If sperm is not present, a more complex repair will be required, known as vasoepididymostomy. The decision of which procedure to use is made during the surgery. Oftentimes, a sperm retrieval is performed at the same time as the vasectomy reversal, as a backup plan for couples in the event the procedure is not successful or are unable to get pregnant naturally.
It is crucial to have the procedure performed by a surgeon with the appropriate microsurgical training and who routinely performs vasectomy reversals. Dr. Muncey has completed a dedicated fellowship in microscopic surgery at Stanford University and offers the most cutting-edge techniques. The success rate of sperm returning after a vasovasostomy, is greater than 95%, while it is roughly 60-70% after a vasoepididymostomy.