The Procedure

The vasectomy reversal rejoins the two cut ends of the vas deferens, thus removing any blockage and allowing free movement of the sperm from the epididymis to the urethra.

Initially, two small incisions are made on the side of the scrotum. From this point, one of two microsurgical techniques are used:

— Vasovasostomy, or
— Vasoepididymostomy

 

Vasovasostomy

diagrammatic picture of Vasovasostomy

This is the most common procedure utilized, whereby the two previously cut ends of the vas deferens are rejoined using fine sutures.

Vasoepididymostomy

diagrammatic picture of Vasovasostomy

This technique is used when the two ends of the vas deferens cannot be rejoined. Instead, the vas deferens is joined directly to the epididymis. Success rate is not as good compared to the vasovasostomy.