Dr. Paul Turek is a fellowship-trained microsurgeon that has drawn international acclaim for his work with male fertility and men’s sexual health. Dr. Turek performs vasectomy reversals weekly and has published extensive information about his experiences and innovations in the field.
Many of the patients who come to see Dr. Turek have been referred to him by urologists that do not feel comfortable performing a vasectomy reversal procedure. He also routinely tackles revision cases from traumatic, infectious, or congenital obstruction that require microsurgery. Because of his extensive experience with vasectomy reversals, Dr. Turek’s complication rates are extremely low and his success rates are very high.
What is a Vasectomy Reversal
A vasectomy reversal is a microsurgical procedure that reconnects the male reproductive tract where it was previously interrupted by a vasectomy. Vasectomies were historically considered a permanent procedure, however, advances in microsurgery over the past 10 years have greatly improved the success rate of vasectomy reversals.
The most common reason for vasectomy reversal is remarriage and a desire for more children. Other cases may consist of men that are in long-standing relationships that have changed their minds and would like more children.
Vasectomy Reversal surgery is performed in an ambulatory care facility on a come-and-go basis. A general anesthetic is most commonly used, as this offers Dr. Turek the least interruption by patient movement for this difficult, exacting microsurgery.
The actual operating time for a vasectomy reversal procedure can range from 2-4 hours, depending on the complexity. Dr. Turek spends approximately half of the procedure time evaluating the vas deferens and epididymis to decide whether or not an epididymal obstruction exists, and the other half is spent reconnecting the system with microsurgery. After anesthesia and scrubbing the scrotum with soap and water, the vas deferens is exposed through a small 1-2 cm incision in the upper scrotum on each side, just below the pubic hair. The vas deferens is gently placed into a grooved nerve clamp and cut sharply in half with a special blade under the microscope, both above and below the vasectomy site.
One end of the vas deferens, termed the abdominal end, is flushed with salt solution to ensure that the vas deferens is open from the scrotum to the prostate (a “saline vasogram”). The testicle end of the vas deferens is then inspected for fluid. This fluid is examined in the operating room under a second microscope for color, consistency and sperm. This information is used to decide whether or not a secondary epididymal obstruction is present.
If sperm are found at the testis end of the vas deferens, then it is assumed that an epididymal obstruction has not occurred and a vas deferens-to-vas deferens reconnection (vasovasostomy) is planned. If sperm are not found, then an epididymis to vas deferens connection (epididymovasostomy) is needed to restore sperm flow.
Choosing the Right Vasectomy Reversal Doctor
As you make your decision about your vasectomy reversal surgeon, keep in mind that the surgeon’s experience matters greatly. Vasectomy reversals are one of the most complex surgical procedures in all of microsurgery, testing the limits of human hand-eye coordination. It is important to beware of doctors and websites that claim they are the best at vasectomy reversal surgery without offering evidence. Also, beware of doctors that emphasize “low price” or say they are the cheapest. As with everything in life, you get what you pay for. For a procedure with so many important ramifications, always remember that quality is more important than cost.
Some questions to consider asking the vasectomy reversal doctor during the consultation include:
- Does the surgeon use an operating microscope?
- Is the doctor fellowship trained in vasectomy reversal?
- Does the doctor quote personal success rates?
- Has the doctor published their vasectomy reversal technique?
- How does the surgeon define patency rate (“moving” sperm or “any” sperm) after a vasectomy reversal?
- How many vasectomy reversal procedures does the doctor perform annually?
- Is the doctor comfortable with the epididymovasostomy technique or will they refer the patient to a more experienced surgeon if the vasectomy reversal fails?
Vasectomy Reversal Information Resources
- Vasectomy Reversal Success Rates: Dr. Paul Turek is one of the best vasectomy surgeons in the world, bringing an unparalleled success rate for patency and pregnancy following a vasectomy reversal
- Vasectomy Reversal Techniques: Dr. Turek discusses the different vasectomy reversal techniques including vasovasostomy and epididymovasostomy.
- Vasectomy Reversal Cost: Cost-effectiveness is a very important factor for males that are considering vasectomy reversal surgery.
- Vasectomy Reversal Risks and Complications: Although vasectomy reversals are generally safe, there are always risks and complications associated with surgical procedures.
- Failed Vasectomy Reversal: Vasectomy reversals are a delicate procedure that can fail for a number of reasons including abnormal sperm quality and epididymal blowouts.
To learn more about the procedure, schedule a vasectomy reversal consultation at one of The Turek Clinic locations. Dr. Paul Turek treats patients from all over the world at his state-of-the-art male fertility and sexual health offices in San Francisco and Los Angeles.