Why not use local anesthesia only when performing a vasectomy reversal?
Many men undergoing vasectomy reversal are psychologically sensitive about the procedure, and the drifting in and out of consciousness with IV sedation plus local anesthesia can be unsettling during the surgery. Also there is a tendency toward unpredictable patient movements under sedation with local that can cause problems with the accuracy of the reconnection during a microsurgical vasectomy reversal.