Vasectomy Reversal

Summary

A vasectomy is a permanent form of male contraception, which involves cutting the vas deferens tubes that carry sperm from the testicles. A vasectomy reversal is an operation whereby the tubes are re-joined, with the aim that you and your partner will be able to conceive a baby.

However vasectomy reversal is not always straightforward, and can be unsuccessful for a variety of reasons:

  • The epididymis (a tube like structure that stores sperm) has become blocked preventing sperm from getting to the vas deferens
  • Scar tissue can block the re-joined vas deferens preventing sperm from going through
  • Your sperm may not return to normal shape or mobility after the procedure
  • Other complications may occur that affect the quality of your sperm

If vasectomy reversal proves unsuccessful there are alternative options to consider, such as sperm donors and IVF. Our urology team at KIMS will be very happy to discuss these with you and direct you to the appropriate service.

However the aim of the vasectomy reversal procedure is to allow you becoming fertile again and we should hope to achieve this in most cases.

Please be advised that KIMS Hospital are not able to provide semen analysis for this procedure. We can make recommendations for specialist centres where test is available. The average cost is between £150-£250.

  • Arranging your Treatment

    Before going ahead with this treatment, you will need to have an initial consultation with a specialist Consultant to go through your medical history and diagnosis. At this appointment, your consultant will confirm the exact treatment you require.

    If you would like to have an initial consultation, you can call us and we can help you find the best consultant for you to see.

    For more information, call our Reservations team on +44 (0) 1622 237 727 or email reservations@kims.org.uk.

  • Paying for your Treatment

    You can be treated at KIMS by using your private medical insurance or by paying for yourself.

    If you have private medical insurance, you will need to contact your insurer to ensure you are covered for the initial consultation prior to making an appointment and obtain an authorisation number. The insurance company will then need to be advised if you require further treatment. The insurance company usually settles bills on your behalf.

    If you are paying for your own treatment, you will need to pay for an initial consultation. This will be confirmed at the time of booking but is typically £150-£250. You will also need to pay for any associated diagnostic tests your consultant recommends (for example x-rays and blood tests).

    Following this consultation, if you don’t need any further treatment or if you decide paying for yourself isn’t the right option, there is no commitment to proceed further.

    If you require the operation or procedure to be carried out, you will receive a quote for your treatment. This quote is also subject to pre-assessment checks prior to your admission to hospital.

    Payment is required 7 days prior to admission.

     

  • Prices

    The table below shows the approximate price for this treatment, which may vary depending on your individual case (see what’s included below).

    Patient pathwayDiagnostic investigationsMain treatmentPost-discharge careGuide Price
    Hospital feesn\a£2,380Included£2,380
    Guide priceNil£2,380Nil£2,380
  • What’s Included

    The fixed price package above includes all the costs associated with this treatment at KIMS Hospital.

    You will be given a quote prior to admission to confirm this cost. The amount you are quoted may differ from the published price for a number of reasons:

    • The Consultant you choose 
    • Your medical history and whether you have any associated medical conditions which may impact this treatment
    • The type of anaesthetic your Consultant advises is best for you 
    • The type of implant or drug you choose or your Consultant advises is best for you

    In some cases, if you have certain pre-existing medical conditions, it may not be possible to provide you with a fixed price for your Main Treatment. If this is the case, the hospital will discuss the available options with you. Your quote is also subject to pre-assessment checks prior to your admission to hospital.

The vasectomy reversal is performed under general anaesthetic and takes approximately 90 minutes. You may also have local anaesthetic injections to assist with post-operative pain.

Your urologist will make two small incisions about three centimetres long on each side of your scrotum (usually where your vasectomy scars are).

Each testicle will be examined and the vas tubes will be located, examined under a microscope and then scar tissue will be removed.

If the tubes contain fluid they will be re-joined using dissolvable stitches. Your consultant will be able to see if any sperm are present in the fluid from the tubes, identifying if the epididymis is blocked or not.

If it is blocked an attempt can be made to bypass this blockage, quite a complex process intended to maximise the chance of a successful procedure. If the tubes are dry this could mean that there is a blockage, and your surgeon may need to use another technique called vasoepididymostomy.

The tubes are placed back inside your scrotum and the incisions are closed using dissolvable stitches.

After the operation you will require painkillers; placing a covered cool pack against your scrotum will help reduce bruising. ‘Snug’ and well fitted underwear will help ease discomfort and swelling.

You should be able to go home on the same day; please ensure you have arranged for someone to collect you, settle you back home and remain with you for several hours.

Our KIMS health team will give you advice and you can call them if you have any major concerns. It is important to take it easy to start with. Resting for the first week really assists with swelling and recovery. It is advisable not to do any exercise for at least a week. You should be able to return to work after a few days and do a little exercise after one to three weeks.

To find out more:

If you would like to come to KIMS contact our Reservations team on +44 (0)1622 237 727 or email reservations@kims.org.uk

Our Consultants

  • Mr Mark Cynk

    MB BS 1991: MB BS 1991 MSc (Urol) 2000 FRCS (Urol) 2000

    • Circumcision
    • TURBT (Trans-urethral Resection of Bladder Tumour)
    • Vasectomy Reversal
  • Mr John Donohue

    MB BCh FRCSI FRCS

    • Circumcision
    • Prostate Resection (TURP)
    • Radical Prostatectomy
    • TURBT (Trans-urethral Resection of Bladder Tumour)
    • Vasectomy
    • Vasectomy Reversal
  • Mr Paul Reddy

    LRCP FRCS FRCSI

    • Circumcision
    • Vasectomy
    • Vasectomy Reversal