Vasectomy Reversal

[spike]

My boyfriend has 3 children with his ex-wife.  After the second child he had a vasectomy.  For whatever reason, the vasectomy didn't take and he had the third child.  After the third child he had another vasectomy.  That was 8 years ago.  We decided we wanted to try to have a child together.  Recently he went to see a urologist and after ultrasound, scans, and an MRI, the urologist told him it would not be successful because of too much scar tissue.  I still want to pursue having a baby with this man.  Should we get a second opinion?  Is there any way to harvest his sperm from inside and then do invitro?  or what other options can we try?    

[Dr_Veena]

Hi,
     How are you? Vasectomy reversal usually is effective regardless of how many years back it was done. How ever a time span of more than 15 years is considered, too late as the quality of the sperm might not be adequate.

There are two methods of vasectomy reversal. They are: vasovasostomy and vasoepididymostomy. The former method might not work if there is a lot of scar tissue that is blocking the vas deferens. In your partner’s case, the second method would be optimum.

In case the surgeries are not successful, then a lot of sperm retrival techniques are available these days, which can help you have a child. Procedures like PESA, MESA and TESA are commonly used.
Hope this information helps.
Best.