A vasectomy is a highly effective form of permanent contraception — but life circumstances change. Many men later desire to father children again due to new relationships, improved financial stability, or personal choice.
Vasovasostomy is a microsurgical procedure that reverses vasectomy by reconnecting the severed vas deferens. Modern techniques offer high success rates, especially when performed by trained microsurgeons using high-power operating microscopes.
Bangkok is a top destination for vasectomy reversal due to skilled male fertility specialists, advanced microsurgical equipment, and competitive pricing.
This guide explains how vasovasostomy works, who it’s for, and what results men can expect.
What Is Vasovasostomy?
Vasovasostomy is a microsurgical vasectomy reversal that reconnects the cut ends of the vas deferens, allowing sperm to once again travel from the testicles into the ejaculate.
How the procedure works:
Previous vasectomy site is identified
Both ends of the vas deferens are re-opened
Using microsurgical sutures, the vas is reconnected
Sperm flow is restored
Semen analysis confirms success
Performed with a high-powered surgical microscope for best accuracy.
Who Is a Good Candidate?
Men who:
Previously underwent vasectomy
Want to father children again
Prefer natural conception over IVF
Are in good general health
Have no significant scrotal pathology
Time since vasectomy is the biggest predictor of success:
<5 years: highest success (up to 95%)
5–10 years: 70–90% success
10 years: 50–70% success
Even long intervals can be successful with skilled microsurgery.
When Is Vasovasostomy Recommended?
Vasovasostomy is appropriate when:
Sperm is found in the vas fluid during surgery
Blockage is only at the vasectomy site
No secondary obstruction exists
If no sperm is present, a more complex procedure — vasoepididymostomy — may be required.
Benefits of Vasovasostomy for Men
1. Natural Fertility Restoration
Allows natural conception.
2. High Success Rates with Microsurgery
Especially when performed by experienced fertility surgeons.
3. Safe & Minimally Invasive
Small incisions with fast recovery.
4. Cost-Effective vs IVF
More affordable than repeated ART cycles.
5. Long-Term Fertility Solution
One surgery restores sperm flow permanently in most cases.
The Vasovasostomy Procedure — Step by Step
1. Pre-Surgery Evaluation
Medical history
Physical exam
Hormone testing (if indicated)
Ultrasound for scrotal concerns
2. Surgery (2–3 hours)
Performed under general or regional anesthesia.
Steps:
Small incision in scrotum
Identify vasectomy site
Remove obstructed segment
Flush and test fluid for sperm
Microsurgery to reconnect vas deferens
Meticulous suturing in multiple layers
High magnification is crucial for success.
3. Aftercare
Supportive underwear
Pain medication
Avoid ejaculation for ~4 weeks
Follow-up semen analyses
Recovery Timeline
Day 1–3:
Mild swelling
Ice packs recommended
Week 1:
Return to office work
Week 3–4:
Resume light exercise
Avoid heavy lifting
Week 6:
Sexual activity allowed
Weeks 8–12:
Sperm reappears in ejaculate
Fertility restored progressively
Expected Outcomes
Patency Rate (sperm returning to semen):
70–95% depending on time since vasectomy
Pregnancy Rate:
40–70% depending on female partner’s age
Most men regain sperm flow within 3 months.
Risks & Safety Considerations
Low complication risks include:
Hematoma
Infection
Persistent blockage (rare)
Sperm granuloma
Chronic scrotal discomfort (rare)
Choosing a microsurgical expert reduces risks dramatically.
Why Men Choose Bangkok for Vasectomy Reversal
Highly trained microsurgeons
Advanced operating microscopes
Competitive pricing
Strong fertility outcomes
Privacy and confidentiality
Comprehensive pre- and post-op support
Frequently Asked Questions (FAQ)
How long after vasovasostomy to get pregnant?
On average 3–12 months.
Can it fail?
Yes, but success rates are high with good technique.
Does age matter?
Male age matters less — female partner’s age is more important.
Will erections or testosterone change?
No impact on sexual function.
Is this the same as vasoepididymostomy?
No — vasoepididymostomy is done when vas deferens reconnection is not possible.
Key Takeaways
Vasovasostomy reverses vasectomy and restores natural fertility.
Success is highest with microsurgical techniques.
Bangkok offers world-class reversal surgery at excellent value.
Menscape provides discreet fertility consultations and planning.
📩 Want to restore your fertility? Book a private vasectomy reversal consultation at Menscape Bangkok today.
