The surgeon, the interval of time since the vasectomy and …a sperm granuloma. Of the three important factors of a reversal, the quality of the fluid at the time of the reversal involves a bit of luck.
When the tube closest to the testicle is cut, fluid emanates from the cut edge and then is examined. The quality of the fluid is an important factor in the success of the reversal. So…clear or slightly milky fluid with whole sperm has a higher success rate than say creamy fluid and sperm parts. Having a sperm granuloma or testicles that just happened to protect the quality of sperm after a vasectomy, gives the patient a higher success rate.
Having good fluid to work with at the time of a vasectomy reversal is simply…good luck.
I’m reading a book on the the North African campaign during WW2. There were many qualities in a general that were important in their advancement. One of the biggest qualities that aided advancement in rank was the general’s history of good luck.
Once the vasectomy procedure is over and you are well on your way to full recovery, the next important thing to remember is , “No unprotected sex until there is proof there are no residual sperm in the ejaculate.”
Many patients feel that the time from the vasectomy is the factor that influences sterility, however it is the number of ejaculations. It usually requires 20-30 ejaculations to achieve sterility (i.e. no sperm).
You can use in certain cases the test kit available from spermcheck.com, however at Northeast Georgia Urological Associates we personally evaluate each post vasectomy specimen under a microscope at no additional charge.
How your anticipated urologist plans to handle the evaluation of your specimen, the cost if any, how it is done, may be one of the factors that should determine who performs your vasectomy.
We’ve done thousands, we offer conscious sedation (absolutely painless), accept most all insurances and offer fair all inclusive pricing for self pay patients.