The only physicians in Austin and Round Rock with Specialty Fellowship training in Vasectomy Reversals and Reproductive Urology.
We offer mini-incision microscopic vasectomy reversals as well as da Vinci robot assisted vasectomy reversals.
Dr. Kavoussi is credentialed in robot assisted microsurgery/vasectomy reversals by RAMSES (Robot Assisted Microsurgical and Endoscopic Society). Dr. Kavoussi has published landmark studies on robot assisted microsurgical vasectomy reversal. The first demonstrated the high success rates with the use of robotics applied to vasectomy reversal. http://www.ajandrology.com/
He has also published a study evaluating the learning curve for the application of the robotic platform to microsurgical vasectomy reversal. http://link.springer.com/
Dr. Kavoussi has contributed the chapter on the evaluation and preparation of men interested in robot assisted vasectomy reversal, as well as the details of the surgical steps and techniques of performing robot assisted vasectomy reversal, in the 4th edition of Smith’s Textbook of Endourology. This text is widely regarded as the principle text for high-technology minimally invasive urological surgery.
He has also contributed a chapter on all aspects of robot assisted vasectomy reversal in the 2nd edition of the textbook of Male Infertility.
Dr. Kavoussi spent two years of fellowship training in male infertility following his residency in urology, where he performed a large number of vasectomy reversals in a high volume center. Experience is the most important key to success for this precise microsurgical technique, as the hole in the vas deferens that must be put back together for a successful outcome is approximately the size of the period at the end of this sentence.
Approximately 500,000 men undergo vasectomy a year in the United States, and approximately six percent of men who undergo vasectomy will desire a vasectomy reversal sometime in their lifetime.
In most cases, Dr. Kavoussi and Dr. Machen perform vasectomy reversal through one small incision in the scrotum similar in size to the one made for the vasectomy. Recovery is also very similar to that of the vasectomy. Vasectomy reversal is performed as a day surgery at next door Austin surgery center or hospital where the patient goes home the same day.
Patients who undergo vasectomy reversal over 15 years following vasectomy have a higher likelihood of requiring a vasoepididymostomy. This is a microsurgical procedure where the abdominal (high) end of the vas deferens has to be connected to a tubule of the epididymis (the structure on the testicle where sperm mature), rather than connecting one end of the vas deferens to the other end of the vas deferens, as is typically done in reversals. This is a decision that can only be made during surgery and requires a very high level of specialized microsurgical expertise to perform such a procedure with acceptable success rates.
Just because a doctor says he can do a vasectomy reversal does not mean that he is able to achieve the high level of success you can expect at AFRM. Put your odds at success in the hands of a true fellowship trained vasectomy reversal specialist. You owe it to yourself to take the time and find the doctor that gives you the best chance for a successful vasectomy reversal in order to become a father again.
|Time Since Vasectomy||1-8 years||9-14 years||>15 years|
*This data represents the patency rate which is considered a surgical success and is defined as return of sperm to the semen after vasectomy reversal in first time vasectomy reversal patients. These numbers include men who underwent vas deferens to vas deferens connections as well as those who underwent vas deferens to epididymis connections.
Vasectomy Reversal in Austin
Things to know before your vasectomy reversal:
- Plan on having a driver bring you to and from the vasectomy reversal procedure.
- An ice pack should be applied to the scrotum; 20 minutes on, 20 minutes off; for the first day or two following the vasectomy reversal. This will help minimize swelling, which is the main cause of pain after vasectomy reversal.
- You will be placed in tight fitting underpants after the vasectomy reversal which you may wear for the first day. Following that, wear tight fitting briefs or boxer briefs for the first 1-2 weeks after the vasectomy reversal.
- You may shower the morning after the vasectomy reversal but should not sit in a tub or swim for 3-4 weeks after the procedure.
- You will be able to see and feel the suture in the skin after the vasectomy reversal. The suture will absorb on its own and will not need to be removed.
- The soreness and swelling after the vasectomy reversal will be comparable to that after the initial vasectomy.
Dr. Parviz Kavoussi as written the textbook chapter on surgical, radiographic, and endoscopic anatomy of the male reproductive system in the 11th and 12th editions of Campbell’s Walsh Urology textbook, which is considered the “bible of urology” used for training urology residents as well as the primary reference for practicing urologists. A mastery of this anatomy is paramount to optimize outcomes in men undergoing vasectomy reversal.
To read more on Vasectomy Reversal click on the following links…
The vas deferens: one of the vast differences between men and women. It is basically a small, hollow tube with the consistency of a wet noodle that allows the transit of sperm cells from the testicle on their way to the outside world to try to win the race and be the luckiest, or fittest, to reach and fertilize an egg. Why does it get so much attention in reproductive medicine?
Vasectomy reversals should be carried out by urology specialists with access to appropriate micro-surgical training and assisted reproductive technologies and not general urology surgeons, according to research published in the October issue of BJUI. The findings are based on a series of surveys carried out among consultant members of the British Association of Urological Surgeons (BAUS) over a ten-year period.