Reversing a Vasectomy: Costs, Process, and Recommended Clinics in Kaohsiung

Microsurgery

Hello Dr.
Hsu, I would like to inquire about the surgery to reconnect the vas deferens after a vasectomy (it has been 10 years since the procedure, and the vas deferens was cut rather than tied).
I am unsure about the approximate cost, as well as the entire process and duration.
My husband is currently abroad, so his time in Taiwan is limited (about two weeks), which is why I wanted to ask about the estimated time and process in advance for better scheduling.
Additionally, if we are in Kaohsiung, which medical facility would you recommend? Thank you for your time :) A hopeful parent wanting another baby.

C, 40~49 year old female. Ask Date: 2012/12/24

Dr. Xu Weikai reply Urology

Hello, after 10 years post-surgery, the success rate of the procedure may be lower.
The cost varies by hospital, ranging from NT$20,000 to NT$100,000, depending on the complexity of the surgery and the duration of the procedure.
You can first inquire by phone or schedule an outpatient appointment with urologists at various medical centers for more detailed information.
Some hospitals allow you to book a surgery date in advance.
If you have any further questions, feel free to ask, and we can discuss and research together.
Online responses should only serve as a reference; it is essential to seek medical care at healthcare facilities when necessary.
This message is from Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/12/24

More Info

Reversing a vasectomy, also known as a vasovasostomy, is a surgical procedure that reconnects the vas deferens, allowing sperm to travel from the testicles to the urethra again. This procedure can be a significant step for couples wishing to conceive after a vasectomy. Here’s a comprehensive overview of the costs, process, and recommended clinics in Kaohsiung.

Costs of Vasectomy Reversal
The cost of a vasectomy reversal can vary widely depending on the clinic, the surgeon's experience, and the complexity of the procedure. In Taiwan, you can expect the costs to range from approximately NT$30,000 to NT$100,000 (around USD 1,000 to USD 3,300). This price typically includes the surgery itself, anesthesia, and follow-up consultations. However, if additional procedures are necessary, such as sperm retrieval or advanced techniques, the costs may increase.

The Process of Vasectomy Reversal
1. Consultation: The first step is to schedule a consultation with a urologist who specializes in male fertility and vasectomy reversals. During this visit, the doctor will review your medical history, perform a physical examination, and discuss the procedure's risks and benefits.

2. Preoperative Assessment: Before the surgery, you may undergo some tests, including blood tests and possibly a semen analysis, to assess your fertility potential.

3. Surgical Procedure: The reversal surgery is typically performed under general anesthesia or local anesthesia with sedation. The surgeon will make a small incision in the scrotum to access the vas deferens. The ends of the vas deferens that were cut during the original vasectomy will be reconnected. This procedure usually takes about 2 to 4 hours.

4. Recovery: After the surgery, patients are usually advised to rest for a few days. Most men can return to normal activities within a week, but it’s essential to avoid strenuous activities for a few weeks to allow proper healing.

5. Follow-Up: A follow-up appointment is typically scheduled a few weeks after the surgery to monitor healing and discuss the next steps regarding fertility.

Recommended Clinics in Kaohsiung
In Kaohsiung, there are several reputable medical facilities where you can consider having the procedure done. Here are a few recommendations:
1. Kaohsiung Medical University Chung-Ho Memorial Hospital: This hospital has a well-regarded urology department and experienced surgeons specializing in male reproductive health.

2. Cheng Hsin General Hospital: Known for its comprehensive care and advanced surgical techniques, this hospital also has specialists in urology who perform vasectomy reversals.

3. Kaohsiung Veterans General Hospital: This facility offers a range of urological services and has a good reputation for surgical outcomes.

4. Private Urology Clinics: There are also several private clinics in Kaohsiung that specialize in male fertility and vasectomy reversals. It’s advisable to research and read reviews about the surgeons and their success rates.

Conclusion
If your husband is considering a vasectomy reversal, it’s essential to plan ahead, especially given the limited time frame of about two weeks. Scheduling a consultation as soon as possible will help you understand the specific costs and timelines involved. Additionally, ensure that you discuss all your concerns with the surgeon, including the likelihood of successful sperm retrieval and the potential for conception after the procedure. With the right planning and care, many couples successfully conceive after a vasectomy reversal.

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