Male vasectomy reversal surgery

Many married men and women have a child after marriage and do not want a second child, so the men will choose to get a sterilization. Moreover, this surgery mainly prevents the male's sperm from being discharged from the body, so even without wearing a condom during sex, the effect of preventing pregnancy can be achieved. Some men regret having a vasectomy and need a vasectomy reversal surgery. So how is male sterilization reversal surgery performed?

Male family planning surgery is mainly aimed at preventing the discharge of sperm, that is, vasectomy. In addition, it also includes treatments for patients who are infertile or require fertility restoration after sterilization, namely vasectomy and vasectomy-epididymal anastomosis.

Vasectomy is the blocking of the sperm duct by surgical or non-surgical means. After the operation, the testicles can continue to produce sperm, and the mature sperm are dissolved and absorbed in the epididymis. During sexual intercourse, there is still a normal ejaculation process, but there are no sperm in the semen. Vasectomy is simpler, safer, has no abdominal surgical complications, and has a faster recovery period than fallopian tube sterilization. Therefore, it is currently the main birth control method.

Vasectomy includes cutting the vas deferens, blocking the vas deferens with chemical or electrocoagulation methods, placing foreign objects in the lumen to block the vas deferens, or applying pressure outside the tube to close the vas deferens. Currently, the most commonly used procedure is vasectomy, followed by vasectomy occlusion.

Male vasectomy recanalization is mainly suitable for those who require vasectomy recanalization for various reasons after vasectomy. The vas deferens is relatively thin, so anastomosis is somewhat difficult. If microsurgical techniques can be applied, the success rate will be greatly increased.

Indications

Male ligation recanalization is suitable for:

1. Need to have another child due to special reasons after vasectomy.

2. Epididymal congestion after sterilization is ineffective with non-surgical treatment.

3. Sexual dysfunction caused by mental factors after sterilization surgery has not been cured by multiple treatments, and there are no contraindications to surgery.

4. Trauma or accidental surgery may damage the vas deferens.

5. Vas deferens obstructive azoospermia.

Contraindications

1. Poor general health and unable to tolerate surgery.

2. The inflammation of the surgical site or reproductive system has not been cured.

anaesthetization

Local or spinal anesthesia.

Prepare

1. Explain the success rate of anastomosis to the patient and his family, including the recanalization rate, re-pregnancy rate, re-fertility rate and possible complications. Both husband and wife were informed and signed a consent form.

2. Ask about the patient's medical history in detail to understand what type of vasectomy the patient has undergone, whether he has undergone male vasectomy recanalization, and the patient 's condition during and after the operation.

3. Get a full physical examination. Check blood routine, urine routine, coagulation time, and perform related auxiliary examinations if necessary. The focus is on examining the urogenital system and semen routine to understand whether surgery is suitable and to decide on the surgical and anesthesia methods.

4. For local skin preparation, the perineum should be washed once a day 2 days before the operation. After preparing the genitals, wash the lower abdomen, penis, scrotum and perineum with warm water and soap.

5. Use procaine for local infiltration anesthesia and do a skin test.