Vasectomy reversal is a complex procedure in your scrotum, not at all like a simple vasectomy. If done by amateurs who were never trained in it properly, who do not have expertise in microsurgery, who do it in an office setting, it is just a fraudulent way to charge what appears to be “cheap” but is really many thousands of dollars, for getting nothing really. Such a procedure performed by an amateur, non-certified, and non-audited, general doctor looking for new sources of non-insurance revenue, with no scientific publications of techniques or results, is just a rip off, that is an affront to proper medical practice.
Many untrained and amateur physicians today are suddenly advertising this sort of vasectomy reversal because their income from insurance companies and medicare is diminishing, and they want some sort of new profit center that is not overseen by insurance companies. So they have no oversight or accountability and do not even know their results, which are close to zero. It is a travesty that i never thought I would see occur in the practice of medicine, but it has.
Why $3,000 Vasectomy Reversals Are Risky
1. A Piece of Your Vas Deferens Has Been Removed
The original vasectomy has usually taken out a piece of your vas deferens, not just cut it. If we do not free it up properly to bridge the gap without tension, then after these fraudulent office reversals, your testicles will hang higher than normal and be tight for the rest of your life. We would never allow that to happen, but that is a typical result by a small office based procedure under local anesthesia.
2. Secondary Blowouts Occur in 85% of Patients
The vas nowadays is sealed so tight after a vasectomy that secondary blowouts occur 85 per cent of the time in the delicate epididymis, the tiny tube that carries sperm out of the testicle into the vas deferens. If you just reconnect the vas, even if you do it perfectly (which ironically these amateurs do not), but even if you reconnect the vas perfectly, the operation cannot possibly succeed if you have not bypassed these blowouts, which no one in their office under local anesthesia even claims they can do.
3. Doctors Are Profiting Off of Non-Insured Procedures
Second rate doctors are feeling a tough profit crunch from reduced payments from medicare and insurance companies for the procedures and care they were trained to do that are covered by insurance. Therefore, they are trying to make a big killing by doing non-insured procedures they were never trained properly to do, and they do not know what they are doing.
4. Patients Can Be Gullible
Patients can be gullible, and would never expect such behavior from a doctor, and so they are easy prey to these quacks who do not really represent the majority of our profession, which is honest and brilliant and caring. Patients are easy prey for these terrible outliers who call themselves doctors.
Final Conclusions to Risky Low Cost Vasectomy Reversal
All you can do to protect yourselves is to study the issue carefully and realize, these are your testicles, and you really do not want an amateur to hurt them all the while charging you several thousand dollars, which may seem cheap, but is pure profit to such office based charlatans, who like most snake oil salesmen of a previous era, can often fool you and walk away with your money while you remain as sterile as ever.
Dr. Silber explains vasectomy reversal — what works, what doesn’t work, and why.
Two of Dr. Silber’s patients relate their experiences receiving care at the Infertility Center of St. Louis.
Click Here to Learn More about Vasectomy Reversal from Chapter 15 of Dr. Silber’s book, “How to Get Pregnant.”
Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. Journal of Andrology, Nov/Dec 2004.
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