Vasectomy reversal may be offered by our urologists in conjunction with a sperm retrieval procedure.
The key factors that decide whether to attempt a reversal or proceed straight to assisted reproduction with ICSI are:
- the age of the female partner
- the time since the vasectomy procedure
Although the time since vasectomy does not affect the chances of successful fertility treatment with surgically retrieved sperm, it does significantly impact on the chances of a successful vasectomy reversal.
One study has demonstrated over 70% pregnancy success if performed within three years of the original vasectomy; this drops to 50% or less thereafter.
If there has been an extended period since the original vasectomy or if maternal age has increased, we would recommend assisted reproduction as first-line treatment.