Microsurgical Vasectomy Reversal
Robert U. Finnerty M.D. FACS
Microsurgical Vasectomy Reversal
Robert U. Finnerty M.D. FACS

Can Vasectomy Be Reversed?

bridgeIn the past, the results were very poor for vasectomy reversal, because of the small size of the vas deferens and the tiny opening (lumen) inside it. Older reversal techniques, generally using low-power optical magnification or jeweler’s loops, simply removed the scarring from the vasectomy site and placed a few large sutures to approximate the ends. Because the upper and lower ends of the vas have such different diameters after vasectomy, the inside channel was poorly aligned. This allowed sperm to leak out, resulting in inflammation and scarring.

Success as a result was relatively rare, and even when sperm appeared after surgery, sperm counts were often very low and fertility was poor. Attempts to improve the success rates using techniques such as stents failed to improve the results. And when a secondary obstruction from an epididymal leak occurred, these non-microsurgical techniques offered no hope for success.

The answer to these problems arrived in the mid-1970’s with the development of very high magnification surgical techniques, called microsurgery. Initially used to repair tiny blood vessels and nerves, it quickly found application in infertility surgery. Using a specialized piece of equipment called an operating microscope, surgeons with microsurgical training use sutures (stitches) which are barely visible to the naked eye, working with magnification between 20-50x (compared to 2-4x with optical loops).

These microsurgical techniques allow extremely precise placement of sutures, resulting in a far more accurate alignment of the vas lumen and markedly improved success rates in vasectomy reversal surgery. Using microsurgery, eight or more sutures can be placed around the inside channel of the vas, which is the size of the “o” in “God” on a penny.


More Information on Microsurgery

Easter blessings to you and your family from us. We are having a special celebration and invite you to join us -- we celebrate the life of our new daughter.
C.K., California
A child is God''s most precious gift. We joyfully announce the birth of our son.
J.C., Idaho
My wife and I would like to give you and your staff a hearty "thank you" for the professionalism and care given us...following my son''s departure to our heavenly Father. Your calming manner and assurance that we had a reasonable chance at reattaching my vas deferens, which might allow us to get pregnant, was at fruition soon after our stay in Tacoma. 14 days following the procedure, my wife ... had become pregnant!. We lost our first son, and Dr. Finnerty, touched by God, enabled us to have another son ...
J.G., Washington
The reversal surgery was a great success! We are sorry we didn''t contact you sooner. Thank you again for your willingness to provide such a special service for families.
M.F., California
My husband had a vasectomy reversal four and one-half years ago performed by Dr. Finnerty. Three and one half years after, we were able to conceive a child. Our daughter is such a constant joy in our lives.
C.J., California
We wanted to share our delightful news with you. We were blessed with a beautiful baby daughter in October.
D.W, Oregon
I am writing to send our heartfelt thanks to you for your expertise. On September 9th, you performed my husband''s procedure. Three weeks later, we conceived our first daughter. She was born exactly 43 weeks post-op. Since then, we have welcomed a son and also another daughter. We''ll always be grateful.
M.H., Vancouver, WA
Thank you for helping our dreams come true.
J.W., Atlanta
A little over 5 years ago, my husband and I flew from Chicago to your office to have his vasectomy reversed. We both want you to know how grateful we are -- to you, to your staff, and for your expertise. Since the surgery, we have had Michael (almost 4!) and Mary Jo (10 months) ... We feel it is important for you to know what a difference you made in our lives, and what an awesome grace it was to have you as our surgeon. Words cannot convey how much we appreciate what you have made possible for us -- we will be eternally grateful!
C. & K.P., Chicago
We have been so excited about our new son and he has been such a joyous addition to our family ... Thank you so much for your devotion and belief in vasectomy reversal, we have been so blessed by our little guy. Of course, he can never take the place of our daughter who died, but he sure brings new joy to us ... Again, thank you for all you did! We have been so blessed....
M.M., Camas, WA
Our family now has 7 blessings, 3 of which you had a very special part in. Thank you!
G.S., Alaska
We were very excited to learn just before Christmas that the surgery was a success. We saved the news for out kids until Christmas Eve and what a blessing their reaction was, it couldn''t have been a better Christmas present! We do thank you so much for providing your services at realistic fees, we could never have done it had there not been options other than what we found locally.
T.S., California
My husband had his vasectomy nearly 13 years before the reversal, which resulted in the birth of our daughter.
R.B., California
Thank you again for making possible the blessings God had in store for us in the way of children ...
T.P., Minnesota
Our child is a true gift from God. God bless you for turning my vasectomy around after 30 years with so much care and love. We will always love you.
J.C., Tennessee
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