dimanche 21 août 2016

Aspects Of Sterilization Reversal You Should Know

By Andrew Mitchell


Surgical contraception has become one of the most preferred options of birth control. The method is typically chosen by persons who wish to have permanent contraception. However, in some cases, due to one reason or the other, there is a need to regain fertility meaning that the procedure has to be reversed. If you have plans of undergoing sterilization reversal, there are a number of things that you need to understand beforehand.

Microsurgery is the most commonly employed technique when performing vasectomy reversal. It is a method that involves the use of very small surgical cuts (hence the name). Due to the delicate nature of the operation and the small size of structures involved, microscopes are an integral inclusion. There are many other alternative techniques that can be used when performing vasectomy reversal but the microsurgical technique appears to yield the best results.

The flow of semen can be restored using one of two options. The first involves the re-joining of old vas deferens stumps (left during the previous operation). This is also known as vasovasotomy. The second option is where one of the stumps left behind is joined to the vas deferens, the region in which synthesised sperms undergo maturation. This option is thus referred to as vasoepididymostomy. The results from the two are comparable.

This operation is largely safe with just a few complications being encountered rarely. These include, for instance, excessive bleeding, accumulation of blood within the scrotum and postoperative infections. Fortunately, these are fairly manageable. The success rate of reversal of vasectomy ranges from 70% to 90%. The operation is likely to be successfully when done within three years of vasectomy. Contrary to common belief, age is not a major determinant of success.

The operation is managed as a day case in most centres. It is a procedure in which one is discharged from hospital on the same day that they are operated on. On average, one operation takes between two and four hours depending on the skill of your surgeon and the presence or absence of complications. Since spinal anaesthesia is typically used, you will remain awake as the surgery goes on.

Tubal ligation has many similarities to vasectomy. The actual procedure involves interrupting the continuity of the fallopian tubes. The effect of this is the prevention of fertilization of the ovum by the sperm. There are a number of different methods that can be used. They include clipping, cauterisation and cutting among others. Although tubal ligation was originally designed as a permanent contraceptive method, many people have had it reversed successfully.

The method that is used in effecting tubal ligation has a great influence on the success of the reversal procedure. If the procedure was performed through cutting then reversing it is likely to be more difficult than if it was performed through clipping. There is often a need for a number of tests before the operation to rule out any other possible causes of infertility.

Failure of reversal may be attributed to a number of factors. Extensive scarring after the corrective surgery may block the tubes and block the movement of sperms or the ova through them. In men, vasectomy may also fail due to the presence of anti-sperm antibodies which have been shown to reduce the number of active sperms. It is important to establish the presence of these antibodies before one undergoes the procedure.




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