What questions should a patient ask before undergoing a vasectomy reversal?
The success rate of vasectomy reversal is dependent upon several factors. Although the time from vasectomy is important, the experience of the surgeon performing the procedure is probably just as important. A surgeon should be able to perform both a vasovasostomy as well as vasoepididymostomy. It is also important that the surgeon uses an operating microscope and performs reversals on a regular basis. Furthermore, it is important to find out that individual surgeon’s success rate, not the success rate quoted in the literature. Finally, the pregnancy rates are dependent upon female factors as well. Therefore, women over 40 may have a lower pregnancy rate even if the reversal is technically successful. This information should be readily shared with the patient prior to undergoing a procedure. However, it is also important not to undergo a vasectomy in the first place if you anticipate wanting to become fertile at some future time.
