Notice: Undefined variable: ub in /home/l7oia7e1jxlw/public_html/assets/inc/functions.php on line 337

Notice: Undefined variable: ub in /home/l7oia7e1jxlw/public_html/assets/inc/functions.php on line 349

Deprecated: strripos(): Non-string needles will be interpreted as strings in the future. Use an explicit chr() call to preserve the current behavior in /home/l7oia7e1jxlw/public_html/assets/inc/functions.php on line 349

Notice: Undefined offset: 1 in /home/l7oia7e1jxlw/public_html/assets/inc/functions.php on line 353
Vasoepididymostomy Los Angeles | Dr. Philip Werthman | CMRM
888-684-7036 Menu

Now Offering $500 OFF Vasectomy Reversal*

Contact Us Today Vasoepididymostomy Los Angeles

X

When Dr. Werthman performs a vasectomy reversal, he begins at the site of the original vasectomy, making a tiny incision and removing the blockage. Next, he takes a drop of fluid from the bottom end of the vas and examines it under a microscope.

This is a crucial part of the operation because the information obtained is used to decide which type of microsurgical reconstruction needs to be performed.

Schedule Consultation

Since the testicle continues to produce sperm after a vasectomy, the fluid in the vas should contain sperm. If, instead, the fluid is thick, pasty and contains no sperm, it usually means that a “blow out” or rupture has occurred in the epididymis, the organ where the sperm are stored.

The epididymis is a single-cell layered tubule that if uncoiled is approximately 14 feet long. It is coiled into four inches worth of space. Sperm leak out of the epididymis if the pressure in the tubule becomes greater than the resistance in the wall of the tubule, similar to the way a pipe breaks in the basement when the water pressure gets too high.

When the tubule “blows out” from the pressure, the body tries to heal the tubule and a scar forms. This causes a second blockage in the epididymis. If this second blockage is present and is not recognized then the operation is doomed to failure.

Fortunately, Dr. Werthman and his team at the Center for Male Reproductive Medicine in Los Angeles are fully prepared to handle this potential occurrence. If there is a second blockage in the epididymis, Dr. Werthman will bypass that blockage by creating a direct connection between the vas and the tiny and fragile epididymal tubule. This is called a vasoepididymostomy.

Dr. Werthman Invented the Mini-Incision Microsurgical Vasoepididymostomy

When a vasoepididymostomy is called for, Dr. Werthman will need to access and examine the epididymis, open a tubule and check the fluid for the presence of sperm. If sperm are found in the epididymal tubule then we know we are at a spot that is upstream from the second blockage. Dr. Werthman will then need to bring the open end of the vas to meet the epididymis, and sew it to the open epididymal tubule.

Most surgeons make a large opening in the scrotum and remove the testicle and epididymis from the scrotum to gain access to the epididymis and vas.

Dr. Werthman, however, has developed the Mini-incision Microsurgical Vasoepididymostomy, which is performed through a very tiny skin incision. He has pioneered a way of accessing both the vas and epididymis without having to open up the entire scrotum.

This means that you, the patient, are more comfortable, experience less pain after the procedure, and will have both a quicker recovery and much smaller scar.

This has been recognized as one of the Top 10 advances in fertility-related microsurgery, and Dr. Werthman was recognized at the 2010 American Urologic Association annual meeting for his achievement.

Vasoepididymostomy Los Angeles

Schedule Your Consultation Today

Contact Us

Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at 888-684-7036.