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surgeon advice."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Sperm usually returns within weeks to months. Semen quality is assessed over 3-12 months; pregnancy may take longer."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"Once scrotal swelling and pain are controlled and the surgeon agrees; short flights are usually fine."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early postoperative check, often combined with suture review."}},{"purpose":"result_review","requirement":"routine","after":{"min":42,"max":120,"unit":"days","qualifier":"First semen analysis, usually about 6-16 weeks after surgery. Repeated at intervals until stable."}}],"indications":["Desire for fertility after prior vasectomy","Vasectomy-related obstructive azoospermia, partner wanting pregnancy"],"main_risks":["Scrotal hematoma or swelling","Wound infection","Persistent scrotal pain","Anastomotic re-obstruction or stricture, no sperm in ejaculate","Failure to achieve pregnancy","Possible need for vasoepididymostomy or repeat surgery","Anesthesia-related risks","Rarely testicular injury"],"pain":"Mild to moderate scrotal soreness and swelling for several days, usually controlled with oral analgesics, scrotal support and ice.","preparation":["Urological consultation and examination","Review history, time since vasectomy, partner fertility","Preoperative anesthesia assessment and routine tests as needed","Fasting before general anesthesia","Review of medications with the surgeon","Arrange an athletic supporter and transport home"],"recovery_timeline":[{"phase":"First days","description":"Scrotal swelling, bruising and soreness; rest at home with scrotal support and ice.","restrictions":["No heavy lifting","No strenuous activity"]},{"phase":"Weeks 1-2","description":"Pain and swelling gradually settle; return to desk work.","restrictions":["No sexual activity for about 2-3 weeks, per surgeon","Avoid vigorous exercise"]},{"phase":"Weeks 2-4","description":"Gradual return to full activity as advised.","restrictions":["Avoid cycling and heavy lifting until cleared"]},{"phase":"Months 1-12","description":"Serial semen analyses to confirm return of sperm; attempts at conception per surgeon advice.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal rehabilitation program."},"result_longevity":"A successful reconnection is usually long-lasting, and sperm typically stays in the ejaculate. Late re-obstruction can occur in a minority of men, so semen is rechecked. Fertility depends on time since vasectomy and partner factors.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat surgery for re-obstruction or failed patency; higher with long time since vasectomy."},"scars":"Small scrotal incision (one midline or two small lateral incisions) that typically heals to a faint scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation, bilateral microsurgical reconnection."},"stages":[{"code":"vasovasostomy","label":"Bilateral microsurgical vasovasostomy","after":{"min":0,"max":0,"unit":"days","qualifier":"Single operative session."}}],"qualifier":"Single-stage operation. If no sperm is found in vasal fluid, surgeon may convert to vasoepididymostomy."},"success":{"metric":"Sperm return to ejaculate (patency)","value":85,"unit":"percent","horizon":"3-12 months after surgery","population":"Men with prior vasectomy under about 15 years undergoing microsurgical vasovasostomy","evidence_status":"proven"},"techniques":[{"name":"Microsurgical multilayer vasovasostomy (operating microscope)","suits_whom":"Men with prior vasectomy and sperm or clear fluid in the testicular-end vas.","recovery":"Same-day discharge; desk work in about 3-7 days."},{"name":"Robot-assisted microsurgical vasovasostomy","suits_whom":"Selected patients at centers with expertise.","recovery":"Similar to the standard microsurgical approach."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Bilateral microsurgical vasovasostomy; longer if converted to vasoepididymostomy."},"initial_assessment_documents":["Vasectomy operative report (if available)","Year of vasectomy and type performed","Recent semen analysis report","Partner's age and fertility assessment","Scrotal ultrasound report (if available)","Hormone panel: FSH, testosterone (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage outpatient surgery; stay about 5-7 days including pre-op visit. Semen analyses can be done at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=barselona/procedure=obratnaya-vazektomiya-vazovazostomiya/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":7},"manualSeo":[],"updatedAt":"2026-10-28T01:58:08.000Z","activeCountries":["ES","TR","MX","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}