Why do you need a specialist to perform your Vasectomy Reversal?

When choosing your surgeon you need to look for two areas of proficiency. The surgeon must have significant expertise in microsurgery (a very specialized field of surgery) as well as a sophisticated knowledge of the field of male infertility. This will allow him not only to conduct the appropriate type of surgery most effectively but also will allow him to analyze sperm, recommend treatment and work with the female's infertility specialist.

Microsurgery is a highly specialized field and microsurgical techniques and tools vary greatly from techniques used in general urologic surgery. The surgery is performed under an "operating microscope," a microscope that stands over the patient. The physician looks through the microscope at a highly magnified view during the entire procedure and this allows him to manipulate the incredibly small and fine instruments by hand. In trying to visualize the minute size you might imagine connecting a piece of spaghetti (the vas deferens) to wet tissue paper (the epididymis) with a piece of hair (the suture).

It is also critical that urologists performing the surgery have significant ongoing experience with this particular procedure. They need to be capable of evaluating the sperm quality at various points and determine where the most effective reconnection can be made. As part of their specialized training, specialists in male infertility obtain an expertise in microsurgery from exposure to a large number of varied cases during an extended training.

Your physician should also specialize in male infertility. This will enable him to assess your semen analyses over time and work effectively with your partner's physician to determine when and how the sperm should be used in order to achieve a pregnancy. For example, if low levels of sperm are obtained, then this may be used with either an intra-uterine insemination or an IVF. If there are significant antibodies, intra-uterine inseminations may be considered. Ideally your surgeon should not only be comfortable with the surgery, but should also be comfortable with the field of male infertility and the interface between male and female infertility.


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