Does Vasectomy Reversal Affect Sexual Function?

December 23, 2013

When I see a couple in consultation who are considering having a vasectomy reversal, eager and hopeful to naturally conceive a baby together, there is frequently a moment in our visit that the room gets a bit quiet, and he just has to ask….”Will the vasectomy reversal cause any problem in my sexual function?”   Similar to the concerns that are often raised with the initial vasectomy procedure, men get very concerned that the reversal may adversely affect his erections, his sexual desire, his intensity of orgasm.

The answer is absolutely NO.  A vasectomy reversal, just as with the original vasectomy, will NOT cause sexual dysfunction.

Understanding Anatomy

Let’s talk about anatomy for a moment to better explain how I can be so definitive and certain.  The testicles are where sperm are made, and where testosterone is made.  Testosterone is secreted into the blood supply and during a vasectomy reversal arteries and blood flow are not involved or damaged during surgery.

Erections and ejaculation are controlled by nerves that run deep in the pelvis, along the prostate and in the penis.  The area that is operated on for the vasectomy reversal is the scrotum, and specifically the vas deferens, which is the tube that delivers sperm out into the ejaculate. This was the tube that was cut at the time of vasectomy.

The vas deferens is the tube that is put back together during a vasovasostomy, and when an epididymovasostomy is performed, the vas deferens and the epididymis are connected.  With vasectomy reversal, nothing is disrupted that is responsible for either testosterone production or erection.

As a result, a man will not experience any difficulty with sexual performance, and his ability to achieve an erection and orgasm will remain postoperatively what it was preoperatively.

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