Mayo Clinic's approach

  • Experience. Over the years, Mayo Clinic doctors have helped thousands of people begin or expand their families. Vasectomy reversals are currently performed at Mayo Clinic's campus in Minnesota by a doctor trained in both traditional microscopic and robotic-assisted vasectomy reversal techniques.
  • Teamwork. A compassionate team of experts can assess your health and your partner's and help you decide on a treatment plan that best fits your needs and preferences. Dr. Trost's team works closely with Reproductive Endocrinology and Infertility to provide complete and thorough care for both the male and female partners.
  • Research. The Mayo Clinic team actively assesses and incorporates the latest evidence regarding fertility to give you the best outcomes with the least unnecessary testing and delay.
  • Competitive pricing. Mayo Clinic offers state-of-the-art surgical techniques with competitive pricing available for many procedures, including sperm extraction, varicocelectomy and microsurgical vasectomy reversal. Estimated pricing may be obtained by contacting the business office.
  • One-stop care. A detailed itinerary for appointments, tests and procedures lets us make the most of your time at the clinic. We also run all tests and labs ourselves, which means tests taken in the morning can be reviewed the same afternoon.
  • A personal approach. We get to know you and your concerns completely, and explain your options in plain language. Long experience has shown us that understanding and considering all your issues as we develop a treatment plan together simply works better.

Expertise and rankings

  • Experience. Over the years, Mayo Clinic doctors have helped thousands of people begin or expand their families.
  • Advanced technology. At Mayo Clinic, male infertility is treated by a urologist with training in both traditional microsurgical and robotic-assisted infertility techniques. Procedures performed include vasectomy reversal, varicocelectomy, microscopic testicular sperm extraction (microTESE), testicular sperm extraction (TESE), microepididymal sperm aspiration (MESA), testicular biopsy, vasography and transrectal ultrasonography with seminal vesiculography, among others.

Nationally recognized expertise

Mayo Clinic in Rochester, Minn., ranks among the Best Hospitals for urology in the U.S. News & World Report rankings. Mayo Clinic reproductive endocrinologists and male fertility experts are fellowship trained and are leaders in their field. They will directly work with you to improve your chances for fertility and successful conception — whether by medication, surgery, in vitro fertilization (IVF) or another method.

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. 17, 2018
References
  1. Dickey RM, et al. The evolution of vasectomy reversal. Current Urology Reports. 2015;16:40.
  2. What is vasectomy reversal? Urology Care Foundation. http://www.urologyhealth.org/urologic-conditions/vasectomy-reversal. Accessed Oct. 8, 2015.
  3. Wein AJ, et al., eds. Surgical management of male infertility. In: Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed Oct. 8, 2015.
  4. Rayala BZ, et al. Common questions about vasectomy. American Family Physician. 2013;88:757.
  5. Wespes E. Vasectomy in male contraception and its reversal. European Urology Supplements. 2014;13:68.
  6. Smith JA, et al. Vasovasostomy and vasoepididymostomy. In: Hinman's Atlas of Urologic Surgery. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed Oct. 8, 2015.
  7. Ongaro TJ. Overview of vasectomy. http://www.uptodate.com/home. Accessed Nov. 20, 2015.
  8. Barbara Woodward Lips Patient Education Center. Vasectomy reversal. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
  9. Trost LW (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 5, 2015.
  10. Castle EP (expert opinion). Mayo Clinic, Scottsdale, AZ. Dec. 6, 2015.