For men who have previously undergone a surgical vasectomy operation but now require to surgically reconnect the vas deferens that had been divided. The vasectomy reversal operation may achieve sperm flow once again for possible pregnancy to arise. However the success of the reversal does depend on how long ago the initial vasectomy operation took place. The reason for this is the amount of anti-sperm antibodies produced after the vasectomy which can effect the swimming capability of sperm in the ejaculate. Positive sperm flow can be achieved following a vasectomy reversal for a successful pregnancy, however, sometimes further IVF treatment may be required.
Testicular Sperm Extraction (TESE)
Testicular sperm extraction (TESE) may be recommended when sperm is not present in the ejaculate. This procedure is performed under local anaesthetic where a biopsy of the testis is obtained. This sample is then processed in our laboratory and assessed for live sperm. Sufficient sperm can be obtained in 80 percent of procedures performed, sperm collected in this way is used for ICSI treatment.