Saturday, August 27, 2016

Information Relating To Sterilization Reversal

By Andrew Mitchell

The use of surgical contraception options (vasectomy and tubal ligation) has increased tremendously in recent times. They are by far the most effective methods of birth control for both men and women. In some cases, however, some patients may need to reverse the procedure in a bid to regain their fertility. There are a number of things on sterilization reversal you need to know if you have plans of undergoing the procedure.

Microsurgery is the most commonly employed technique when performing vasectomy reversal. It is a method that involves the use of very small surgical cuts (hence the name). Due to the delicate nature of the operation and the small size of structures involved, microscopes are an integral inclusion. There are many other alternative techniques that can be used when performing vasectomy reversal but the microsurgical technique appears to yield the best results.

The flow of semen can be restored using one of two options. The first involves the re-joining of old vas deferens stumps (left during the previous operation). This is also known as vasovasotomy. The second option is where one of the stumps left behind is joined to the vas deferens, the region in which synthesised sperms undergo maturation. This option is thus referred to as vasoepididymostomy. The results from the two are comparable.

The surgery is regarded as being safe generally but a number of complications may be encountered in rare circumstances. They include excessive blood loss, post-operative infections and hematoma formation within the scrotal sac. Fortunately, these complications are fairly easy to deal with when they occur. The overall success rate (return to fertility) ranges from 70% to 90%. The likelihood of succeeding is highest if the procedure is done less than three years from the time of vasectomy.

The operation is managed as a day case in most centres. It is a procedure in which one is discharged from hospital on the same day that they are operated on. On average, one operation takes between two and four hours depending on the skill of your surgeon and the presence or absence of complications. Since spinal anaesthesia is typically used, you will remain awake as the surgery goes on.

Tubal ligation works in the same way as vasectomy in women. This method of birth control is performed by cutting, clipping or cauterising the fallopian tubes that are found on either side of the uterus. While the option has for a long time been considered a permanent method of contraception, advances in surgical practice have made it possible for women undergoing the procedure to regain their fertility.

The technique that is used in performing tubal ligation is a great determinant of successful reversal. For example, if cutting was done reversing is more difficult than when clips are used. There may be a need to be taken through a number of tests to establish whether other problems exist. In some cases, the surgery may not be helpful and other options may have to be used straight away.

Failure of these surgical procedures is caused by a number of factors. These include, for instance, scar tissue within the tubes. The scar tissue blocks the reproductive tubes and hinders the movement of ova and sperm cells. Failure may also result from the presence of anti-sperm antibodies. The doctor will typically screen for the antibodies before one is subjected to the operation.

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