Vasectomy

General Information

Please read: Information for Patients Considering Vasectomy

These forms will need to be filled out before your vasectomy:

• Vasectomy Questionnaire
  

  The vasectomy questionnaire is a list of important questions required before we can perform a vasectomy. The data goes into your electronic medical record as part of the consultation narrative.

• New Male Patient Registration and History Form [printable format]
  

  This form consists of registration and medical history questions required for you basic medical records. The data goes into your electronic medical record as part of the consultation narrative. This form can be downloaded and printed by the patient or can be mailed to you before your appointment.

Surgical Services

The vasectomy procedures can be done in the office or in the hospital depending on the tolerance of the patient and required anesthesia. The surgeries can be done at any of our affiliated hospital locations.

The procedure listed below is a direct link to "Your Surgery Details" which will have everything that you would want to know about your surgical procedure from after the diagnosis until fully recovered. Please use this link below to learn about your upcoming surgery or to contemplate whether you really want a surgical procedure.

Vasectomy (no-incision or standard)

Additional educational material

• Vasectomy Surgery Information (general)
• Vasectomy FAQs (Frequently Asked Questions)
• No-Incision Vasectomy Flyer

For an additional resource, you can read more about vasectomy on urologychannel.com.

Vasectomy Fees

The fee for a vasectomy is $550.00; a $200.00 deposit is required two weeks before the procedure.

Vasectomy Reversals

General Information

Vasovasostomy, or vas reversal, refers to the repair of a previous vasectomy or iatrogenic injury to the vas deferens. The vas deferens is the tube that transports sperm from the testis to the urethra. Some men have elected to have the tube tied and cut as a form of sterilization. Other men may have had previous hernia operations or other groin surgery that resulted in complete blockage of both tubes. In both cases, the tube can be repaired to restore patency.

In experienced hands, vasovasostomy results in greater than 90 percent patency and greater than 75 percent pregnancy rates. The success of surgery depends on many factors including when the original surgery occurred, the technique used, and the degree of scarring. In most cases, a thorough history combined with the physical examination can help predict the likelihood of success.

Vasovasostomy surgery takes between 2 and 3 hours. It is performed under regional or general anesthesia with an operating microscope. The patient can return to deskwork as early as 3-5 days after surgery, however, strenuous physical activity (jogging, weight lifting, sex) is prohibited for one month.

The follow up care consists of an office visit one month after surgery to check the incisions and to analyze a semen specimen. The specimen must be produced at home and brought in to the office within one hour of production. If no sperm are seen, the next specimen is obtained in two months. In some cases, it may take up to a year for sperm to return to the ejaculate. In most cases, however, sperm are seen in the initial specimen. If at the initial evaluation a patient is determined to be a less than optimal candidate for vasectomy reversal, plans can be made to freeze sperm at the time of vasovasostomy. The sperm is retrieved at the time of the operation and preserved in a special medium. The sample is then cryopreserved by the IVF specialists and is available for future use, if necessary. The fees for cryopreserving and storing sperm are available at the IVF office.

Surgical Services

Dr. John J. Bauer also performs many urological services in the local Hospitals or surgical facilities. The outpatient and inpatient surgeries listed below are performed at these affiliated facilities.

The procedure listed below is a direct link to "Your Surgery Details" which will have everything that you would want to know about your surgical procedure from after the diagnosis until fully recovered. Please use this to learn about your upcoming surgery or to contemplate whether you really what a surgical procedure.

Open Surgery
Vasovasostomy/ Vasoepididymostomy

Additional educational material

• Vasectomy Reversal
• Vasoepididymostomy (general)

Vasovasostomy and Vasoepididymostomy Fees

The surgical fee for reversal of a vasectomy is $4,000.00. If this is a second attempt and a much more complicated vaso-epididymostomy is required, the fee is $8,000.00. This fee must be paid in full prior to the date of the planned surgery. Many people may choose to pay by credit card, allowing them to make monthly payments appropriate for their individual budget.

The procedure will be completed at The Surgery Center located on Miller Road. The facility fee is typically $1,700.00, and the anesthesiologist typically charges $500-750.00 for his or her services. The total cost runs approximately $5,700-$6,050 for the first attempt and $9,800-$10,050 for the second.

In general, insurance companies do not reimburse for this elective procedure and costs are paid in full by the patient.

How do these costs compare to other center's costs? In major metropolitan areas, first time vasectomy reversals can run between $8,000.00 and $10,000.00 and much higher for a second procedure if the first fails. A number of urologists in Michigan charge between $5,800.00 and $7,500.00. Our price is very reasonable and typically well below the usual charge. Dr. John J. Bauer has been doing these procedures since 1992.