Why Patients Travel to South Carolina for
Vasectomy Reversal
A vasectomy can often be reversed through microsurgery that restores the pathway for sperm to enter the semen. The procedure may help men who want to restore their fertility or who are seeking relief from post-vasectomy pain. Most men can be evaluated for vasectomy reversal, although individual anatomy, medical history, fertility goals, and the female partner’s reproductive health should be considered before surgery.
Carolina Vasectomy Reversal is a nationally recognized microsurgical center devoted exclusively to vasectomy reversal and led by Michael P. Daniel, MD, an American Board of Urology–certified urologist. The practice provides experienced, physician-only surgical care in a private and highly personalized microsurgical center.
Dr. Daniel personally performs every part of every operation and oversees each patient’s care himself. Nurse practitioners, physician assistants, and other non-urological providers do not perform any portion of the surgery.
Vasectomy reversal requires meticulous technique, sound surgical judgment, and the ability to perform both types of reconstruction. Dr. Daniel can do whatever is the most appropriate repair for you and the price that you are quoted will remain the same.
Our facility is located in Bluffton, South Carolina, between Savannah, Georgia and Hilton Head Island. The Savannah/Hilton Head International Airport (SAV) is about 20 minutes away. Every procedure is performed in our comfortable, state-of-the-art private outpatient facility. Because we operate our own surgical center, we can provide one transparent, all-inclusive price that includes reversing both sides and performing the most expert vasectomy reversal procedure possible. There are no unexpected facility, medication, anesthesia, microscope, supply, or bypass-procedure charges added later.
Carolina Vasectomy Reversal is committed to exceptional care without unnecessary expense or compromise. We do not aim to offer the cheapest procedure. We aim to provide an outstanding value by combining specialized training, decades of experience, advanced microsurgical technique, transparent pricing, and the personal attention of the surgeon who performs every operation. We cut no corners.
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How The Typical Vasectomy Reversal Procedure Works
Your vasectomy reversal will typically take between two and two and a half hours. Before surgery, Dr. Daniel will meet with you and your companion to review the procedure, postoperative care, medications, and any remaining questions. You will receive preoperative medications which is very relaxing and allows additional comfort. It also serves to help prevent nausea and infection, along with pain medication and instructions for use after surgery.
Dr. Daniel performs the procedure using local anesthesia and oral sedation. The anesthetic injections take approximately 30 seconds per side and may cause brief stinging. Once the area is numb, you should remain comfortable, although you may occasionally notice pressure or a pulling sensation.
Both sides are reconstructed through two small incisions for direct surgical access. Based on the findings during surgery, Dr. Daniel will perform either a vasovasostomy or a vasoepididymostomy. Your all-inclusive price covers both sides and either type of reconstruction, with no unexpected surgical fees.
After the procedure, you will return to the examination room by wheelchair. Dr. Daniel will review the surgical findings and postoperative instructions with you and your companion, provide a written summary, answer any additional questions, and personally accompany you to your vehicle via wheelchair.
Vasovasostomy (vas to vas) or Vasoepididymostomy (Bypass)
This procedure can be broken down into two basic types. The Vas to Vas is the normal way of reconnecting the vas after a vasectomy. The damaged ends are removed and the now "virgin" ends are sewn together with very fine sutures using a surgical microscope under very high magnification. Dr. Daniel employs 14 - 16 X magnification which allows for the most precise connection to be made.
The bypass procedure is a bit more complicated and requires significantly more skill. With the procedure, the vas is connected directly to the epididymis, bypassing any blockages which were discovered. This can be performed in the upper or the lower epididymis.
Local Anesthesia and Oral Sedation
Using Local Anesthesia to perform this surgery is essential, but it is not the way the procedure was originally performed. Surgery is easier when a patient sleeps, but this is not really in your best interest.
There is a lot of motion with a ventilator and it becomes necessary to use much less magnification for this procedure. The inside of the vas is extremely small, something like the smallest dot you could possibly make with a fine pen. More magnification equals a better procedure for you and a greater probability of success!
General anesthesia costs you more, puts you at more risk, and compromises the result of the procedure.
The Vasectomy Reversal Procedure
The surgery will be performed by an expert microsurgeon who has been performing microsurgical vasectomy reversal procedures for over 30 years.
You will be very comfortable throughout the procedure and will likely fall asleep at least for a portion of the procedure.
The injection of the local stings pretty much like it did with the vasectomy procedure. The reversal takes about 2 hours to complete.
You will be given oral medications before the procedure and to take home with you following the procedure. Dr. Daniel will discuss with you the findings during your surgery and provide you with his cell phone for any questions you might have after you leave.
Speak With Our Experienced Staff
Our experienced staff is available to answer your questions about vasectomy reversal, scheduling, pricing, travel, and postoperative care. During office hours, your call will be answered by a knowledgeable member of our team whenever someone is available—not by an automated or artificial intelligence receptionist.
If our staff is assisting another patient, please leave a message and we will return your call as soon as possible. After hours, you may leave a voicemail or submit the contact form on our website. If you would like to speak with Dr. Daniel before scheduling surgery, or if your question requires his medical expertise, our staff will arrange a personal conversation with him.
