Vasectomy reversal success depends on the skill of the surgeon and the findings at the time of surgery. When the vas is opened, fluid flows from the testicular side of the vasovasostomy site. If sperm are present, 90% or more of patients are expected to demonstrate a return of sperm with an associated 60%-70% pregnancy rate. If no sperm are present, yet the fluid looks abundant and appropriate for ultimate sperm production, then a direct vasovasostomy is performed with a vasectomy reversal success rate of approximately 50-60%. If poor-quality fluid is present and sperm are absent, then an epididymovasostomy is performed with a vasectomy reversal success outcome of approximately 40%-50%. Increase your vasectomy reversal success by contacting Dr. Lipshultz at larry@vasectomy-reversals.com today.