Reversal Procedures

Available options for male vasectomy reversal

Vasectomy Reversal

Our Centers are staffed by Board Certified Urologists that specialize in male infertilty. We provide classic microsurgical vasectomy reversal procedures, along with techniques such as MESA, TESA and PESA (see below) which include simple, through the anesthetised skin, needle aspiration of sperm, and methods to overcome failed vasectomy reversals. Cost for vasectomy reversal is approximately $6,400.00.

Tubal Ligation Reversal

We perform both laparoscopic and "open" microsurgical tubal reanastamosis. Success rates in selected cased approach 85%. The "open" procedures are also offered at our Guadalajara based facility in Mexico at substantially lower hospital prices ($4,200 total hospital cost (subject to change without notice; effective 1/09, less than one half comparable U.S. prices, with no compromise in success. Surgeon's fees are extra but are also substantially lower than U.S. prices. Surgery is carried out by Board Certified U.S. Reproductive Specialists at the Center for Reproductive Medicine at Hospital San Javier in Guadalajara, Mexico. Hospital San Javier is Mexico's leading medical and surgical facility. The hospital can be found listed on the very exclusive U.S. Department of State referral site for advanced medical care in Mexico.

If interested in a surgical tubal ligation reversal at half the U.S. price by U.S. board certified physicians. Please see our Mexico center for details.

Alternatives to Vasectomy Reversal (MESA, TESA, PESA)

For those wishing to avoid the reversal of a prior vasectomy, either for standard In Vitro Fertilization (IVF) or for advanced IVF procedures involvng guaranteed gender selection, we are able to offer MESA (Microsurgical Epididymal Sperm Aspiration), TESA (Testicular Sperm Aspiration) or PESA (Percutaneous "no incision" Sperm Aspiration). These procedures involve our board certified fertility Urologist aspirating sperm directly from testicular structures at the same time that the eggs from the female are obtained. The recovered sperm are then used to inseminate the waiting eggs. Fertilization and pregnancy rates approach the same levels achieved with successful vasectomy reversal procedures with minimal or no incisions. This procedure is most appropriate for couples interested in one or perhaps two additional children. "Extra" sperm obtained from the aspiration in excess of that needed for the initial egg insemination may often be frozen and cryopreserved for future use.

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