Vasectomy reversal question
Aug 10th 2008adminSports after vasectomy & Vasectomy reversal
From Kathryn:-
My husband had a vasectomy almost 15 years ago. The vasectomy was performed in conjunction with a hernia repair. The surgery was completely through the scrotum. We have now decided we want more children and are scheduled for a vasectomy reversal next month.
My questions are this, because the vasectomy was performed in conjunction with the hernia does this mean that the deferens will have too large a section removed to be reconnected? If a large section is found to be removed does it mean that we would be subject to a vasoepididymostomy rather than a vasovasostomy or is either one even possible? Does this decrease the chances of him being able to father another child? He is 43 years old and outside of a bout with diverticulitis 6 months ago is in very good health. I hate to have my husband go through such discomfort if the chances of us being able to have another child are going to be minimal. Thank you for any answers you may provide.
We always discourage a vasectomy to be performed at the same time of hernia surgery through a groin incision. These vasectomies are more difficult to reverse because of the extensive scarring encountered in the groin from the hernia. Even if the vasectomy was performed through a separate incision in the scrotum there might be some scarring in the groin from the hernia surgery especially if a synthetic mesh was used. Previous inguinal hernia surgery with synthetic mesh material has been shown to cause obstruction in the groin even when a vasectomy has not been performed. The vasectomy reversal can ultimately be unsuccessful if there is scarring in the groin from the hernia repair, regardless of how well the vasectomy reversal is performed.
