It is recommended for men who wish to father a child and have performed a vasectomy. The technique used is a microsurgical technique, to join the vas deferens again.
The success of vasectomy reversal depends on many factors. Perhaps the most important is the time between vasectomy and reversal (we know that the result is very good when the reversal is performed within 5 years, it gets worse over the years, and this result is very bad after 15 years vasectomy). Patients who underwent vasectomy more than 15 years ago, are advised to undergo surgical extraction of spermatozoa and in vitro fertilization.
Both the vasectomy reversal and the epididymis sperm extraction are effective and have very specific indications.
With the refinement of the microsurgery techniques, we obtained better results for the patients, allowing 90% of the men submitted to the reversal to have spermatozoa in the ejaculate and the pregnancy rate of the partner over 50%.