What You Need to Know about Vasectomy Reversal in NYC.

by Alex Shteynshlyuger MD

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call  1-212- 204-6300

What Is Vasectomy Reversal?

Vasectomy reversal is a surgical procedure performed with a surgical microscope for men who had a previous vasectomy but now wish to have biological children through sexual intercourse.  About 3-5% of men will undergo vasectomy subsequently have a change in circumstances and/or preferences and desire to be fertile again

Vasectomy reversal may also be performed in men who develop chronic testicular pain after vasectomy is a treatment option for chronic orchialgia.

shutterstock_119655283_imPossibleHow Is Vasectomy Reversal Performed?

Vasectomy reversal is a microsurgical procedure performed using an operating microscope in the operating room. The procedure is typically performed under anesthesia but can be performed under local anesthesia in some men.  Vasectomy reversal is typically performed on both sides to maximize chances of successful outcome.

What Is Considered A Successful Outcome After Microsurgical Vasectomy Reversal?

Presence of sperm in the ejaculate is considered a successful outcome.  In some men, underlying medical problems such as neuropathy or obstructive prostate may cause sperm to flow into the urinary bladder where they can be retrieved.

In terms of paternity or ability to conceive a child, other factors such as the quality of sperm (which is unrelated to vasectomy reversal) as well as maternal (female partner) characteristics can affect the chances for a successful pregnancy.

What Are The Alternatives For Vasectomy Reversal?

Testicular aspiration or microscopic testicular sperm extraction with IVF are some of the other options available to men who desire to have children after vasectomy.  The choice of a procedure depends on female partner age, her fertility status, the timeline for childbearing and a number of other factors.

Vasectomy reversal is an optimal option for spontaneous conception through vaginal intercourse. It is the most cost-effective option for men who have undergone a vasectomy in the past.

For couples who would need to have IVF (ICSI or intra-cytoplasmic sperm injection), TESA or TESE (sperm aspiration or extraction) are often good options.

What Is The Success Of Microscopic Vasectomy Reversal?

The success rate of two-layer microscopic vasectomy reversal ranges from >70 to >90% depending on a number of factors that include the length of time since vasectomy and underlying medical problems.

How Long Does It Take To Know If Vasectomy Reversal Works?

It may take 3-6 months after vasectomy reversal to see sperm in the ejaculate that is of good quality.

What Is The Recovery After Vasectomy Reversal?

Recovery after vasectomy reversal is similar to what men experience with no-needle, no-scalpel vasectomy.  Most men are able to return to routine lifestyle including office work the day after the procedure.  Men should avoid scrotum/penis intensive activities such as biking for 3 weeks.  Men may resume physical activity/gym within 1 week; swimming 2 weeks after the procedure.

There is no restriction on sex and ejaculation after 2 weeks.

Where Do You Perform Vasectomy Reversal?

Most men choose to have vasectomy reversal at an accredited ambulatory surgical center in NYC that is fully equipped and routinely performs vasectomy reversal. The procedure can also be performed in a hospital or hospital-affiliated surgical center but at a much higher cost.

Is Vasectomy Reversal Covered By Insurance?

Most insurance plans do not cover vasectomy reversal.  Please contact your health plan and provide them with the following codes to find out if your plan provides coverage for this procedure:

ICD-9 Diagnosis Code:

338.28   Other chronic postoperative pain [post-vasectomy]

608.85 Vasal Occlusion V26.0 (Post Vasectomy)

CPT Procedure Codes:

55400  Microscopic Vasovasostomy, bilateral

54901 Epididymovasostomy (bilateral)

53899D Needle Aspiration of Sperm

55899  Microscopic Epididymal Sperm Aspiration

69990  Microscopic procedure

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call  1-212- 204-6300

Dr. Alex Shteynshlyuger is a board-certified urologist in NYC. He specializes in sexual and reproductive issues that affect men.  He helps men with infertility to achieve pregnancy. He is a specialist in interpreting semen analysis in men with infertility.  He performs no-needle, no-scalpel vasectomy under local anesthesia avoiding the risks of general anesthesia. 

We see patients from all parts of New York City (Manhattan, Brooklyn, Queens, Bronx, Staten Island), Long Island, Westchester and New Jersey as well as other parts of the USA. We also see international patients from Canada, Japan, South America, Russia, Asia, Europe, Middle East, Africa, the Caribbean and other parts of the world.


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