the vas fluid, no blockage in the vas deferens hinders sperm flow.

 

dr. bastuba cofirms a vasoepididymostomy is not necessary

Sperm is found in the vas fluid under the microscope. A vasoepididymostomy won't be necessary and Dr. Bastuba continues with the vasovasostomy procedure.

vasectomy reversal pictures - vas deferens are prepared for the micro sutures

The vas deferens are prepared for the micro sutures.

 

seminal fluid from the vas deferens

Marks on the end of the vas deferens will guide Dr. Bastuba to precisely place the sutures using the Microdot technique.

vasectomy reversal pictures - the reconnection

This is the reconnection of the vas deferens half way through the process. The back sides of the vas deferens tubule have been tied together with a micro needle smaller than a human hair.

 

seminal fluid from the vas deferens

After the two inner layers of the vas deferens have been connected, the muscle layer of the vas deferens has also been reconnected. This provides stability and expedites the healing process.

vasectomy reversal pictures - preparing incision for closure

After successfully reconnecting the two ends of the vas deferens, the incision is prepared for closure.

 

testicle after vasectomy reversal surgery

Once the stitches are placed the vasectomy reversal is successfully completed.

a successful vasectomy reversal with Dr. Bastuba

Another successful vasectomy reversal procedure
at Male Fertility & Sexual Medicine Specialists.

 
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Vasoepididymostomy (VE)

During a vasectomy reversal it may turn out that the more complicated reversal procedure, a vasoepididymostomy (VE, also known as epididymovasostomy), will be necessary. See Dr. Bastuba perform a vasoepididymostomy step-by-step.

vasetomy reversal procedure step by stepCAUTION: The pictures in this slideshow contain explicit  photographic content.

Many of our patients are very interested in seeing an actual vasectomy reversal procedure.
Others are uncomfortable seeing detailed photographs and prefer not to know all of the particulars. 
If you are ready to get started, please use the arrows to the left and right to navigate our slideshow.

preparation for a vasectomy reversal procedure

Our board-certified anesthesiologist maximizes intra-operative and post-operative safety and comfort for a gentle take off at the start of the vasectomy reversal.

 

using microspcopic surgerey equipment

The patient is asleep and we are ready to start the vasectomy reversal procedure. Dr. Bastuba is using state-of-the-art microscopic surgery equipment.

vasectomy reversal pictures - finding no sperm in vas deferns

There is no sperm in the vas deferens, so the epididymis is evaluated and a blockage is identified in the mid portion of the epididymis. We will go above the blockage closer to sperm production.

 

vasectomy reversal - epididymal blackage site

A plug-in site is chosen above the epididymal blockage site (see image).

using the microdot technique for a vasectomy reversal

The Microdot Technique has been modified by Dr. Bastuba for use with the 2-Suture Longitudinal Intussusception Technique (LIVE) of vasoepididymostomy.

 

microdot technique assisting in a vasectomy reversal

The difficult task of putting two extraordinarily small tubes together requires an exacting set up. The Microdot Technique helps accomplish this.

sample of fluid is observed under a microscope

A sample of fluid from the proposed VE plug-in site is evaluated on a phase contrast side table microscope by a trained technician.

 

microspcopic sample of motile sperm

Motile sperm is found in abundance in the fluid sample which means a quality plug-in site has been established.

diagram of a post vasectomy reversal procedure

The passage for the flow of sperm is once again pieced together and ready to go.

 

after picture of a vasectomy reversal

Everything is closed up and the patient can emerge from anesthesia. Afterwards, the patient takes it easy with “feet up in the Lazy-Boy chair” for 36 hours post-op. This is the routine protocol.

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