Tubectomy and vasectomy are methods of permanent contraception in females and males respectively. In females, the fallopian tubes which carry the egg (oocyte) from the ovary to the uterus are obstructed by either severing or tying or by using clips and rings. In males, the vas deferens (a tube that carries sperm from testicles to the semen) is closed on both the sides.
Even though these methods render the patient infertile for future conception, sometimes the patients might again want to be fertile. Because of the advance in the microsurgery in the field of reproductive surgery, this is possible.
The procedures to reconnect these severed tubes in females and males are known as Tubectomy or vasectomy reversal procedures.
In Tubectomy reversal, the remaining length of the tubes is an important factor. The remaining length should be of enough size to attach both the ends and maintain the chances of being fertile again. The patient has to undergo various tests like USG and HSG to check the length and function of the tubes. This procedure is done under general anesthesia. If the tubes are occluded with rings or clips, they are removed with the help of a laparoscope. If the ends are cut then the surgeon takes micro stitches at both the ends to reconnect them. Some painkillers are advised to help with the pain relief. Although after this procedure there is an increased risk of ectopic pregnancy (a life-threatening condition in which the pregnancy occurs in the fallopian tube).
Younger is the patient better is chances of conceiving again. Pregnancy usually occurs within the first year. Pregnancy rates are from 35% to 85%.
Vasectomy reversal reconnects the tubes so the sperms are able to get into the semen. The patient is made comfortable and relaxed. Then the patient is put under anesthesia. In the vasectomy reversal, a small cut is made on both sides of the scrotum. The vas deferentia are identified. These tubes are then magnified 10 to 40 times with the help of the microscope. Their cut ends are located. If they are irregular, they are smoothened out. The ends are reattached by taking micro sutures. Healing is pretty quick after this procedure. Painkillers are prescribed to help with the pain relief. Intercourse is advised to be avoided for the next 2-3 weeks. The sperm analysis is done every 2-3 months. Mostly sperm appears in the semen within 2-3 months.
Microsurgery is successful in almost 80% of the patients. It results in pregnancy in almost 55% of the partners. Lesser is the time between vasectomy and its reversal, more are the chances of the partner getting pregnant.
Hegde Hospital has a team of very experienced doctors to perform microsurgeries like Tubectomy and vasectomy reversal procedures. Contact us to discuss!!