Vasectomy Reversal (Vasovasostomy / Vasoepididymostomy)
Microsurgical reconnection of the vas deferens after prior vasectomy, restoring the potential for natural conception. Vasovasostomy joins the two cut ends of the vas deferens and is the standard procedure. Vasoepididymostomy, a more technically demanding variant, is required when a secondary epididymal blockage has developed upstream, which is more likely with obstructive intervals greater than 10 to 15 years. Patency rates (return of sperm to the ejaculate) exceed 90% for vasovasostomy performed by experienced microsurgeons; pregnancy rates vary by obstructive interval, female partner age, and surgical technique. Vasectomy reversal is the RRM-aligned restorative alternative to surgical sperm retrieval combined with IVF/ICSI for couples seeking further pregnancies after prior vasectomy, treating the obstruction rather than bypassing it. See NeoFertility's male program for an RRM-aligned clinical model that integrates vasectomy reversal within a full couple evaluation.
This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.