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General Question on Vas and Reversals


#1

All my research has lead me to some questions that I don’t have good answers to…

  1. Most of us on here say that we would not do a vas again or would recommend others not to get one, but is that simply because of our outcomes or due to our increased knowledge?
  2. Porn stars and athletes get vasectomies and their livelihood depends on physical performance. If getting a vas was truly a terrible idea, wouldn’t these people pass?
  3. If most us wouldn’t get a vas if we could go back in time, then why not simply try for a reversal? Is recovery that bad? Is there a significant risk of making things worse? Is the $10,000 a large hurdle?
  4. What’s life like after a reversal if everything goes well (back to 99% pre-vas)? What are the odds of everything going well? Once you’re back to 99% or whatever it is, it that as permanent as if you never had a vas, or is there a risk of stuff closing back up? What happens if stuff closes back up…are the symptoms similar to if you still had a vas?
  5. What significant complications are there with a reversal? I haven’t seen a lot of people posting on here about reversal pain, but maybe that’s just because the % of people in that situation is much smaller.

My symptoms aren’t really terrible right now and my simplistic brain says let’s just go back to where I was before by doing a reversal, but I know the decision/process isn’t that easy. It’s tough to not think it’s that easy because of the number of people you see on trying to conceive groups talking about life after a reversal…but that group think mentality is also what lead me here, so I’m trying to act like I’ve learned my lesson. Thanks for any insight you can provide.


#2

Both. Had I heard the 6-30% stat, been informed about the autoimmune effect, or been informed about epididymal congestion, I would not have had the vas. Sure, we drew the short straw, but the numbers belie the risk-reward equation if the truth is revealed to patients.

Can’t answer that. It’s all a roll of the dice.

All of the above. Cost is high, no guarantee of making things better, might create further nerve damage.

Now there’s a set of million-dollar questions. I had my reversal (covered by insurance) in June 2006 and was pain-free 'til April 2016 except for a 6-month relapse 2008-09. I figured the reversal had failed back then, but the pain went away. Hasn’t this time, and I’m 2-1/2 years into this 3rd bout. It’s hard to determine if you’ve had reversal failure. I’m going for another SA. What if it’s 20MM? 30MM? 40MM? I could be shooting that from one (non-pain) side, couldn’t I. At the same time, my last SA was just 10MM. Could be 5MM each side with each still open. I’m 53 and, theoretically, my sperm count could be on the low side anyway.

It took me 3 months post-reversal to start feeling better than pre-reversal. Never felt worse than post-vas/pre-reversal. Reversal is a big surgery, but I was past the surgical pain within a week or two.


#3
  1. Most of us on here say that we would not do a vas again or would recommend others not to get one, but is that simply because of our outcomes or due to our increased knowledge?

I would say both. Before my vasectomy I read nothing but guys saying it was the best thing they could have done for their sex lives.

Porn stars and athletes get vasectomies and their livelihood depends on physical performance. If getting a vas was truly a terrible idea, wouldn’t these people pass?

Guys who suffer are the exception not the norm.

  1. If most us wouldn’t get a vas if we could go back in time, then why not simply try for a reversal? Is recovery that bad? Is there a significant risk of making things worse? Is the $10,000 a large hurdle?

I did, but the damage seems to have already been done. Recovery wasnt bad. I did not spend 10K but would have.

  1. What’s life like after a reversal if everything goes well (back to 99% pre-vas)? What are the odds of everything going well? Once you’re back to 99% or whatever it is, it that as permanent as if you never had a vas, or is there a risk of stuff closing back up? What happens if stuff closes back up…are the symptoms similar to if you still had a vas?

I did not have major PVPS but my testosterone tanked. I improved from the reversal but I still dont really have a sex drive or libido and have erection quality issues. I’m a shell of my former self mentally, physically, and emotionally.

  1. What significant complications are there with a reversal? I haven’t seen a lot of people posting on here about reversal pain, but maybe that’s just because the % of people in that situation is much smaller.

Luckily I had no major complications but all the ones from a vasectomy are possible for the reversal.


#4

1.Never,ever would i have it done if i had the slightest idea of the problems it has caused…I stopped a work colleague having it done …
2.Do they ? I have no idea .
3.Did not hesitate to reverse as my surgeon was very good .As for money one should think about that pre vas and it may save you doing it …
4.My congestion pain was improved dramatically but i still have acute
shooting pains and weak to no orgasm .At least it feels right mechanically.
5.Maybe i am lucky in this respect as has not made situation worse .A miracle cure it is not …


#5

This question has been asked by so many people over time, and I’ve thought about it many times myself. You could add rock stars to your list, and other high paying occupations as well.

Many have hypothesized, speculated, etc that many of those people have better doctors, GP’s, etc. Many of the people that your speculating about pay them doctors, GP’s, Uro’s, etc very very well, and they probably aren’t looking to get fired for their bad advice, input, guidance, etc anytime soon.

If I had such an occupation, and had been truly informed of the potential consequences, there’s no way in hell I’d risk it, but we all know some do, and why they do it.

As for the porn stars, that’s usually not an occupation that men build empires, and/or legacy’s with. I’d guess that many of them have the same, or similar mid, to low level urologists the majority of men have access to.

Ultimately, this pvp, pvps, complications, side effects, etc stuff boils down to getting proper full disclosure informed consent beforehand, which I’d say the vast majority of people do not get.

There’s several guys on this site at minimum that were warned beforehand, but if we go by with what these gentleman are reporting in their posts as fact, the warnings they got were pretty short, very bland, very misleading, etc.