Microscopic Vasectomy Reversal
Vasectomy reversal has been shown to be more cost effective for men with prior vasectomy history to conceive than to go through assisted reproductive technologies such as IVF treatment.
However, there are many factors that could potentially impact on the success of paternity/pregnancy such as the duration of vasectomy, the development of adverse features post vasectomy and your partner’s age and fertility status.
Professor Chung has published extensively on male infertility (see below) and is the leading surgeon expert in Australia and Asia-Pacific. He is the first urologist in Australia to receive a formal fellowship training in Andrology that is accredited by the Sexual Medicine Society of North America, and the past Chair of the Andrology section for the Urological Society of Australia and New Zealand. He has mentored many surgeons over the years including being invited as surgeon expert and organised numerous surgical workshops around the world.
What preparation is required?
Since the vas reversal is performed under general anaesthesia, you should have nothing to eat or drink for 6 hours prior to treatment. Regular medications can be taken with a sip of water with the exception of blood thinning agents (such as warfarin, clopidogrel) or non-steroidal anti-inflammatory drugs which need to be stopped for 7-10 days.
What happens in the operating room?
You will meet Professor Chung and your anaesthetist prior to surgery. Your procedure will be performed under general anaesthesia with appropriate anti-microbial cover.
What are the risks?
Vas reversal is a very delicate microsurgery and when performed by an expert surgeon, it is a safe procedure.
Common complaints include
- Bruising, bleeding or hematoma
- Skin irritation or wound issues (mild infection)
What to expect afterwards?
You are usually discharged the same day and you can remove the surgical dressing and shower the next day. You will be discharged with prophylactic oral antibiotics. Most men return to normal work after a few days. However, you should avoid strenuous physical exertion or any sexual activity for 4-6 weeks so that the healing can occur.
You will have a follow up appointment with Professor Chung scheduled at 4-6 weeks postoperatively and a semen analysis will be arranged after the visit.
Some of the key articles published by Professor Chung on artificial urinary sphincter
- Chung E. Artificial urinary sphincter surgery in the special populations: neurological, revision, concurrent penile prosthesis and female stress urinary incontinence groups. Asian J Androl. 2020;22(1):45-50
- Chung E. Contemporary surgical devices for male stress urinary incontinence: a review of technological advances in current continence surgery. Trans Androl Urol. 2017;6(Suppl 2):S112-S121
- Gani J, Hennessey DB, Hoag N, Lee D, Chung E. A pilot study of autologous rectus fascial wrap at the time of artificial urinary sphincter placement in patients at risk of cuff erosion. Int Urol Nephrol. 2020;52(5):851-57
- Peyronnet B, O’Connor E, Khavari R, Capon G, Manunta A, Allue M, Hascoet J, Nitti VW, Game X, Gilleran J, Castro-Sader L, Cornu JN, Waltregny D, Ahyai S, Chung E, Elliott DS, Fournier G, Brucker BM. AMS-800 artificial urinary sphincter in female patients with stress urinary incontinence: A systematic review. Neurourol Urodyn. 2018;38 Suppl 4:S28-41
- Chung E, Katz DJ, Love C. Adult male stress and urge urinary incontinence- A review of pathophysiology and treatment strategies for voiding dysfunction in men. Aust Fam Physician. 2017;46(9):611-666
- Chung E. A state of art review on the evolution of the urinary sphincter devices for the treatment of post-prostatectomy urinary incontinence: Past, present and future innovations. J Med Eng Technol. 2014;38(6):328-32
- Chung E and Cartmill R. Diagnostic challenges in the evaluation of persistent or recurrent urinary incontinence after artificial urinary sphincter (AUS) implantation in patients after prostatectomy. BJU Int. 2013;112( Suppl 2):32-35
- Chung E, Navaratnam A and Cartmill RA. Can artificial urinary sphincter be an effective salvage option in women following failed anti-incontinence surgery? Int UroGynae J Pelvic Floor Dysfunct. 2011;22(3):363-6
- Chung E and Cartmill RA. Twenty-five years’ experience in the outcome of artificial urinary sphincter in the treatment of female urinary incontinence. BJU Int. 2010;106(11):1664-7
- Chung E, Ranaweera M and Cartmill R. Newer and novel artificial urinary sphincters (AUS): The development of alternatives to the current AUS device. BJU Int. 2012;110(suppl4):5-11
- Chung E and Cartmill RA. The role of artificial urinary sphincter in female stress urinary incontinence. In: Sphincters: Properties, Types and Applications. Nova Science Publishers, Inc, NY
- Chung E. The American Medical System® artificial urinary sphincter (AMS 800): A historical perspective on the evolution in concept and design. In: Sphincters: Properties, Types and Applications. Nova Science Publishers, Inc, NY
- Chung E and Ranaweera M. A state of art review of current and future artificial urinary sphincters in the treatment of male urinary incontinence. In: Sphincters: Properties, Types and Applications. Nova Science Publishers, Inc, NY