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.

About Us

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

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.

Chances of Success

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.

How to Proceed

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.

Cost of Reversal

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.

Vasectomy Reversal Center of Chicago


Frequently Asked Questions

Vasectomy Reversal Center of Chicago

Frequently Asked Question

Dr Agha is a Board-certified Urologist with primary focus on the male infertility. He has been performing vasectomy reversals for over 25 years on a regular basis. He uses an extremely high end computerized operating microscope which facilitates this extremely delicate operation.Microsurgical technique is an essential element towards success of vasectomy reversal. Only a handful of dedicated micro-surgeons who have enough patient volume to perform this delicate procedure on regular basis can provide a desirable outcome. At Vasectomy Reversal Center of Chicago, using state of the art operative microscope, we are committed to restore the patency of vas deferens with 99% success rates if the sperm are detected during surgery.Our center offers a no surprise fixed cost. Our patient’s testimonials and Google review attest to our reputation

If the sperm are found during surgery, our success (defined by the presence of sperm in the semen after reversal) is above 99%.

Vasectomy reversal can be performed even after many years of the blockage. However, the longer the time interval from the vasectomy, the lower the success rates. The chances that sperm will be discovered during surgery vary with time since vasectomy (90-95 % within 1-3 years, 80-85% within 4-7 years and 70-75% within 8-14 years) after the vasectomy.

The most common, called vasovasostomy, involves stitching the disconnected ends of the vas deferens back together with ultra-fine sutures. The other reversal procedure, called vaso-epididymostomy, is performed when inflammation or scarring from the original vasectomy blocks the epididymis – the tubular structure connecting the testes to the vas deferens. In this microsurgical procedure, the blockage is bypassed by surgically connecting the vas deferens directly to the epididymis in a new location.

When there is thick fluid or no fluid coming out of the testicular end of vas deferens, it suggests an obstruction in the epididymis. In such cases the connection of the vas is established to epididymis above the level of obstruction.

Sperm acquired through aspiration or other retrieval techniques can only be used with in vitro fertilization for pregnancy. Under certain circumstances it may be a viable option e.g., too long a period (>15 years) since vasectomy and female partner’s age closer to menopause (40s plus when time seems to be running out). However the cost of pregnancy with in vitro fertilization is significantly higher. Many couples opt to have an initial attempt at reversal despite the longer number of years since vasectomy and keep sperm retrieval/IVF as a backup plan if reversal does not work.

10-0 Ethilon suture for vas-to-vas connection and for vasoepididymostomies for the inner layer connection. We use 9-0 sutures for outer layers

No. In 99% of the cases Dr. Agha can perform the surgery under local anesthesia. Only rarely general anesthesia (GA) is needed in some special cases or per request. The advantages of local anesthesia include avoiding unnecessary additional cost and potential side effects of GA.

There will be some swelling and bruising after surgery for 4-5 days. In addition there may be some mild bleeding or oozing from the stitches. You may like to rest and take easy for first 48 hours. Later on you may increase activity as tolerated. Sexual activity should be avoided for 3 weeks or longer if it is still uncomfortable. General guiding principle on activity is “if it hurts, don’t do it”.

Semen testing is performed 2 months after reversal.

It is variable. Even when reversal is successful, there are many factors that affect the outcome of pregnancy. In our experience the pregnancy has happened within 6-8 weeks on one hand and more than a year on others. Timing of sexual activity to ovulation improves the chances of success.

The total cost of the vasectomy reversal at our center is $7400 It covers surgeon’s fee, facility fee and intra-operative medicine for local anesthesia and sedation. There is no additional cost for vasoepididymostomy or redo reversal. General anesthesia, if requested (<1% cases) can be arranged at additional cost.

We do not accept insurance for this procedure. A $500.00 deposit is required to schedule a date of surgery. The balance of the fee is payable 2 weeks before surgery in the form of a cashier’s check, money order or cash. Credit card payments incur a non-refundable 3% convenience fee.

You can make an appointment by email, online or phone.

No specific or unique preoperative laboratory evaluation is needed before vasectomy reversal. Approximately 60% of men develop circulating antibodies against their sperm after the vasectomy. Controversy exists that such antibodies may decrease the chance of successful pregnancy after the vasectomy reversal. However, the overall postoperative conception rate is relatively high in the range of 50% to 70% and presence or absence of anti-sperm anti-buddies does not correlate with post-operative conception. Consequently, the value of preoperative antisperm antibody testing remains unproven. If such antibodies do in fact play a causative role in failure to conceive after a successful reversal, there are additional treatments and assisted reproductive techniques to address this situation.

Most of the times, after long-standing blockage from vasectomy, the sperm that are found at the time of reversal are noted to be dead, deformed and non-moving. At other times, however, moving sperm are found. If you desire to have these sperm frozen, a third-party lab is available for this purpose. Sperm freezing arrangements are done directly by the patient with the lab per Illinois laws and lab protocols. There is an additional cost for sperm freezing. An embryologist from cryopreservation lab will charge a standby fee even if the usable sperm are not found and sperm banking is not done. We do not recommend such expense because if the sperm are found during surgery, there is more than 95% chance that they will come out after surgery.