Pre-reversal Preparations

  • Sheldon H. F. Marks


Making the effort to plan and prepare before the reversal can reduce potential risks and complications as well as improve patient care and reversal outcomes. Obtaining proper consent for the reversal is important to address standard as well as reversal-related risks. Preparing the patient with verbal and written pre-reversal instructions, especially regarding medications, supplements, and blood thinners, increases the chances of compliance and reduces likelihood for complications. In addition, taking the time to arrange for appropriate operating room time, preprepared surgery packs, the correct microsutures and instruments as well as a consistent surgical team ensures an easier reversal experience for both the surgeon and patient while providing better results. The most commonly used types of anesthesia by top experts are general or mild conscious sedation with local anesthesia. All together, these presurgical preparations maximize the reversal outcomes which is the ultimate goal of the surgery.


Informed consent Preoperative patient instructions Reversal scheduling General anesthesia Mild conscious sedation Hemostasis Surgical and laboratory microscope Microinstruments Microneedles Sutures 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sheldon H. F. Marks
    • 1
  1. 1.University of Arizona College of MedicineInternational Center Vasectomy ReversalTucsonUSA

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