Mayo Clinic's approach

Mayo Clinic's Integrative Medicine and Health program combines conventional medicine with complementary and integrative medicine to promote physical, mental and spiritual wellness. Doctors and certified massage therapists at Mayo Clinic work together to coordinate a massage therapy treatment plan for an injury or condition as part of your care plan.

At Mayo Clinic, massage therapy is not just an outpatient procedure. It's also incorporated into some patients' hospital stays. Mayo Clinic researchers have found that massage therapy can reduce pain and tension in people facing or recovering from many problems, including:

  • Heart surgery
  • Breast cancer
  • Colon and rectal surgeries

Many of Mayo Clinic's massage therapists have sought additional training in techniques such as acupressure, reflexology, mobilization of scar tissue and lymphedema drainage.

Expertise and rankings

Since 2002, Mayo Clinic has been a leader in integrating massage therapy into the hospital experience. Mayo researchers have performed multiple studies proving the safety and benefit of massage therapy for many different types of surgeries and procedures.

Because hospital patients may have surgical wounds and medical equipment attached to them — such as intravenous lines or chest drains — Mayo Clinic has developed a training program to prepare massage therapists for this type of work.

Each year, medical professionals at Mayo Clinic provide inpatient and outpatient massage to thousands of people dealing with problems ranging from a cancer diagnosis to a sports injury.

Learn more about research in Mayo Clinic's Integrative Medicine and Health Research Program.

Learn more about the Hospital-Based Massage Therapy Course at Mayo Clinic's campus in Minnesota.

Locations, travel and lodging

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

For more information on visiting Mayo Clinic, choose your location below:

Costs and insurance

At Mayo Clinic in Rochester, Minnesota, there are three options for vasectomy reversal:

  • Option 1: Microscopic vasectomy reversal in the operating room under anesthesia (preferred option). Cost: $7,600.
  • Option 2: Microscopic vasectomy reversal in the clinic using local anesthesia and light sedation. Cost: $4,200.
  • Option 3: Robotic-assisted vasectomy reversal. Performed only in select cases. Cost varies depending on insurance coverage.
  • Freezing sperm (cryopreservation) at the time of the vasectomy reversal. Cost: Approximately $1,000. Fees for long-term storage also apply and range from $275 to $500 depending on medical history.

Which option is right for me?

In general, Option 1 is the preferred method for vasectomy reversal. This is because it allows the surgeon the opportunity to perform a more complicated procedure (vasoepididymostomy) if it is required.

In contrast, Option 2 only allows the simpler vasovasostomy to be performed. This option may result in lower success rates if it is discovered during surgery that you would have benefited more from a vasoepididymostomy.

Whether a vasovasostomy or vasoepididmyostomy will be required on one or both sides is not known until the vas deferens has been cut at the time of surgery. Although many methods of predicting which procedure will be required have been developed, none are completely accurate.

Option 3 is typically performed only in cases where the vas deferens has become blocked at the level of the inguinal canal. This most often occurs following a hernia repair, although it is a rare complication.

Will my insurance cover vasectomy reversal?

Insurance companies rarely cover male infertility procedures. This means that you may need to pay all of the costs associated with the surgery. To help reduce the chance for unexpected costs, Mayo Clinic has fixed prices. The price applies even if the surgery is more challenging or if a more complex procedure is required on one or both sides.

When do I pay for surgery?

Because of limited operating room time and the costs incurred by Mayo Clinic with the procedures, the full amount of the procedure must be paid prior to scheduling. If the procedure is cancelled for any reason, the portion of your payment that has not been used toward existing balances at Mayo Clinic will be refunded in full with no cancellation fees.

Should I freeze sperm at the time of my vasectomy reversal?

The decision of whether to freeze sperm at the time of vasectomy reversal is based on a few considerations. Freezing sperm requires additional upfront costs, including an estimated $1,000 for retrieval plus $275 to $500 annual storage fees. The advantage of freezing at the time of surgery is that no additional procedures would be required if the vasectomy reversal is not successful. The disadvantage is that freezing sperm may have been unnecessary if the vasectomy reversal is successful.

If you decide against freezing sperm at the time of your vasectomy reversal, and if your vasectomy reversal is unsuccessful, sperm may be retrieved at a later time, directly from the testicles. This requires a minimal office-based procedure and costs approximately $2,000 to $3,000. Annual storage costs of $275 to $500 still apply.

Given the overall high success rates with vasectomy reversal, the ability to retrieve sperm at a later date and similar costs with upfront versus later freezing, most couples choose not to freeze sperm at the time of surgery.

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.

Nov. 07, 2018
References
  1. Massage therapy for health purposes: What you need to know. National Center for Complementary and Integrative Health. https://nccih.nih.gov/health/massage/massageintroduction.htm. Accessed Nov. 4, 2015.
  2. Types of massage. The American Massage Therapy Association. https://www.amtamassage.org/findamassage/massage_type.html. Accessed Nov. 4, 2015.
  3. AskMayoExpert. Massage therapy. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  4. Rodgers NJ, et al. A decade of building massage therapy services at an academic medical center as part of a healing enhancement program. Complementary Therapies in Clinical Practice. 2015;21:52.
  5. Dion LJ, et al. Development of a hospital-based massage therapy course at an academic medical center. International Journal of Therapeutic Massage and Bodywork. 2015;8:25.
  6. Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Oct. 5, 2018.