Repeat vasectomy after failure
SarahC4
vasectomy after failure? Any studies? Any info on what the procedure
is like?
My husband and I are revisiting the idea of him getting a repeat
vasectomy. The initial one "worked" for almost two years, he'd been
given his all clears, and then I learned I was pregnant. Since the
baby, we've been on the abstinence plan which isn't a whole lotta fun,
lol. I'd been sold on getting a Mirena (not cheap) for me, but
recently read that the expulsion rate on those can be 7-10%. Money's
tight to be chancing it on a method of bc which may not work.
The dh offered up him getting a repeat vasectomy, but I can't find much
info about it (procedure, risks, cost, effectiveness) other than "it's
incredibly rare" and "it's incredibly rare". He never did go in to
find out what went wrong because we had to quickly direct our finances
elsewhere (troubled pregnancy), but it can only be a handful of things.
Is there any info anywhere out there? Also, if we did this, we'd
prefer to see a different urologist than the one which did the initial
surgery. Is there any reason that'd be a problem?
David
The problem with occurrences that are very rare is that studies into the
effectiveness are also very rare! I can't find anything on a quick glance.
I'll have a detailed look late on.
I think it's work visiting a urologist (a different one) and discussing the
situation. Maybe get a sperm count. Not the post vasectomy yes / no type,
but a proper count including motility. This could indicate if recanalization
has happened. To answer your last question first, the way recanlisation is
thought to happen is through granuloma's and the forming of microchannels in
scar tissue allowing enough of a channel to form for sperm to flow.
Remember, it takes only one sperm!
If you do consider a second vasectomy, be sure to discuss fascial
interposition with the doctor. This is where they bury the cut end in a
different level of muscle. Where it's protected by the musular sheath there
is virtually no possiblity of it being able to grow back through. The last
study I looked at discussing fascial interposition came up with no
recanalisation. Generally, fascial interposition combined with cauterisation
is regarded as the most reliable version of the procedure.
I can understand that you may not be willing to trust vasectomy a second
time, so I personally would be looking into alternatives as well as a second
vasectomy. Esure is one alternative that may appeal. I'm not sure of the
cost and availability. I think it's worth talking to your doctor about the
alternatives personally. At least he'll know costs and availability, and if
you can get it on the insurance plan / hmo.
--
David
www.vasectomy-information.com - Main site containing all of the information
in detail
www.vasectomyblog.info - News items and new research discussed
www.vasectomy-faq.org - Vasectomy FAQ in easy reading style
Luan
I believe the risk of complications are more than doubled if you try to
insult the male organs a second time. In my survey of 61 men 2 got severe
PVPS after a second vas surgery. I suspect both of these cases involved a
poor surgeon in the first place and they returned to him for the second
vasectomy which resulted in long term pain (13 years and counting in one
and the second man is dead now) Read the page on vasectomy here:
http://en.wikipedia.org/wiki/Vasectomy#_note-11
You will always find the risks listed in the last paragraph but do not be
fooled by the location of the warning. Of the 61 men I questioned no less
than 11 have problems long term. If you are lucky so far and his body has
seen fit to reconnect itself maybe you should take the hint. A $10,000
reversal has given me some relief but the nightmare is ongoing at 28
months.
Luan
Here is that last paragraph, I know it to be quite accurate.
Chronic Post-Vasectomy Pain
The incidence of chronic post-vasectomy pain is estimated to be between 5%
and 30% depending on the severity of pain that qualifies for the particular
study. Though severe and chronic post-vasectomy pain that lasts for a
lifetime may occur in less than 1 in 10 vasectomized men, the possibility
of this pain and its result on quality of life should be a major
consideration when deciding to undergo a vasectomy. Though the common
perception is that vasectomy is safe and simple, the experiences of many
men, both self-reported and as obtained through scientific studies, have
been otherwise. The inconvenience of other forms of birth control must be
weighed against the possibility of severe and chronic genital pain
post-vasectomy when evaluating the practice of vasectomy. Sample studies
that describe post-vasectomy pain in more detail can be obtained from [13]
and [14].
ri...@hotmail.com
complications not from being vasectomized, but rather because the
doctor botched the procedure.
Unfortunately, Luan like Kevin Hauber, has been on a campaign to spread
information that is worse than lies; worse because he mixes truth with
lies.
The incidence of chronic post-vasectomy recorded in Wikipedia is false
information.
The Luan's, Kevin Hauber's, Steve Law's and various
anti-contraception/sterilization religious sects of the internet have
spread their poison for much too long.
Dave-tx
It's pretty clear when they advocate abstinence over vasectomy that
there's an agenda at play.
-Dave
David
> anti-contraception/sterilization religious sects of the internet have
> spread their poison for much too long.
I've been following the traffic statistics for Mr. Haubers site. I have been
using the Alexa rankings. I know that some feel the rankings are
unimportant, but most feel they represent a fairly accurate picture of how
popular sites are.
The Hauber site is currently ranked at somewhere well over the 5 million
plus mark. The site has been sinking in the rankings steadily over the
months. At the moment, Alexa no longer list any changes in traffic trends as
it's sunk so low in their rankings.
So no matter how vocal these people are in newsgroups, the fact is that
their message is simply not getting through to any form of audience other
than the people that already know about the site and the odd few stragglers
they can pick up here and there. So yes, whilst it is undoubtedly
misinformation driven by a variety of motives including religion, it's
extremely unlikely it's having any sort of impact other than to prove to the
audience they are trying to target that there are still cranks out there.
Backfired, shot themselves in the foot and still not learning. I'm not
losing any sleep over it!
Luan
example of "Shoot the Messenger" (cheap shot in this case) so I shall
respond for the benefit of new readers.
I don't believe the doctor who did NSV on me did anything wrong
surgically. He did neglect to mention (intentionally) the risk of PVPS.
All doctors who do vasectomy know some about PVPS or they must lie or admit
they are completely incompetent.
You Sir, know nothing about a botched procedure concerning me, nothing
about the truth as I find it.. You say Wikipedia is false but offer
nothing but a blast of stupid hot air in it愀 place. I am nothing like
Kevin Hauber but after one year of nasty chronic pain I began to see his
book contains the most truth available on vasectomy to the common person.
How do I know? I put a little money into it sir, I paid for professional
information. I also have become one of tens of thousands of guinna pigs
against my will. One bit of information I paid for was to have Dr Witt
answer many questions at the rate of over $100 per phone call. I asked,
after he was familiar with my male reproductive organ condition post
vasectomy, "How many men end up like me?" Dr Witt, "Between 3% and 9%"
This sounds a little like Wikipedia doesn't it. Then since April of 2005
I began questioning my friends, neighbors, and relatives and a few more
people I met during my daily life. I began by admitting my PVPS condition
publicly and slowly I learned of some suffers. One was a diving partner of
7 years. He never told me himself but his wife did and twice she asked him
to call me and talk about it, he never did. One was my college roommate,
he was on testosterone injections due to extremely low hormone about 10
years post vas. One was a man I sold a house to. He said he was having
no problems with his vasectomy but I asked him in a public place and he
may not have wanted to disclose the truth in that situation. His X wife,
a close friend, told me, "Ya, and he doesn't have sexy anymore either!" A
close friend and former flight instructor is one of the last 4 men I
questioned. He retired at age 52 after ten years of extreme untreatable
arthritis. He had began his business again at age 54 to train one son in
the art of drilling. He told me he had 6 months of extreme sharp pains
that would put him "on his knees several times a day". I asked if he
talked this over with the vasectomy doctor. He said he did not. I asked
if he was warned of this possibility. He said he was not warned. I asked
what he thought about this pain problem and he said he figured it just went
with the procedure. I said are you aware that your arthritis could be
related to the vasectomy, but of course he was unaware of this
possibility. Well, I said if it makes you feel any better we seem to
share a lot. We both have a deep love of aviation, the same birthday,
the same physical size, same love of the truth, we both had a vasectomy,
and now we both have a severe case of arthritis. Another man was a long
term business partner and he took me to my reversal surgery, an 8 day
ordeal. On our way home this long time friend told me vasectomy had cost
him "Great Sex" due to a loss of satisfaction, no release, no great
feeling as he had known it. He said it was the beginning of problems that
ended in divorce after 40 years of marriage. I am very familiar with this
lack of satisfaction description as well as the pain that puts a man on
his knees. I have been there, done that and much more. So after
questioning 61 men who had vasectomy I find eleven who fit into he 30%
that Wikipedia suggests and I am sure a few did not tell me the truth
because think about it: Personal Sex problems are the most likely subject
a man will cover up with a lie of anything you might ask him.
You Sir, are the one who wants others to believe lies. I just report the
situation as I find it. There is a lot of money behind my words I am sad
to say. I report you as the cheap shot that fails to get the attention of
anyone except those who really need to be sterile, so for those who read
this and have no problems getting vasectomy I say good luck and you are
doing the right thing. To those who have a brain working I know you will
search further and easily discover enough truth to avoid the damage done
to me and so many who actually used to believe that vasectomy was
basically 100% safe. The medical industry gets away with murder as it is,
why do you wish to help them? Why are you against informed consent? All I
want is for men and wemen to have credable information to use in decisions.
From my examples any fool can see vasectomy problems are underreported and
easy to ignore due to the fact that men are unwilling to talk about it.
The truth is as Wikipedia reports it. I for one got off my lazy ass and
proved it to myself and for my own satisfaction so I do not need to lie!
David
> nothing but a blast of stupid hot air in it愀 place.
The Wikipedia article is grossly misleading. The pvp section quotes just two
articles, and although both articles are quoted as having a high percentage
of chronic pain, they both use JUST ONE study as the basis of the high
figure.
Chronic testicular pain following vasectomy.
McMahon AJ, Buckley J, Taylor A, Lloyd SN, Deane RF, Kirk D.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1537032&dopt=Abstract
It's a postal questionaire with the grand total of 172 respondents. 56 (33%)
respondents claimed chronic pain. Of those 56, only 26 men said it was
troublesome.
It was published in 1992, and there has been nothing since. Frankly it's a
one off statistic from a dodgy survey and should not be given quite the
reverence it is.
Some 500,000 men per year in the US have a vasectomy, with some 45 million
plus worldwide. So claiming 26 men who answered a questionaire that came
through the letterbox is some sort of absolute proof that 33% of ALL men
WILL have problems is quite frankly ridiculous and irresponsible. I'm rather
surprised that Wikipedia didn't research where the figures came from, and
that they have allowed something that is so badly researched to be
associated with their name.
I would remind you that this forum was NOT set up to discuss pvp to the
exclusion of everything else. Other people are entitled to their views here,
and I have to say that your repeated rudeness to people who express opinions
that are contrary to yours is extremely inconsiderate, bad mannered beyond
belief and doing the cause you purport to support no end of harm.
If you can't accept the fact that people here are entitled to post about
other aspects of vasectomy, and express opinions you personally don't agree
with then I suggest you don't post here. Start your own group with your own
rules. If you want to post here then start respecting other posters, and
stop being rude and aggressive.
camar...@yahoo.com
information to heart.
MRVAS...@gmail.com
David wrote:
> > You say Wikipedia is false but offer
David,
There has to be A LOT ,ore than 45 million worldwide, I'd be willing
to bet there are that many in Asia alone.
As for Luan's post, I'm not taking the bait anymore. Don't feed them
and they will go away.
All good medicine,
GREENFEATHER