Vasectomy Reversal

What Is a Vasectomy Reversal?

A vasectomy reversal is a surgical procedure that reconnects the vas deferens — the tubes that were cut or sealed during a vasectomy. This allows sperm to once again enter the semen, giving you the chance to conceive naturally.

Many men consider vasectomy reversal due to life changes such as a new relationship and the desire for more children.

At CityMed in Auckland, we offer safe, effective vasectomy reversal surgery using loupe- assisted microsurgical techniques performed as a day procedure under local anesthetic with light sedation.

Why Choose CityMed for Your Vasectomy Reversal?

At CityMed Vasectomy Reversal Clinic in central Auckland, we perform this procedure using the loupe-assisted modified one-layer technique. This method is:

• Minimally invasive
• Performed under local anesthesia with sedation
• Completed as a day procedure — no hospital admission required
• Cost-effective — no general anesthesia or anesthetist needed

This technique allows for precise alignment of the vas deferens and is widely used in male fertility surgery.

How Successful Is Vasectomy Reversal?

While no procedure can guarantee success, the technique we use achieves excellent outcomes with high surgical success rate : up to 80% of cases operated on in the past successfully restored the flow of sperm.

Pregnancy success depends on multiple factors including:

• Restoration of the flow of sperm – 20% of the chances the scar tissue will block the duct
• Level of Antisperm antibody (ASA) (which neutralizes the sperm) built up in the body after vasectomy - which affect the amount of viable sperm in semen to achieve natural pregnancy. Reversals done within 3 years of vasectomy have a success rate over 90% to achieve adequate sperm counts. After 10 years, chances drop below 50%.
• Female partner’s fertility

How the Vasectomy Reversal Procedure Works

We use a loupe-assisted, single-layer technique performed under local anesthesia with sedation, which avoids the need for general anesthesia and hospital admission.

Step-by-step overview:

1. Local anesthetic is injected into each side of the scrotum.
2. The scarred ends of the vas deferens are exposed and trimmed until a healthy open channel (lumen) is visible.
3. A fine guide nylon is inserted to align the tubes.
4. Micro sutures are used to stitch the tubes back together with high precision.
5. The guide and stitches are removed one week later.

Procedure time: approx. 90-120 minutes

Day surgery: You can return home the same day

Pre-Surgery Instructions

Please follow these instructions to prepare for your procedure:

Checklist

• Confirm your appointment the day before
• Shave the front of the scrotum and underside of the penis
• Wear snug, supportive underwear
• Take the prescribed antibiotic 1–2 hours pre-op
• Arrange for someone to drive you home
• Payment is required on the day

Note: Sedation will make you drowsy, so you cannot drive yourself home.

Aftercare and Recovery

• First 48 hours: Rest, wear support underwear, apply ice as needed
• After 24 hours: You may shower and remove the dressing
• 7 days: Return to clinic for suture and guide wire removal
• Sexual activity: Wait until sutures are out and you're pain-free
• Semen test: 4–6 weeks after resuming sexual activity

Tips to Improve Sperm Health After Vasectomy Reversal

• Avoid hot baths or spas
• Don’t place laptops directly on your lap
• Wear loose-fitting underwear or boxers
• Quit smoking
• Maintain a healthy weight and diet
• Taking anti-oxidant supplements such as Menevit Male Fertility Supplement

FAQs

Is a vasectomy reversal always successful?

No surgery is 100% effective. Sperm may return, but pregnancy depends on other factors including female fertility.

How long should I wait before trying to conceive?

You can start to have sex after 2 weeks post-surgery and pain free. Natural pregnancy can occur before the scheduled sperm flow analysis.   Alternatively, the couple can wait to plan for pregnancy when the test confirms that sperms reappeared in semen (usually at 6 weeks post operation. To test the sperm’s quantity and motility accurately, a semen analysis needs to be ordered via GP with recommendation of 12 month post vasectomy reversal surgery.

Can I get this done under general anesthesia?

At CityMed, we perform the procedure under local anesthesia and sedation, but can refer to a urology specialist if you require general anesthesia.

Meet Your CityMed Vasectomy Reversal Specialists

To book your pre-op consultation call us on: 377 5525

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Or call us Monday to Friday 8am-5:30pm

09 377 5525