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Frequently Asked Questions
1.
How do I schedule an appointment?
If it has been more than 9 years
since the vasectomy, you need to send an email to
Dr. Wilson, otherwise, you may schedule from the contact
page of the website by
selecting the "Schedule" link. A no charge preoperative phone discussion
is
scheduled and completed prior to actually scheduling the surgery appointment. The
paypal deposit is not paid until the time the office or surgery appointment is
booked.
2. How long is the schedule list?
Dr. Wilson usually schedules
at least two months in advance. He does
not
schedule more than 4 months in advance.
Next available appointments are in
September as of June 1, 2009.
3. What is
Dr. Wilson's Success Rate?
Success is measured by the patency
rate (percentage of patients with live sperm after
surgery). Dr. Wilson's patency
success rate is 100% for patients less than 3 years from
vasectomy and 91% for patients 3-8 years from
vasectomy, based on semen analysis reports
from his patients. Patients 9 or more years from
vasectomy have a patency rate of 72%.
4. What
are the pregnancy rates for Dr. Wilson's patients?
Pregnancy rates are 81% for
patients less than 3 years from vasectomy, 74% for
patients 3-8 years from vasectomy and 43% for patients 9
or more years from vasectomy.
5.Does
the chance of success decrease with time since
vasectomy?
Yes, the biggest determinate of success,
given a competent reversal, is the presence of sperm in
the vas fluid at the time of operation. The
further out from the vasectomy, the less likely to find
sperm in the vas at reversal. The chance of finding sperm is
over 90% at 2 years from vasectomy, over 80% at 10 years,
about 70% at 15 years, and is 60% , 20 years from
vasectomy. In the Vasovasostomy Study Group (VVSG) of over 1400 microsurgical
patients, if only sperm with tails were seen, the patency
rates were 90-96%. If only sperm heads with no tails were
seen, patency rates were 75%.
If no sperm were seen, patency rates were 60%.
By the way, THE MORE COMPLEX
PROCEDURE (VASOEPIDIDYMOSTOMY) WAS PERFORMED ON ONLY 4%
OF PATIENTS IN THE VVSG.
6. What
are the risks of surgery?
Risks of surgery include testicle
loss or atrophy (less than 1:1,ooo), mild infection
(less
than 1:200) , and hematoma or blood collection
(less than 1:20). Bruising and swelling are to be
expected, even up to twice normal size. Pain after
reversal is the same as after vasectomy in half of the
patients. One fourth of the patients have more pain than
after the vasectomy and one fourth have less pain after
reversal than after vasectomy.
7. What is
the cost?
The complete cost is $1,700.
The total cost for the microscopic reversal done in the
office under local anesthesia with minimal preoperative
oral sedation is an all inclusive $1,700 : $500
PayPal deposit on scheduling day and then $1,200
money order, cashier's check or cash on the day of
surgery. Credit or debit cards and personal
checks are not accepted the day of surgery.
There are no other fees outside of the $1,700.
8. Does
the type of vasectomy determine reversal results?
No study in the scientific
literature proves that one type of vasectomy will give
better or worse results. Many different types of
vasectomy are performed. The techniques include use of
cautery, cutting out sections, and clipping or staples,
as well as many others. All of these are very common
methods and will not determine results.
This page last updated 6/1/09
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