Vasectomy Reversal Center of Chicago
Dear Visitor,
Thank you for visiting the Vasectomy Reversal Center of Chicago and for your interest in our practice. The following information will answer most of the commonly asked questions related to vasectomy reversal.
Our center at 600 Enterprise Drive, Suite 218, Oak Brook IL 60523, is conveniently located about 15 minutes from O'Hare and about 20 minutes from downtown Chicago. Dr. Agha, who will perform your surgery, is a Board-Certified Urologist and has been performing these procedures since 1996. We perform 1-2 reversals per week on average.
The surgery is performed in our office operating room under local anesthesia. We use a high-end Leica operating microscope to perform this microsurgery
The surgery takes approximately 3 hours. After the surgery, you may ride in a car with someone. You may want to take a week off from work. You are advised against strenuous and sexual activity for about 3 weeks after surgery. Dr. Agha will prescribe antibiotics and pain pills for the post-operative period. Also, you will be given an order for semen analysis to be performed at your local hospital or fertility clinic. The results of the semen test can be discussed on the phone or zoom.
If sperm are detected during the surgery, our success rate is more than 99%. The chances that sperm are found during surgery vary with time since vasectomy (90% between 1-3 years, 80-85% between 4-7 years, and 70-75% between 8-14 years). Pregnancy rates are lower than these numbers as a host of male and female factors come into play even when sperms are present in the semen after the reversal.
Once you have decided to have a reversal, the following will ensue.
Consultation: Dr. Agha will offer a phone or Zoom consultation on request for any unanswered questions. Those who wish to have an office consultation are also welcome.
Prior to consultation, you will receive a link to fill in the registration form.
A $250.00 fee is charged for consultation. This fee is applied to the total cost of the procedure if the reversal surgery is scheduled and performed with us within 6 months of consultation. This fee is not refundable after the service has been provided.
Scheduling the Procedure: After the consultation, at your convenience, you can call or email us to schedule your procedure. Our reversal coordinator will facilitate the process.
The all-inclusive cost for the procedure is $7,400.00. A deposit of $500.00 is required at the time of scheduling and the balance is due 2 weeks before the surgery in the form of a Certified check payable to Arif Agha, MD. A 3% convenience fee is applicable for all credit card transactions.
If after scheduling the procedure, you change your mind, the full fee is refundable until 2 weeks before the scheduled date. If you cancel less than 2 weeks before the scheduled date, the deposit of $500 becomes non-refundable. If you cancel less than 48 hours before surgery, the full fee is non-refundable.
We understand that some questions may not have been answered here. If so, please do not hesitate to contact us at 1-800-92-VASMD and our reversal coordinator will be glad to assist you.
Your physical activity is to be restricted immediately following your vasectomy reversal. This is particularly true during the first five days after surgery. During that time you should remain relatively inactive and avoid lifting any heavy objects (anything greater than ten pounds). You should remain in bed for the first 24-48 hours and applying an ice pack wrapped with a terry cloth towel directly to the scrotum. This ice pack should be applied off and on for approximately forty-eight hours. You should limit stair climbing and avoid driving and limit any car rides. It is extremely important that you do not engage in sexual intercourse, and do not ejaculate for at least three weeks following surgery. The vas deferens must be kept “at rest”.
If your job is sedentary you may resume work 5-7 days after surgery. If your job involves walking or lifting weights you may request restricted activity for 2-3 weeks. As a guide “if it hurts, don’t do it”.
You may return to your normal diet immediately. I would suggest you eat fresh fruits and vegetables, i.e. roughage, to avoid constipation.
As mentioned above, an ice pack should be applied to the scrotum off and on for the first forty-eight hours following surgery. You will go home with a jock strap, as well as gauze fluffs protecting the scrotum and incision sites. This gauze should be changed on a daily basis for at least three or four days. You may decide to wear the jock strap for seven to ten days since it will give you additional support and protection. You are advised not to have shower for 48 hours following surgery and no tub baths till the stitches are absorbed.
You will be discharged with a prescription of narcotic analgesics and antibiotics. If the pain is not too bad you are encouraged to simply take Tylenol (acetaminophen) or Advil (ibuprofen). Please take antibiotics according to directions on the bottle.
A: Fevers over 100.5 degrees Fahrenheit.
B: Excessive swelling of the scrotum and/or bleeding.
C: Drug reactions (hives, skin rash, nausea or vomiting).
We ask that you call our office after 24-48 hours to report post up progress. One of our nurses may do the same.
Your follow up appointment will be 2 months after the procedure to discuss the semen test results.
Since it takes over seventy days for new sperm to develop, we usually do not perform the first post-operative semen analysis (sperm count) until eight to ten weeks following surgery. You will be given an order for the lab test to have semen analysis which you can arrange at a local fertility clinic lab or any lab that does the testing on site within 1 hour of the specimen production. Please call the lab to schedule the semen test to make sure that a cytologist is available to examine the specimen which should be done within one hour of specimen production. Please abstain from ejaculation for 3-5 days before the test.