• A vasectomy reversal is surgery that reconnects the tubes (vas deferens) that carry sperm.

• The goal is to help sperm get back into the semen so you can try for pregnancy naturally.

• We use microsurgery (high magnification) and very fine stitches to help give the best possible result.

• We often use a mini‑incision approach:

  • Smaller opening when it is safe to do so

  • Less tissue handling

  • Often less swelling and a faster return to normal activity

• If a larger traditional incision is better for your chance of success, we will use it. Your results come first.

• Microsurgery lets the surgeon:

  • See tiny structures clearly

  • Line up the tubes (vas deferens) accurately

  • Use stitches that are thinner than a hair

• A careful reconnection helps:

  • Reduce leakage

  • Improve the chance that sperm can pass through

• Fellowship‑trained in men’s health and microsurgery

  • Dr. Gavin Langille completed a fellowship in male fertility and microsurgery at Baylor College of Medicine in Houston, Texas.

• Operative microscope used for every reconstruction

  • High magnification helps with accuracy and success.

• Prepared for simple and complex cases

  • The right repair depends on what we find during surgery.

1) Vasovasostomy (most common)

• This reconnects the vas to the vas.

2) Vasoepididymostomy (more complex)

• This connects the vas directly to the epididymis (the tube near the testicle).

• It may be needed when the blockage is closer to the testicle, or if it has been a long time since the vasectomy was performed.

• This is a more delicate repair and needs advanced microsurgical skill.

Important

• The final decision (which repair you need) is often made during surgery, based on:

  • The fluid we see

  • The health of the vas deferens

  • The level of blockage

Success is different for everyone. It can depend on:

• How long it has been since the vasectomy (a vasectomy reversal is usually successful if the vasectomy was done within the past 10 years)

• Whether a vasovasostomy or vasoepididymostomy is needed

• Scar tissue and healing differences

• Overall male fertility factors

• Partner fertility factors (including age and reproductive health)

We will talk through your personal situation at your consult.

Consult

• Review your vasectomy history and timeline

• Discuss your goals and options

• Review what can affect success

• Plan next steps and answer your questions

Day of surgery

• Surgery is done using an operative microscope

• The final plan is confirmed during surgery:

  • Vasovasostomy or

  • Vasoepididymostomy

After surgery

• You’ll get a clear after‑care plan

• We will guide you on:

  • Activity limits

  • Pain control

  • When to do semen testing

  • When it is safe to return to sex

• Most people:

  • Rest for a few days

  • Avoid heavy lifting for a few weeks

  • Follow simple care steps to protect healing

• Common early symptoms can include:

  • Mild pain or soreness

  • Swelling or bruising

• A vasectomy reversal is not covered by Medicare.

• This means there will be:

  • A surgical fee

  • An anesthetic fee

  • Hospital/facility fees

• We can go over your case and provide information about individual costs and next steps.

Dr Gavin Langille FRCSC
1-506-636-8818

Dr.Gavin.Langille.Office@horizonnb.ca

Serving patients in New Brunswick and the Maritimes