A microsurgical vasovasostomy or vasectomy reversal is a rejoining of both cut vas deferens with the aid of a high powered operating room microscope to re-establish male fertility. Up to 6% of men who have undergone vasectomy will ultimately elect for reversal in the form of vasovasostomy.
Microsurgical techniques of reversal now result in return of sperm to the ejaculate in over 95% of men and yield pregnancy rates in the patient's partner of better than 50%.
Dr Elmes conducts anti-sperm antibody tests after your consult and if present will offer sperm harvesting during the vas reversal as:
• The presence of sperm antibodies reduces male fertility significantly
• Some antibodies will cause sperm to stick together or agglutinate. Agglutinated sperm clump together in dense masses and thus are unable to migrate through the cervix into the uterus
• Some antibodies cause reactions between the sperm membrane and the cervical mucus preventing the sperm from swimming through the cervix
Gold Coast Urologist Dr Elmes performs various procedures on the testes/scrotum.
- Epididymal cyst removal
- Repair hydrocele
- Microsurgical vasectomy reversal/ IVF sperm harvesting