Our Chesapeake Urology Network Sites

Return to Chesapeake Urology
Our Network

“Mini Incision” Vs. Microsurgical Vasectomy Reversal Success Rates – What’s the Deal?

Oftentimes, things that sound too good to be true usually are. Case in point: the "mini incision" vasectomy reversal. For couples who are researching their options for the right vasectomy reversal surgeon, seeing advertisements for a "mini incision" procedure can certainly be intriguing. But what people need to understand is that, when it comes to vasectomy reversal surgeons and claims for the smallest incisions, sometimes what you see is not necessarily what you get. 

At the Vasectomy Reversal Center of America, we like to educate prospective patients about the importance of success rates as well as having the vasectomy reversal performed by a highly skilled microsurgeon.

At the VRCA, we perform a microsurgical vasectomy reversal that has a success rate of over 92 percent.  Our high success rates are due to the techniques utilized and surgical skills of our fellowship- trained microsurgeons. Among the techniques essential to optimize success are:

1. Tension free anastomoses of the vas deferens

2. Maintaining strong blood supply

3. Microsurgical reconstruction and suturing techniques

For these microsurgical techniques to be done properly, a patient must be put to sleep under general anesthesia, an incision is made, and the operating microscope must be utilized to effectively visualize the surgical site. This is the acceptable method of reconstruction, and is the standard of care for a vasectomy reversal.  

When a long segment of the vas deferens has been removed during vasectomy, a mini-incision cannot adequately expose the two ends while maintaining a tension-free connection.  In addition, if an epididymovasostomy is needed, the incision must be lengthened.

At the Vasectomy Reversal Center of America, using standard techniques for a vasectomy reversal, our patients require minimal postoperative pain medication and have little swelling.  Just like a no-scalpel vasectomy, there is no difference in pain or swelling associated with the length of incision. 

The most important factors for couples to consider when choosing a vasectomy reversal specialist are the surgeon's training and outcomes.  At the Vasectomy Reversal Center of America, our surgeons, including Drs. Karen Boyle, David Fenig and Brad Lerner, have among the highest success rates nationally with minimal pain and swelling. 

We are happy to answer any questions you may have - feel free to leave a comment, or contact us directly at 855-HAVE.A.BABY.

Our Affiliations