Vasectomy Reversal

A vasectomy reversal is a complex procedure that should only be performed by a urologist trained in microsurgery. Dr. Gittens is fellowship trained in microsurgery and has a high success rate reversing vasectomies.

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Can My Vasectomy be Reversed?

The short answer is, yes. While vasectomy should always be considered permanent birth control, advancements in microsurgery have made reversal of vasectomy more common and more likely to be successful. Dr. Gittens — fellowship trained in microsurgery and sexual medicine — is one of a small cadre of urologists qualified to perform this procedure.

Vasectomy reversal refers to two possible procedures: Vasovasostomy, and the more technically advanced, Vasoepididymostomy. During the procedure, we evaluate the consistency of the fluid from the vas deferens and examine if sperm is present. With this information, Dr Gittens will determine if the patient should have the vasovasostomy or the more technically challenging vasoepididymostomy performed.


The vasovasostomy is performed under an operating microscope. Using  a two-layer approach, Dr. Gittens places small sutures in the inner portion of the vas deferens bringing the inner tubing back together. The outer portion of the vas deferens is then approximated and sutured back together.


The vasoepididymostomy is performed when the vasovasostomy is likely to be unsuccessful. Few physicians are qualified to perform this procedure. In order to ensure the best change of a positive outcome, seeing a doctor qualified in is essential. The decision to perform the vasoepididymostomy is based on whether the tubules (epididymis) that exit the testicle are occluded.  If so, Dr. Gittens will find a small tubule before the occlusion and connect the vas deferens to that segment.

Choosing a Vasectomy Reversal Surgeon

There are many urologists qualified to perform vasectomies, but only a few trained in the microsurgery necessary to have a successful reversal. We specialize in Vasectomy Reversals with a success rate greater than 95% when motile sperm is present. Are you looking to reverse a previous vasectomy? Request a consultation with Dr. Gittens today.

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Dr. Gittens heads the leading center for treatment of male and female sexual medical conditions. We pride ourselves on taking the time to treat each patient individually, with compassion and discretion.

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Meet Dr. Gittens

Dr. Gittens is a leading expert in sexual medicine. As a board certified urologist — fellowship trained in sexual medicine and microsurgery — he is uniquely qualified to treat both men and women.

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Many find it difficult to visit a doctor for sexual medicine. We created PCSM & NYCSM to be private and discreet; and our staff is composed of compassionate people that only want the best for our patients.

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Gittens Sexual Health Blog

Stay up-to-date with Dr. Gittens Sexual Health Blog for all that's going on at the Center for Sexual Medicine and in the fields of fertility, hormone therapy and sexual medicine at large.

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