Vasectomy Reversal / Vasovasostomy
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Vasectomy Reversal / Vasovasostomy

Vasectomy Reversals

Vasectomy Reversals at Northwest Urology

Types of Vasectomy Reversals: Vasovasostomy vs Vasoepididymostomy

When people talk about a vasectomy reversal, they may not realize that there are two procedures that urologists can use depending on the man’s needs.

Vasovasostomy is an uncomplicated vasectomy reversal. For this procedure, the urologist sutures together the two cut ends of the vas deferens restoring the flow of sperm.

A Vasoepididymostomy is a more complicated vasectomy reversal procedure. It is needed when a part of the epididymis, which is the beginning part of the vas deferens, is obstructed. To bypass the blockage, the urologist must connect the vas deferens to a point in the epididymis. This operation is technically challenging.

Your urologist won’t know which procedure you need until the operation is underway and he can examine the area to see whether a blockage is present. Thankfully, only 5-10% of men need the more complicated vasoepididymostomy. Men whose vasectomy was 8 or more years ago are more likely to need this procedure.

Vasectomy Reversal Success Rates

The best odds for success are among men whose vasectomies were eight or fewer years ago.

Average Vasectomy Reversal Success Rates

Time since the vasectomy
Chance sperm will return to ejaculate (patency)
Chance of a natural conception
Less than 3 years
90%
80%
3 – 8 years
80%
70%
9 – 14 years
70%
50%
15+ years
50%
40%

Patency vs. Pregnancy

It’s important to understand that the return of sperm to the semen doesn’t necessarily lead to natural conception. Other factors such as the woman’s fertility affect pregnancy rates. As you consider success rates, keep in mind that among the general population, about 15% of couples will have trouble conceiving.

Our Commitment to Vasectomy Reversal Care

At Northwest Urology, we understand that life circumstances and family planning goals can change. That’s why we offer expert Vasectomy Reversal services using advanced microsurgical techniques to maximize success rates. Our experienced specialists are dedicated to providing personalized, compassionate care, ensuring the best possible outcomes for men seeking to restore their fertility. Whether you’re exploring reversal options or looking for guidance on the process, Northwest Urology is here to support you every step of the way.

Contact us today to schedule a consultation and take the next step toward your family-building goals

Payment

It is incredibly rare for health insurance to cover the cost of a vasectomy reversal operation. Because a vasectomy reversal is an elective procedure, payment in full is due before scheduling the procedure.

This content is provided for informational purposes only. For a professional diagnosis or medical advice, please consult a healthcare provider.

Meet Our Providers

James Bresee, MD
SW Portland / St. Vincent Hospital
Adult Urology, General Urology, High Intensity Focused Ultrasound, Male Fertility & Sexual Dysfunction, Rezūm™, Sedation Services, SpaceOAR™, Vasectomy
Sasha Druskin, MD
NW Portland / Slabtown
Adult Urology, Aquablation®, General Urology, Male Fertility & Sexual Dysfunction, Sedation Services, SpaceOAR™, UroLift® System, Urologic Oncology, Vasectomy
John Gunselman, DO
NW Portland / Slabtown
Adult Urology, Aquablation®, General Urology, Male Fertility & Sexual Dysfunction, Sedation Services, SpaceOAR™, Urologic Oncology, Vasectomy
Daniel Janoff, MD
SW Portland / St. Vincent Hospital
Adult Urology, Barrigel™, General Urology, Male Fertility & Sexual Dysfunction, Sedation Services, SpaceOAR™, UroLift® System, Urologic Oncology, Vasectomy, Vasectomy Reversal/Vasovasostomy
Stanley A. Myers, MD
SW Portland / St. Vincent Hospital
Adult Urology, General Urology, High Intensity Focused Ultrasound, Male Fertility & Sexual Dysfunction, UroLift® System, Urologic Oncology, Vasectomy, Vasectomy Reversal/Vasovasostomy
Brian S. Shaffer, MD
SW Portland / St. Vincent Hospital
Adult Urology, General Urology, Male Fertility & Sexual Dysfunction, Sedation Services, SpaceOAR™, UroLift® System, Urologic Oncology, Vasectomy, Vasectomy Reversal/Vasovasostomy
Sara Spettel, MD
SW Portland / St. Vincent Hospital
Adult Urology, General Urology, Male Fertility & Sexual Dysfunction, Rezūm™, Sedation Services, SpaceOAR™, Urologic Oncology, Vasectomy
James Tycast, MD, FACS
Tualatin
Adult Urology, General Urology, Male Fertility & Sexual Dysfunction, Sedation Services, UroLift® System, Urologic Oncology
Eli Thompson, MD
NW Portland / Slabtown
Adult Urology, Aquablation®, General Urology, Male Fertility & Sexual Dysfunction, Sedation Services, SpaceOAR™, UroLift® System, Urologic Oncology, Vasectomy, Vasectomy Reversal/Vasovasostomy
William Simpson, PA-C
NW Portland / Slabtown
Adult Urology, General Urology, Male Fertility & Sexual Dysfunction, Sedation Services, Urologic Oncology
Kevin Brandt, PA-C
SW Portland / St. Vincent Hospital
Adult Urology, General Urology, Male Fertility & Sexual Dysfunction, Urologic Oncology