Vasectomy is one of the most common male surgical procedures done in the United States as a means of birth control and family planning. Although it is generally considered to be a permanent means of birth control, there are times when circumstances change and additional children are desired. If this occurs within the first five years following the vasectomy, chances of successful reversal are very high.

At the time of vasectomy the vas deferens, the tubes that carry sperm into the ejaculate, are separated. This blocks the pathway of sperm movement out of the testis so there is no sperm at the time of ejaculation.

In order to reverse a vasectomy, the ends of the vas deferens must be reconnected. This surgery is done using a powerful microscope, very fine suture and very delicate instruments. The channel though which the sperm travels is extremely small and is covered by an outer layer of muscle which makes up the walls of the vas deferens. The reconstruction requires delicately reconnecting the inner tube to its previously attached end, so that sperm can pass through this area. The outer muscle of the vas is then reconstructed as the 2nd layer.

This surgery requires skill and experience, on the part of the surgeon. The operation can last up to two hours. It is done in a surgery suite using anesthesia. Vas reversals are done as an outpatient procedure which means you will return home once the surgery is completed.

Dr. Riemenschneider is proud of the many successful vasectomy reversal he has performed. It is great occasion when patient’s return to show off their new addition to the family.

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