Dr Roger Perkins
Vasectomy reversal
Vasectomy
reversal
Reversing a vasectomy
What is a vasectomy reversal?
Before I explain a vasectomy reversal, let’s highlight what a vasectomy is.
A vasectomy is a form of birth control and it blocks the vas deferens. These are two tubes that transport sperm cells from the testicles to the urethra. When the vas deferens are blocked, your semen will no longer have sperm cells.
"Typically, men have a vasectomy when they have completed their family or they don’t want any children. When they change their mind, a vasectomy reversal is a surgical procedure to conceive naturally after vasectomy and to avoid IVF treatment."
"A 2-layer closure technique is used using fine monofilament suture. Success varies and may decline the longer it has been since the vasectomy procedure. Typically, 90% of men will have sperm in the ejaculate after vasectomy reversal"
"Our Clinic’s definition of success is not merely sperm in the ejaculate but live birth outcomes. If you would like us to collect sperm for storage, it can be easily done whilst we reverse your vasectomy. The Fertility Clinic is a short walk away for a scientist to collect the sample from theatre."
Vasectomy reversal procedure
What does the procedure involve?
I do vasectomy reversals at Bethesda Day Unit near the Fertility Clinic in Claremont. The procedure typically takes 2 hours and you will be able to go home in the afternoon. You will have a full anaesthetic.
It is usual for the man to take 5 days off work resting at home. Recovery includes adequate analgesia to take home.
"In the first 5 days, it is usual to rest. I will see you for review at the end of that time. Most men will be able to return to work at that stage."
Any complications will mostly occur within 14 days of the procedure. It is advisable not to exercise or have intercourse in the first 2 weeks.
Vasectomy reversal has a low rate of complications. Minor bruising is common. There is a small incidence (under 1 in 100) of haematoma and infection, which can be managed in a simple way.
Vasectomy reversal success rate
When do I know if the procedure was successful?
The first semen test is done 10 weeks after surgery, and this may be repeated to follow the recovery of normal sperm into the ejaculate. Typically, 90% of men will have sperm in the ejaculate.
In the event that the reversal does not result in pregnancy, we will discuss IVF treatment. Either fresh sperm on the egg-collection day, or stored sperm (if no sperm are present in the ejaculate) can be used.
"If the reversal is not successful, there is no need to spend precious time looking for another clinic to undertake IVF. I will continue to look after you as a couple for the IVF treatment."
"Because I manage both IVF as well as vasectomy reversal, I will provide you with the best and most effective choice in your particular circumstances."
Vasectomy Reversal typically takes 2 hours in the Day Procedure Unit at Bethesda Hospital which is located by the Swan River in Claremont.
As I mentioned before, a full general anaesthetic is used but I also insert local anaesthetic at the end of the procedure to ensure that you are comfortable. If sperm is being collected at the time for storage purposes, I ask one of the scientists from the Fertility Clinic to be present to collect the sample.
Vasectomy reversal Perth
Why Dr Roger Perkins for vasectomy reversal?
"I have a long experience with undertaking this procedure and well-documented success rates. I am also able to offer all treatment options for having a child after vasectomy and so I will be able to advise couples on the best option on each individual basis without having to rely on one method only."
When you choose my practice, the procedure is done in-house within Bethesda Hospital which is where the Fertility Specialists Clinic is located. This makes easy access to the Clinic for sperm storage, testing and follow up.
Because we have a state-of-the-art laboratory at the Fertility Clinic, we are able to offer the most advanced testing available to look at sperm health. We check for antisperm antibodies and also check sperm DNA fragmentation.
I am committed to helping couples experiencing the joy of parenthood. I treat both partners, taking into consideration each person's unique circumstances.
More about Dr Roger Perkins
IVF
Male infertility
"My aim is to make you feel comfortable at all times. My consultation style is unrushed and I respect your schedule by minimising waiting times. You’re a unique person and I make it my goal to truly get to know you."
