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Department of Urology

Department of Urology

Male Infertility


Overview

  • Nearly 15% of married couples have difficulty conceiving a child. There is an equal probability that either partner is a contributing factor.
  • Medical and surgical treatments can improve abnormal semen.

Microscopic vasectomy reversal

  • Also known as a vasovasostomy.
  • This is a surgical procedure to reconnect the vas deferens tubes that are cut during a vasectomy.
  • Dr. John Gould uses an operative microscope for precision - call (916) 734-7376 for consultation by phone.

Chances of success for a vasovasostomy

  • Chance of returning sperm to the semen is quite high. Pregnancy rates depend on the age of the woman.

Epididymal obstruction can decrease success of reversal

  • Dr. John Gould will perform a vasoepididymostomy during the vasectomy reversal, if it would be beneficial to increase surgical success.

After vasovasostomy

  • Most men have mild pain after surgery.
  • Walking and light activity are resumed quickly.
  • Sexual intercourse is not permitted for 10 days.
  • Strenuous activity should be avoided for one month.

Alternatives to increase pregnancy success

  • Intra-uterine insemination (IUI) of sperm can be performed, if the sperm count is inadequate.
  • In vitro fertilization (IVF) where eggs are removed from the woman's ovaries and placed in a lab dish with sperm. Fertilization occurs in a laboratory dish.
  • Intra-cytoplasmic sperm injection (ICSI) is an assisted fertilization procedure used if the sperm count is very low. This consists of injecting a single sperm into each egg.

Male infertility specialist

John E. Gould, M.D., Ph.D.
Clinical Professor

Alan W. Shindel, M.D.
Associate Professor

Help is available

  • Consult your physician.
  • For more information call the UC Davis Urology Clinic at (916) 734-2222 or (800) 770-6930.