The use of surgical contraception options (vasectomy and tubal ligation) has increased tremendously in recent times. They are by far the most effective methods of birth control for both men and women. In some cases, however, some patients may need to reverse the procedure in a bid to regain their fertility. There are a number of things on sterilization reversal you need to know if you have plans of undergoing the procedure.
One of the most commonly used techniques used in performing vasectomy is the microsurgical method. This method uses very small incisions hence its name. Microscopes are used to magnify the small structures involved (the fallopian tubes and the sperm ducts). Although other methods can also be used in cutting the sperm duct, the microsurgical procedure has been shown to have the best outcomes.
Restoring semen flow can be achieved in two main ways. The first approach, also known as vasovasostomy, is where the two stumps left behind after vasectomy are re-joined. In the second method, the stump that joins the urethra is joined to the epididymis. This is the region in which sperm cells are stored before ejaculation. This method is thus also known as vasoepididymostomy.
Microsurgical vasectomy reversal is a relatively safe procedure. The complications that may be encountered include bleeding, infections and blood accumulation within the scrotum. Between 70% and 90% of patients who undergo the procedure regain fertility in a couple of months. It is important to bear in mind that success is greatly influenced by the duration of time of sterility with the best results seen within the first three years.
Microsurgical vasectomy reversal is performed as a day case in most centres. This means that one can be allowed home as soon as the procedure is completed. The procedure lasts between two and four hours depending on the degree of complications encountered. Regional (spinal) anaesthesia is usually used hence you will be awake during the entire exercise. After the operation, you may experience a bit of pain but this should not prevent you from resuming your regular routine.
Tubal ligation works in the same way as vasectomy in women. This method of birth control is performed by cutting, clipping or cauterising the fallopian tubes that are found on either side of the uterus. While the option has for a long time been considered a permanent method of contraception, advances in surgical practice have made it possible for women undergoing the procedure to regain their fertility.
The technique that is used in performing tubal ligation is a great determinant of successful reversal. For example, if cutting was done reversing is more difficult than when clips are used. There may be a need to be taken through a number of tests to establish whether other problems exist. In some cases, the surgery may not be helpful and other options may have to be used straight away.
Failure of these procedures can be caused by a number of things. Among the commonest causes is the presence of extensive scar tissues in and around the tubes. The scar tissue may block the tubes which subsequently interferes with the movement of the ovum or the sperm cells. Another common cause of failure in men is the presence of anti-sperm antibodies. There is a need for screening for these antibodies before the surgery is undertaken.
One of the most commonly used techniques used in performing vasectomy is the microsurgical method. This method uses very small incisions hence its name. Microscopes are used to magnify the small structures involved (the fallopian tubes and the sperm ducts). Although other methods can also be used in cutting the sperm duct, the microsurgical procedure has been shown to have the best outcomes.
Restoring semen flow can be achieved in two main ways. The first approach, also known as vasovasostomy, is where the two stumps left behind after vasectomy are re-joined. In the second method, the stump that joins the urethra is joined to the epididymis. This is the region in which sperm cells are stored before ejaculation. This method is thus also known as vasoepididymostomy.
Microsurgical vasectomy reversal is a relatively safe procedure. The complications that may be encountered include bleeding, infections and blood accumulation within the scrotum. Between 70% and 90% of patients who undergo the procedure regain fertility in a couple of months. It is important to bear in mind that success is greatly influenced by the duration of time of sterility with the best results seen within the first three years.
Microsurgical vasectomy reversal is performed as a day case in most centres. This means that one can be allowed home as soon as the procedure is completed. The procedure lasts between two and four hours depending on the degree of complications encountered. Regional (spinal) anaesthesia is usually used hence you will be awake during the entire exercise. After the operation, you may experience a bit of pain but this should not prevent you from resuming your regular routine.
Tubal ligation works in the same way as vasectomy in women. This method of birth control is performed by cutting, clipping or cauterising the fallopian tubes that are found on either side of the uterus. While the option has for a long time been considered a permanent method of contraception, advances in surgical practice have made it possible for women undergoing the procedure to regain their fertility.
The technique that is used in performing tubal ligation is a great determinant of successful reversal. For example, if cutting was done reversing is more difficult than when clips are used. There may be a need to be taken through a number of tests to establish whether other problems exist. In some cases, the surgery may not be helpful and other options may have to be used straight away.
Failure of these procedures can be caused by a number of things. Among the commonest causes is the presence of extensive scar tissues in and around the tubes. The scar tissue may block the tubes which subsequently interferes with the movement of the ovum or the sperm cells. Another common cause of failure in men is the presence of anti-sperm antibodies. There is a need for screening for these antibodies before the surgery is undertaken.
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