February 17 / 2026
Hi folks, I wanted to create a quick post that addresses a really key question that I get asked a lot by couples and it really centers around whether a vasectomy reversal is even possible given the amount of time that's elapsed from vasectomy to vasectomy reversal? And the answer is almost certainly that a connection is possible. A vasectomy reversal is possible but the type of connection and the success rates associated with that type of connection are really key. It is important to understand that during a vasectomy reversal, fundamentally there are two types of connections. 1) A direct vas to vas reconnection or vasovasostomy – these types of connections are highly reliable and tend to yield sperm back to the ejaculate in over 95% of cases. 2) In some cases, particularly after long periods of time, a patient might require a bypass connection or a vas to epididymal connection also known as a vasoepididymostomy.
Those connections are much more delicate and tend not to be as reliable as a direct vas to vas connection. And so that's the impact of time. Over time, a slightly higher percentage of men might require the bypass connection (vasoepididymostomy), which isn't as reliable as a direct connection (vasovasostomy). So, can a vasectomy reversal be performed after long periods of time? Absolutely it can. The type of connection is uncertain. And the key is that no doctor can tell you what type of connection is going to be required on either the right or left side in advance of vasectomy reversal surgery.
It's really a game time decision that's determined based on the sperm and fluid quality analyzed on each side during the operation. So, a vasectomy reversal can be completed after long periods of time. Success rates are determined by the type of connections performed. I hope that's helpful. Please email me directly with any questions: This email address is being protected from spambots. You need JavaScript enabled to view it.