As a trained microsurgeon and fertility specialist, Phill can provide knowledgeable advice on all options and help select the option that is best for you. If you are considering a vasectomy reversal or tubal ligation reversal because you want to have a baby, Phill can evaluate all the factors influencing your chances of success. 

As a Fertility Specialist at Fertility Associates, Phill is extremely qualified to make recommendations on whether IVF or another method of increasing the chance of conception is a better option than vasectomy reversal or tubal sterilisation reversal.  


Phill performs vasectomy reversals using the most effective technique available; with a general anaesthetic and an operating microscope (microsurgical).
This has been proven to be more effective than the alternative methods such as using local anaesthetic and loupes to perform a vasectomy reversal. Other vasectomy reversal methods are generally considered to have up to 70-85% patency rates, while microsurgical procedures have 90-95% patency rates. The chance of successful pregnancy following vasectomy reversal depends on many factors, including the length of time since the vasectomy was performed.


The biggest study to date* showed these pregnancy success rates after vasectomy reversals:

Time since vasectomy

Less than 3 years

3-8 years

9-14 years

More than 14 years

Pregnancy achieved

75% of couples

50% of couples

40% of couples

30% of couples

The age and gynaecological history of the potential mother is extremely important to the chance of success. In some cases it may be better to proceed directly to IVF and ICSI rather than performing a vasectomy reversal, and with his fertility expertise, Phill is in an ideal position to give advice on this.

*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;145:505–11.    


Reversing a tubal sterilisation can be performed either laparoscopically or with open surgery, which involves less cost.

Pregnancy success rates are much higher if the initial tubal ligation was performed with clips placed on the tubes, rather than having a piece of fallopian tube excised.  When the procedure is performed at the time of a caesarean section, the second method is more commonly used. Again, depending on various factors, it can be better to proceed directly to IVF rather than performing sterilisation reversal.

Phill will be able to advise you on the method that will give the best rate of conception. Get in touch, and we can discuss your options.