Mini-Incision, Microsurgical Vasectomy Reversal
A vasectomy reversal reconnects the vas deferens to restore the natural flow of sperm, giving couples a chance at natural conception without further fertility treatment. Dr. JB Lombaard performs the procedure in Red Deer, Alberta.
What Is a Vasectomy Reversal?
A vasectomy reversal reconnects the vas deferens (the tube that carries sperm) to restore the natural flow of sperm, giving couples a chance at natural conception without further fertility treatment.
Local anaesthesia for comfort, flexibility, and lower cost
We specialise in performing vasectomy reversals while the patient is awake, using an ultrasound-guided spermatic cord block. This provides complete pain relief throughout surgery and for several hours afterward, keeps recovery smooth, and reduces costs compared to general anaesthesia.
A key benefit of staying awake is being able to participate in shared decision-making during the procedure. We assess fluid from the testicular end of the vas, and if sperm are not seen, we can discuss whether to:
- proceed with vasovasostomy,
- switch to a vasoepididymostomy (VE), or
- stop the operation (exploration only), depending on findings and your goals.
Note: General anaesthesia is available upon request for patients who prefer it.
We're proud to perform all procedures at Ross Medical in Red Deer. It's conveniently located about 1 hour 20 minutes from Calgary International Airport (YYC) and 1 hour 15 minutes from Edmonton International Airport (YEG). Ross Medical is the only accredited multisurgical non-hospital surgical facility (NHSF) in Central Alberta. This ensures you receive hospital-grade safety in a private, comfortable setting.
Why Our Technique
Mini-Incision Technique
Access to the vas deferens uses a refined method similar to the no-scalpel vasectomy approach. This minimally invasive technique reduces tissue trauma and the risk of bleeding.
Microsurgical Precision
A high-powered operating microscope (5× to 40× magnification) lets us visualise the vas deferens, a delicate structure with an internal diameter of just 0.5 mm, for accurate re-approximation and optimal results.
Shared Decision-Making
Under local anaesthesia you can participate in intraoperative decisions: proceeding with vasovasostomy, switching to vasoepididymostomy, or stopping at exploration based on findings and your goals.
Straightforward, All-Inclusive Fees
Pricing is transparent. Your initial consultation is free. You only pay the deposit if you decide to book.
Booking Deposit
Non-refundable deposit for vasectomy reversal
- Payable after your initial free consultation
- Payment is only required if you decide to book the vasectomy reversal
- Non-refundable
This procedure is not covered by Alberta Health Care Insurance Plan (AHCIP). All prices exclude GST (5%). A credit card processing fee of 2.4% applies to all credit transactions.
Book ConsultationLocal Anaesthesia
Procedure with local anaesthetic
- Deposit will be applied toward the listed price
- Only pay if vasectomy reversal is completed
- Includes mild sedation if required
If the procedure is aborted, a $2,000 exploration fee will be charged. This procedure is not covered by AHCIP. All prices exclude GST (5%). A credit card processing fee of 2.4% applies to all credit transactions.
Book ConsultationGeneral Anaesthesia
Procedure done with general anaesthesia
- Deposit will be applied toward the listed price
- Full payment is required before the procedure and is non-refundable
- Includes general anaesthesia
This procedure is not covered by Alberta Health Care Insurance Plan (AHCIP). All prices exclude GST (5%). A credit card processing fee of 2.4% applies to all credit transactions.
Book ConsultationFinancing available
We've partnered with Beautifi to help make the procedure accessible. Use the calculator to explore monthly payment options — applying takes minutes and won't affect your credit score.
Success Rates and Factors
After a vasectomy reversal, it usually takes around three months for sperm to reappear in the ejaculate, but in some cases, this process can take anywhere from six to 12 months or more. The most important factor in predicting the success of a vasectomy reversal is the time elapsed since the vasectomy. According to a large multicenter study, the patency* and pregnancy** rates for men who underwent vasectomy reversal were:
| Years since vasectomy | Patency rate | Pregnancy rate |
|---|---|---|
| Less than 3 years | 97% | 76% |
| 3–8 years | 88% | 53% |
| 9–14 years | 79% | 44% |
| More than 15 years | 71% | 31% |
Belker AM, Thomas AJ Jr, Fuchs EF, Konnak JW, Sharlip ID. Results of 1,469 microsurgical vasectomy reversals by the Vasovasostomy Study Group. J Urol. 1991;145(3):505–511. A 2015 systematic review and meta-analysis of 31 studies (6,633 patients) reported overall patency of 89.4% and pregnancy of 73.0% across all obstructive intervals: Herrel LA, Goodman M, Goldstein M, Hsiao W. Outcomes of microsurgical vasovasostomy for vasectomy reversal: a meta-analysis and systematic review. Urology. 2015;85(4):819–825.
* Patency Rate: This refers to the percentage of cases in which the vas deferens is successfully reopened after a vasectomy reversal, allowing sperm to flow through it. It is confirmed by the presence of sperm in the ejaculate during follow-up semen analysis.
** Pregnancy Rate: This measures the percentage of cases where a successful pregnancy occurs following the vasectomy reversal. This rate reflects the combined effectiveness of the procedure and the couple's overall reproductive health.
Schedule a Free Consultation
If you're considering a vasectomy reversal, contact our office to schedule a free consultation. We're here to answer your questions and guide you through your options. If you decide to book your reversal, we will ask for a non-refundable deposit.
Book Consultation