パイプカット再建 / 元に戻す（日帰り顕微鏡下パイプカット再建術）
At our clinic, we perform both vasectomy and reconstruction (restore) of vasectomy that you had in the past. We are waiting for consultation on the surgery from the appointment page for your first visit.
After undergoing vasectomy , surgery to restore (recanalize) for the purpose of vocational training for reasons such as remarriage is “One-Day Microsurgical Vasectomy”. The vas deferens are recanalized by re-anastomizing the vas deferens obstruction using a surgical microscope. This page introduces the flow and cost of surgery related to vasectomy, and frequently asked questions.
Treatment results of our clinic
At our clinic, vasectomy has a very high results as follows.
Vasectomy (vas deferens ligation) is also called pipe cut. This is a male contraceptive surgery performed when a person who already has children does not wish to have any more children. Sperm produced in the testes pass through the vas deferens and mix with the secretions of the prostate and seminal vesicles to become semen, which is ejaculated outside the body with sexual stimulation. Vasectomy (vas deferens ligation) is an operation in which the vas deferens is cut (excised or closed) in the middle to block the passage of sperm and prevent sperm from being mixed with semen. It also has no effect on sexual function or sexual sensation.
Vasectomy reversal (vas deferens anastomosis) re-anastomizes the vas deferens obstruction using a surgical microscope to recanalize the vas deferens. Since sperm may not be produced at 10%, Simple TESE may be performed at the same time.
Most people undergo this surgery to get it back for the purpose of giving birth because of remarriage.
By restoring it, you will be able to expect a natural pregnancy. In addition, the treatment results of pipe cut reconstruction (vas deferens anastomosis) at our clinic are the highest with a sperm appearance rate of 91% and a semen normalization rate of 47%.
It takes 2 to 6 months for sperm to appear. On the other hand, there is a 9% chance that sperm will not appear. In this case, intratesticular sperm recovery (SimpleTESE) is required.
If you do not wish for pregnancy, you will need contraception
First, please make an appointment for a medical examination and have an examination. After the examination, the doctor will explain the surgery in detail.
If you wish to have surgery after that, you will be asked to undergo a preoperative examination (a blood test for infectious diseases).
After explaining the surgery, we will make an appointment for the surgery.
Your next visit to the clinic will be on the day of surgery.
On the day of surgery, you will be required to come to the clinic at the time of the appointment. The operation is performed by local anesthesia and takes about 2 hours to 2 hours and 30 minutes.
When the vas deferens have been anastomosed, we will speak to you so that you can see the actually connected vas deferens.
The image of the actually connected vas deferens.
* This is an image of the affected area after surgery, so please view it with caution.
* When the doctor deems it necessary, or when the patient wishes, please depositthe cost of surgery to the designated account after the apointment has been placed and before the surgery. For other expenses (examination fee, preoperative examination fee, etc.), cash or credit card can be used.
How long does it take to the sperm to appear after surgery, and increasing the chances of pregnancy?
It takes 2 to 6 months for the sperm to appear. Please refer tohere for the method of surgery.
What is the sperm appearance rate and pregnancy success rate?
Our vasectomy reverse has the highest treatment results with a sperm appearance rate of 91% and a semen normalization rate of 47%.
If there is no pregnancy after surgery, are there alternative fertility treatments?
There is a 9% chance that sperm will not appear. Even if sperm do not appear, it can be treated with intratesticular sperm recovery (SimpleTESE).
Are there any complications to watch out for after surgery?
For 2 months after the surgery, you will be required to lift the scrotum firmly to rest the anastomotic site.
If you had a vasectomy and wish for pregnancy, you usually have a vasectomy reverse, but if you don’t get the results you want, these surgeries may be done.
If you wish, we will introduce you to the Toho University Omori Hospital Reproduction Center (Urology Department), which is affiliated with this clinic.
For details, please see the link below and the site of the Toho University Omori Hospital Reproduction Center (Urology).
永尾 光一 先生