What is a Vasovasotomy?

A vasovasotomy is a “vasectomy reversal” where the cut ends of the vasectomy are freshened and then sewn back together.

What is the purpose of a vasovasostomy?

The reason to perform a vasovasostomy or “vasectomy reversal” is to allow a male patient to reestablish the presence of sperm in his ejaculate for the purpose of conception. It is a microsurgical operation that re-connects the vas deferens (the tube that carries sperm into the ejaculate) that was previously cut during a vasectomy. The procedure usually takes 1 to 2 hours and is done in an outpatient setting, often in a surgicenter with the necessary specialized equipment. It allows for a couple to attempt to conceive naturally following vasectomy.

What are common symptoms following my vasovasostomy?

A small amount of bleeding or bloodstain on the surgical gauze dressing is expected. Sometimes the incision may separate slightly before healing. There may be some swelling, bruising, and firmness at the site of the incisions. Pain should be controlled with minimal narcotics.

General Post-Operative Instructions:

(These are general guidelines and should not be considered direct instructions from your doctor)

Please review the instructions below to assist in your recovery from your vasectomy reversal.

  • Wear the scrotal support for at least one week following the procedure.
  • Place an ice pack (a bag of frozen peas works well) over the scrotum on top of gauze dressing – change every few hours until bedtime for 48 hrs after the procedure.
  • Keep the gauze and fluff dressing in place for one to two days and soft compression underwear for one week.
  • Relax and rest for one to two days following your procedure. Avoid excessive walking, sitting for prolonged periods of time, and unnecessary exertion. You will recover quicker and easier if you take it easy for these days immediately post-op.
  • Avoid exercise (no running, heavy lifting, straining, etc.) for one to two weeks. Avoid straddle activities like cycling, horseback riding for at least one month.
  • Take the antibiotic as prescribed to help prevent infection.
  • You may take the narcotic medication as prescribed for discomfort or you may take over-the-counter Motrin or Advil as directed. Do not take any aspirin products for two weeks following the procedure.
  • You may shower after 48 hrs. Pat your scrotum dry — do not rub. Do not take a bath or go swimming for two weeks.
  • The incisions were closed with absorbable sutures. These sutures dissolve on their own and do not need to be removed. There may be a small skin separation as the sutures dissolve.
  • Abstain from intercourse and ejaculation for two weeks. Then, begin having frequent, regular ejaculation. This will help keep the reversal sites open and sperm traveling through the vas deferens into the ejaculate.

When should I seek advice from my physician?

You should contact your physician if you develop any of the following:

  1. Fevers that are consistently above 101 degrees Fahrenheit
  2. Drainage of pus
  3. Large amounts of continuing bleeding and swelling
  4. Uncontrolled pain or nausea