Vasectomy Reversal in London
A vasectomy reversal is microsurgery to reconnect the tubes divided during a vasectomy. It may allow sperm to return to the semen, making natural conception possible again for men whose circumstances or family plans have changed.
Your consultant will assess whether reversal may be appropriate, explain what the procedure involves and discuss your individual likelihood of success. Where reversal is not the best option, surgical sperm retrieval with IVF may be considered instead.

What is a vasectomy reversal?
A vasectomy reversal is an operation to undo a previous vasectomy. During a vasectomy, the vas deferens, the tubes that carry sperm from the testicles into the semen, are divided and sealed. A reversal reconnects these tubes using microsurgery, with the aim of allowing sperm to reach the semen again.
Men consider reversal for different reasons. This may include a new relationship, a change in circumstances or a renewed wish to have children.
The operation requires a precise surgical technique because the vas deferens are very small. It is carried out using magnification to support accurate reconnection of the tubes.
The likelihood of success varies. Factors include the time since the original vasectomy, the technique used during the vasectomy and individual fertility factors. Your consultant will discuss your circumstances honestly, rather than relying on a general success figure.
If vasectomy reversal is unlikely to be the best option, or if natural conception is not your preferred route, surgical sperm retrieval with IVF may provide an alternative. Your consultant can explain both approaches clearly.

Reconnecting the pathway for sperm
Vasectomy reversal uses microsurgery to restore the pathway that allows sperm to enter the semen.
Microsurgical repair
The divided vas deferens are reconnected under magnification, allowing the surgeon to work with the fine tubes precisely.
Restores sperm flow
If the tubes heal successfully, sperm may be able to reach the semen again, making natural conception possible.
Individual expectations
The chance of success depends on factors including the time since your vasectomy and your wider fertility circumstances.
Who vasectomy reversal may suit
Vasectomy reversal may be considered for men who:
- Have had a vasectomy and now wish to have children
- Have experienced a change in circumstances or relationship
- Would prefer to pursue natural conception
- Want to understand their individual likelihood of success
- Are generally suitable for microsurgical treatment
What to expect
- Assessment
Your consultant will review your medical history, including when and how your vasectomy was performed. They will discuss your fertility goals and give an individual assessment of whether reversal may be appropriate. - The surgery
The procedure is carried out using microsurgery to reconnect the divided vas deferens. Your consultant will explain the anaesthetic arrangements, what happens on the day and the potential risks. - Recovery and follow-up
You will receive clear advice about recovery and returning to normal activities. A semen analysis is usually arranged weeks or months after surgery to check whether sperm have returned to the ejaculate.
Why choose The Forbury Clinic for vasectomy reversal in London?
Possibility of natural conception
For suitable men, vasectomy reversal may allow sperm to return to the semen and make natural conception possible.
Precise microsurgical technique
The procedure uses magnification to reconnect the small tubes that carry sperm.
Honest individual advice
Your consultant will assess the factors affecting your likelihood of success and explain what may be realistic for you.
Alternatives explained clearly
Where reversal is not suitable or is unlikely to provide the best route, surgical sperm retrieval and IVF can be discussed as an alternative.
From assessment to decision
Not every man is an ideal candidate for reversal. The length of time since vasectomy and the condition of the tubes influence the approach.
Where reversal is appropriate, it offers the possibility of natural conception without ongoing fertility treatment.
Where it is unlikely to succeed, surgical sperm retrieval combined with IVF may provide a more reliable route. Your consultant will explain both options clearly.
Frequently asked questions
How successful is a vasectomy reversal?
Success varies between individuals. Important factors include how long ago the vasectomy was performed and the details of the original procedure. Your consultant will discuss your individual circumstances rather than quoting a general figure.
Is there an alternative to vasectomy reversal?
Yes. Surgical sperm retrieval combined with IVF may be an alternative route to biological parenthood, particularly where reversal is not suitable or is less likely to succeed.
What is recovery like after vasectomy reversal?
Recovery is usually straightforward, but you will need time for the area to heal. Your consultant will provide individual advice about pain relief, work, exercise, sexual activity and follow-up.
How soon will we know whether it has worked?
A semen analysis is arranged after surgery to check whether sperm have returned to the ejaculate. The timing varies, and your consultant will explain when testing is likely to take place.

Explore whether vasectomy reversal is right for you
If your circumstances have changed and you are considering restoring your fertility, our consultant urologists can explain whether vasectomy reversal or another option may be appropriate.
- AppointmentBook a consultation
- Reception0118 920 7055
- Location
The Forbury Clinic London, 45 Queen Anne St, London, W1G 9J
