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

What is a Vasoepididymostomy (VE)

testes & epididymisThe first portion of the sperm duct is known as the epididymis. The epididymis is about 1.5 inches long, is attached to the testes, and contains about 20 feet of coiled, microscopic sperm ducts. Sperm become mature and active (acquiring motility) in the epididymis after they leave the testes.

After vasectomy, some men will develop a leak of sperm fluid from one of these delicate tubes, which results in inflammation and scar tissue formation, resulting in a second obstruction point in the epididymis. The chances of this occurring increase with the number of years after vasectomy, although it can occur at any time after vasectomy.

obstructed epididymisIf this blockage is not repaired at the time of vasectomy reversal, the sperm duct will remain obstructed and the reversal will fail. The tubule in the epididymis is even smaller than the inside channel of the vas (about 0.1 to 0.2 mm in diameter), and it has an extremely thin wall. Repair of a blockage of the epididymis is impossible without microsurgery. Microsurgical vasoepididymostomy (VE) is the most technically demanding procedure performed in surgery, in any specialty, and considerable surgical experience is required to get reliable results.

The need for a vasoepididymostomy can only be determined at the time of surgery, by evaluating the fluid from the testes for its appearance and the presence or absence of sperm. Blockage of the epididymis may be seen on one or both sides.

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
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
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
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 again for making possible the blessings God had in store for us in the way of children ...
T.P., Minnesota
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
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
Thank you for helping our dreams come true.
J.W., Atlanta
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
We wanted to share our delightful news with you. We were blessed with a beautiful baby daughter in October.
D.W, Oregon
My husband had his vasectomy nearly 13 years before the reversal, which resulted in the birth of our daughter.
R.B., California
Our family now has 7 blessings, 3 of which you had a very special part in. Thank you!
G.S., Alaska
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