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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 Pakistan 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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The Islamic Republic of Pakistan is a country located in South Asia and it is the fifth-most populous country of the world, with a population exceeding 207.8 million. Although the country has plenty of natural and historical riches, this country is off the radar for most tourists due to political instability. Those who are curious enough to visit the country will find that it is filled with beautiful, from Mughals and mountains to the mighty Karakoram.
A large number of ultra-modern medical centers are available, and they are equipped and facilitated with the most advanced medical technologies. Numerous doctors and surgeons at these medical centers are normally foreign qualified. Large numbers of patients from neighboring countries and the Middle East have traveled to Pakistan to undergo various medical procedures, mainly for organ transplants or fertility treatments.
The capital city of Pakistan is Islamabad. This city was built as a planned city to replace Karachi as the country’s capital. Islamabad is known for its safety, high standards of living, and plenty of green spaces. Here, tourists can admire the symmetry of the Pakistan Monument, check out the Daman-e-Koh viewpoint, visit the Lok Virsa Museum, and stroll around the Faisal Mosque. Karachi, the original capital of the country, is a sprawling metropolis. Most visitors usually come to check out the Quaid Mausoleum and the Tuba Mosque. Another popular city for tourism in Lahore, which is filled with beautiful architecture and interesting museums. The most popular attractions in this city are the Badshahi Mosque, the Lahore Fort, the Sheesh Mahal, and the Delhi Gate.
The busiest airport in Pakistan is the Jinnah International Airport, which is located in Karachi. It serves both domestic and international flights to and from several cities in Europe, Asia, and the Middle East. Taking domestic flights can be a great way to travel around. The rail network is also extensive and comfortable. Taxis and Uber are also available.
Citizens of 5 countries, including Maldives, Nepal, Samoa, Tonga, and Trinidad and Tobago, can visit Pakistan without a visa. Several countries, such as Austria and the UAE, may obtain a visa on arrival if they possess ETA. Citizens of 15 countries, including Armenia and India, are eligible to apply for an online visa.
Summer (March – October) is hot and dry in the northern regions. However, July and August can be rainy, making the weather hot and humid. The temperatures can range from 9°C to 38°C. Winter (November – April) can be really severe and most cities will get frost. Also, the northern part of the country experiences heavy rainfall during this season. The average temperature ranges from 3°C to 25°C.