Conditions — Male Fertility
Male Fertility & Vasectomy Reversal
Whether you are hoping to restore fertility after a vasectomy, or concerned about sperm quality and count, Mr. Jesuraj offers the most advanced microsurgical fertility restoration service in the UK — with success rates of up to 90%+.
“The only vasectomy reversal service in the UK I would recommend to patients from Europe.”
Tucson, Arizona, USA
You Have More Options Than You May Think
Many couples seeking fertility after vasectomy are told by their GP or local fertility clinic that IVF is their only option. This is not always correct. Vasectomy reversal — particularly when performed to the gold standard — can offer a very real chance of natural conception, often at lower overall cost than IVF and without the physical burden on your partner.
Mr. Jesuraj has been performing microsurgical vasectomy reversals for over two decades. His approach uses the Microdot Multilayer Microsurgical technique — the world gold standard developed at Cornell University — and is the only service in the UK endorsed by Dr Sheldon Marks of the International Centre for Vasectomy Reversal, Arizona.
Whether your vasectomy was 2 years ago or 20, an honest assessment of your options is the right first step.
Vasectomy Reversal vs IVF
Vasectomy Reversal
- Natural conception possible
- One procedure — multiple pregnancies
- No hormone treatment for partner
- From £4,100 all-inclusive
- Success up to 90%+ (within 3 yrs)
- Treats the cause directly
IVF
- Laboratory conception only
- New cycle needed each time
- Significant burden on partner
- £3,000–£8,000+ per cycle
- Success varies by age
- Does not restore natural fertility
* IVF may still be more appropriate in some cases — Mr. Jesuraj will give you an honest assessment of which path is right for your specific situation.
Conditions & Concerns We Address
Male Fertility Conditions
From vasectomy reversal to sperm quality concerns — specialist assessment and treatment for the full range of male fertility issues.
Microsurgical Vasectomy Reversal
The gold standard — Microdot Multilayer Technique
A vasectomy reversal reconnects the vas deferens — the tube that carries sperm — allowing natural conception. Mr. Jesuraj uses the most advanced microsurgical technique available, with a dedicated 3–4 hour operating slot and ultra-fine 10-0 and 11-0 sutures under 20–40x Zeiss microscope magnification.
Redo Vasectomy Reversal
A previous reversal that has not resulted in pregnancy — or where sperm counts have declined after initial success — can often be successfully repeated. Redo reversals are technically more demanding and require the highest level of microsurgical skill.
Who this is for
- Previous reversal elsewhere that failed
- Sperm counts that were initially good but declined
- Reversal where vasoepididymostomy was not offered
- Patients who want a higher standard of microsurgery
Our approach
Epididymal Blockage & Vasoepididymostomy
In approximately 2 in 10 men who had a vasectomy more than 10 years ago, back-pressure causes a rupture in the epididymis — known as a “blow-out.” Simply reconnecting the vas will not work in these cases. A more complex bypass procedure — vasoepididymostomy — is required.
Key facts
- Cannot be diagnosed without intra-operative fluid analysis
- Many UK centres cannot perform vasoepididymostomy
- Mr. Jesuraj performs this during the same operation
- Included at no additional charge
Included as standard
Male Infertility & Sperm Concerns
Male factor infertility accounts for around half of all fertility problems in couples. If you and your partner have been trying to conceive without success, specialist male fertility assessment is an important first step — often overlooked while investigations focus on the female partner.
When to seek assessment
- Trying to conceive for 12+ months without success
- Abnormal semen analysis results
- Low sperm count, motility or morphology
- Azoospermia — no sperm detected
- History of testicular injury, infection or surgery
- Concerns following chemotherapy or radiotherapy
Investigation
Post-Vasectomy Pain Syndrome
A small but significant number of men develop persistent scrotal pain following vasectomy — sometimes years later. Post-vasectomy pain syndrome is often poorly managed in primary care. Vasectomy reversal can resolve the pain in many cases, even when fertility restoration is not the goal.
What you may experience
- Persistent dull ache in one or both testicles
- Pain worsened by activity or ejaculation
- Discomfort not resolved by time or medication
- Swelling or congestion at the vasectomy site
Treatment
Vasectomy
For men seeking permanent contraception, Mr. Jesuraj performs vasectomy as a consultant-led procedure under local anaesthetic. A private vasectomy means no waiting list, full pre-operative counselling, and a procedure performed by a consultant urological surgeon — not a GP.
What’s included
- Full pre-operative consultation & counselling
- Procedure under local anaesthetic
- Consultant urologist — not a GP
- Post-operative semen testing follow-up
Procedure
Success Rates
Understanding Your Chances of Success
Success rates for vasectomy reversal depend primarily on the time since the original vasectomy. The sooner a reversal is performed, the higher the likelihood of success.
| Time Since Vasectomy | Patency Rate (Sperm in ejaculate) | Pregnancy Rate (Natural conception) | Recommendation |
|---|---|---|---|
| Under 3 years | Up to 97% | Up to 76% | Excellent prognosis |
| 3–8 years | Up to 88% | Up to 53% | Good prognosis |
| 9–14 years | Up to 79% | Up to 44% | Reasonable prognosis |
| 15+ years | Up to 71% | Up to 30% | Still worth considering |
| 20+ years | Variable | Variable | Individual assessment |
* Rates shown are based on published literature for multilayer microsurgical vasovasostomy. Individual outcomes depend on multiple factors including sperm quality, partner age and fertility, and surgical findings. Mr. Jesuraj has successfully performed reversals for men more than 20 years post-vasectomy.
Your Journey
From First Enquiry to Positive Test
Free Initial Enquiry
Contact us by phone, WhatsApp or online form. We are happy to discuss your situation informally before you commit to a consultation. No pressure, no obligation.
Consultation
A full consultation with Mr. Jesuraj — in person or by video. He will review your history, explain the procedure in detail and give you an honest assessment of your personalised success rate.
Procedure Day
A 3–4 hour microsurgical procedure under local anaesthetic and sedation at Best Life Clinic. You go home the same day. Mr. Jesuraj will see you before and after the operation.
Recovery & Testing
Rest for 7 days. Return to work week 3. Semen test at 12 weeks. Up to four follow-up consultations included. Mr. Jesuraj remains accessible throughout your recovery.
Self-funding patients welcome — vasectomy reversal is not typically covered by insurance | Fixed all-inclusive pricing | From £4,100 first reversal · £4,600 redo
View Full Fees →Take the First Step Today
A conversation costs nothing. Contact us to discuss your situation — we will give you an honest, expert assessment of your options with no pressure and no obligation.