There are two specific options when it comes to vasectomy reversal. These are the vasovasostomy and the vasoepididymostomy. Of the two, the latter is considered as the more difficult to perform and technically demanding. This is often suggested if there is no sperm present or there is obstruction in the vas deferens of the patient. This will require anastomosis of the vas deferens of the person to the epididymis thus bypassing the obstruction made by the epididymal.
Just like the regular vasovasostomy, vasoepididymostomy does not require a confinement of the patient in the hospital. The procedure takes around 4 hours to perform, and usually epidural block or general anesthesias are used on the patient. Just to complete the preparation of the patient for the procedure, a number of antibiotics are usually administered to the patient 30 minutes before the actual procedure.
Causes of epididymal obstruction