Vasectomy Reversal Surgery

Vasectomy reversal surgery is our expertise and specialty. Dr. Daniel performs 100% of every surgery himself. There is no question as to who will be performing your surgery. You will not find a list of services offered in our menu or wonder who is actually going to be doing your surgery. We do not offer any other services. We focus only on vasectomy reversal surgery & our outpatient facility is dedicated only to the performance of vasectomy reversal surgery. We do not have the time or the desire to do anything else.

With 30+ years experience, we have never had a vasectomy that we could not successfully reconnect, even those that were told could not be reversed. We try very hard to keep your vasectomy reversal cost as low as we can without compromising quality for you and owning our own facility helps make this possible. Having your surgery in our facility will also be more convenient and comfortable than a public surgery center or hospital. There is none of the usual waiting around; you are our focus for the day. It also allows Dr. Daniel to use what he wants rather than have to accept what ever substitute is on a purchase agreement.

You want the best of the best vasectomy reversal surgeon. We guarantee you will not find better care or service anywhere at any price. We hope you will allow the staff and Dr. Daniel the opportunity to prove this to you.

The experience and training of your vasectomy reversal specialist is of the greatest importance for your success.

Dr. Daniel has been board certified by the American Board of Urology. Dr. Daniel only performs Vasectomy Reversals and does not participate in any other form of Medicine. He believes this to be his life calling and understands the importance of being proficient in all aspects of the procedure. In the 90’s, the hospital charge for this procedure was over $30,000. Unfortunately today as inflation has soared, doctors receive very little exposure to this type of specialized training today since the out of pocket cost can be prohibitive in a teaching hospital and no one goes to a university to have this procedure performed. No one is receiving adequate training in this procedure anymore, which is sad.

During residency, Dr. Daniel was first sent to a rat lab for intensive microsurgical training, at the suggestion of his program director. The female rat’s Fallopian tubes are about the same size as a human males vas deferens are and serve as the initial substitute for human vasectomy reversal patients. Dr. Daniel quickly exhausted the universities’ supply of female rats, and began practicing the procedure on male lab rats which are about 20 times smaller. The exterior wall of the male rat's vas deferens is approximately the same size as the interior wall of the human male’s vas deferens.  After returning to regular patient care, Dr. Daniel became the leading expert on male reproductive medicine for his dexterity and practice of the reversal process. He currently is the only doctor in the eastern United States that can perform the standard Vasovasostomy as well as the more complicated Vasoepididymostomy, a process of reattaching the vas deferens directly to the epididymis, and has been doing this procedure far longer than most anyone in the country.

Dr. Daniel has performed thousands of successful vasectomy reversal procedures. He does the procedure every day.  Over the last 30+ years, Dr. Daniel has successfully reconnected both sides in every case (where two testicles were present).  The training needed to be qualified to perform this surgery takes many years. A doctor or doctor extender who has only attended a weekend course or only been teaching this technique in a university hospital is not only posing an ethical compromise and could permanently compromise your chance of a successful outcome. 

Urology is the only specialty that provides specialty training in vasectomy reversal surgery.

Do not just assume that every doctor or physician extender that works at a reversal clinic is just as good as the next one. Vasectomy Reversal surgery is considered by most urologists to be the most challenging and complex procedure performed. You also want to know who your surgeon will be. Here, that is an easy question to answer. Dr. Daniel will be doing 100% of your surgery and every surgery.

We have dedicated this practice solely to the performance of expert vasectomy reversal surgery. We cannot perform the best vasectomy reversal surgery and divide our time with other surgeries or types of procedures. We perform vasectomy reversal surgery every day.  A Re-do procedure is more costly and potentially less successful than a properly performed primary vasectomy reversal and there is never “extra'“ vas available to contort into unnatural shapes in your scrotum. Your best chance for success is always with the first reversal procedure, though we have achieved very high vasectomy reversal success rates even with second reversal procedures.

We only use L.E.D. lights.

Even the lights above matter. Halogen lights are a lower cost alternative, however the heat generated by Halogen lighting is prohibitive to this procedure and can damage the vas by drying it out excessively. LED lighting allows us to keep the procedure site well lit and avoids damaging the vas deferens.

We always perform the vasectomy reversal on both sides.

Some doctors performing this procedure will quote what sounds like a very low price, but this price only includes one side or only one part of the total cost. Do not just assume both sides will be done. We want you to have the best chance of success and reconnecting both sides offers double the opportunity for success. Most men may have one testicle that functions a bit better than the other, but you don’t know which one that would be.

We use only the highest quality, brand name micro – sutures for this procedure.

There are suture options available that are much cheaper. We see them all the time when performing re-do procedures from around the country. Generic and out of date sutures can be purchased at significantly lower price, but have been known to become brittle and fail. Some reversal doctors utilize glue because it is easy. Surgical glue is not approved by the FDA for internal use and is far less precise. Absorbable sutures cause an inflammatory response to make them dissolve and are prone to promoting scar formation.

We want you to be as comfortable as possible.

Patient comfort is of the utmost importance during a vasectomy reversal procedure. We provide outpatient vasectomy reversal surgery in our surgical facility preferring the use of local anesthesia and oral sedation. Narcotics can cause rather severe constipation and will not be employed. Although some individuals will insist that reversal procedures must be performed with a general anesthetic, this is not true. Our practice does not use general anesthesia for several specific reasons you may not be aware of:

1. General anesthesia involves more risk to you and is not as safe for you, because you are given medication that temporarily paralyzes your muscles and prevents you from being able to breath on your own. Not being able to breath on your own can also be very frightening.

2. It costs much more to do this procedure with a general anesthetic, but provides no additional benefit. When the medication is stopped, there is also no further pain relief and the discomfort begins immediately.

3. More magnification with the operative microscope can be employed when a ventilator is not in use. Movement of the diaphragm is transmitted to the scrotum when on a ventilator, necessitating a lower magnification setting on the operating microscope because the vas is now moving more. Dr. Daniel performs the anastomosis as precisely as possible, something that cannot be done as easily while on a ventilator. Breathing normally causes much less scrotal motion.

4. Adding the use of a local anesthetic also helps ensure your comfort during the procedure and can last as much as an hour after surgery. When it does begin wearing off, the transition is slow, and is usually better tolerated. The oral sedation we employ helps you to relax while in surgery and also helps to minimize your movement while Dr. Daniel is working. It may linger for several hours following the procedure. Although the intent is to make you comfortable, not to “knock you out,” we find most patients will sleep during some or all of the procedure after they figure out that they are not going to hurt.

The cost of A vasectomy reversal will be considerably lower at Carolina Vasectomy Reversal than at a hospital or public surgery center.

Carolina Vasectomy Reversal was created to offer couples seeking a lower vasectomy reversal cost alternative to what is available in a hospital or public surgery center. When you ask a vasectomy reversal surgeon what the cost of a vasectomy reversal will be, you will most often be quoted his fee alone. When all the bills come, you will face additional charges from the facility, separate from the physicians’ fee. These include the O.R. charges, supplies, medications, anesthesia fees, microscope rental, recovery room fees, etc. 

Some doctors may quote a guarantee of success which is not actually possible. We do not and for several reasons that we will list:

1. Have you ever heard of anything in medicine that works 100% of the time?

2. Would you allow a surgeon you thought did not do everything expertly to operate on you again just because it was guaranteed?

3. Many patients return to regular activity immediately as if they did not care if they damage the repair.

4. A patients’ healing is not something we can necessarily control. Smoking, work, exercise, & yes even sex too soon can compromise your repair.

We have performed successful vasectomy reversals with

vasectomies over 52 years old!

The sooner you make the decision to get your reversal performed, the greater the likelihood of your success. Some reversal doctors will not perform reversals on any patient who is more than 7 years out from their vasectomy as the surgery can quickly become more difficult. We have seen success with patients even as far out as 52 years post vasectomy. We do not charge extra based on the time from your original vasectomy, type of procedure needed, or change your vasectomy reversal cost during the procedure, although a reversal is generally more difficult and time consuming as the time increases from the original vasectomy date. We do not provide other reproductive services or vasectomy procedures. You cannot specialize in vasectomy reversal surgery and then dedicate time to other treatments or surgeries.

Have More questions?

we will perform your in person consultation and surgical procedure both on the same day! you only need make one trip to our facility!