Vasectomy which is a permanent form of male birth control doesn’t have to be permanent if one has a change of mind. Vasectomy reversal is a complicated yet safe surgical procedure which when performed by a skillful surgeon has minimal side effects.
If vasectomy has been done is the last decade then there’s a fifty-fifty chance that it may work. However, when the man had it more than a decade back then the chance of success reduces to one in four.
Vasectomy Reversal Surgical Procedures
Duo forms of vasectomy reversal procedures are in place for such males namely vasovasostomy and epididymovasostomy.
Vasovasostomy involves reattachment of the severed tips of the tube which carries sperms out of the testes to the urethra (ductus deferens) after firstly examining presence of sperms within it.
Epididymovasostomy is performed when there is absence of sperms in the vas or ductus deferens. Hence, the surgeon essentially pulls down the tip of the ductus deferens which is connected to the prostate and directly attaches it to the sperm storage area or the epididymis.
Vasectomy Reversal Side Effects
Prevalently experienced side effects comprise of pain in the operated site, mild-ranging bruising or swellings which soon subside. Weariness and bodily ache/pain are commonly experienced side-effects by the man who is anesthetized during the operation.
But, there are some side effects which are lesser commonly experienced after vasectomy reversal like infection at the site of operation, harm to the nerves/arteries in the scrotum or fluid accumulation inside the scrotum (or hydrocele).
Post-surgery hematoma is an excruciating, likely side-effect developing in around five percent of males opting for vasectomy reversal. Haematoma is basically a localized blood accruement outside the blood vessels, generally in liquefied form inside the tissue.
Scrotal hematoma develops when continual blood loss within the scrotal section following the operation leads to tenderness, swelling and a large blood clot. Hematoma arises in the first day or two following the procedure and tends to aggravate with blood pooling to a greater extent. Likelihood of blood getting infected is also high.
Males who haven’t rested appropriately during the recuperative period or have taken analgesic, anti-inflammatory drug aspirin prior to the operation or soon following it have a greater chance of developing it. Hematoma can cause lump formation in the testis as a result of blood loss within the scrotum. Doctors usually drain out the hematoma or recommend antibiotic course of drugs or topical antibiotic cream, hot bath or compress.
Injury to Arteries or Nerves
There’s always a danger of nerves or blood vessels getting damaged during the operation. The outcomes could be transitory or lasting. Harm to blood vessels or nerves in the procedure augments the chances of the procedure being ineffective. In several cases, it can lower fertility following the vasectomy reversal procedure or even lead to lasting sexual issues. However, it is an uncommon side effect of such procedure.
When an incision is made in the ductus deferens then there’s a possibility of sperms directly leaking into the scrotal region. The body then responds to this as though it were faced with an alien attacker and starts stimulating an immune reaction.
Granuloma could form one or several months following the operation. An agonizing accumulation or knot would form in the scrotum and even be causal to testicular inflammation.
Doctors recommend inflammation-combating drugs for treating sperm granuloma, but when the discomfort continues then operative excision is the sole resolution. Regrettably, sperm granuloma is oftentimes indicative of failed vasectomy reversal.
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