Vasectomy Reversal Center of North Carolina
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Vasectomy Reversal Center of North Carolina

 

Common Questions we are asked via phone or email:
 




1. How long is your waiting list and when is the earliest we might be able to get a vasectomy reversal?

    We perform vasectomy reversal procedures five days a week, and we try very hard to keep up with the demand for the procedure for reversing a vasectomy. This is the only surgical procedure we do. Sometimes for personal or work reasons, we will have dates reserved long in advance.  Sometimes, we are often able to schedule procedures in as little as one or two weeks when someone has to reschedule or cancel a procedure. Often how soon it can be done will depend on how flexible your schedule might be.

2.  What is the total cost of the procedure?  Is there an extra charge for the use of the microscope, the facility, assistants, or for supplies?

    Please call for our current pricing. There are no extra charges in addition to our all inclusive price. This charge includes the use of our microscopes, the use of our facility, all supplies, and the surgical fee. We appreciate your trust in us and try very hard to keep this price affordable so that more people can realize their dreams of having more children. Unfortunately, we are not able to publish this information on our website for obvious reasons.

3.  Do you do one or both sides? Does the price increase for both sides?

 We do not charge extra for doing the second side. This just seems to make sense to me that you would want to have the best chance for success possible. Therefore, we perform a bilateral procedure on everyone that has two testicles.

 4.  Will the procedure be more uncomfortable than or about the same as my vasectomy?

    The vasectomy reversal procedure itself generally is described as being more comfortable or less painful than the original vasectomy. The incisions are slightly larger and the operative time is certainly longer. After the procedure, there can be more discomfort, more swelling, more bruising, and a longer recovery can be expected.

5.  How long after the procedure will it be before I should plan to return to work and start having sex?

    Resuming sexual activity is usually the first question.  There is considerable variation between individuals regarding the return to work primarily based on how physical your job is to perform.  If possible you should not plan to return to physical activity for at least a week following the surgery. Some people try to go back to work sooner but I think this makes the recovery more uncomfortable and perhaps longer than it otherwise would be. Limiting the activity immediately following the procedure, staying in town, and applying ice religiously seem to help as well. On occasion however, some people will find that more time is needed. The most common problem seems to be when you wake up the day after the procedure and you say, hey, I feel pretty good and I have the day off. I think I will go do something fun. Big mistake! Then the swelling occurs.

6.  Do I need a referral?

    A referral is not necessary. However, if you were referred by a friend or physician, we certainly appreciate your providing us with this information and appreciate their confidence in making such recommendation. If there is information regarding your particular health that you feel may be better communicated by your personal physician, we welcome their calls.

7.  Do I need to have any medical records forwarded?

    Not normally. There are exceptions to this and some common sense goes a long way. Most vasectomies are performed in a rather routine fashion and often the surgical notes all sound the same. If there is something unique to your condition or your procedure, having this information can be helpful. Records are helpful if this is to be a re-do procedure.

8.  How much will the prescriptions cost?

    This will depend on your individual insurance plan if you will be filing for insurance coverage.   We use Walgreen and Target Pharmacies.

9. How does Dr. Daniel perform the anastomosis? Does he use a surgical glue?

   
The vas is reconnected using suture, not glue. I re-approximate the inside and the outside layers with many individual sutures. I do not like glue. It is not as precise and cannot be used alone. It also makes any future efforts more difficult if needed. Current available glues are also not FDA approved for internal use.

10.  Is there an extra charge for a vasoepididymostomy or bypass procedure?

    No. I cannot determine whether or not this more complicated procedure will be necessary until the vas is divided. I don't believe in being deceptive. I perform this procedure as a simple one charge so that you can plan your total vasectomy reversal cost without any surprises.  If this procedure is deemed to be appropriate and necessary, it will be done for the same total cost.

11.  Do I need to come back for a follow-up appointment to have drains or stitches removed?

    No. The stitches in the skin will begin to dissolve on their own in about 2 weeks.  They may dissolve rather slowly as compared to the suture material you had with your vasectomy. These stitches will often last 4-5 weeks. This is normal. I do not like to use drains. They usually perform poorly, are messy, and can increase your chance of infection.
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