Frequently Asked Questions About Microsurgical Vasectomy Reversal

Dr. Lerner understands that you may have many questions about your vasectomy reversal and believes that addressing these questions and concerns before the surgery will help make you more comfortable with your ultimate decision. Here are a number of questions Dr. Lerner is often asked by his patients:

Q: What makes Dr. Brad Lerner so unique?
A: What differentiates Dr. Brad Lerner from other urologists who claim to be skilled in male infertility and vasectomy reversal, is:

  • He is fellowship-trained in male infertility and microsurgery from the most prestigious program for male reproductive medicine and surgery in the United States, Baylor College of Medicine.
  • He is part of an elite group of the top vasectomy reversal specialists in the United States. Only two percent of board-certified urologists in the U.S. have this fellowship training.
  • He has a very high success rate for microsurgical vasectomy reversal - over 90 percent success, in fact - and is routinely called upon to take on the most complex cases, including re-dos because of his expertise.
  • He is an expert at the more delicate microsurgery called epididymovasostomy, needed in many patient cases when a blockage is discovered in the epididymis.
  • He has successfully performed vasectomy reversals on patients whose vasectomies were performed 40 years ago, and even longer. 
  • He has been passionate about helping couples conceive a child naturally for more than 20 years, and touches all of his patients with his compassion and caring demeanor.

Q: When considering a vasectomy reversal, does it matter how long it has been since a man had a vasectomy?
A: No, it does not matter.  What is important is the skill and training of the surgeon.  Dr. Lerner has had success reversing vasectomies for men who had the procedure performed more than 15 to 20 years ago, and even longer.  In fact, Dr. Lerner successfully reversed a vasectomy for a patient who had a vasectomy 36 years earlier and was not only a father, but a grandfather. 

Q: Is a vasectomy reversal painful?
A: For most men a vasectomy reversal is not that painful.   You may be sore for several days, but your doctor will prescribe narcotic pain medication or you may find that over-the-counter Motrin or Advil will relieve your pain.

Q: How long will it be after the vasectomy reversal until we can conceive a baby?
A: It depends on what type of procedure you need for your vasectomy reversal.   It usually takes six to 12 months for sperm quality to optimize which coincides with the average time it takes for the woman can conceive after a vasectomy reversal.   However, Dr. Lerner has had patients who have conceived babies within the first two months after the reversal.

Q: When can I begin having intercourse after a vasectomy reversal?
A: You can start having regular intercourse and ejaculating again after two weeks.  Frequent regular ejaculation will help keep the pathway for the sperm open and help the sperm travel into the ejaculate.
Q: What is the difference in the success rates of a general urologic surgeon who performs vasectomy reversal and a fellowship-trained microsurgeon who is a male infertility specialist?
A: The difference in success rates is dramatic.  The success rate of the general urologic surgeon is about 30 to 40 percent, while a fellowship-trained expert such as Dr. Lerner has a success rate of over 90 percent.

Q: Dr. Lerner performs the vasectomy reversal microsurgically- why is this the best way to perform the procedure?
A: The channel of the vas deferens through which the sperm swim is only .3 to .4 millimeters in diameter.  Therefore, the most effective way to reconnect the vas deferens is by having a skilled surgeon, such as Dr. Brad Lerner, perform microsurgery with the assistance of a state-of-the art operating microscope that provides 16 times magnification of the operating image.  Dr. Lerner uses microscopic sutures, which are so small they cannot be seen by the naked eye.

Q: How important is the skill and experience of a surgeon like Dr. Brad Lerner?
A: The microsurgical training and precise skill of the surgeon is of the utmost importance to the success of the surgery. The only way to help ensure the success of a vasectomy reversal is for it to be performed microsurgically by a urologist like Dr. Brad Lerner, who is a fellowship-trained male infertility specialist and who performs vasectomy reversals on a regular basis.  Choosing a surgeon with a vast amount of experience and a proven track record is the best option to help you achieve your dream of having a child naturally.

Q: What can I expect before and the day of surgery?
A: Following your consultation with Dr. Lerner, a patient coordinator who will go over details concerning your pre-op preparation, the types of testing you may need, the timing of your procedure, what your insurance may cover, and financing options.
On the day of surgery, you'll arrive at the Vasectomy Reversal Center of America's microsurgical suite and be introduced to the microsurgical team.  The Center is unique because it has an entire team dedicated to its vasectomy reversal patients.  This includes the operating room nurses and recovery room nurses.

Q: What can I expect after surgery?
A: You will receive a call in the evening after your surgery from either Dr. Lerner or one of the Center's nurses to check on you.  For those patients who have travelled from out of town and are staying in a hotel, Dr. Lerner will follow up with you before you leave for home.  Patients either follow up by phone or in person two weeks after their reversal.