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Vasectomy is a procedure in which a male’s vas deferens tube is sealed, cut or tied to prevent the passage of sperms to the urethra. This is a permanent contraceptive technique to avoid fertilization of egg through sexual intercourse. The reversal of this method is known as reverse vasectomy. In this procedure, the ligated vas deferens tube is re-connected. It is an expensive and complicated procedure with not a great success rate. After going through this, the fertility of a male is restored and he is able to get his partner pregnant. Reverse vasectomy can be performed at any time even after a gap of 10-15 years as the sperms are continuously been produced and are viable. The pregnancy rates after this can be as low as 30% to as high as 90% depending upon the procedure used. Only 6% of all the men gone through vasectomy go for a reversal technique.
The surgery is performed under local, general, or regional anesthesia under the supervision of an expert urologist. A cut is given on the scrotum which opens it making the ductus deferens visible. The duct is released from the surrounding tissues and the doctor proceeds with the surgery. There are two known methods for the reversal of vasectomy:
Only the urologist can decide which procedure should be chosen for you. However, a vasovasostomy is performed if the sperms are present in the vasal fluid. If not, vasoepididymostomy is performed. It causes the sperms to move from testes to epididymis and from epididymis to the vasal fluid.
Performed in the outpatient department, reverse vasectomy is not a lengthy procedure. The surgery requires only 2 to 4 hours after which the patient is discharged on the same day from the hospital after he returns to consciousness. Still, the patient is under the influence of anesthesia so he needs someone to be with him. As far as stitches are concerned, they dissolve themselves after a few days. You should plan to stay in Armenia for at least 2 to 3 days after your surgery, this will allow for the initial recovery and follow-up check-ups, etc.
The recovery time after a reversal vasectomy varies from person to person. It usually takes 5 days to 2 weeks for the recovery. In the first few hours, the patient is woozy due to anesthesia. There is nausea, muscle pain, swelling, fatigue, and sore throat. After the effects of anesthesia fade away the day after surgery, pain is elevated. The recovery process is completed in 2 weeks.
The incision is stitched and covered with bandages. There is pain after surgery which varies from moderate to severe. Pain killers are prescribed to relieve the aching body. For soreness and swelling, ice packs are used. Keeping your legs above the head level might also be beneficial in reducing swelling. Ice packs are applied every half an hour for 10 minutes. Bed rest should be taken to avoid excessive movement of testes during activity. Ask the doctor when to remove the bandages. Besides all the things mentioned above, the following points should be kept in mind:
The success rate is variable and depends upon the individual case. Sperms come into the semen after 4 to 6 months of surgery. Your doctor regularly checks your sperm count till it returns to normal. In vasovasostomy, 6 to 12 months are required to restore the normal sperm count in the semen. While in the case of vasoepididymostomy, it might take longer. Once the sperms come back to the semen, chances to conceive can increase with the passage of time. the success rate also depends upon a number of other factors including any other illness or disease, age of female partner and the quality and quantity of sperms present in the semen.
A reverse vasectomy might not always be successful. There are various reasons for its failure such as any other testicular diseases. In case it fails, another surgery can be performed. If it does not work, following is the alternative for reverse vasectomy:
In vitro fertilization (IVF) of the ovum: Sperms are removed directly from the testes or epididymis using a syringe or through surgery. Success rates are higher if the female partner is younger. This procedure is way more expensive than the reversal of vasectomy. Also, there are no chances of another pregnancy. While reversal is cheaper, aids in natural birth and chances of future pregnancies are also there.
Fertilization through a donated sperm is another option. You can either get sperm from a suitable donor from a sperm bank or you can use your own frozen sperms that were stored before vasectomy. Sperms are removed through a syringe and frozen under suitable conditions.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Armenia has become a premium destination for medical tourism since the hospitals and clinics in the country are staffed with highly qualified professionals. This country has had a long association with medicine. Its 12th-century physician, Mkhitar Heratsi made a great contribution to numerous medical fields. Also, many Armenians helped to invent important medical innovations, such as the MRI machine and PET scan. These facts, coupled with lower costs high-quality healthcare, draw medical tourists from all around the world and most medical tourists come to this country for cosmetic surgery.
Armenia’s capital city, Yerevan, is the largest city in the country as well as one of the oldest continuously inhabited cities of the world. This city offers a perfect mix of ancient and modern as century-old buildings sit side by side with modern structures. With outdoor cafes lining its tree-filled boulevard, you can feel the vibrant atmosphere. The second-largest city in Gyumri which is filled with excitement as you will find trendy cafes and nightlife venues that are starting to pop up in the city. You can explore amazing museums, such as the Museum of the Aslamazyan Sisters and the Museum of National Architecture and Urban Life of Gyumri. Another popular place to visit is Dilijan, which is billed as the ‘Switzerland of Armenia.’ This city offers extremely beautiful scenery and pleasant weather.
Zvartnots International Airport is the main international airport in Armenia. This airport serves flights to and from many European and Asian cities, such as Paris, Dubai, Moscow, and Seoul. Since the country is pretty small, there are no domestic flights. Buses and trolleybuses run in cities, while taxis are widely available in city centers. Taxi fares should be negotiated before a journey as taxi drivers tend to overcharge.
Citizens from various countries, including Brazil, Australia, the UK, and the US, can visit and stay in Armenia for up to 180 days. Most other nationalities can apply for a visa on arrival or e-visa. It is best to check with the nearest Armenian embassy or consulate in your area.
December to February are the winter months, with cold temperatures and snowfall in the northern region. Spring, between March and May, is very pleasant with rain showers in March and April. Summer lasts from June to September, characterized by hot temperatures, long and dry days, as well as blue skies. In autumn, the temperatures will become cooler.