Post Vasectomy Pain Forum

Reversal effective against complications?

Hi,

My husband had a vasectomy on Monday and I am absolutely devastated. I’ve spent the last two days crying. We are done having children, but my devastation is over what this will
do to him and our intimacy. We had a bad experience with my son’s circumcision (left my second son intact!) and I’m so over this countries obsession with hacking up men’s private parts and the total lack of information doctors give their patients. I thought they took an oath to “do no harm.” My husband was perfect just the way he was and I want him fixed. Sorry, obviously I’m very upset! I’ve been checking into a reversal and was wondering how effective it is at avoiding or fixing complications. His doctor actually removed a portion of his tubes. Will that have an outcome on how successful a reversal will be? Again, we don’t want to get pregnant, just fix they potential for all the many and devastating complications that are shared about here. They say the reversal is $10,000!!! Is there a way to get this covered by insurance? I hope that in my sons lifetime we will outlaw circumcision and vasectomies and stop messing with men!

Thanks for reading and any input you can share. I appreciate the help.

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Welcome to the forum @Concernedwife1.

At this point, I’m not sure if I understand why you are so devistated and spent the last several days crying. Has anything out of the ordinary happened thus far with his recovery process? Is your husband equally as devistated? Was having the vasectomy completely his idea?

Yeah, these people are rather sick in the head, emphasis on those that do not give their clients the proper information and/or a proper warning beforehand to make a truly informed decision for themselves, but you have to keep in mind that this kind of stuff is all over within the big picture of modern medicine. Perhaps you are becoming more and more aware of this, which is a good thing. It is rather disappointing.

It isn’t quite that simple, and that’s why vasectomies are considered, or should be considered a permanent form of male birth control. Vasectomy reversals are definitely possible, but there is a catch in all of their lingo, parroting of statistics, and so on. IMHO, their advertisements are generally another perception deception of sorts.

Obviously you noticed that vasectomists are overselling their vasectomies. What makes you think that reversal surgeons aren’t overselling their reversals?

Any man that has a vasectomy reversal that has at least one lab certified semen analysis that is positive will be part of statistics like a ~ 98% chance of return of sperm success rate.

Percentages, statistics, success rates, and so on vary surgeon to surgeon, vary by methodology, vary by the type of vasectomy the man had, the amount of time between the vasectomy and the reversal, and so on, and there are no guarantees.


IMHO, no man should have a reversal on such grounds, terms, or thought process without a proper warning. I know of countless reversal failure stories (including several of my own), and I personally know about a handful of men that were made worse via reversal and regretted it.

Sure, we currently have one guy on this site that has been certified open for at least a decade, and he’s the only person that I personally know of with such a story. I’m sure there are more men out there with documented semen analysis that can prove something similar, but you have to keep it real and accept that reversals are destined for failure, and that’s a fact.

And just FYI, I have been researching this topic for a decade, so believe me when I tell you long term patency success is a crap shoot. The data and/or studies regarding long term patency success rates is very limited and sketchy at best.

There is a reason vasectomy reversals want to scar over, but I wouldn’t expect the vast majority of reversal surgeons to inform you about that. Sure, that doesn’t explain everything. This is a very complicated subject, and I am trying to keep my response simple as possible. Keep in mind that the diameter of the inner lumen of the vas deferens is comparable to a human hair. It doesn’t take much to = game over. My inner lumens were described as “whispy” under a microscope.

Someone could attempt to twist my words and say, I am certified open, and I had my reversal over ~1-5+ years ago. My question to them would be, what are your certified numbers looking like now? How are your certified motility numbers? Truth be known, the vast majority of men can’t even answer those questions.

If a man had a lab certified sperm count of ~80-250+ million motile sperm pre vas, and is shooting ~1-5 million with poor motility several months or years post reversal, that is not what I would consider “vasectomy reversal took me, my body, and system back to normal”. If a woman has tubal ligation, and later decides to have a tubal ligation reversal, she might conceive (emphasis on might), but she, her body, and system is far from back to normal. And like vasectomy reversal, there are no guarantees. Vasectomies are not as invasive and/or destructive as tubal ligation, but there is a point in what I am trying to convey to you or anyone else that reads this.

To me, vasectomy reversal has many pros, and many cons. If a couple is trying to have another child, I think it’s definitely a good option within reason. IMHO, if a man desires to be fertile again indefinitely, that’s an unlikely and/or sketchy objective, goal, etc.

Bottom line, if your husband seems to be ok, I wouldn’t encourage him to have another surgery. Sure, if he had a vasectomy reversal, odds are that he would come out the other side just fine, but there’s certainly several avenues of risk and reality involved, and I previously mentioned several of them - not all of them.

Feel free to respond or ask any specific questions you may have.

Sorry you are here. Hope that helps.

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Statistically speaking your husband will likely be fine. He is still in the acute healing phase so there is no way to know if he will have long term issues. I would not bring up PVPS or show him this website. That is unneeded stress at this point. Relax, make your hubby comfy, and hopefully you never have to visit this forum again.

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Why did you have it done then. Where you both pressured by the medical dr. I am sorry to ask but did you not think about what it meant. What’s done is done he may be one of the lucky ones who has no problems or he may be like the rest of us on here. I never wanted my vasectomy my wife did. Yes it affected our relationship big time

I don’t really understand the issue here. If he’s fine and you are done having kids I’m not sure it’s your place to be concerned for him. What led him to get the operation? Did you both discuss it? Was it his wishes? Is he having issues?

Maybe you should go see a professional to talk about your feelings on this as there might be some underlying cause for your upset. This site is for guys that are having pain after vasectomy. It’s a place where they can get some emotional/moral support and learn about the therapies and outcomes as shared by men in the same situation.

Vasectomy is the best thing that happened to our intimacy and sex life. We have sex at least 4 times a week. Shower sex, spontaneous sex, beach sex, middle of a hike sex, backseat during lunch break sex. No condoms, no artificial BC for her. In that regard it was the right decision for us.

Maybe it was actually the best decision you ever made.

Your concerns are warranted, but I’d caution against over-reacting. What’s done is done, and even the most anti-vasectomy among us acknowledge that severe complications impact a minority of men. The probability is that your husband will respond fine. Estimates are 85% - 99.99% based on my read of the literature.

My opinion is that the biggest risk to men comes from peripheral nerve damage. Sure, there are congestive and auto-immune concerns, but my read of this forum and others since I contracted PVPS 15 years ago tells me nerve damage is the one to avoid if possible. That means no “preventative” reversals or, put another way, the risk of damage from reversal isn’t worth taking if recovered from the vasectomy. And that’s coming from a guy who DID have a reversal in 2006.

For now, better to treat your concerns with counseling, either secular or religious.

2 Likes

This is great @raising4girls . Couldn’t say it better myself

I’m curious to know where this 99.99% is at in fact based literature. It wasn’t long ago that you were the first to ask the moderator/s to ban a urologist that was “telling bold faced lies” for siting such ill statistics on this site.

Agreed. I have never seen data anywhere that suggested otherwise.

Agreed, but our opinions are one thing, and the fact based data speaks for itself.

We certainly don’t want to scare anyone from having a reversal with opinionated fear porn. Countless men have reversals annually for one reason or another. Like vasectomy, recovery timelines vary man to man, and vast majority of men who have a reversal eventually recover and move on with their lives.

The reason I said this ^^^ was because I got the feeling the OP’s husband may have felt pressured or something similar into having the vasectomy in the first place. I could be wrong, but if that is the case, I would not recommend putting yourself in that situation again @Concernedwife1.

Bottom line, let your husband make his own decisions. Be supportive of whatever he thinks is best for him, and don’t hide anything you have learned since you began this thread from him. If he is considering having a reversal on his own behalf, allow him to make an informed decision for himself.

I based this on Sabanegh’s and others who’ve published 1/1,000 as the risk level. I have the 85% on those studies on the very high end that cite 15% of vasectomies resulting in chronic paid. I felt safe using the two extremes that are readily available figuring the mean or median is somewhere in between.

I will post some official statistics below…

From the American Urological Association (AUA) below

https://www.auanet.org/guidelines/vasectomy-guideline

“Chronic scrotal pain associated with negative impact on quality of life occurs after vasectomy in about 1-2% of men. Few of these men require additional surgery.”


From the Canadian Urological Association (CUA) below.

https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.cua.org/themes/web/assets/files/vasectomy4017_v4.pdf&ved=2ahUKEwiV6e68krvpAhXim-AKHQruDPwQFjAAegQIBBAC&usg=AOvVaw03AVU8fXA6ndfcgfj0Elu1

“Men should also be made aware of late
complications: chronic scrotal pain (1‒14%)”


From the NHS (UK).

“possible complications include a collection of blood inside the scrotum (haematoma), hard lumps called sperm granulomas (caused by sperm leaking from the tubes), an infection, or long-term testicle pain (you may need further surgery)”

“Some men get pain in one or both of their testicles after a vasectomy. It can happen immediately, a few months or a few years after the operation. It may be occasional or quite frequent, and vary from a constant dull ache to episodes of sharp, intense pain. For most men, however, any pain is quite mild and they do not need further help for it.”

“Long-term testicular pain affects around one in 10 men after vasectomy. The pain is usually the result of a pinched nerve or scarring that occurred during the operation. You may be advised to undergo further surgery to repair the damage and to help minimise further pain.”


“Troublesome chronic testicular pain is reported in up to 15% of patients and can be severe enough to affect day-to-day activities in
up to 5%”


An interesting article below…

“The NHS will tell you (if indeed they do at all) that the risk is 1 in 10 (10%) - however the risks range from 5% to 30% depending on whose figure set you use.”


More UK pvps literature…

“The incidence of post vasectomy testicular pain varies in reports. One study suggested 15 per cent of men experienced long term, debilitating testicular pain after a vasectomy[1]. Other reports suggest the figure could be as high as one in three men being affected by different degrees of pain and discomfort, varying in severity and over time.”


Below is a link to more pvps statistics and related literature. One of the members of this site started a vasectomy pain sub Reddit has created a very nice list of studies and where to find them (thank you).


Let’s not forget about what Wikipedia has to say regarding pvps, statistics, mechanisms of pain, etc, either.


I think you all get the gist here.

All I can tell people is - there sure is some squirrelly stuff going on with pvps statistics worldwide. By all means, please believe whatever you want.