Vasectomy Reversal in Indianapolis, Indiana

Patients who have previously received a vasectomy will occasionally change their minds later on for a wide variety of reasons. While a vasectomy is a permanent form of birth control, there is a procedure that can reverse its effects.

The men’s health specialists at Urology of Indiana provide comprehensive vasectomy reversal consultations and procedures at our offices in Indianapolis. Learn about your treatment options and schedule your consultation today.


How it Works

A vasectomy procedure involves the cutting of the vas deferens. These tubes are what allows the sperm to travel from a testicle into the semen. During a vasectomy reversal, the surgeon will reconnect the tubes of the vas deferens in order to restore its connection between the sperm and semen.

The restoration of the vas deferens can be accomplished in two different ways:

  • Vasovasostomy: sewing the severed ends of the vas deferens back together
  • Vasoepididymostomy: attaching the vas deferens directly to the epididymis, which is the organ that holds a man’s storage of sperm.

Risks of a Vasectomy Reversal

A vasectomy reversal procedure is fairly minimal and is not associated with many side effects. Uncommon complications that can arise from a vasectomy reversal include:

  • Persistent pain
  • Infection
  • Development of a hematoma within the scrotum

Chances of Success

A vasectomy reversal will not always be successful. Factors that influence the outcome of a vasectomy reversal are:

  • Length of time since vasectomy procedure: the more time that has passed, the less likely the vasectomy reversal will be to work
  • Your partner and their age
  • Your age
  • Prior surgeries near the affected area (hernia, prostate resection, etc.)

After the Vasectomy Reversal

Once a time span of 6 to 8 weeks has passed after the vasectomy reversal, you will attend a follow-up appointment to provide a semen sample that your doctor will examine to determine whether or not the procedure was effective.

A Second Attempt

If your first attempt at a vasectomy reversal was unsuccessful, you can still try again. Sometimes, the surgery will prove ineffective due to a blockage that has formed within the vas deferens, or from other various complications.

Each surgeon will have their own vasectomy reversal success rate, which is why it is advised to seek care from an experienced surgeon who has performed several other successful vasectomy reversals.

Vasectomy Reversal Training

Both Dr. Kovac and Dr. Tatem are the only Medical Doctors specializing in the treatment of Men’s Health and Male Infertility in the State of Indiana.

They are both Board Certified Urologists that have completed the prestigious in Male Fertility and Microsurgery training program at the Baylor College of Medicine under the guidance of Drs. Lipshultz and Lamb.

We offer both VV (direct connection) as well as VE (indirect connection).

Vasectomy Reversal Costs

The cost is $7,300. This includes the procedure, facility fees and general anesthesia as well as all visits and semen analysis for the period of one year.

As advanced fertility physicians, we also provide hormone and fertility boosting prescription medications that many cannot.  If this is required, it is typically billed under insurance and is treated as separate from your fertility management.

Ways to avoid getting scammed:

  • Every doctor claims ‘high success’ and ‘solid training’. It is difficult to determine the real from the imposter.  Check qualifications and make sure the doctor is a MD, a Urologist and is Board Certified.
  • The need for an operative microscope.  This is ESSENTIAL for a vasectomy reversal. Ability to do an VE (indirect connection).  If the doctor does not do one, or claims it’s not necessary to know how to – then you are not getting the correct surgery and have a much higher chance of failure.
  • Doctors who do not offer any fertility management beyond the surgery.  This is not because they are “specialty surgeons” who only do vasectomy reversals.  It is simply because they do no know what to do and cannot be bothered.
  • Many claim cheaper costs since do they the procedure under local anesthesia.  They are simply unable to do our more sophisticated 4-layer closure and advanced VE.  Our procedures are conducted under general anesthesia (meaning you are asleep) because we cannot allow any patient movement when placing the micro-sutures.
  • Dr. Kovac and Dr. Tatem perform all the procedures themselves.
  • The procedures are performed at an official, sanctioned and licensed surgery center with actual anesthesiologists and nurses taking care of you.  There is no ‘office based’ approach and partners are not allowed in the back to be with their husbands during surgery.  We consider these to be real surgeries and thus limit the distractions.
  • Do not confuse surgeon excellence with fast surgery times.  The average vasectomy reversal for a specialist will take anywhere from 2-3 hours.  Not because they can’t do it any faster, but because they exert more care and do not cut corners.  Both Dr. Tatem and Dr. Kovac only perform one per day at most.  There are some non-urologists that perform multiple surgeries in a day and perform the surgery in less than 1 hour.  Something has to ‘give’ and that is usually the quality of the surgery

 

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