Microsurgical vasectomy reversal is a delicate and complex operation performed to re-establish the pathway of sperm into the ejaculate permitting a man to re-establish his fertility to enable the couples to conceive a baby naturally. This microsurgery is done to reverse the effects of a vasectomy, which cuts the vas deferens. Sperm are made in the testes and then travel through the vas deferens into the ejaculate. A vasectomy creates a blockage in this tube, and a vasectomy reversal is a procedure to bypass this blockage.

Approximately 500,000 men have vasectomies each year and approximately five percent of them will change their minds at a later date.  More and more couples are seeking reversals for a variety of reasons:  men who become reinvolved and want to father a child with a new partner; men who remarry and want to have a child with their new wife; couples who lose a child; or couples who thought they had finished having children and have a change of heart.

Microsurgical Skills Makes the Difference

The success of a vasectomy reversal is increased when performed microsurgically by a urologist who is a fellowship-trained male infertility specialist and microsurgeon who performs vasectomy reversals on a regular basis.  Choosing a surgeon with extensive experience and a proven track record is the best option to help you achieve your dream of having a child naturally. 

The skill of the surgeon is most important since precise suture placement is necessary.  The surgeon should have expertise in performing the more challenging epididymovasostomy for men who have a blockage in the epididymis, which is the gland that sits behind the testis where sperm go to mature and learn how to move.  This is impossible to diagnose until the vasectomy reversal is being performed.  Depending on the number of years between the vasectomy and vasectomy reversal, a certain percentage of vasectomy reversals require an epididymovasostomy.  Each of  our microsurgeons, Dr. Karen Elizabeth Boyle and Dr. David M. Fenig are experts at epididymovasostomy.

At the Vasectomy Reversal Center of America, we have the most advanced microsurgical tools aided by the powerful magnification of a Zeiss operating microscope.  Vasectomy reversals take place in a fully-equipped microsurgical suite supported by an experienced operating room team that includes specialty-trained nurses and board-certified anesthesiologists.  

Approximately 50,000 vasectomy reversals are performed in the U.S. each year, but there are only about 600 fellowship-trained male infertility microsurgeons nationwide. In the Mid-Atlantic region alone, there are very few.  Selecting one of our highly-skilled specialists who are passionate about helping you have a child is the beginning of your journey to parenthood.   

The Vasectomy Reversal Center of America, located in Maryland, has two urologists who are fellowship trained in vasectomy reversals--Dr. Karen Boyle and Dr. David Fenig.  They provide patients with the very best possible care and accessibility to the highest quality vasectomy reversals.  

Our microsurgeons trained at the country's leading program for male infertility and microsurgery at Baylor College of Medicine. 

Why Choose a Microsurgeon for a Vasectomy Reversal?

Many urologists offer to perform vasectomy reversals, but a general urologist without fellowship training  typically has only a 30 to 40 percent success rate with the procedure.  In addition, some urologists say they are fellowship-trained when they have taken special courses observing experts for a few weeks.  Patients need to beware of this when interviewing prospective physicians.  In the Mid-Atlantic region, the majority of the urologists who offer to perform vasectomy reversals do not have fellowship training. At the Vasectomy Reversal Center of America, our vasectomy reversal success rate is over 90 percent*.

There are two types of microsurgical vasectomy reversal, vasovasostomy and epididymovasostomy.  Drs. Boyle and Dr. Fenig are highly skilled at both procedures and will choose the type that is right for you. This may depend on how long it has been since you had your vasectomy performed, as well as whether your microsurgeon discovers a blockage in the epididymis.