Vasectomy Reversal: Restoring Fertility in South Florida

Life circumstances change — remarriage, loss of a child, or simply a new desire for a family. Vasectomy reversal is a microsurgical procedure that reconnects the vas deferens, restoring the flow of sperm and offering many men the chance to father children again. Dr. Christopher Vendryes, MD performs microsurgical vasectomy reversal for patients across Broward and Palm Beach counties.

How Vasectomy Reversal Works

Under high-powered surgical magnification, the surgeon reconnects the two ends of the previously divided vas deferens (vasovasostomy). If a blockage has developed further upstream in the epididymis, a more complex vasoepididymostomy is performed. The procedure typically takes 2 to 4 hours under anesthesia and is done as an outpatient surgery.

Success Rates

Success depends primarily on the time since vasectomy and surgical technique. When performed within 10 years of the vasectomy, sperm return to the ejaculate in 90% or more of cases, with pregnancy rates of 50–70%. Even after 15 or more years, reversal remains a viable option for many couples.

Reversal vs. IVF with Sperm Retrieval

Vasectomy reversal is typically less expensive than repeated cycles of IVF and allows natural conception. IVF with testicular sperm extraction may be preferred when female fertility factors exist or when reversal is unlikely to succeed. Many couples benefit from an individualized discussion with a urologist trained in male fertility.

Recovery

Most men return to desk work in 3 to 5 days and resume full activity in 3 weeks. Sperm typically appear in the ejaculate within 3 to 6 months, though it may take up to a year for full recovery of sperm production.