Vasectomy reversal, unlike vasectomy, is a lengthy surgery, and therefore cannot be safely or satisfactorily done in an office setting. Many reversal clinics, however, use the approach of using sedation in conjunction with local anesthesia in an office operating suite in order to keep costs down.
Dr. Finnerty has had extensive experience with this approach, but now only performs vasectomy reversal under general anesthesia. While many men can be done safely under sedation, about 5-10% will become restless or require large amounts of sedation to be comfortable. Such situations can become hazardous, and can greatly impair the ability to do a precision microsurgical repair. We see several patients a year who have had reversals performed in such a setting which subsequently failed.
Reversal surgery is best performed in an ambulatory surgical center, where you check into the facility in the morning, and by evening are recovering in the comfort of your own home. This way, your safety and comfort can be best assured by providing the latest technology, using highly trained anesthesiologists and nurses in state-of-the-art surgery suites, and Dr. Finnerty can concentrate fully on giving you the best technical repair possible.