Why should I choose Dr. Larry Lipshultz?
As a pioneer in urological microsurgery, Dr. Lipshultz is one of the world's leading experts in male infertility.  Active in numerous scientific organizations, Dr. Lipshultz is well respected by his medical colleagues and has served as a member of the Board of Directors of the American Society for Reproductive Medicine and as President of the Society for the Study of Male Reproduction. Dr. Lipshultz was President of the American Society for Reproductive Medicine from 1998-1999.  His research includes newly developed techniques for micromanipulation of sperm that have assisted a large number of infertile patients to achieve pregnancies over the last few years.  His clinical practice uses only the latest microsurgical equipment and performs approximately three vasectomy reversal procedures weekly on an outpatient basis.  Dr. Lipshultz' credentials and experience speak for themselves.  Choose the right doctor the first time for your procedure.

How much will it cost?
The surgeon's fee is $3,850.00 US for a first-time vasovasostomy.  The fee is $4,400.00 US for an epididymovasostomy and/or redo vasovasostomy if the initial surgery was done elsewhere.  A two-week postoperative wound evaluation is included in the surgical fee.

How can the fee be paid?
If your insurance carrier is not going to pay for the procedure, a deposit of $2,200.00 US is required two weeks prior to surgery, with the total balance to be paid on the day of the surgery.  
Some insurance carriers will provide coverage for this procedure, and we will assist you in contacting your insurance carrier.  Should benefits be available to you for this procedure, an $880.00 US deposit (instead of $2,200.00 US) will be required two weeks prior to surgery.  Our Billing Office will work with you, if needed, to establish a payment schedule for the balance.

Are there any other fees that I might incur?
At the time of the procedure, you have the option to harvest sperm to freeze for future use.  The fee for this is $750.00 US which includes the surgeon's fee and one-year storage.  Thereafter, storage will be an additional $30.00 US per year.
Any additional office visits and semen analyses will be charged accordingly.  Charges for the hospital and anesthesia are billed separately from the surgeon's fee.  These are paid at the hospital on the day of your procedure.  The hospital fees are $3,750.00 US which includes 3 hours of anesthesia.
There is also a $1,000.00 US cancellation fee which will be withheld from your surgery deposit should surgery be cancelled or rescheduled less than two weeks prior to the scheduled date.
You are also responsible for your transportation fees to and from the facilities and accommodation fees.

How long is the procedure?
Operating time for a vasovasostomy or epididymovasostomy is approximately 3 hours.  A general anesthetic usually is used, but a regional anesthetic can be selected.  We prefer that out-of-town patients stay in Houston for at least 1 day after surgery.

How long is the follow-up period?
Postoperative follow-up includes an evaluation of wound healing at 10 days to 2 weeks and a semen analysis at 6-8 weeks.  Monthly semen analyses are then obtained for approximately 4-6 months, or until the semen analysis stabilizes.

What is your success rate?
The success of a vasectomy reversal depends on:
1.  The skill of the surgeon.
2.  The findings at the time of surgery.

Other important factors in determining a successful outcome are the surgical findings.  When the vas is opened, fluid will flow from the testicular side of the vasectomy site.  If sperm are present, then we expect 90% or more of patients to demonstrate a return of sperm with an associated 60%-70% pregnancy rate.  If no sperm are present, yet the vasectomy fluid looks abundant and appropriate for ultimate sperm production (e.g., clear, watery), then a direct vasovasostomy is performed with a successful outcome of approximately 50-60%.  If poor-quality fluid is present (e.g., thick, pasty) and sperm are absent, or no fluid at all is found, then an epididymovasostomy  (connection of the vas to the epididymis) is performed with a successful outcome of approximately 40%-50%.

How do I make an appointment?
Just call our appointment desk at (713) 798-6163 or 
e-mail appointments@Vasectomy-Reversals.com.
If you want to make a payment, make your check to Larry Lipshultz, M.D. and mail it to:

Larry I. Lipshultz, M.D.
6560 Fannin, Suite 2100
Houston, TX 77030
ATTN: Jo Vasquez

How can I get more information?
You are welcome to come by our office, call us at (713) 798-6163, or e-mail us to get more information.  We will be happy to assist you.

For more information on the subject of male infertility, 
visit my other website at www.Infertility-Male.com

-Larry Lipshultz