What is the Best Type of Vasectomy Reversal?

There are two types of vasectomy reversal and the one that you will undergo will be decided by you and your surgeon.

Vasovastostomy – This is when the ends of the tubes are re-stitched together.
Vasoepididymostomy – This is when the tubes are re-inserted into the testes directly.

The most commonly used method is the vasovasostomy procedure, usually vasoepididymostomy will be used when there is a problem connecting the two ends of the vas deferns tube.  Your surgeon will assess the colour of your vasal fluid to determine which procedure to use. 

Vasovasostomy surgery is generally considered to be the most effective form of vasectomy reversal with about 1 in 10 not working compared to about 2 in 5 for vasoepididymostomy.  Certainly it is the preferred procedure for surgeons to use, and as it yields the best results, is the most desirable.  However, it doesn’t work in certain cases, and then the only option for you would be to have a vasoepididymostomy instead. 

Read more in the Vasectomy Reversal Information Guide »