The Cornwall Urology Clinic Nic Munro PhD FRCS (Urol)
The Cornwall Urology Clinic   Nic Munro PhD FRCS (Urol)

How to contact us

Mr Nic Munro

The Cornwall Urology Clinic

The Duchy Hospital
Truro

TR1 3UP

 

Secretary

Kay Sargent

Phone 07917 206175

munro.urology@gmail.com

Appointments

Secretary Kay Sargent

 

Phone: 07917 206175

Fax: 01872 252417

munro.urology@gmail.com

 

Clinics Friday 0830-1330

 

Other times by arrangement

 

microsurgical vasectomy reversal

overview

Things change; about 1 in 20 men who undergo a vasectomy later wish the procedure could be reversed.

A vasectomy causes sterilisation by cutting and tying off a section of the tube (vas) that carries sperms from each testicle.

 

Vas reversal surgery reconnects the two ends of the vas to allow sperms to flow freely again. The vas tube is only 3mm across with a thick muscular wall and so the internal diameter is less than 0.5 mm, only twice the diameter of a human hair.

 

Some surgeons undertake Vas reversal surgery with the naked eye alone or magnifying glasses. We utilise a Zeiss operating microscope, typically used by eye surgeons and plastic surgeons. Using the microscope allows more accurate placing of extra-fine reconnecting stitches to maximise the chances of success. This approach is recommended in the European Urology Association Guidelines (2012).

 

In the years following vasectomy the testes slowly lose the ability to make functioning sperms, so one factor predicting success is a short time interval between initial vasectomy and the reversal.

 

The initial consultation fee is £150 at which point a date for surgery is arranged if desired. The surgery typically lasts 2h30mins under a general anaesthetic, although the patients are able to go home later that day. The Duchy hospital offers a fixed price package for all costs during the hospital stay of £2750.

 

We recommend a simple semen sample analysis 6 weeks after surgery to determine if sperms are present.

 

Chances of success

Interval years             Chances of patency         Chances of pregnancy

 

<3                                            97 %                                 75%

 

3-8                                           88 %                               50-55%

 

9-14                                         79 %                               40-45%

 

Internet resources

http://www.bupa.co.uk/individuals/health-information/directory/v/vasectomy-reversal

 

images

Zeiss operating microscope
Reconnection of a vas with fine nylon stiches
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