Three days ago I had a redo-reversal done by Dr. Trost in Utah. His clinic’s website is here. It was a great experience, so I wanted to share.
Dr. Trost was previously the head of infertility and andrology at Mayo Clinic, and his success rate is excellent, so I was not concerned that I would be getting a lesser-quality surgery, even though it was much more affordable than many other clinics.
Scheduling the surgery was very easy, and can be done from the website.
The staff at the clinic was very friendly and Dr. Trost was friendly, easy to communicate with, and very patient in answering all my questions.
I elected for the vasovasostomy-only option, which was $1850. Before the reversal, we discussed what to do depending on what we found. Since my discomfort was mostly on the left side, and my semen analysis numbers were low but not zero, we decided that it would make sense to start on the left side, and if the left side was blocked, repair it, and not touch the right side. I decided not to take a sedative, so that I could remain lucid during the operation, and discuss things with Dr. Trost as they came up.
I was prepped, my testicles were numbed, and Dr. Trost started operating. Due to the numbing, I didn’t experience any pain during the operation. The actual injection of numbing agent was painful, but it was over quickly.
Upon examination, it turned out that the left side was completely blocked, so that side was repaired and the right side was left alone. Unfortunately, no sperm was found in vasal fluid, so it’s likely that there was a blockage in the epididymus lower down. Dr. Trost asked me if I wanted to do a vasoepididymostomy at no extra cost, but I wanted a vasovasostomy, so that’s what we did.
Recovery has been good, post-surgical pain has been minimal, and the wound looks healthy.
Unfortunately, my discomfort hasn’t improved after the reversal. However, given that no sperm was found on the left side, and I elected to get a vasovasostomy instead of a vasoepididymostomy, I don’t think this was due to any fault of Dr. Trost.
In hindsight, I think I should have gotten a vasoepididymostomy, but I was hoping to avoid that, and in the moment I just wasn’t able to make that call, even though no sperm was found on the left side. If things don’t improve, I think my next steps will likely to be to go back to Dr. Trost for a vasoepididymostomy or consider orchiectomy. I’m not considering neurolysis, just because of bad experiences I’ve read about on the forum, and because a couple of doctors that I’ve spoken to and trust haven’t been too positive about it.
Even though the surgery hasn’t reduced my discomfort, I’m still very confident that I made the right choice going to Dr. Trost. In addition to Dr. Trost, Joshua Savage and Klint Brearton also do reversals at the clinic. I believe that one is a physician’s assistant, and one is a registered nurse, both trained by Dr. Trost to do reversals. I talked to Dr. Trost after the surgery about their performance, and he said that their success rates are identical to his own. Reversals done by Dr. Trost, Mr. Savage, and Mr. Brearton are all the same price, but Mr. Savage and Mr. Brearton have more availability. I personally wanted to have my reversal done by a full doctor, but given my conversation with Dr. Trost, I think that anyone at the clinic would be a good choice.
I asked Dr. Trost about why his clinic charged such low prices, he said that being able to provide affordable care was important to him, and that making a lot of money was not a personal priority. He had initially considered running the clinic as a charity, but due to the additional complexity of running a non-profit, ultimately elected to run as a conventional business, and just charge low prices.
I wanted to share all this because I think the low prices might lead some people to believe that it’s a lower quality clinic, but after getting a reversal there, and also comparing with the reversal I had previously with Dr. Marks, I’m pretty sure it’s he’s up there with the best.
If anyone has any questions, feel free to ask!