EP283: A U-turn beyond the middle age and sunset days | PUTTING DR G ON THE SPOT - video Dailymotion

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Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, enlightens a reader on what age group is suitable for having a reversal of vasectomy to restore his fertility.  Read more at https://tinyurl.com/5encnaer  WATCH MORE: https://thestartv.com/c/news SUBSCRIBE: https://cutt.ly/TheStar LIKE: https://fb.com/TheStarOnline

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00:00one of the problem definitely guarantee infertility is somebody who undergoes

00:04a vasectomy and exactly how can vasectomy be reversed if someone decide

00:11to do a u-turn in the United States you have about 500,000 that means half a

00:24million men decide to undergo vasectomy every year and out of that 500,000

00:29men about six to ten percent of them actually change their mind and some of

00:35them will decide to undergo a reversal of vasectomy in medical term reversal

00:41vasectomy is called vasovasostomy because vas and the vas you join together

00:47but sometimes that doesn't work and vasoepidimostomy it also possible

00:53meaning the vas joined directly to the epididymis so exactly how successful

00:59this is well first of all we need to find out why do people change their mind

01:04some people change their mind is because their financial situation get better they

01:08want to have more baby some people change their mind because they've got new

01:11partners or they have actually death in their child or they simply just decided

01:18that they just want to have more children as they get older so when they change

01:22your mind the success rate depends on several things number one is that the

01:28actual duration of the actual vasectomy itself for example anything that is

01:34below three years then the success rate is very good up to 97% patency rate but

01:41patency doesn't necessarily means the actual good chance of pregnancy in fact good

01:48patency rate will also translate to about 80 percent chance of pregnancy after one

01:55of two years of trying and that is if it's less than three years between three

02:00to ten years is intermediate good prognosis and then that can be as high as

02:05about 80 percent patency and 60 to 70 percent pregnancy and beyond ten years it

02:13becomes a lot less why is that the case well there are several reasons number

02:19one after the actual vaso base after the actual vasectomy sometimes there is

02:26something called sperm granuloma when that occur the chances of rejoining is a lot

02:32less other time the lack of pregnancy it might be due to the partner's age because

02:38once the partner is getting older then there's less chance and also other

02:42reasons such as development of the anti sperms antibodies so therefore if

02:49somebody decide to make a u-turn the sooner you make the u-turn the better it

02:53is because the actual pregnancy and patency rate for a u-turn for the

02:58reversal vasectomy is much much better if you change your mind faster for the

03:04following week we're gonna talk about if there is a chance that nature is doing a

03:10vasectomy on you such as a condition called congenital bilateral aplasia of

03:16vas deferens if you after the situation is there a way that you overcome that

03:21nature's intention and reverse that infertility if you need to know stay tuned

03:27for next week's putting dr g on the spot

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EP283: A U-turn beyond the middle age and sunset days | PUTTING DR G ON THE SPOT

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