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Vasectomy Reversal Procedure
REVERSAL OF MALE STERILISATION
Reversing a vasectomy can restore your fertility by rejoining the vas deferns tubes that were cut during a vasectomy
What is a vasectomy reversal?
This a procedure for someone who has already had a vasectomy which involves cutting and sealing your vas deferens — the tubes that carry the sperm from your testicles. This prevents sperm from mixing with your semen. Vasectomy reversal surgery is a delicate procedure to rejoin these tubes and allow sperm to flow through them, reversing the actions of the original vasectomy procedure.
Need to know
Vasectomy reversal surgery is usually done under general anaesthetic. Your surgeon will make a small cut on each side of your scrotum, allowing them to examine the sealed vas deferens and remove any scar tissue. They'll check that the tubes still contain fluid from the testicles.
If fluid is still present they will use a technique called vasovasotomy to rejoin the tubes using a microscope and tiny stitches. If your surgeon finds that the tubes are 'dry', they'll use a technique called vasoepididymostomy to attach them directly to the tubes that collect sperm in each testicle.
The procedure can take up to two hours and you will need to stay in hospital for a day or sometimes overnight.
It's not always possible for a vasectomy reversal to fully restore your fertility. If you and your partner find it difficult to conceive, it may be possible to retrieve sperm directly from your testicles for IVF treatment. Your consultant will explain your options to you.
Your consultant will explain the procedure to you and answer any questions you may have. Because you'll be having general anaesthetic, they'll let you know how long you need to avoid eating and drinking before the procedure. Like all procedures, there may be some risks and side effects involved. Your consultant will explain these to you.
You'll usually be able to go home the same day as your procedure. It's normal to feel some discomfort or tenderness in the area for a few days following surgery. Your consultant will recommend some things you can do to stay as comfortable as possible, such as wearing supportive underwear.
Your consultant will advise you of the length of recovery and let you know when you can get back to your usual routine, including work.
Cost Of a Private Vasectomy Reversal
Hospital stay and procedure
Prices from
£ 3,653
subject to the specifics of your treatment as recommended by your consultant.
Expected length of stay
1 night
Fertility treatment at the Lister Fertility Clinic
Vasectomy reversal may be offered by our urologists in conjunction with a surgical sperm retrieval procedure.
The key factors that decide whether to attempt a reversal or proceed straight to assisted reproduction with ICSI are:
- the age of the female partner
- the time since the vasectomy procedure
Although the time since vasectomy does not affect the chances of successful fertility treatment with surgically retrieved sperm, it does significantly impact on the chances of a successful vasectomy reversal.
One study has demonstrated over 70% pregnancy success if performed within three years of the original vasectomy; this drops to 50% or less thereafter. If there has been an extended period since the original vasectomy or if maternal age has increased, the Lister Fertility Clinic would recommend assisted reproduction as first-line treatment.
Vasectomy Reversal Procedure Consultants
Mr Hussain Alnajjar
Urology
Mr Raj Nigam
Urology
Mr Guy Webster
Urology
Mr Alan Doherty
Urology
Our locations
The Harley Street Clinic
35 Weymouth Street W1G 8BJ London
The Princess Grace Hospital
42-52 Nottingham Place W1U 5NY London
The Lister Hospital
Chelsea Bridge Road, SW1W 8RH London
Patient stories
Yvette's story: From back pain to hip replacement surgery
Yvette (54) a journalist from Kent, started experiencing pain in her hip seven years ago in 2015. An ex-national gymnast who had been incredibly active and flexible her whole life, Yvette felt concerned about the growing discomfort impacting her quality of life, and so sought help from her GP.
A new hip and straight back into the spin of things
Michael's MAKO hip surgery to treat his arthritis
73 year-old Michael, an avid walker and charity worker, was diagnosed with arthritis in January 2021. After facing long waiting times and increasing pain that was becoming more frequent, he started to look elsewhere for treatment.
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.