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Vasectomy Reversals

Flannigan Fertility offers Vasectomy Reversals & MicroTESE sperm retrievals with world-class success rates in Vancouver, Canada.

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Welcome to Flannigan Fertility

Your Vasectomy Reversal Expert

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Our Services

Flannigan Fertility provides sub-specialized expertise in Vasectomy Reversals, and microTESE sperm retrievals. We offer services to patients across Canada such as Vancouver, Toronto, Calgary, Edmonton, Kelowna, Victoria, Regina, Saskatoon and beyond. If you are travelling for your procedure, be sure to enjoy Vancouver’s west coast culture and attractions.

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Vasectomy Reversal

A procedure to restore fertility for men that have undergone a vasectomy.

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MicroTESE Sperm Retrieval

The gold standard therapy for sperm retrieval in men with compromised sperm production.

Are Vasectomies Reversible?

Yes, vasectomies are reversible. While success rates may vary from person to person, reversing a vasectomy is an established way to regain fertility and attempt to have a child naturally. With new microsurgical techniques, we are able to provide high rates of success whether it has only been a few years, or it has been over 10 years since the original vasectomy.

How Much Does a Vasectomy Reversal Cost?

Our total cost for a vasectomy reversal surgery performed by a sub specialized reproductive microsurgeon is $7995.

Financing available through Beautifi

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Vasectomy Reversal Success Rates

Our results are among the highest vasectomy reversal success rates world-wide.

We perform a high volume of vasectomy reversals, and Dr. Flannigan is sub specialized in this procedure spending an extra 2 years of reproductive microsurgical training beyond his regular urology training. We have some of the highest success rates for vasectomy reversals in the world.
Our vasectomy reversal success rates are 97.3%, where any sperm is present in the ejaculate afterwards, and 91.1% for obtaining greater than 2 million moving sperm. These outcomes are irrespective of time since vasectomy (1 to 26 years) and include both types of vasectomy reversal microsurgical techniques, the typical Vasovasostomy and the more complicated Vasoepididymostomy when needed.

100.0%

90.0%

80.0%

70.0%

60.0%

50.0%

40.0%

30.0%

20.0%

10.0%

0.0%

97.3%
Any Sperm

91.1%
Over 2 Million
Moving Sperm

All Vasectomy Reversals

Any Sperm
> 2 Million Moving Sperm

*As of May 2023. Includes all primary consecutive vasectomy reversals performed with one sperm test within 6 months of the surgery and at least 6 months of follow up testing. Includes all vasovasostomies, vasoepididymostomies, and mixed techniques.

WHAT OUR CLIENTS SAY?

Dr. Flannigan was very informative and gave us lots of hope and positivity.

Dr. Flannigan was fantastic. He is really good, and has always helped me a lot.

Dr. Flannigan was very approachable and east to talk to.

Dr. Flannigan is a super guy. Answered all my questions and told me my options in an understandable way. We will take a graduated approach to the problem.

Dr. Flannigan was great. Really helpful. He provided good information regarding fertility and men’s health.

Vasectomy Reversal frequently asked questions

What is a vasectomy reversal?

Vasectomy Reversals are surgical procedures that reestablishes a connection within the vas deferens to transport sperm between the testicle and the ejaculate. This involves one of two types of connections. Most commonly, a microsurgical reconnnection of the vas deferens tubes on either side of the vasectomy site is performed using a high-powered operating microscope. Sometimes a more specialized procedure is necessary when a second blockage site is present related to the vasectomy; here, the vas deferens tube is connected to a smaller epididymal tubule upstream to the second blockage using a high-powered operating microscope. This technique is called vasoepididymostomy or VE.

How successful is a vasectomy reversal?

The chance of having any sperm in the semen is over 97% and the chance of having greater than 2 million moving sperm is approximately 91% in our hands. Specifically, vasovasostomy success rates are over 98% chance of having any sperm detected in the semen following surgery and 93% chance of having at least 2 million moving sperm. Vasoepididymostomy success rates for achieving greater than 2 million moving sperm is 71% in our hands.

Reference: This data is based upon Dr. Flannigan‘s personal practice as of May 2023. This includes all primary vasectomy reversals performed in his practice with his hitch-microsurgical microdot technique, whom performed at least 6 months of follow up testing.

What technique does Dr. Flannigan use for performing vasectomy reversals?

Dr. Flannigan uses the techniques that have been described with the highest published success rates. Specifically, he uses a modified multi-layer, microdot VV technique, using a high-powered microscope where he adds additional ‘hitch’ stitches to relieve tension on the connection. This involves use of 10-0 sized microsutures that are small than the hair on your head (70-100 microns in diameter) on the inner layer and 9-0 sized microsutures on the outer layers. For VE procedures, Dr. Flannigan uses the LIVE or Longitudinal Intussusception Vasoepididymostomy technique, using 10-0 and 9-0 microsutures and a high-powered operating microscope.

How long does it take to arrange the vasectomy reversal consult?

Dr. Flannigan will typically aim to arrange a consult within the 1 week and a surgical date within 4 to 6 weeks.

What are the costs associated with vasectomy reversals at Flannigan Fertility?

Initial consultation: $195
Vasectomy reversal surgery: $7995
Follow up: No charge for 3 post-operative follow ups.

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Our Story

Dr. Ryan Flannigan has dedicated his career to refining his microsurgical skillset to optimize success rates for Vasectomy Reversals and microsurgical sperm retrievals.

Dr. Flannigan also serves as an internationally funded surgeon-scientist working to develop novel technologies to help improve treatments for Male infertility, erectile dysfunction and Peyronie’s disease.

Dr. Flannigan completed his fellowship training in Male Reproduction, Microsurgery at the world-renowned Weill Cornell Medicine and Memorial Sloan Kettering Center in New York, NY.

Dr. Flannigan now serves as the director of Male Reproduction and Sexual Medicine at the University of British Columbia, Senior surgeon-scientist within the UBC Department of Urologic Sciences, and Fellowship Director for Male Reproduction, Sexual Medicine and Microsurgery Training Program.

Latest Videos

Our videos provide up-to-date evidence-based information pertaining to male infertility, vasectomy reversals, sperm retrieval, Peyronie’s disease, and erectile dysfunction.

RESEARCH

Dr. Flannigan is a senior scientist at the University of British Columbia in the Department of Urologic Sciences with research specialties across the fields of male fertility and sexual medicine.

Fertility Options After Vasectomy

In this review, we discuss the fertility options following vasectomy. We compare and contrast the pros and the cons of vasectomy reversal, sperm retrieval and IVF-ICSI.

Automated rare sperm identification from low-magnification microscopy images of dissociated microsurgical testicular sperm extraction samples using deep learning.

In this study, our collaborative research group developed an artificial intelligence-based algorithm to detect extremely rare sperm with 96% accuracy in semen samples and 85% accuracy in microTESE testis samples. We are working to clinically validate this tool in followup pilot trial.

Using clinically derived human tissue to 3-dimensionally bio print personalized testicular tubules for in vitro culturing: first report.

We are working to develop novel personalized medicine approaches to regenerating sperm production in the lab using techniques such as 3D bio printing. Here we publish the world’s first report using human testis cells.

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Contact us for more information or a consultation for vasectomy reversals through our website.

www.flanniganfertility.ca

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Flannigan Fertility offers Vasectomy Reversals & microTESE sperm retrievals with world-class success rates in Vancouver, Canada.