Frequently because that’s what helps wash out that sperm that is obstructed and not quite as happy swimming and get to the guys that are being newly manufactured so so that frequent ejaculation is important after about six weeks I’ll see them back in the office unless I see them at that two-week visit especially if they’re if they’re local.
Here but it’s six weeks is where I really want to see them make sure that I’m happy with how the semen analysis looks and make sure I don’t have to do anything special with them based on that semen analysis finding so what if my first vasectomy reversal failed this is not infrequent success rates of vasectomy reversals people will quote anywhere from fifty to ninety eight percent so that’s a huge range and it depends on the surgeon and depends on the operation as we talked about but.
There’s a lot of men I see on an annual basis that have gone elsewhere and didn’t work so we end up having to actually redo the procedure can I do it sure does it work sure the technical considerations are different so it’s not always the same every time I do an operation I’m prepared to do whatever operation it takes but when a man has already had a reversal I have to do two things I have to find where that reversal site was and unblock that and usually bypass that and then I have to get in and still look for where the the fluid is and where the sperm are and so the reason for that.
Room an easier day in the operating room is when I open up that vas deferens and I still see sperm and if they’re swimming that’s the best possible outcome so if I see motile swimming happy sperm in the vs defer ens at the time of the reversal and most of the time essentially a hundred percent of the time that man is going to have a good return of spurn to his ejaculate.
And therefore the chances of vasectomy reversal pregnancy are gonna skyrocket if I get in and the fluid is clear or thin and at least I’m seeing non motile sperm so they’re there they’re just not swimming that goes back to what we talked about a few slides back in that the just the time from the vasectomy is going to dictate often whether or not there’s swimming sperm at the time of reversal but.
I know that that man is going to be able to ejaculate out those non motile sperm to get were the good swimmers are and again we’ll be able to restore fertility if I get in and I find sperm fragments mean and I see heads of sperm and tails of sperm this is just a timeline so in other words that just means that those fragments used to be sperm and they’re on that pathway to complete reabsorption.
By the body and again it just changes how easily and how quickly sperm is going to return to that man’s ejaculate so quality of fluid is critical so if I do a vasectomy reversal on a man that’s one year out from his vasectomy and I find that paste and I do have a second reversal on a man that’s years out from his vasectomy and I find motile sperm who do you think is going to have the best chance as a success it’s the guy with motile
Joining us this evening for our webinar if you’re on google handouts you’ll see a grid of squares on the top right of the hangout window and if you click on that and the Q&A; button that’ll open up the questions window down the right-hand side at the bottom of the questions window you can click on ask a new question we’d love to hear from you of any questions you may.
Have pertain to reverse vasectomy if you are streaming with this live on YouTube you can submit your questions below the video in the comment section and type your question in there and then click on the post so at this stage if you do have any questions we’d love to hear from him and answer those questions in the interim if you are interesting vasectomy reversals obviously in contact dr. person directly at I’ve been Australia on the rooms triple or alternatively.
Is Greenwich rooms on double zero so this stage we must return take a few questions by the way Frank and I work together as a team we affect this Friday will be doing operation like we normally do together we’ll it’s great to have two sets of eyes two sets of hands doing this work one of the questions was when you get a sperm test to know it successful after the vasectomy reversal but I think.
I probably wait for weeks til people are comfortable to do this procedure but waiting any longer than that doesn’t really have much sense there will be immediate sperm flow through these pipes providing me an estimate is in place and another question came through as what’s a chance of success with IVF if someone’s already attempted.