Vasectomy Reversals have become a fairly common procedure over the past twenty years due to dramatically improved success with microscopic techniques. Only two conditions must be satisfied for sperm to be returned to a patient's semen with vasectomy reversal. The patient must have sperm available to pass through the reconnection and also the reconnection must be essentially watertight. The surgeon's goal is to achieve a very precise circumferential reconnection of the sperm canal edges by using meticulously placed microsurgical sutures.
WARNING: Do NOT consider any non-microsurgical reversal techniques, minimal experience, or various excuses for non-accountability for surgical results. Also, do NOT limit your search for a surgeon to just your local area. There are very few true "vasectomy reversal surgeons" who do not practice in or near a major city. There are urologists all over the country who do an occasional (less than one monthly) vasectomy reversal, usually by "naked eye" technique or minimal magnification. A significant percentage of the cases done by true vasectomy reversal surgeons are re-operations after an occasional reversal surgeon's failure. You must use strict criteria in the selection of your reversal surgeon.