Vasectomy Reversal Surgery in Singapore

Written by Dr Gerard Ee. Medically reviewed by Dr Nathaniel Heah, Urologist. Last medically reviewed 7 November 2026.

A vasectomy reversal rejoins the tubes that were sealed in a vasectomy, so sperm can enter the semen again. At The Clifford Surgery, consultant urologist Dr Nathaniel Heah performs the reversal as a day surgery. He trained in reconstructive urology at University College London Hospital. The Clifford Surgery is an MOH-approved Ambulatory Surgery Centre at Raffles Place.

Who Can Have a Vasectomy Reversal

Most men who have had a vasectomy can be assessed for a reversal. Dr Heah examines you and asks how long ago the vasectomy was done. The shorter the time since the vasectomy, the better the chance that sperm return. He also asks about your partner’s age and fertility, because both affect the chance of a pregnancy.

How Vasectomy Reversal Surgery Is Done

The surgeon opens the scrotum through a small cut on each side and finds the two sealed ends of each tube. Fluid from the tube is checked under a microscope during the operation. What it shows decides the technique.

Vasovasostomy

When sperm are seen in the fluid, the two cut ends of the tube are joined directly. Fine stitches thinner than a hair are placed under an operating microscope.

Vasoepididymostomy

When no sperm are seen, there is usually a blockage further back, in the coiled tube behind the testicle called the epididymis. The tube is joined to the epididymis instead. This is a more delicate join and is more often needed when many years have passed since the vasectomy.

Vasectomy Reversal Anaesthesia and Time in Theatre

A reversal is a longer operation than a vasectomy. It takes about two hours and is done under general anaesthesia or sedation. You rest in recovery afterwards and go home the same day with someone to take you.

Recovery After Vasectomy Reversal

Expect swelling and soreness for one to two weeks. Wear supportive underwear and keep the wound dry for the first two days. Avoid heavy lifting, hard exercise and sex for about three to four weeks so the joins can heal. Call the clinic for pain that keeps getting worse, a growing swelling, fever or discharge from the wound.

When Sperm Return After a Reversal

Semen tests are done in the months after the operation. After a vasovasostomy, sperm usually return within two to four months. After a vasoepididymostomy, it can take three to six months or longer. Dr Heah goes through each result with you.

Vasectomy Reversal Success, Cost and Other Options

Success rates, the fee, and how a reversal compares with IVF or sperm retrieval are covered on vasectomy reversal in Singapore on The Clifford Clinic site.

Vasectomy Reversal Questions

Can every vasectomy be reversed?

Most can be attempted, but success is not guaranteed. The chance falls the longer it has been since the vasectomy.

Is a vasectomy reversal painful?

You are asleep or sedated during the operation. Afterwards most men need simple painkillers for a few days.

How long is the operation?

About two hours, longer than a vasectomy, because the joins are stitched under a microscope.

Do I need a referral?

No. You can book Dr Heah directly.

Book a Vasectomy Reversal Consultation

The Clifford Surgery, 50 Raffles Place, #01-01 Singapore Land Tower, Singapore 048623. Call (65) 6532 2400 or WhatsApp (65) 8318 6332. See all urology day surgery at The Clifford Surgery.

References

1. Belker AM, Thomas AJ Jr, Fuchs EF, Konnak JW, Sharlip ID. Results of 1,469 microsurgical vasectomy reversals by the Vasovasostomy Study Group. J Urol 1991, 145(3), 505–511. doi.org/10.1016/s0022-5347(17)38381-7
2. Sharlip ID, Belker AM, Honig S, et al. Vasectomy, AUA guideline. J Urol 2012, 188(6 Suppl), 2482–2491. doi.org/10.1016/j.juro.2012.09.080