Dr Vijayant Govinda Gupta - Best Urologist and Andrologist in India

Low Cost Vasectomy Reversal In Delhi, India

Dr Vijayant Govinda GuptaUrologist and Andrologist, is an expert in Vasectomy Reversal in India. He is located in New Delhi. He is a specialist surgeon in male sterilization surgery reversal. For couples who have chosen vasectomy as a family planning option, and are now looking at having a child, vasectomy reversal is the best solution. Vasectomy reversal can either be a Vasovasostomy or a Vaso – Epidydostomy. For the best results and most affordable vasectomy reversal cost in India , read further or drop a message or get a free e consult via email (admin@drvijayantgovinda.com).

Nsv Reversal In India (No Stitch Vasectomy Reversal In India)

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Why Choose Vasectomy Reversal In India ?

Male sterilization is an effective family planning technique for couples today. Many men have chosen the safe and effective method of vasectomy as their choice. But, life is difficult, and their may be many reasons why you may now choose to have another child. One reason may be a new partner or the death of a child. In such a circumstance, you may be considering nsv reversal or vasectomy reversal.

The most compelling reasons to choose vasectomy reversal in India are :

  • Cost – Cheapest in the world. Compared to 5000$ to 8000$ in the USA, Vasectomy Reversal in India costs just 2000$ all inclusive
  • Expertise – Like the USA, Vasectomy is very commonly done in India. Surgeons here have high volume exposure to reversals.
  • English Language – English is the primary language of communication here in India
  • Low Cost of Living – Very cheap hotels, food and travel costs.
  • Well Connected – India is connected by daily direct flights to almost every country in the world.

NSV reversal or vasectomy reversal is also called vasectomy recanalization surgery. In this procedure a surgeon goes back and joins the cut ends of your vasectomy. Read more about vas here. Once joined, this vas can now carry sperm again and return your fertility potential.

This procedure is very intricate and delicate. It requires the utmost expertise and needs careful suturing under an operating microscope in 50 or 300 times magnification.

Only a trained microscopic surgeon should perform this procedure. Dr Vijayant Govinda Gupta is a trained microscopic surgeon. I have received micro-surgical training at Maulana Azad Medical College and Post Graduate Institute of Medical Education and Research Chandigarh, India.

My mentors have included some great surgeons trained from Cleveland Clinic in the USA. Additionally I have trained at many International centers of excellence.

Asectomy Reversal Surgery – What To Expect?

NSV reversal or Vasectomy reversal is performed under regional or general anesthesia. Since this procedure takes upto 2 hours to perform, you will put to sleep or made pain free below the umbilicus as per your choice and the anaesthetic consideration.

This surgery may be performed on one side at a time as to leave the other testis untouched for ICSI or Sperm Retrieval later. The surgery is also performed on both sides after patient consent. The scar or incision is usually small and will require 4 to 5 stitches or metal clips outside. Post surgery you will be fit to resume light duties in 2 to 3 days and heavy work in 2 weeks.

Post surgery there maybe some bruising or pain, which usually improves in a week.

You can have intercourse after 2 weeks as to not disturb the surgical site. Normally it would take 3 to 5 weeks for sperms to return to the ejaculate.

Vasectomy Reversal Success

Duration of prior surgery (Number of years since vasectomy)

Prior vasectomy method – Whether cut ends were cauterized, burnt or a large segment removed

Sperm granuloma – a thick nodule at the site of previous surgery

Testicular size

Age of patient

Comorbidities – Diabetes etc

Presence of sperms in Testicular Aspirate at time of Surgery

Hormonal Status of the Patient

Partner medical status and ability to bear children

Surgeon expertise and Technical Factors

As you can see the surgery is intricate and many factors play a role. But still 90 percent of patients will be able to have sperms return to their ejaculate after the surgery.

What Is My Success Rate ? What If Reversal Fails?

The chances of the NSV reversal surgery failing in my hands is small. I operate 1 to 2 patients for vasectomy recanalization in a month. Unpublished audit of my own data, I have the following results (not considering variables)

  1. Sperm Positive Rate – Return of Sperm in Ejaculate approx 90 percent
  2. Positive Pregnancy without Assisted Reproduction – 50 percent
  3. Major Complications (Hematoma, Infection) less than 1 percent

If vasectomy reversal fails then we can proceed with two methods

  1. Vasoepidydmostomy
  2. IVF/ICSI/ART with Frozen sperms if collected on table and stored

Vasectomy Reversal Cost In India ? How Much Does Vasectomy Recanalization Cost In India?

Vasectomy Recanalization (Vasectomy reversal) is a tremendously sophisticated procedure. It is a microsurgical procedure. Good results require precision and lot of time consumed for the surgeon. Besides the sutures used are expensive. Even though my team tries to make it cheaper and affordable but the time, staff and consumables required make the pricing difficult.

Since most Indian patients looking for Vasectomy Reversal have got their Vasectomy from the Government of India and are poor, for Indian patients Vasectomy Recanalization cost in India is 65000 Indian Rupees for one side, and 95000 Indian Rupees for a Bilateral procedure. This includes 1 day stay and all surgical charges. This cost is subsidises by the Government.

Vasectomy Reversal Cost in India is 2000 US Dollars.

This price is significantly less than that charged in these countries, with results that are top notch. This price includes

  • Complete OT Charges
  • All Consumables
  • Anaesthesia
  • 2 consultations
  • 2 dressings
  • All local taxes

Miscellaneous additional expenses and costs for Vasectomy reversal in India

  1. Sperm Freezing / Banking – 500 US Dollar / 2 year
  2. Concurrent Testicular Biopsy – 150 US Dollar
  3. Concurrent Female Partner Workup and Gynae Consultation – 500 US Dollar
  4. Concurrent IVF/ICSI cycle in same visit – 3000 US Dollar

Frequently Asked Questions On Vasectomy Reversal

On this page Dr Vijayant G Gupta (MCh Urology) tries to answer in more detail frequently asked questions on Vasectomy Reversal.

1) What Are My Credentials To Offer Vasectomy Reversal Surgery?

Answer – Yes I do. I am a Board Certified Urologist and surgeon practising for 8 years in India. Credentialed for 6 years post surgery fellowship, and 2 years post Urological Fellowship.Read my detailed CV here on Linked in.I have almost a decade of experience managing male infertility and vasectomy reversal. I offer vasectomy by the No Scalpel method since 2011 with more than 500 successful NSV performed. Besides vasectomy reversal I also offer surgeries like Spermatocele creation, scrotal exploration and Vaso Epidydmal Anastomosis.

2) How Frequently Do I Perform The Vasectomy Reversal Procedure?

No Scalpel Vasectomy or Vasectomy procedures I would perform approximate 50 cases a year.Vasectomy reversal surgeries (vasal recanalizations) are approx 25 a year.

3) What Are The Methods Of Vasectomy Reversal Performed In My Practice? VEA Vs VV? Vaso Epidydmis Anastomosis Vs Vasovasostomy For Vasectomy Reversal?

Vasectomy reversal is performed in standard two methods

  1. Vasovasostomy – the previously cut ends of the vas are identified. After preservinf perivasal blood supply, all scarred and cut tissue is removed. The cut margins are freshened. Patency is checked on both ends and the cut ends are joint together.
  2. Vaso epidydmostomy – in cases of very long lost vas length, absent testicular fluid or failed cases a VEA or Vaso Epidydmal anastomosis is performed. In this the vas is joined to the epidydmal tubule to allow sperm return tot he ejacualate.

4. What Are The Methods Of Access To The Vas Site That I Employ?

I access the vas for vasectomy reversal by one of the three incisions.

  1. Standard 5 cm midline scrotum incision – Most convenient incision. Gives good access to do a good job.
  2. Mini Incision Vasovasostomy – For More Discerning Patients A 2 Cm Incision On Both Testis – Allows Rapid Healing, But Only Possible In Cases A Sperm Granuloma Is There And The Incision Site In Not Too High Or Low On The Scrotum.
  3. No Scalpel method – Access the vasectomy site with a NSV puncture – avoids stitches and does a quick job.

I offer all three but depends on every case individually.

5) What Is The Surgeon’s Success Rate In Achieving Sperm Motility And Pregnancy?

Return of sperm after reversal depends on many factors including but not limited to duration of vasectomy, amount of vas loss, patient comorbidities and age related testicular dysfunction.Considering all variables if I audit all my cases across spectrum, I would say I have a 80 percent sperm return rate to the ejaculate, 50 percent viable motile sperm rate and a 50 percent spontaneous conception rate (with a fertile female partner).

6) If There Is No Sperm Found In The Vas Deferens, Is The Surgeon Able To Perform The More Advanced Procedure To Bypass A Blockage?

In Vasal Recanalization surgery, on table I aspirate fluid from the testicular side of the vas and send it for analysis to document sperms. This fluid is usually graded on morphology on table and also analysed microscopically.

If the couple so chooses and is adequately worked up we can also use the aspirated sperms (if viable) to be cryo preserved or used for concurrent ICSI. We can also arrange for testicular tissue to be retrieved and used for sperm retrieval in the same sitting.

If the aspirated fluid is devoid of sperms, even then I would proceed with vasovasostomy since much research has shown return of sperms once the vasectomy is reversed. Especially in men who have fathered children before.But, I do perform Vaso epidydmal anastomosis if required and discussed before hand. Though I prefer to proceed with a vasovasostomy even in negative aspiration and wait for 6 months to reexplore and do a VEA if required.

7) What Is The Time Frame For Scheduling A Vasectomy Reversal In India?

The time frame for a Vasectomy Reversal in India would beBefore visiting my practice (In your home country)a. Online consultationb. Basic Medical Workup – Blood testsc. Schedule the date for surgery and Book the OR according to availibilityAfter landing in Indiaa. Day 0 – Visit my clinic for examination, medical workup, pending investigations, anaesthesia checkup, decision making and setting up plan of actionb. Night 0 – Sleep in hotel, prep for OT, Light dinnerc. Day 1 – Shift to Hospital, Shift to OR, Surgery (3 hours) , Recovery room  till eveningd. Night 1 – Shift back to Hotel with your private nurse, sleep in Hotele. Day 2 – Visit in Hotel for dressing, removal of drains and urine bag if placed. Examination and rest in Hotel with your private nursef. Day 3 – Visit my clinic on way to airport, fly backAll sutures are self dissolving, do not require removal. All medicines are disbursed with valid signed prescriptions with SOS medicine kits.Month 3 – Semen examination in Home country and review with reports online.