Vasectomy reversal

  • Microsurgical procedure to restore sperm flow.
  • Ideal for men wanting children through natural conception.
  • Recovery involves mild discomfort; most return to work in 7-10 days.
  • Success rates are approximately 90%.
Dr. Francis Pettrela is a urologist specializing in men's health and fertility based in the greater Montreal area.
Petrella MD Logo - Urologist Specializing in Vasectomy Reversal
01: Bladder
02: Vas deferens
03: Urethra
04: Penis
05: Testes
06: Epididymis
07: Vas deferens withdrawn for procedure
08: Prostate gland
09: Seminal vesicle

What is it?

Vasectomy reversal is a technically demanding microsurgical procedure designed to reestablish the flow of sperm through the vas deferens, the tubes that transport sperm from the testicles to the penis in order to achieve natural conception.

Who is the ideal candidate for the procedure ?

Vasectomy reversal offers a promising solution for men seeking to father children after a vasectomy. The procedure's success relies on factors such as the time elapsed since the vasectomy, vasectomy difficulty, female fertility factors and the presence of scar tissue. Dr. Petrella will carefully evaluate each patient's unique situation to provide the most effective path forward.

What is the recovery time after the procedure?

As with most surgeries, patients may encounter mild discomfort and swelling. These symptoms can be decreased with pain medication and ice packs. Typically, patients can resume work within 7-10 days and normal physical activities within three to four weeks.

What are the chances of success?

Patency rates in well selected patients using the advanced multi-layered microsurgical technique yield roughly 90% success rates. The surgeon must also offer the possibility of performing a vasoepididymostomy in the absence of a patent vas deferens.  

It's advisable to select a surgeon capable of performing the more difficult procedure called vasoepididymostomy and who frequently conducts vasectomy reversals using an operating microscope, as this can enhance success rates by up to 40%. The surgeon's proficiency in performing vasoepididymostomy is critical for achieving optimal outcomes. Dr. Petrella will assess each patient and present the best next step.

Should I freeze my sperm at the time of vasectomy reversal?

Some couples choose to freeze sperm at the time of the vasectomy reversal as a back-up in case the procedure is not successful, or if they encounter female factors during the process. This is a large advantage with using your local infertility expert for this procedure.