Restoring Fertility &
Treating Post-Vasectomy Pain
Vasectomy Reversal surgery is your best option to change a regrettable decision to have a vasectomy. The problems that occur following a vasectomy are far mor than you were probably told when you chose to have your vasectomy. The most common reasons to undergo a vasectomy reversal are restoration of fertility, pain, depression, sexual function, and religious beliefs. Dr. Daniel was really pushed into this line of work, but he feels it is where God wants him to be. This has been his passion for most of his life now. Thousands of families have trusted Dr. Daniel to help them grow their families, or to rid themselves other issues related to their vasectomy procedure after being told it was just in their head for way too long. Let’s make these goals a reality.
Vasectomy Reversal Surgery
The True Gold Standard
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Vasectomy reversal is our sole focus and expertise. Dr. Daniel personally performs every surgery—there’s no question about who will be handling your procedure. A white coat and mask does not make you a specialist. Unlike other clinics that offer a range of services, we specialize exclusively in microsurgical vasectomy reversals, ensuring the highest level of care in our dedicated outpatient facility.
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With over 30 years of experience, Dr. Daniel has successfully reconnected thousands of vasectomies, including many who were told that they could not be reversed. He has succesfully performed countless reversals that were deemed too difficult by others. We strive to keep costs as low as possible but without compromising quality. Owning our dedicated facility allows us to provide a more comfortable, efficient experience.
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You want the best and that is what we provide. We’re confident you won’t find better care or service anywhere else, and we look forward to proving that to you.
Where it all Began
Dr. Daniel’s journey started early in his Urology residency when his program director told him that he should have more specialized microsurgical training. This was before the day when it later became called a fellowship. He began his microsurgical training on female lab mice—whose Fallopian tubes are similar in size to the human vas deferens. When the female supply was exhausted, he then decided to reverse the male mice, even though their vas was many times smaller than those in humans. No one does this. This allowed him to become comfortable operating with extremely high levels of magnification and allowed for incredible precision. His skills quickly set him apart from the remaining doctors performing this procedure, leading him to become an expert in reproductive microsurgery. When he returned to performing the reversal surgery on humans, the vas now appeared to be a fairly large structure.
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Today, Dr. Daniel is one of the few surgeons who can perform both Vasovasostomy (standard reconnection) and Vasoepididymostomy (a more complex technique that bypasses blockages) and he does not charge more for one or the other. In part, this is because he can do one about as quickly as the other. Additionally, the supply cost is the same. Lastly, he only performs one procedure each day so if it takes a bit more time, he is not compromising a schedule trying to churn out as many as possible. With over 30 years of experience and thousands of successful procedures, he will perform the most precise layered reconnection of your vas that can be accomplished anywhere.
VASECTOMY REVERSAL CANNOT
BE PERFORMED CORRECTLY CHEAP
You only have so much vas to work with. Many doctors performing vasectomies remove large sections of the vas when they perform your vasectomy. This makes the first reversal more difficult and limits the amount of vas available for a redo procedure. Folding techniques are clever marketing to the unsuspecting, but no one has extra vas to make such even realistic or to even pretend this is useful. We have performed re-do vasectomy reversal procedures from everyone doing this procedure. Achieving the best results requires years of training—not just a weekend course or a white coat and a friendly first name without credentials. Some places offer vasectomy reversals that are very cheap and for good reason. Do not be surprised when you learn that you not only did not have a expert, you did not even have a doctor. You may not even be able to tell, especially if you are put under general or "twilight" anesthesia. Dr. Daniel’s expertise ensures you receive the highest level of care and the best chance for success, but if what you want is only to say you tried the cheapest, we are not for you. Dr. Daniel also performs every bit of everyone's surgery; no exceptions.
Vasectomy Reversal Success 53 years post vasectomy!
Dr. Daniel has successfully performed reversals on patients 53 years post-vasectomy! That is the longest one that we were told of that had babies. While some doctors won’t perform reversals after 7 years, our average is closer to 15 years since their vasectomy. We don’t charge extra based on the time since your vasectomy, though the procedure is frequently more complex the longer it’s been. Other factors are also important, but do not let the time since your vasectomy prevent you from pursuing your reproductive dreams.
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YOUR COMFORT IS OUR FIRST PRIORITY
We employ a cocktail of medications that include a preoperative antibiotic, medication for nausea, relaxation, and pain, in addition to a local anesthetic to make your vasectomy reversal procedure as comfortable as possible. Sometimes you may experience a brief pulling sensation not unlike that with your vasectomy, but most men say it was far easier than their vasectomy procedures. The local anesthetic does not take away the sensation of touch, which can give the impression of not being fully numb. With rare exceptions, everyone says their vasectomy was more uncomfortable than the vasectomy reversal procedure.
While some may think general anesthesia or "twilight" would be better for this procedure, it’s not. Dr. Daniel has done this procedure using all options over the years to fine tune the optimal combination. The reasons are simple:​
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Safety: General anesthesia carries most of your surgical risk regardless of the type of surgery. Having someone control your breathing is unsettling and far more dangerous to you. Using these techniques outside of a hospital environment adds even more risk.
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Cost: General anesthesia adds significant cost to the procedure. We try to put the money where it counts. Adding anesthesia doctors or nurses adds costs; no way around it. Also, when general anesthesia wears off, pain relief stops immediately.
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Precision: Dr. Daniel uses twice the surgical magnification of anyone else performing this microsurgical procedure. This is the most important reason he can do the procedure so precisely. Not having ventilator motion helps make this possible. Dr. Daniel uses 14-15X magnification with his dedicated Zeiss surgical microscope. This is not a cheap dental microscope or magnifiers hanging from glasses. This degree of magnification allows Dr. Daniel to perform the procedure with more precision than anyone using less magnification and allows for a more precise approximation of the layers of the vas. The natural movement of your diaphragm when breathing normally causes much less motion than with ventilation, which helps to minimize scrotal motion during surgery.
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Local anesthesia provides very effective pain relief during and immediately after the procedure, and can last up to an hour after the surgery is done, with a smooth transition as it wears off. The oral sedation helps you relax and makes the time pass more quickly.
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While the goal is not to put you to sleep, at least half of our patients find themselves drifting off or sleeping during a large portion of the procedure as they realize how comfortable it will be.
Why We Do Not Use Medical Finance Companies
Anyone who can qualify for a Medical Credit Card can qualify for credit elsewhere at a far lower interest rate. We have previously offered such, but the rates increased to about 10% of the total to us and another 28% or more to the patient. Adding 40% to the cost is a debt you do not want, and with all but the worst credit history, you can do far better.
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We cannot perform this procedure the way we would want it done for us cheaply. It is not a cheap procedure. We provide the highest quality care at the lowest possible price. Your best chance of success is with your first reversal. We are upfront about costs and everything that we do. We do not advertise doing the most procedures, or even the cheapest reversals. We do not switch you to a nurse or assistant to do your surgery. We use no gimmick techniques. We do try to make this affordable, but we compromise nothing.
Your Best Cost Option If You Want Another Baby!
It has only been in the last few years that people without extensive training began performing vasectomy reversal surgery. This highly specialized procedure was always performed by Urologist specifically who had received extensive microsurgical training and usually in a hospital. The costs were higher than with IVF. As such, IVF became more popular because it was less expensive at the time. Carolina Vasectomy Reversal was founded to offer couples an affordable alternative to hospital or surgery center pricing for vasectomy reversal surgery.
Dr. Daniel started performing this procedure at The University of Alabama hospital (UAB) in Birmingham, and later in a private hospital. The hospital added a huge additional cost. When you inquire about the cost, most surgeons will quote only their fee. However, once all the bills are added, there are additional charges, such as facility fees, O.R. charges, supplies, anesthesia, microscope rental, and recovery room fees that can really add up.
Be careful if you are trying to compare success rates between doctors. Here’s why:
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It seems everyone tries to define success rate differently and patient follow up is not like IVF; you have to come back to see if that worked. IVF in the best series is about 25% successful. Reversals are far better values for the money. Pregnancy after a reversal is far different from finishing the procedure or seeing some sperm. And statistics can easily be manipulated.
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In medicine, nothing works 100% of the time and most guarantees don't really mean much or are intentionally deceptive.
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Age of mate, fertility history, medications, testosterone supplement history, vasectomy technique, and how you take care of your reversal after surgery are all very important and cannot be applied to a group. You would not expect a woman who is 45 to be as fertile as a woman who is 25, but she might be. Also, testosterone injection can have a wide range of impact from almost no effect to complete cessation of sperm production.
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Some patients have to return to regular activity too soon, which can damage or compromise the repair. There are countless other variables in surgery. We have the most babies, but we need you to cooperate with the normal healing process to achieve success.
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Giving you a steroid post op only delays healing, it does not prevent scarring and actually leads to more failures. There is no substitute for surgical precision.
Your healing process is out of our hands. Factors like smoking, physical activity, work, and even resuming sexual activity too early can affect the success of your procedure. Dr. Daniel can only do so much. God does the rest!