How to restore patency after tubal ligation
Disease description:
I had a vasectomy before because my wife and I didn't want to have children. Now I would like to reverse it. Doctor, I'd like to ask, how can I reverse a vasectomy?
Doctor's answer (1)
Dr. Yang Ziqi
Methods for recanalization after ligation include the following:
1. Fallopian tube recanalization: Women can undergo this procedure in two main ways: open abdominal surgery or laparoscopic surgery. In open abdominal surgery, a vertical incision is made in the lower abdomen to remove the ligated segments of the fallopian tubes, and then the remaining ends are reconnected by suturing. In laparoscopic surgery, the blocked ends are identified using a laparoscope, the occluded segments are excised, and the open ends of the tubes are sutured together. The success rate of the surgery depends on multiple factors, including age, method of ligation, remaining length of the fallopian tubes, and overall health condition.
2. Vasovasostomy: Male recanalization surgery is called vasovasostomy, which reconnects the severed vas deferens using microsurgical techniques. Microsurgical vasovasostomy offers higher patency rates, fewer postoperative complications, and faster recovery. Compared with females, male recanalization surgery has a higher success rate, especially when performed shortly after the initial ligation.
