I ran across this study from Feb 2020 on a new reversal technique introduced by Landon Trost (former male infertility specialist from the Mayo Clinic) and Joshua Savage (his physician assistant).
The idea is pretty simple – reduce scarring incidents by reducing strain on the reconnection site via extra sutures:
A is traditional, B is ReVas.
It’s early results (they introduced ReVas in 2018) but the results look promising in terms of higher and longer-lasting sperm count as well as much higher pregnancy rates. Not sure on how or if this would change the risk of new-onset pain following the reversal.
More info on the clinic’s website: https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/revas
Interested in any thoughts on the study / approach.