Frequently Asked Questions
Have questions about vasectomy reversal procedures, post-operative care, payment or just a general curiosity about what to expect? The staff of Southwest Fertility Center for Men is here to help. If you don’t see the question or answer you’re looking for, please feel free to contact us to learn more.
- What special provisions are offered for out-of-state patients?
- My urologist offers the simpler vasovasostomy on both sides regardless of what is found in the vas fluid during the operation. Is this for me?
- What do you do if it has been 4 or more years since your vasectomy?
- How long is the procedure and what type of anesthesia do you use?
- After the vasectomy reversal, when can we start checking for sperm?
- Can we cryopreserve (“freeze”) sperm at the time of vasectomy reversal?
- What are our payment options?
- Are there any other fees that I might incur?
What special provisions are offered for out-of-state patients?
If you are from out of state, Dr. Kuang offers a free telephone consultation so that you do not have to travel. If you decide to have a vasectomy reversal, Dr. Kuang has set aside special appointment slots on Tuesdays to meet with you before the surgery, to do a comprehensive physical exam and to complete all the necessary paperwork. Wednesday morning is the day of surgery. After surgery, Dr. Kuang asks that you stay one night in Albuquerque before returning home. Dr. Kuang likes to see his out-of-state patients at about six weeks after surgery, but understands the inconvenience of travel especially if you are doing well. Recognizing this, he is willing to work with your local physicians to continue in providing you care.
My urologist offers the simpler vasovasostomy on both sides regardless of what is found in the vas fluid during the operation. Is this for me?
Many general urologists without infertility training are perfectly capable of performing the simpler vasovasostomies. If what your scrotum needs is this operation on both sides, then that is a perfect match. During my research and clinical training at the Cleveland Clinic, we found that none of the patients less than 4 years out from their vasectomy required the more complex vasoepididymostomy. So if it has been less than four years since your vasectomy, you will probably do just fine with your local urologist who offers vasovasostomy.
What do you do if it has been 4 or more years since your vasectomy?
The bottom line is that you are one of these patients, then you may require the more complex vasoepididymostomy. In life, it is always tempting to go with what is easier or more convenient, and for many that is a vasovasostomy on both sides. At our center, our goal is to do the right operation to give you the best chances of restoring your fertility. If that means doing the more complex vasoepididymostomy, then that is what we will do.
How long is the procedure and what type of anesthesia do you use?
The average operating time for a vasectomy reversal is can range from 2.5 – 4 hours. It depends on whether the more simple vasosostomy (“hooking” things back up right where you had the vasectomy) or the more complex vasoepididymostomy (rerouting the vas and “hooking” it straight into the sperm refinery behind the testicle). For the men who say “Dr. K, just wake me up when it’s all done. I don’t want to feel or remember a single thing.”, general anesthetic can be used. Local and regional anesthetics are also options. The final decision is based on patient preference and what type of vasectomy reversal you will require.
After the vasectomy reversal, when can we start checking for sperm?
At your first visit after the vasectomy reversal, we may check for sperm. After the six-week visit, a semen analysis should be performed every 3 months or until a pregnancy is established.
While it is rare (< 5%), some men can scar down even after good initial results and some men's bodies have a reaction to the sperm (they produce antibodies against the sperm) that can interfere with fertility. This occurs rarely but if it does occur, it is best to detect these conditions as early as possible. These semen analyses can be done independent of an office visit at your convenience.
Can we cryopreserve (“freeze”) sperm at the time of vasectomy reversal?
If we see whole motile sperm in the fluid coming from your testicle at the time of your vasectomy reversal, we can easily cryopreserve it as a safety backup. This can be used just in case inadequate numbers of sperm are seen after surgery in your ejaculate.
Very rarely, vasectomy reversals can scar down even with good initial results. As a result, cryopreservation can be performed on ejaculated specimens early on during your recovery when the sperm quality is still excellent.
What are our payment options?
Dr. Kuang has arranged for a comprehensive package that includes having to do the more complicated “bypass” vasoepididymostomy procedure if that is needed. For those who choose to proceed with surgery, the total cost includes the surgical fee, the anesthesiologist and the facility fees and the first visit after your surgery. Dr. Kuang likes to see all patients about six weeks after the operation to make sure everything is healing well and to see how you are doing. This pricing is comparable with the pricing of similarly trained microsurgeons. Please contact us ahead of time to be sure that our costs have not changed since a lot of it is dictated by the hospitals.
- $1,000 is required as a deposit when the decision is made to have surgery. The remainder of the surgeon’s fee is required six weeks prior to surgery. The anesthesia and facility fees are payable on the day of surgery at the surgical center. Our Financial Specialists will gladly walk you through this process.
- Independent medical financing companies exist that offer programs that can help you figure out your financial concerns.
Are there any other fees that I might incur?
The first post-operative visit around 6 weeks after surgery is included in the fee for surgery. Any additional office visits and semen analyses will be charged accordingly.
Charges for the hospital and anesthesia are billed separately from the surgeon’s fee. These are paid at the hospital on the day of your procedure.
There is also a cancellation fee of 25% of the total charge if surgery is cancelled less than four week prior to the scheduled date.
You are also responsible for your transportation fees to and from the facilities and accommodation fees.