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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 Iran 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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Iran is a country situated in Western Asia, as well as the second-largest in the Middle East. It is home to one of the oldest civilizations in the world, starting from the fourth millennium BC when the Elamite Kingdoms were formed. Iran is widely known as the jewel in Islam’s crown, filled with awe-inspiring architecture and friendly people. The country is also a popular medical tourism destination due to its efficient healthcare system and experienced specialists. The medical centers in the country keep pace with the latest medical developments and provide top-class services. International medical tourists usually come to Iran for cosmetic procedures, which are currently witnessing a vast growth. Cosmetic procedures in the country, such as rhinoplasty and hair transplant, are performed with advanced scientific techniques and are highly successful. Furthermore, the healthcare cost in the country is a lot more affordable than in many other Western countries.
The capital of Iran, Tehran, is the most populous city in the country. Situated at the foot of the snow-capped Alborz mountain range, the city is filled with museums, restaurants, parks, and friendly people. The most popular landmark in this city is the Azadi Tower, which is the symbol of the city. Besides this tower, visitors can also go to the Tehran City Theater to see its amazing architecture, explore the Treasury of the National Jewels to admire the largest collection of jewels found in the world and visit the Golestan Palace, which is the oldest historic monument in Tehran. Besides Tehran, Tabriz is another popular city and it is a modern industrialized city with a very rich history and historical monuments, such as the Blue Mosque and El Goli.
The main international airport is the new Imam Khomeini International Airport in Tehran. It serves international flights to and from numerous cities around the world, including Dubai, Ankara, London, Bangkok, and Beijing. Budget airlines are operating from this airport, such as Pegasus Airlines and Air Asia. To get around Iran, domestic flights are affordable and fast. Buses and trains are also widely available with extensive networks. Taxis are best for inter-city travel.
Iran allows citizens of 16 countries to visit without a visa for up to 90 days, including Armenia, China, and Malaysia. Most citizens of other countries can obtain a visa on arrival. However, visa on arrival does not apply to citizens of 14 other countries, such as the US and the UK.
Iran experiences four seasons. Spring (March-May) and autumn (September –October) are pleasant with mild temperatures. Summer (June to August) can be scorching hot, with the temperatures soaring to 37°C. The winter can get bitterly cold as the temperatures drop to 0°C.