Types

• Male Reproductive Anatomy
  
  Two types of surgical approaches can restore fertility during a vasectomy reversal procedure.
  Reattaching the ends of the vas deferens is called a vasovasostomy. The vas deferens is then attached to the epidydimis, The epidydimis is contained in the back of the scrotum. The vas deferens is the tube that carries sperm to the epididymis.
  Your doctor may need to directly attach the vas deferens to the epidydimis, using a procedure called vasoepididymostomy. Each side may require a different procedure, decided at the time of surgery.
  
  

Considerations

• Prices vary, and can cost as much as $12,000, beginning around $5,000. Most vasectomy reversal procedures are not covered by insurance.
  
  

Potential

• The chances of restoring fertility declines over time. After fifteen years, the chances are less. A testicular biopsy might be performed to analyze your semen. Once your surgeon determines that you are a good candidate, surgery can be scheduled.
  
  

Features

• There is a risk of bleeding after the procedure. Vasectomy procedure is performed at a surgery center or hospital. You can go home the same day, and will need to rest for 24 hours, with ice applied to the scrotum. Vasectomy reversal is considered safe and relatively painless.
  
  

Prevention/Solution

• Estimates say vasectomy reversal procedure is successful over half of the time. Many men father children after having the procedure, but there are no guarantees. According to the National Institute of Health, 500,000 men undergo vasectomy each year and 10% later request vasectomy reversal.
  Your partner should also have an examination to determine chances of conception. Success of vasectomy reversal depend on how long it's been since your vasectomy, which technique is employed, and the the skill of your surgeon.
  Make sure you find a surgeon who has performed successful operations in the past. If vasectomy reversal fails, another procedure can be performed. It may take four to six months for sperm to appear in the semen, or as little as one to two months.
  Pregnancy occurs 75% of the time if vasectomy reversal is performed less than 3 years after vasectomy, falling to 50% within 3 to 8 years, according to statistics found on the Urology Channel.
  If you're considering a vasectomy reversal, it's better to do it as soon as possible after your vasectomy to increase your chances of pregnancy.