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Treatment

Vasoepididymostomy

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Mr Suks Minhas

Vasoepididymostomy

A vasoepididymostomy is often used to reverse a vasectomy. The procedure involves reattaching the vas deferens and the epididymis. A vasoepididymostomy is more complex than a typical vasectomy reversal and used in some instances.

The vasoepididymostomy procedure can also be used to eliminate a blockage in the tubules or abdomen. The operation is completed with the use of a microscope and fine stitches are used to seal the reattached vas deferens and epididymis.

Prior to the procedure

Patients will undergo an examination prior to the procedure. Doctors will exam their patients’ medical history and determine if they are the right candidates for the operation.

Doctors will perform a highly positive blood anti-sperm antibody test to confirm sperm production. Patients must be able to produce sperm for the procedure to be undertaken. If highly positive blood anti-sperm antibody test confirms sperm can be produced, patients won’t have to undergo a testis biopsy to confirm there is an obstruction.

A teste biopsy will only be used to confirm sperm production if the highly positive blood anti-sperm antibody test is unable to find sperm. Doctors will also search for any obstruction that may be causing a blockage.

What does the procedure involve?

During the procedure, the vas deferens is opened and vasal fluid is sampled. The presence of sperm means proximal vasal or ejaculatory duct obstruction and a vasogram is completed. If no sperm is located in the vasal fluid it means there is an epididymal obstruction which must be removed.

A vasoepididymostomy can take between three and five hours to complete. The procedure is performed under general anaesthetic.

Recovery

Patients who undergo a vasoepididymostomy may return to desk work as early as three days following their surgery. Men who work in strenuous physical jobs or perform regular physical activity such as jogging or working out should wait one month before resuming their activities.

Patients should attend follow-up doctor appoints post-surgery. Doctors will inspect the incisions and healing of the process. In addition, semen specimen will be analysed. Doctors will analyse the semen for the presence of sperm. Often times, sperm is present in the first sample following a successful vasoepididymostomy.

Do you have any questions or would like to make an appointment?

Contact Mr Suks Minhas to see how he can help on +44 (0)20 7224 5089 or use the contact form

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London Andrology

One of the UK’s most eminent andrologists

Mr Suks Minhas is widely regarded as a leader in the field of men’s health. With specialist interest and expertise in areas including male fertility and erectile dysfunction, penile and testicular cancers and male urology, he sees patients from all over the UK covering a vast range of concerns.

Mr Suks Minhas

Mr Suks Minhas is widely regarded as a leader in the field of men’s health. With specialist interest and expertise in areas including male fertility and erectile dysfunction, penile and testicular cancers and male urology, he sees patients from all over the UK covering a vast range of concerns.

Contact Mr Suks Minhas

Contact Mr Suks Minhas

If you have any questions or would like to make an appointment please use any of the following:

Telephone

+44 (0)20 7224 5089

Email

Email either Joanna Milton or Lorraine Dawkins at:
Joanna.Milton@hcahealthcare.co.uk
lorraine.dawkins2@hcahealthcare.co.uk