Vasovasostomy (VVA) is most commonly performed for vasectomy reversal.
It is also performed for other types of vasal reconstructionsuch as after inguinal hernia repair.
Contraindication for VVA:
Vasectomy reversal is generally more cost effective than IVF/ICSI.
With longer obstructive interval (>15 years) the pregnancy rate for vasectomy reversal is inferior to sperm retrieval.
Technical success rates for experienced microsurgeons are excellent in appropriately selected patients. Patency rate over 90% can be achieved.
Sexual activity can be resumed 3 weeks post surgery.
Repeat VVA is feasible and has reasonable but slightly lower success rate.