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Vasectomy Reversal

Vasectomy Reversal Vasectomy Reversal Surgery in Sydney

Changed your mind after having had a vasectomy? Talk to me about your options with vasectomy reversal surgery.

A vasectomy is a permanent method of birth control, achieved by cutting and sealing the vas deferens tubes responsible for channeling sperm from the testicles to the penis during ejaculation. As a fertility specialist with expertise in reproductive surgery, it is not uncommon for me to see men who have had a vasectomy but now want the option of having more children.

The Vasectomy Reversal Procedure

Vasectomy reversal is a microsurgical technique performed as a day procedure, meaning you get to return home on the same day. Under general anaesthesia, I create one small incision (approximately 1cm or less) in your scrotum, which allows me to examine the state of each vas deferens tube and clear away scar tissue before reconnecting the ends of the tubes with fine stitches.

Microsurgery vs Open Surgery Vasectomy Reversal

The microsurgical approach to a vasectomy reversal is associated with higher success rates compared to open surgery. Surgeon experience also makes a difference to success – I have completed a fellowship in advanced reproductive surgery, giving me the practical skill and in-depth knowledge to offer you a higher chance of a successful reversal.

Microsurgical vasectomy reversal is minimally invasive, resulting in:

  • Lower post-surgical pain and risk of complications
  • You being able to return home on the same day as your procedure
  • Shorter recovery and less time off work and away from the things you love

Is a Vasectomy Reversal Right for You?

If you have had a vasectomy but are now considering having more children of your own, I get it – things change. I offer consultations for vasectomy reversals across three convenient locations in Sydney CBD, Crows Nest, and Lindfield. We will discuss your circumstances and any factors that influence the likelihood of a successful pregnancy after your reversal operation. Remember, being able to produce viable sperm is only one part of the process of conception and pregnancy, and many other factors will contribute to the chances of a live birth at the end of the journey.

Vasectomy reversal procedure – Dr I Ferne Tan Sydney
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Frequently Asked Questions

The majority of vasectomy reversals are successful at returning sperm to the ejaculate (around 90% by three months post-operation), however, this does not necessarily translate to the same success rate for conception. The likelihood of restoring the function of the vas deferens is largely affected by the condition of the tubes, including the presence of scarring or damage and the time passed since your initial vasectomy. These are factors that we will discuss during your initial consultation.

I recommend avoiding sexual intercourse for 2 weeks immediately after your surgery, as well as any strenuous activities. After this, you may have intercourse if you’re feeling comfortable; any post-operative pain has typically settled by now. Remember that it may take around 3 months for sperm to return to your ejaculate, but the quality can be variable. We will test the quality of your sperm at 3-4 months.

The majority of my patients go through a vasectomy reversal with no complications. After the operation, it is common to experience swelling of the scrotum or pain that can usually be managed with simple analgesia. Sometimes, there can be a mild skin infection or bruising. Persistent pain syndromes or nerve damage are very rare. There are also risks associated with the general anaesthesia, such as having an allergic reaction. All these risks will be discussed with you prior to the procedure so that you can make an informed decision.

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