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Choosing a Surgeon

When choosing a hospital and surgeon for vasectomy reversal you may wish to consider some of the following points;

  • Does the surgeon use a microscope to dissect the vas and for the vas repair?
  • Does the surgeon check for sperm during surgery?
  • If sperm is not found will he/she perform a microsurgical vas to epididymal tubule join (more likely to work but more time consuming)?
  • Will the surgeon be using 16 or more tiny 9.0 sutures or the much simpler (and less effective) four 6.0 sutures?
  • Is the surgeon on the specialist register? Check here
  • Does the surgeon have a consultant post in the NHS or have held one in the past?
  • Does the price include a general anaesthetic (can you lie still for up to 4.5 hours of surgery under a microscope?), overnight stay in hospital if needed, sperm samples and other tests.
  • Will and can the surgeon provide backup care if a complication occurs or will you be directed to your local GP or urologist?
  • Some surgeons still perform the re-join on only one side, without a microscope and yet the procedure is still described as a vasectomy reversal.
  • How long will it take. A full microsurgical technique is likely to take between 3 and 5 hours.
  • Surgery is similar to the rest of life, you tend to get what you pay for! Theatre time is very expensive and savings are usually made by using short cuts to reduce the duration of surgery, for example smaller numbers of larger sutures and no vas to epididymal joins if spermatzoa are not seen.
  • Don't look for the cheapest surgery look for the best value!