Short term vasectomy success or failure is dependent on proper follow up and testing for the first year after the procedure. I wouldn't even consider trusting it at all until you get an all clear after a full year. All levels of success depend on the way the procedure was performed and also very much on the surgeon's experience and success rate. I had mine a year ago, and I have an all clear.
One thing that should be mentioned for any male who has had a vasectomy. Sperm Check vasectomy is FDA approved for at home testing. It costs about $50 for two test kits, so it is affordable enough to mean peace of mind. One caveat, the product did not work perfectly for me when I first tested it 3 months after the procedure. But if the simple chemical test does work for you, that sure would be peace of mind and cheap enough that you could test periodically. I see a lot of you guys/gals worrying on this thread. Other than adding another backup method, I thought you might want to know another way to check. FDA approval means it should pretty much work. I called mine unclear because it gave a super faint line both times. Urologist said that was likely because there are micro-fragments that were still left after three months and that the test was picking it up. I'll make another order within the next year and see if it shows me shooting blanks like the microscope does.
My urologist was very upfront and honest with me. He told me he had multiple failures trying different techniques. He didn't like burning the fire out of both ends because it led to too many complications, instead preferring an open vasectomy with fascial interposition. Statistically, one of the best means of increasing the odds of success is to use fascial interposition combined with cauterization.
If you look around, failures are quite common. the 1 in 2000 statistic bandied about on the internet is not hardly as accurate as you think. But as far as I can tell, late recanalization is still pretty uncommon. Done with the proper technique, by an experience urologist and good followup, and your odds go up.
Personally, I will always look to use two methods. Can't wait until RISUG gets here and we have even more options. Sweetness.
Unfortunately, nature still has a way in rare cases. Simple sperm granulomas could technically close the gap and I would never say 'can't' when it comes to efforts at reproduction. They almost always section the vas. It can actually grow back together in some cases even still.
Multiple methods should still be a consideration for many couples that want to be overly cautious. There is also no shame and low cost for followup testing as noted above. If your guy spontaneously reconnects, at least you can know about it in time to limit the chance of pregnancy based on how often you decide to check.
One thing that should be mentioned for any male who has had a vasectomy. Sperm Check vasectomy is FDA approved for at home testing. It costs about $50 for two test kits, so it is affordable enough to mean peace of mind. One caveat, the product did not work perfectly for me when I first tested it 3 months after the procedure. But if the simple chemical test does work for you, that sure would be peace of mind and cheap enough that you could test periodically. I see a lot of you guys/gals worrying on this thread. Other than adding another backup method, I thought you might want to know another way to check. FDA approval means it should pretty much work. I called mine unclear because it gave a super faint line both times. Urologist said that was likely because there are micro-fragments that were still left after three months and that the test was picking it up. I'll make another order within the next year and see if it shows me shooting blanks like the microscope does.
My urologist was very upfront and honest with me. He told me he had multiple failures trying different techniques. He didn't like burning the fire out of both ends because it led to too many complications, instead preferring an open vasectomy with fascial interposition. Statistically, one of the best means of increasing the odds of success is to use fascial interposition combined with cauterization.
If you look around, failures are quite common. the 1 in 2000 statistic bandied about on the internet is not hardly as accurate as you think. But as far as I can tell, late recanalization is still pretty uncommon. Done with the proper technique, by an experience urologist and good followup, and your odds go up.
Personally, I will always look to use two methods. Can't wait until RISUG gets here and we have even more options. Sweetness.
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Originally Posted by sehbub
 This makes sense, which is why DH is getting the kind where they not only snip the tubes but also remove part of them so they CAN'T grow back together.
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Multiple methods should still be a consideration for many couples that want to be overly cautious. There is also no shame and low cost for followup testing as noted above. If your guy spontaneously reconnects, at least you can know about it in time to limit the chance of pregnancy based on how often you decide to check.
