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Vasectomy Reversal Success Rates

Vasectomy Reversal Success Rates

Contrary to popularly held beliefs, the chance of success with vasectomy reversal does not suddenly decline after 10 years. Dr Bastuba has successfully reversed patients up to 40 years following vasectomy with pregnancy occurring as early as a few months post reversal. Like all extremely specialized and technical procedures, the best results for vasectomy reversal are typically obtained by surgeons with extensive training in microsurgery and who perform many vasectomy reversals each year. It is critical that your surgeon has extensive experience in all facets of reconstruction, especially vasoepididymostomy (VE), since the first attempt at reconstruction is the best shot.
Skilled microsurgeons agree that vasoepididymostomy is much harder to perform than a vasovasostomy. Dr. Bastuba is very proud of his vasoepididymostomy success rates. Comparing success rates of vasoepididymostomies among clinics will lead you to the true vasectomy reversal experts you can trust.

Dr. Martin Bastuba’s Vasectomy Reversal Success Statistics

Type of Vasectomy Reversal	Patency Success Rate	Pregnancy Success Rate (dependent on female fertility)
Vasovasostomy	98%	65-75%
Vasoepididymostomy	90%	40-60%

The operating microscope and microsurgical techniques, using suture finer than a human hair, have greatly enhanced success rates to 98 percent if active sperm are found at the vasectomy site (vasovasostomy). If the sperm passage is blocked upstream closer to the testicle where sperm are produced, the much more advanced technique of vasoepididymostomy is required to bypass this blockage. Dr. Bastuba currently employs the state-of-the-art vasoepididymostomy technique. This technique is sometimes referred to as the longitudinal intussusception technique and requires two 10-0 or 11-0 sutures. It is by utilizing this technique that Dr. Bastuba has achieved the 90% patency rate in his vasoepididymostomy patients.

We split our vasectomy reversal success rates into the “patency success rate” and “pregnancy success rate”. Patency rate indicates success of sperm returning to the ejaculate. Because pregnancy is a “couples phenomenon” and depends on various factors, especially female fertility issues, the pregnancy rate is always lower than the patency rate. Take a look what's behind the success rates: Our success stories. Get inspired and watch a TV interview with our vasectomy reversal patients that share their story (on our main site).

Your Chances of Success
The Vasectomy

The outcome of your reversal can be affected by the location of the vasectomy site. Dr. Bastuba has seen vasectomies close to the testicle, which are more difficult to reverse and may make a vasoepididymostomy necessary. Disconnected vas deferens farther away from the testicle allow a reversal, with the vasovasostomy technique, have a higher chance of success.

Signs of Increased Chances for a Successful Vasectomy Reversal

• Less time since vasectomy
• Prior good fertility history (pregnancies within six months of trying) especially with same partner
• Overall good health practices (exercise, healthy eating habits)
• Sperm granuloma (Pressure relief valve for epididymis and keeps epididymal pressure low therefore decreased chance of blow out with need for vasoepididymostomy)

Signs for Lower Chances for a Successful Vasectomy Reversal

Before the vasectomy reversal, the microsurgeon will examine the scrotum to evaluate the conditions of the vasectomy site.

• A firm or enlarged epididymis may be an indication for an epididymal blockage, which would make a vasoepididymostomy necessary.
• The length of the vas deferens may be determined as well during the exam. The longer the vas deferens, the lower the risk of obstruction and the greater the chance for a regular vasovasostomy. However, no findings of epididymal blockage or vas deferens obstruction cannot guarantee that a vasoepididymostomy won’t be necessary. (See Vasectomy Reversal Techniques)
• One or both of the testicles smaller in size may be an indication of testicular failure, which may have negative impact on success.