Generated by All in One SEO v4.9.3, this is an llms.txt file, used by LLMs to index the site. # Male Fertility and Peyronie's Clinic Vasectomy Reversal - Peyronie's Disease - Male Infertility ## Sitemaps - [XML Sitemap](https://malefertilityandpeyroniesclinic.com/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [Research Main](https://malefertilityandpeyroniesclinic.com/peyronies/research-main/) - Research and Links Research Summaries Includes summaries of recently published scientific articles for Peyronie's Disease. This section is intended for patients who wish to remain on the cutting edge of the latest Peyronie's research. Click Here Links to Other Resources Includes links to various sexual medicine societies and PD forums. Click Here - [Measuring the success of a vasectomy reversal](https://malefertilityandpeyroniesclinic.com/2021/02/measuring-the-success-of-a-vasectomy-reversal/) - We believe that sound science is behind what is truly a success for a medical procedure. We're sharing what those proven success factors are for vasectomy reversals. - [Summary of “Improved Peyronie's Disease Curvature Outcomes Using a Novel Collagenase Administration Protocol”](https://malefertilityandpeyroniesclinic.com/2023/01/summary-of-improved-peyronies-disease-curvature-outcomes-using-a-novel-collagenase-administration-protocol/) - Summary of “Improved Peyronie's Disease Curvature Outcomes Using a Novel Collagenase Administration Protocol” Collagenase Clostridium Histolyticum (CCH) can be used on men with Peyronie’s Disease (PD) to improve penile curvature. Since the release of CCH in 2014 studies have consistently shown penile curvature improvements in men with PD in the 14-23˚ range (similar to findings - [Summary of “Predictors of Curvature Improvement in Men With Peyronie's Disease Treated With Intralesional Collagenase Clostridium Histolyticum”](https://malefertilityandpeyroniesclinic.com/2022/10/summary-of-predictors-of-curvature-improvement-in-men-with-peyronies-disease-treated-with-intralesional-collagenase-clostridium-histolyticum/) - Summary of “Predictors of Curvature Improvement in Men With Peyronie's Disease Treated With Intralesional Collagenase Clostridium Histolyticum” The following is a summary of an article recently published in the Journal of Sexual Medicine. We provide these summaries in the hopes that they will help patients keep up to date on the latest research published on - [Does the use of drains in the scrotum at the time of vasectomy reversal improve outcomes?](https://malefertilityandpeyroniesclinic.com/2022/09/does-the-use-of-drains-in-the-scrotum-at-the-time-of-vasectomy-reversal-improve-outcomes/) - A commonly asked question we get at the Male Fertility and Peyronie’s Clinic is whether the use of surgical drains in the scrotum during a vasectomy reversal will improve the outcome of the surgery. This article will review what drains are and whether they impact outcomes of vasectomy reversals. What is a Surgical Drain? A - [Summary of "Lifestyle causes of male infertility"](https://malefertilityandpeyroniesclinic.com/2022/08/summary-of-lifestyle-causes-of-male-infertility/) - Summary of "Lifestyle causes of male infertility" Over the past few decades, there has arguably been a global decline in both sperm quality and quantity, although the true extent of changes remains an issue of ongoing debate among experts. The purpose of this article was to review available evidence regarding effects of men’s lifestyle factors - [What Causes Peyronie's Disease?](https://malefertilityandpeyroniesclinic.com/2022/08/what-causes-peyronies-disease/) - What Causes Peyronie's Disease? What is Peyronie’s disease? Peyronie’s disease (PD) is a connective tissue disorder affecting the tunica albuginea and is characterized by penile curvature resulting from fibrosis and plaque deposits. PD can not only cause physical pain, but it can also cause psychological and psychosexual issues. PD affects between 0.4 to 20+% of - [Summary of "Cost of Intralesional Collagenase Clostridium Histolyticum Therapy Versus Surgery for the Management of Peyronie's Disease: A Claims-Based Analysis (2009-2019)"](https://malefertilityandpeyroniesclinic.com/2022/07/15223/) - Summary of "Cost of Intralesional Collagenase Clostridium Histolyticum Therapy Versus Surgery for the Management of Peyronie's Disease: A Claims-Based Analysis (2009-2019)" Peyronie’s Disease (PD) is a fibrotic disorder of the tunica albuginea of the corpora cavernosa and is progressive in nature. Consequently, this disorder is linked to a decrease in sexual performance and self-confidence. Currently, - [Does COVID-19 Have an Impact on Male Fertility?](https://malefertilityandpeyroniesclinic.com/2022/06/does-covid-19-have-an-impact-on-male-fertility/) - What is COVID-19? Coronavirus (COVID-19 or SARS-CoV-2) is a highly contagious virus affecting the respiratory system and can be quite deadly. Since its origin, it has infected hundreds of millions of people around the world. While the primary mode of transmission is through respiratory droplets, COVID-19 has been found in feces, urine, and semen. With - [Summary of "The use of a polyglycolic acid polymer graft in Peyronie's disease - preliminary outcomes"](https://malefertilityandpeyroniesclinic.com/2022/05/summary-of-the-use-of-a-polyglycolic-acid-polymer-graft-in-peyronies-disease-preliminary-outcomes/) - Peyronie’s Disease (PD) is a connective tissue disorder of the penis affecting the tunica albuginea. This disorder can lead to penile deformity and local pain. No one knows what causes PD; however, it is thought that PD could be caused by repetitive microvascular trauma, causing inflammation, excessive collagen deposition, and fibrinogenesis on the tunica albuginea. - [Summary of "Vasectomy Reversal Semen Analysis: New Reference Ranges Predict Pregnancy"](https://malefertilityandpeyroniesclinic.com/2021/06/summary-of-vasectomy-reversal-semen-analysis-new-reference-ranges-predict-pregnancy/) - ***Trost Commentary and Key Take-Home Points*** This is one of the most helpful and impactful manuscripts currently available relating to vasectomy reversals in my opinion. It is also one of the manuscripts that we refer to most often for patients post-operatively. The main reason for this importance is because it helps to define numbers which are predictive of - [Summary of "Stretched Penile Length and its Associations with Testosterone and Infertility"](https://malefertilityandpeyroniesclinic.com/2021/03/summary-of-stretched-penile-length-and-its-associations-with-testosterone-and-infertility/) - ***Trost Commentary and Key Take-Home Points*** The current manuscript compares penile length and infertility and suggests an association between the two. This type of study has been performed on several prior occasions as well, although a much more commonly used measure is the anogenital distance (AGD – distance between the anus and the genitals themselves) rather - [Highlighted Story From One of Our Patients](https://malefertilityandpeyroniesclinic.com/2021/03/highlighted-story-from-one-of-our-patients/) - We wanted to highlight a story we heard this week from the wife of one of our vasectomy reversal patients. This is being shared with their permission (they are so modest that we had to beg for them to let us share it with others). We found it very inspiring and wished to share it - [The best approach to treat PD in its early stages](https://malefertilityandpeyroniesclinic.com/2021/02/the-best-approach-to-treat-pd-in-its-early-stages/) - One important aspect of treating Peyronie's Disease is differentiating those in the early (or 'acute') phase of disease compared to those who in a more stable (or 'chronic') state. - [Summary of "Modern treatment strategies for penile prosthetics in Peyronie's disease: a contemporary clinical review"](https://malefertilityandpeyroniesclinic.com/2021/02/summary-of-modern-treatment-strategies-for-penile-prosthetics-in-peyronies-disease-a-contemporary-clinical-review/) - ***Trost Commentary and Key Take-Home Points*** The current manuscript is a review article (summarizes research publications performed by other teams) which discusses the role of penile prosthetics in men with Peyronie’s Disease. Penile prosthetics have a clear role for the treatment of PD men who have erectile dysfunction which does not respond to PDE5 inhibitors (i.e. Viagra, Levitra, - [How the ReVas technique has led to greater success with vasectomy reversals](https://malefertilityandpeyroniesclinic.com/2021/01/how-the-revas-technique-has-led-to-greater-success-with-vasectomy-reversals/) - Dr. Landon Trost of the Male Fertility and Peyronie’s Clinic has developed a technique that has lead to the potential for greater success when it comes to achieving a pregnancy after vasectomy reversal. Learn more about ReVas. - [Summary of "What role do pharmaceuticals play in the treatment of Peyronie’s disease and is there a need for new emerging drugs?"](https://malefertilityandpeyroniesclinic.com/2021/01/summary-of-what-role-do-pharmaceuticals-play-in-the-treatment-of-peyronies-disease-and-is-there-a-need-for-new-emerging-drugs/) - ***Trost Commentary and Key Take-Home Points*** This is a great commentary which highlights the significant need that we have for better medications to treat Peyronie’s Disease. For decades, dozens of medicines, herbals, topicals, and energy types of treatments have been used to try to treat Peyronie’s Disease. And, with few exceptions, none of them have showed any true promise in - [A look at how vasectomy reversals are performed](https://malefertilityandpeyroniesclinic.com/2021/01/a-look-at-how-vasectomy-reversals-are-performed/) - Here's everything you need to know about vasectomy reversal. - [Know more about the recovery time for a vasectomy reversal](https://malefertilityandpeyroniesclinic.com/2020/12/know-more-about-the-recovery-time-for-a-vasectomy-reversal/) - Planning ahead to rest and recover with adequate time and activity is key to recovering well from a vasectomy reversal. Here are some ideas of what to consider. - [Summary of "Intralesional Injection of Hyaluronic Acid in Patients Affected With Peyronie’s Disease: Preliminary Results From a Prospective, Multicenter, Pilot Study"](https://malefertilityandpeyroniesclinic.com/2020/12/summary-of-intralesional-injection-of-hyaluronic-acid-in-patients-affected-with-peyronies-disease-preliminary-results-from-a-prospective-multicenter-pilot-study/) - ***Trost Commentary and Key Take-Home Points*** The current study evaluates the use of intralesional hyaluronic acid to treat Peyronie’s Disease. This is one of 4 different types of injections which are most commonly reported, with the others being collagenase (Xiaflex), interferon, and verapamil. This specific injection is more commonly used in Europe, particularly now that collagenase is no - [Finding answers about the acute phases of Peyronie’s Disease](https://malefertilityandpeyroniesclinic.com/2020/12/finding-answers-about-the-acute-phases-of-peyronies-disease/) - Different studies have given different results when it comes to how long acute Peyronie's Disease may last. We provide some clarity on this so you can stay informed about the need for potential treatment and its timing. - [Summary of "OUTCOMES OF A NOVEL PENILE TRACTION DEVICE (RESTOREX) IN MEN WITH PEYRONIE’S DISEASE: A RANDOMIZED, SINGLE-BLINDED, CONTROLLED TRIAL"](https://malefertilityandpeyroniesclinic.com/2020/12/summary-of-outcomes-of-a-novel-penile-traction-device-restorex-in-men-with-peyronies-disease-a-randomized-single-blinded-controlled-trial/) - ***Trost Commentary and Key Take-Home Points*** This study was one that we conducted soon after RestoreX became available. Our goal was to determine if the device resulted in any benefits or not in treating Peyronie’s Disease. My experience with traction devices to that point had not been very good. Specifically, we had previously performed a study where we evaluated whether - [Summary of "How Atypical Penile Curvature Influence Clinical Outcomes in Patients with Peyronie’s Disease Receiving Collagenase Clostridium Histolyticum Therapy?"](https://malefertilityandpeyroniesclinic.com/2019/09/how-atypical-penile-curvature-influence-clinical-outcomes-in-patients-with-peyronies-disease-receiving-collagenase-clostridium-histolyticum-therapy/) - ---Dr. Trost Commentary and Key Take-home Points--- The current manuscript evaluates the efficacy of Xiaflex in improving curvature in men with less common deformities, including those with downward curvatures, hourglass deformity, or decreased penile length. Not surprisingly, results showed that the therapy is indeed able to improve curvature in these conditions as well. In our own experience, we - [Summary of "Shaeer’s Anti-Scarring Technique: A Preventive Measure Against Corporal Fibrosis Upon Explantation of Infected Penile Implants"](https://malefertilityandpeyroniesclinic.com/2019/09/shaeers-anti-scarring-technique-a-preventive-measure-against-corporal-fibrosis-upon-explantation-of-infected-penile-implants/) - ---Dr. Trost Commentary and Key Take-home Points--- Although relatively uncommon, penile implant infections represent a challenging and potentially devastating complication of penile prosthesis surgery. Revision surgery after prior infections can increase the level of difficulty and risk of intra- and post-operative complications. In the current study, the authors proposed a possible mechanism to reduce the - [Summary of "What about the partner? —factors associated with patient-perceived partner dyspareunia in men with Peyronie’s disease"](https://malefertilityandpeyroniesclinic.com/2020/07/summary-of-what-about-the-partner-factors-associated-with-patient-perceived-partner-dyspareunia-in-men-with-peyronies-disease/) - ***Trost Commentary and Key Take-Home Points*** This was a study that we did of men who we treated for PD while at Mayo Clinic. We basically asked all men to complete a questionnaire that included a question as to whether or not the condition caused their partner pain. We then compared differences between men who answered yes or - [Expecting to be expecting?](https://malefertilityandpeyroniesclinic.com/2020/11/expecting-to-be-expecting/) - After a vasectomy reversal procedure it can take a couple of these cycles, or approximately six to nine months, before sperm count reaches the optimal level as far as fertility is concerned. - [Summary of "Peyronie's Disease and the Female Sexual Partner: A Comparison of the Male and Female Experience"](https://malefertilityandpeyroniesclinic.com/2020/08/summary-of-peyronies-disease-and-the-female-sexual-partner-a-comparison-of-the-male-and-female-experience/) - ***Trost Commentary and Key Take-Home Points*** This summary is of an abstract that was presented at the SMSNA meeting (SMSNA.org) but has not yet been published. This abstract is excellent though, and it highlights some very important aspects of PD. Specifically, many (? most) men with PD are concerned about how the condition may affect - [Is a vasectomy reversal safe?](https://malefertilityandpeyroniesclinic.com/2020/10/is-a-vasectomy-reversal-safe/) - Are vasectomy reversals safe and effective? - [Causes and diagnosis of Peyronie’s Disease](https://malefertilityandpeyroniesclinic.com/2020/11/causes-and-diagnosis-of-peyronies-disease/) - Peyronie’s Disease can be a diagnosis that can be troubling for men to even accept or speak to their physician about but it is important to know the causes of this condition. - [Summary of "Peyronie’s Disease in Teenagers"](https://malefertilityandpeyroniesclinic.com/2020/10/summary-of-peyronies-disease-in-teenagers/) - ***Trost Commentary and Key Take-Home Points*** The current study specifically investigates Peyronie’s Disease in teenagers and compares their condition to that of men >40 years old. The diagnosis of PD is often confused with congenital penile curvature (CPC) in younger men. CPC is typically a life-long curvature and is not typically associated with penile plaques. It also - [Summary of "Penile Size Restoration With Nondegloving Approach for Peyronie’s Disease: Initial Experience"](https://malefertilityandpeyroniesclinic.com/2020/10/summary-of-penile-size-restoration-with-nondegloving-approach-for-peyronies-disease-initial-experience/) - ***Trost Commentary and Key Take-Home Points*** The current manuscript examines a modification to a technique that is performed at the time of penile prosthesis placement to achieve greater penile length. Basically, several years back, a technique was developed known as the ‘sliding’ technique, where the penis was basically nearly amputated, stretched, and placed over a - [Summary of "Verteporfin as a Medical Treatment in Peyronie’s Disease"](https://malefertilityandpeyroniesclinic.com/2019/10/summary-of-verteporfin-as-a-medical-treatment-in-peyronies-disease/) - ---Dr. Trost Commentary and Key Take-home Points--- This is a great proof of concept study and goes directly after one of the mechanisms that is thought to contribute to Peyronie’s Disease. The challenge with a therapy such as this, though, is that often, men are not even aware of the condition until the fibrotic tissue has already - [Summary of "Evaluation of Oral Pentoxifylline, Colchicine, and Penile Traction for the Management of Peyronie’s Disease"](https://malefertilityandpeyroniesclinic.com/2019/10/summary-of-evaluation-of-oral-pentoxifylline-colchicine-and-penile-traction-for-the-management-of-peyronies-disease/) - ---Dr. Trost Commentary and Key Take Home Points --- The current study evaluates the combination of traction therapy and oral treatments for Peyronie’s Disease (pentoxifylline and colchicine). Dr. Carrier is a well-known Andrologist with significant experience in Peyronie’s Disease (and is a great person as well). This particular study adds value to the concept of using combination therapies for managing Peyronie’s Disease. There are a few key - [Summary of "Peyronie's Disease Intervention Studies: An Exploration of Modern-Era Challenges in Study Design and Evaluating Treatment Outcomes"](https://malefertilityandpeyroniesclinic.com/2020/06/summary-of-peyronies-disease-intervention-studies-an-exploration-of-modern-era-challenges-in-study-design-and-evaluating-treatment-outcomes/) - ***Trost Commentary and Key Take-Home Points*** This was a summary that Matt, Larry, Giorgio and I worked on to help other physicians better understand the Peyronie’s scientific literature. There are many challenges that come with trying to interpret Peyronie’s studies, and because of this, it is often important to critically evaluate any paper that is - [Summary of "Pathophysiology and Future Therapeutic Perspectives for Resolving Fibrosis in Peyronie's Disease"](https://malefertilityandpeyroniesclinic.com/2020/09/summary-of-pathophysiology-and-future-therapeutic-perspectives-for-resolving-fibrosis-in-peyronies-disease/) - ***Trost Commentary and Key Take-Home Points*** The current review article discusses some of the complexities of the process by which Peyronie’s Disease leads to penile fibrosis and scarring. The key take home point is that, to date, there are no good treatments which have been shown to prevent the progression of Peyronie’s Disease scarring. Although - [Diving deeper into male infertility: The lifestyle factor](https://malefertilityandpeyroniesclinic.com/2020/09/diving-deeper-into-male-infertility-the-lifestyle-factor/) - In some cases, lifestyle changes can help boost your chance of conception. Here's a look at what that means: - [Summary of "Shockwave Therapy in the Treatment of Peyronie’s Disease"](https://malefertilityandpeyroniesclinic.com/2020/08/summary-of-shockwave-therapy-in-the-treatment-of-peyronies-disease/) - ***Trost Commentary and Key Take-Home Points*** Shockwave therapy is a very hot topic in sexual medicine and is very commonly advertised for Peyronie’s Disease and erectile dysfunction. However, as of August, 2020, shockwave therapy is not ready for primetime and should not be recommended or used in Peyronie’s Disease. Although a full description of data behind that comment is - [Summary of, “Beyond Curvature: Prevalence and Characteristics of Penile Volume-Loss Deformities in Men With Peyronie’s Disease”](https://malefertilityandpeyroniesclinic.com/2020/05/summary-of-beyond-curvature-prevalence-and-characteristics-of-penile-volume-loss-deformities-in-men-with-peyronies-disease/) - --Trost Commentary and Key Take-home Points-- This current study highlights how common issues such as indentations, hourglass deformities, or other similar findings are among men with Peyronie’s Disease. These types of deformities can be particularly bothersome for individuals as they may cause buckling, instability, or anxiety for men during penetrative intercourse (i.e. fear of instability - [Summary of “Contemporary Thoughts on the Role of Shockwave Therapy in Peyronie's Disease”](https://malefertilityandpeyroniesclinic.com/2020/05/summary-of-contemporary-thoughts-on-the-role-of-shockwave-therapy-in-peyronies-disease/) - --Trost Commentary and Key Take-Aways-- Shock wave therapy has recently become in vogue as an alternative treatment option for PD. However, patients need to recognize that there really are no consistent data demonstrating any benefits. The American Urological Association and the Sexual Medicine Society of North America both have position statements that indicate that shock - [Summary of "Characteristics of Men With Peyronie’s Disease and Collagenase Clostridium Histolyticum Treatment Failure: Predictors of Surgical Intervention and Outcomes"](https://malefertilityandpeyroniesclinic.com/2020/06/summary-of-characteristics-of-men-with-peyronies-disease-and-collagenase-clostridium-histolyticum-treatment-failure-predictors-of-surgical-intervention-and-outcomes/) - ***Trost Commentary and Key Take-Home Points*** This manuscript represents a nice review of outcomes of patients who undergo surgery post Xiaflex treatment. The key finding from the study is that surgery remains a viable option for men who do not experience a sufficient improvement with Xiaflex. I think it’s important to recognize that the key finding from the study should - [Summary of, “Comparison of Intralesional Hyaluronic Acid vs. Verapamil for the Treatment of Acute Phase Peyronie's Disease: A Prospective, Open-Label Non-Randomized Clinical Study.”](https://malefertilityandpeyroniesclinic.com/2020/02/summary-of-comparison-of-intralesional-hyaluronic-acid-vs-verapamil-for-the-treatment-of-acute-phase-peyronies-disease-a-prospective-open-label-non-randomized-clinical-study/) - ---Dr. Trost Commentary and Key Take Home Points--- This current study evaluates the use of two different injection treatments for men with early phase Peyronie’s Disease. This study was performed by an experienced group of researchers in Italy. This is important to recognize though, as the gold-standard injection treatment (Xiaflex) is more difficult to use - [Summary of Key Studies from the Sexual Medicine Society Annual Meeting](https://malefertilityandpeyroniesclinic.com/2019/10/summary-of-key-studies-from-the-sexual-medicine-society-annual-meeting/) - The annual meeting of the Sexual Medicine Society of North America concluded on 10/27/2019. This is the largest and most respected sexual medicine society in North America and includes the greatest authorities on sexual medicine. There were several abstract that were presented at the meeting that relate to Peyronie’s Disease, and our objective with this - [Summary of "Peyronie’s Disease is Common in Poorly Controlled Diabetics but is not Associated with Metabolic Syndrome"](https://malefertilityandpeyroniesclinic.com/2019/09/peyronies-disease-is-common-in-poorly-controlled-diabetics-but-is-not-associated-with-the-metabolic-syndrome/) - ---Dr. Trost’s Commentary and Key Take-home Points--- The current study provides some additional valuable information on conditions associated with Peyronie’s Disease. Specifically, the authors found that diabetes is clearly correlated with the condition, but other diagnoses, including hypertension, obesity, high cholesterol, smoking, or metabolic syndrome are not clearly associated. Although this information is not new, - [Summary of “The Effectiveness of 3-D Computed Tomography in the Evaluation of Penile Deformities in Patients with Peyronie’s Disease: A Pilot Study”](https://malefertilityandpeyroniesclinic.com/2019/07/ct-scan/) - ---Dr. Trost Commentary and Key Take-home Points--- The best method for objectively evaluating penile curvature and deformity is an office-based assessment following injection of a medication to result in an erection. Other methods of assessment, including patient self assessment, home photography, CT imaging, 3d photography, and app-based assessments all fail to achieve as consistent results ## Pages - [Services](https://malefertilityandpeyroniesclinic.com/) - Welcome to the Male Fertility and Peyronie's Clinic Please select one of the following services to be directed to the appropriate page Peyronie's Disease Vasectomy Reversal MicroTESE Male Infertility Peyronie's Disease Our team possesses some of the most extensive experience with Peyronie's Disease worldwide, having performed over 2000 Xiaflex injections and numerous scientific publications. We - [Anesthesia at Our Clinic](https://malefertilityandpeyroniesclinic.com/about/anesthesia/) - About Anesthesia at Our Clinic What can you expect with general anesthesia at our clinic? You will be completely unconscious during the procedure and monitored by a board-certified and trained anesthesia provider. The anesthesia involves an IV medication called propofol. There is no intubation with an endotracheal breathing tube inserted; rather, you will be breathing - [Surgeon Preference (VV)](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv/) - Do You Have a Preference for Surgeon? All surgeons perform an identical surgery and have confirmed similar success rates.Selecting a specific surgeon limits availability. Any Provider Greatest availability - searches among all providers Klint Brearton Chelsea Dudley Joshua Savage Landon Trost Riley Warner Nic Haws $500 off New Provider with limited data. - [Surgeon Preference (VV with TESE)](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-tese/) - Do You Have a Preference for Provider? All providers perform an identical surgery and have confirmed similar success rates.Selecting a specific provider limits availability. Any Provider Greatest availability - searches among all providers, minus Nic Haws Klint Brearton Chelsea Dudley Joshua Savage Landon Trost Riley Warner Nic Haws $500 off New Provider with limited data. - [Surgeon Preference (VV with anesthesia)](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-anes/) - Do You Have a Preference for Surgeon? All surgeons perform an identical surgery and have confirmed similar success rates.Selecting a specific surgeon limits availability. Any Provider Greatest availability - searches among all providers, minus Nic Haws Klint Brearton Chelsea Dudley Joshua Savage Landon Trost Riley Warner Nic Haws $500 off New Provider with limited data. - [Surgeon Preference (VV with TESE and anesthesia)](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-tese-anes/) - Do You Have a Preference for Provider? All providers perform an identical surgery and have confirmed similar success rates.Selecting a specific provider limits availability. Any Provider Greatest availability - searches among all providers, minus Nic Haws Klint Brearton Chelsea Dudley Joshua Savage Landon Trost Riley Warner Nic Haws $500 off New Provider with limited data. - [Scheduling - Vasectomy Reversal - VV with TESE - Nic](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-vv-tese-nic/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV – Nic- Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-anes/scheduling-vasectomy-reversal-vv-nic-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV - Nic](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv/scheduling-vasectomy-reversal-vv-nic/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV – Chelsea - TESE - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-tese-anes/scheduling-vasectomy-reversal-vv-chelsea-tese-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV – Nic - TESE - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-tese-anes/scheduling-vasectomy-reversal-vv-nic-tese-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Anesthesia addition (standard)](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/anesthesia-standard-vr/) - Would you like IV Sedation during your reversal? Include IV Sedation - $1,000 Continue without IV Sedation What is "IV Sedation?" IV sedation is otherwise referred to as 'moderate sedation.' This is the type of sedation where you will receive an IV and will sleep through the entire surgery. What are my options if I - [Anesthesia addition (VV)](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/anesthesia-vv-vr/) - Would you like IV Sedation during your reversal? Include IV Sedation - $1,000 Continue without IV Sedation What is "IV Sedation?" IV sedation is otherwise referred to as 'moderate sedation.' This is the type of sedation where you will receive an IV and will sleep through the entire surgery. What are my options if I - [Cancellation Policy VV](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/cancellation-policy-vv/) - Cancellation Policy Surgery must be cancelled at least 2 weeks before the date of surgery to qualify for a full refund (click here for full policy). Insurance Policy Vasectomy reversal procedures are cash-pay services and are not billed through insurance. These services are provided through our affiliated entity, Laboratory and Procedural Services (LPS), which allows - [Cancellation Policy Standard](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/cancellation-policy-standard/) - Cancellation Policy Surgery must be cancelled at least 2 weeks before the date of surgery to qualify for a full refund (click here for full policy). Insurance Policy Vasectomy reversal procedures are cash-pay services and are not billed through insurance. These services are provided through our affiliated entity, Laboratory and Procedural Services (LPS), which allows - [Testosterone Chemotherapy Standard](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/testosterone-chemotherapy-standard/) - Please confirm the following: Have you EVER: Had a prior vasectomy reversal Received chemotherapy Used testosterone within the past 12 months These factors can affect surgical planning. Selecting "Yes" does not disqualify you from care. It simply means a free phone/video consultation is needed before scheduling surgery. Selecting "No" confirms that none of the above - [Testosterone Chemotherapy VV Only](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/testosterone-chemotherapy-vv-only/) - Please confirm the following: Have you EVER: Had a prior vasectomy reversal Received chemotherapy Used testosterone within the past 12 months These factors can affect surgical planning. Selecting "Yes" does not disqualify you from care. It simply means a free phone/video consultation is needed before scheduling surgery. Selecting "No" confirms that none of the above - [About Us](https://malefertilityandpeyroniesclinic.com/about/) - About the Clinic The Male Fertility and Peyronie's Clinic was founded by Dr. Landon Trost in 2019 in Orem, Utah, USA. Dr. Trost had previously served as the head of male infertility and Peyronie's Disease at the Mayo Clinic in Rochester, Minnesota, where both he and Joshua Savage performed all the vasectomy reversals for the - [Surgeon Preference (Standard with TESE)](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-tese/) - Do You Have a Preference for Provider? All providers perform an identical surgery and have confirmed similar success rates.Selecting a specific provider limits availability. Any Provider Greatest availability - searches among all providers, minus Nic Haws Klint Brearton Chelsea Dudley Joshua Savage Landon Trost Riley Warner Nic Haws $1000 off New Provider with limited data. - [Surgeon Preference (Standard with anesthesia)](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-anes/) - Do You Have a Preference for Provider? All providers perform an identical surgery and have confirmed similar success rates.Selecting a specific provider limits availability. Any Provider Greatest availability - searches among all providers, minus Nic Haws Klint Brearton Chelsea Dudley Joshua Savage Landon Trost Riley Warner Nic Haws $1000 off New provider with limited data. - [Surgeon Preference (Standard with TESE and anesthesia)](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-tese-anes/) - Do You Have a Preference for Provider? All providers perform an identical surgery and have confirmed similar success rates.Selecting a specific provider limits availability. Any Provider Greatest availability - searches among all providers, minus Nic Haws Klint Brearton Chelsea Dudley Joshua Savage Landon Trost Riley Warner Nic Haws $1000 off New Provider with limited data. - [Surgeon Preference (Standard)](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/) - Do You Have a Preference for Provider? All providers perform an identical surgery and have confirmed similar success rates.Selecting a specific provider limits availability. Any Provider Greatest availability - searches among all providers, minus Nic Haws Klint Brearton Chelsea Dudley Joshua Savage Landon Trost Riley Warner Nic Haws $1000 off New Provider with limited data. - [Full Scheduling Xiaflex Trost](https://malefertilityandpeyroniesclinic.com/full-scheduling/full-scheduling-vr-xiaflex-trost/) - [Full Scheduling Xiaflex](https://malefertilityandpeyroniesclinic.com/full-scheduling/full-scheduling-vr-xiaflex/) - [Scheduling - Vasectomy Reversal - Standard – Landon - TESE - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-tese-anes/scheduling-vasectomy-reversal-standard-landon-tese-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard – Nic- TESE - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-tese-anes/scheduling-vasectomy-reversal-standard-nic-tese-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard with TESE - Nic](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-standard-tese-nic/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard – Nic - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-anes/scheduling-vasectomy-reversal-standard-nic-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard - Nic](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-standard-nic/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard - Chelsea](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-standard-chelsea/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard – Chelsea- TESE - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-tese-anes/scheduling-vasectomy-reversal-standard-chelsea-tese-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Reviews and Testimonials](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/reviews-and-testimonials/) - Reviews and Testimonials The following are reviews, testimonials, or letters received from patients. We have a strict privacy policy, where we will only include information or photos if the patient has indicated that it may be used for public display. We recognize that the conditions we treat are often a very private matter for many - [SMS Opt-In](https://malefertilityandpeyroniesclinic.com/sms-opt-in/) - Male Fertility and Peyronie’s Clinic Please complete the form below to contact our office. By submitting this form, you agree to receive SMS text messages from Male Fertility and Peyronie’s Clinic related to your inquiry and care coordination. Message frequency varies. Message and data rates may apply. Reply STOP to opt out. Reply HELP for - [Contact Us](https://malefertilityandpeyroniesclinic.com/contact-us/) - [SMS Consent](https://malefertilityandpeyroniesclinic.com/sms-consent/) - By providing your mobile phone number and opting in through our website or chat widget, you consent to receive SMS text messages from Male Fertility and Peyronie’s Clinic for informational and conversational purposes related to your inquiry and care coordination. Message frequency varies. Message and data rates may apply. You may opt out of SMS - [Payment](https://malefertilityandpeyroniesclinic.com/scheduling-main/payment/) - Submit Payment Make Payment Online Complete the form below Refer to your invoice for your invoice number and payment amount Once you complete the form and hit "Next," your payment will be submitted for the amount that you specified Payments process securely through authorize.net Note: Your bank statement will show transactions under LPS (Laboratory Procedural Services) - [SMS / Text Messaging Terms & Consent](https://malefertilityandpeyroniesclinic.com/messaging-terms/) - By providing your mobile phone number and opting in through our website or chat widget, you consent to receive SMS text messages from Male Fertility and Peyronie's Clinic at 888-655-7815 for informational and conversational purposes related to your inquiry, appointment scheduling, and follow-up communication. These messages are sent only in response to user-initiated contact and - [Scheduling and Appointments](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/) - Scheduling Schedule Surgery or Check AvailabilitySchedule your vasectomy reversal. Schedule Schedule Phone Consult (no charge)Schedule a time to speak with a surgeon regarding VR Medical Advice Schedule Email QuestionsYou are welcome to email us with questions at any time. email@mfp.clinic Office ConsultSet up an office visit to meet with our team. The visit is charged - [Notice of Privacy Practices](https://malefertilityandpeyroniesclinic.com/notice-of-privacy-practices/) - NOTICE OF PRIVACY PRACTICES FOR MALE FERTILITY AND PEYRONIE'S CLINIC THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. I. OUR PLEDGE REGARDING HEALTH INFORMATION: We understand that health information about you and your health care is personal. We are - [Conditions](https://malefertilityandpeyroniesclinic.com/conditions/) - More Information Vasectomy Reversal Click for more information on vasectomy reversals, including basic information, success rates, finances, risks and benefits, and other post-op information. More Information Peyronie's Disease Click for more information on Peyronie's Disease, including how to diagnose, symptoms, associated conditions, and how it changes over time. More Information About Us Click for - [Forums](https://malefertilityandpeyroniesclinic.com/peyronies/forums/) - Helpful Links Email Us a Question Email us at email@mfp.clinic, and we may choose your question to post on this page (will not include your name). Links to PD Societies / Information Sexual Medicine Society of North America This is the most respected and recognized society for sexual medicine information in North America The - [Full Scheduling Xiaflex Brearton](https://malefertilityandpeyroniesclinic.com/full-scheduling/full-scheduling-vr-xiaflex-brearton/) - [Full Scheduling Xiaflex Savage](https://malefertilityandpeyroniesclinic.com/full-scheduling/full-scheduling-vr-xiaflex-savage/) - [Full Scheduling](https://malefertilityandpeyroniesclinic.com/full-scheduling/) - [Full Scheduling Anesthesia](https://malefertilityandpeyroniesclinic.com/full-scheduling/full-scheduling-anesthesia/) - [Full Scheduling VR Redo](https://malefertilityandpeyroniesclinic.com/full-scheduling/full-scheduling-vr-redo/) - [Transportation Options](https://malefertilityandpeyroniesclinic.com/resources/interstate-and-international/transportation-options/) - Transportation Options Uber / Lyft Typically costs $50-90 each way Rental Car Typically costs $20-50 per day UTA (Train and Bus) This is the cheapest option, normally costing $5 each way. Usually takes 90 minutes. Click for more information. Frequently Asked Questions Need help? Be sure to visit our support forums for answers to your - [Hotel Options](https://malefertilityandpeyroniesclinic.com/resources/interstate-and-international/hotel-options/) - Hotel Options TownPlace Suites 20% off 3 minute drive Fitness center Free breakfast Pool Kitchen in room Book Here Fairfield Inn and Suites 20% off 2 minute drive Free breakfast Pool Fitness center Book Here Holiday Inn Express & Suites 15% off 6 minute drive Pool Fitness center For the discount, call the hotel front - [VR Info - Risks and Benefits](https://malefertilityandpeyroniesclinic.com/conditions/vr-info/faq-risks-and-benefits/) - FAQ - Risks and Benefits What are the risks and benefits of a vasectomy reversal? Is vasectomy reversal safe? In general, there are relatively few risks associated with vasectomy reversals. Although uncommon, the following are risks of the procedure: Failed reversal Lack of pregnancy despite successful reversal Infection Hematoma Chronic pain Some of the safety - [Scheduling - Vasectomy Reversal - Phone Call](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/scheduling-vasectomy-reversal-phone-call/) - Vasectomy Reversal Phone Consult Scheduling - [Scheduling - Vasectomy Reversal - VV - Chelsea](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv/scheduling-vasectomy-reversal-vv-chelsea/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV with TESE - Chelsea](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-vv-tese-chelsea/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV with TESE - Savage](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-vv-tese-savage/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV – No Preference - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-anes/scheduling-vasectomy-reversal-vv-no-preference-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV – Chelsea- Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-anes/scheduling-vasectomy-reversal-vv-chelsea-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV – Joshua - TESE - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-tese-anes/scheduling-vasectomy-reversal-vv-joshua-tese-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard with TESE - Brearton](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-standard-tese-brearton/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard with TESE - Chelsea](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-standard-tese-chelsea/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard – Chelsea- Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-anes/scheduling-vasectomy-reversal-standard-chelsea-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling Fertility](https://malefertilityandpeyroniesclinic.com/fertility/scheduling/) - Fertility Scheduling Office ConsultSet up a traditional office visit to meet with our team. Email OR Call to Schedule Phone ConsultFree consultation. Process involves discussion with our triage nurse, followed by testing and recommendations by our providers. Email OR Call to Schedule Video ConsultCurrently available for residents in AB, AZ, CA, CO, GA, ID, LA, - [Review-3rd](https://malefertilityandpeyroniesclinic.com/review/review-3rd-feedback/) - Thank you for your feedback! To receive your gift card, please submit the feedback form below. Comments welcomed but not required - [Review Final](https://malefertilityandpeyroniesclinic.com/review/review-final/) - If you'd like to submit a Google review, we're happy to offer you an additional $15 Amazon e-gift card ($30 total) for your time If you choose not to submit a Google review, please complete the feedback form below to receive your $15 e-gift card Comments are welcomed but not required Want to Do More? - [Form Submitted](https://malefertilityandpeyroniesclinic.com/form-submitted/) - Form Submitted Thank You. Your request has been received and will be reviewed within 1-2 business days. We will then contact you by phone to obtain additional information and go over next steps. If you have any questions, please feel free to call us at (801) 655-0015 or email us at email@mfp.clinic. Male Fertility and - [microTESE Home](https://malefertilityandpeyroniesclinic.com/microtese-home/) - microTESE - Microsurgical Testicular Sperm Extraction Why Do People Choose Us for Their MicroTESE Procedure? Results Dr. Trost is the former head of male infertility at the Mayo Clinic, where he and his team trained residents and fellows to perform microTESE procedures Experienced surgical providers - routinely perform 15+ male fertility procedures weekly (among the - [Peyronie's Appointments](https://malefertilityandpeyroniesclinic.com/peyronies/appointments/) - Scheduling Free Video or Phone ConsultFree Video Consult: Only available for residents of AB, AZ, CA, CO, ID, MN, MT, NV, NM, NY, NC, UT, VA, WA, WI, and WY. Free Phone Consult: All state residents. Email OR Call to Schedule Office VisitSet up an office visit to meet with our team. If you know - [Pricing Peyronie's](https://malefertilityandpeyroniesclinic.com/peyronies/pricing/) - Pricing Information Pricing specifics are challenging to provide since insurance plans vary significantly. After a consultation with one of our providers, we can help you explore your insurance coverage for further treatment. Diagnostics In-Office Consultation: Typically covered by insurance; however, out-of-pocket costs vary by insurance plan. When not covered, the cost is $250Video Consultation: - [Entertainment Options](https://malefertilityandpeyroniesclinic.com/resources/interstate-and-international/entertainment-options/) - Entertainment Options Utah has a variety of entertainment options! Here are a few suggestions: Dining Café Rio, a MFPC Favorite Fast Food restaurants nearby: McDonald's, Subway, Taco Bell, Taco Time, Panda Express, Culvers, Chubby's. Sit down restaurants nearby: Milagros- Mexican Marley's- Gourmet Sliders Umami- Japanese Barbeque Bout Time- Sports Pub and Grub Slightly further, but for - [Pricing](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/pricing/) - Vasectomy Reversal Pricing Multiple options available to cater to your goals and budget Note: To our knowledge, these rates represent the lowest among any published in the US (how?). If you find a lower rate anywhere else for an equivalent service, we'll match it. If lower prices are found, please send a message to email@mfp.clinic - [Finances Fertility](https://malefertilityandpeyroniesclinic.com/fertility/finances/) - Pricing Information Please note that most services below are not run through insurance. Costs are out of pocket. Services marked with an asterisk * may run through insurance. Diagnostics Clinical Consult* $200Semen Analysis (full) $125Semen Analysis (post-vasectomy) $50Scrotal Ultrasound* $250Transrectal Ultrasound* $250Fine Needle Vasography $500Testicular Biopsy (presence of sperm) $300DNA Fragmentation $350 Schedule Now Procedures - [Fertility Home](https://malefertilityandpeyroniesclinic.com/fertility/) - Male Infertility Because infertility affects men too Schedule an Appointment Vasectomy Reversal Info & Scheduling Male Infertility Clinic in Orem, Utah 15% % of couples with infertility Infertility affects a much larger number of couples than most people realize 50% % of couples where the man is affected by infertility Contrary to popular belief, infertility - [Peyronies Home](https://malefertilityandpeyroniesclinic.com/peyronies/) - Peyronie's Disease Ready to Begin Treating Peyronie's? Schedule Free Video or Phone Consultation Why Do People from Around the World Come to See Us? World Class Results Dr. Trost is the former head of Andrology at the Mayo Clinic, where he and his team established the Xiaflex injection program Largest published improvements with Xiaflex of - [Vasectomy Reversal](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/) - Vasectomy Reversal Get An Estimated Success Rate Why Do More People Choose Us for Their Vasectomy Reversal Than Any Other Clinic in the US? World Class Results #1 in US for reversals We perform significantly more reversals weekly than any other clinic in US, with 15-25 cases weekly and over 900 per year Dr. Trost is - [Video Visit Demographics](https://malefertilityandpeyroniesclinic.com/video-visit-demographics/) - Please complete the following information prior to your video consultation. This information may allow us to bill your insurance for the video consult rather than having you cover the costs of the consult. - [Vas Reversal Scheduling - limited promotion](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/vas-reversal-scheduling-limited-promotion/) - Two Steps to Schedule Your Vasectomy Reversal Step 1 - Complete the questionnaire below *If you have already completed the questionnaire previously, you do not need to repeat this step Step 2 - Schedule the appointment If you have a preference for primary surgeon, please indicate this under the Surgical Calendar section. Otherwise, the scheduling - [Scheduling - Vasectomy Reversal Success Rates](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling-vasectomy-reversal-success-rates/) - Online Assessment To receive your online assessment, please complete the form below Once submitted, you will receive an email response within 1-2 business days after review - [Scheduling - Vasectomy Reversal (standard final landing)](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/vasectomy-reversal-2/) - Scheduling - Vasectomy Reversal Two Steps to Schedule Your Vasectomy Reversal Step 1 - Complete the questionnaire below *If you have already completed the questionnaire previously, you do not need to repeat this step Step 2 - Schedule the appointment If you have a preference for primary surgeon, please indicate this under the Calendar / - [Scheduling - Vasectomy Reversal (lower price final landing)](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling-vasectomy-reversal-lower-price-final-landing/) - Scheduling - Vasectomy Reversal Two Steps to Schedule Your Vasectomy Reversal Step 1 - Complete the questionnaire below *If you have already completed the questionnaire previously, you do not need to repeat this step Step 2 - Schedule the appointment If you have a preference for primary surgeon, please indicate this under the Calendar / - [Peyronie's Assessment](https://malefertilityandpeyroniesclinic.com/peyronies/peyronies-assessment/) - Peyronie's Clinical Assessment Unique to the Male Fertility and Peyronie's Clinic, you are invited to complete the questionnaire below to receive customized information based on the responses to the questions. This information should not be interpreted as specific medical advice, but rather a more customized set of information. Treatments should only be undertaken under the - [Scheduling - Vasectomy Reversal - Video Consult](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/scheduling-vasectomy-reversal-video-consult/) - Scheduling - Video Consult Please note - this service is currently only available in the following locations: Alabama, Arizona, California, Colorado, Delaware, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Minnesota, Mississippi, Montana, Nebraska, Nevada, New Hampshire, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Dakota, Tennessee, Texas, Utah, Vermont, - [Scheduling - Vasectomy Reversal - clinical appointment](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/scheduling-vasectomy-reversal-clinical-appointment/) - Scheduling - Vasectomy Reversal Clinical Appointment Two Steps to Schedule Your Appointment Step 1 - Complete the questionnaire below *If you have already completed the questionnaire previously, you do not need to repeat this step Step 2 - Schedule the appointment - [Schedule Direct](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/schedule-direct/) - Select Your Surgery Standard $3,300 Either Vasovasostomy or Epididymovasostomy (if required) Recommended Option for Fertility Optimal Success Rate for Fertility Office Procedure with Light Sedation and Numbing* Optional Add-on for IV Sedation* Operating Microscope Reduced Price if Redo Reversal Required Best for Fertility Schedule Now Vaso-vasostomy Only $2,050 Similar Package to Reversal Surgeons who do - [Cancellation Policy](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/cancellation-policy/) - Cancellation Policy Note: these policies were established so that we could continue to offer vasectomy reversals for the lowest prices in the US. Since the far majority of our patients travel from other states / countries, it is often difficult to fill cancellation slots within 2 weeks (i.e. getting flights, etc.). Without these policies, the - [Scheduling - Vasectomy Reversal - VV - Savage](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv/scheduling-vasectomy-reversal-vv-savage/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard - Savage](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-standard-savage/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard with TESE - Savage](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-standard-tese-savage/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Review-1st](https://malefertilityandpeyroniesclinic.com/review-1st-question/) - Overall, how would you rate your experience at the Male Fertility and Peyronie's Clinic and LPS? 1 2 3 4 5 (highest) - [Review](https://malefertilityandpeyroniesclinic.com/review/) - Would you recommend the Male Fertility and Peyronie's Clinic? If you choose to submit a review, please notify us by email so we can formally thank you for your time. Review us on Google OR Post your experience on "Vasectomy Reversal Journeys and Success Stories" (Facebook Group) OR Review us on Yelp We are always - [Services](https://malefertilityandpeyroniesclinic.com/fertility/services/) - Fertility Services Laboratory Follicle Stimulating Hormone Luteinizing Hormone Testosterone Estradiol Thyroid Stimulating Hormone Sperm Testing Semen Analysis DNA Fragmentation Index Other Diagnostics Transrectal Ultrasonography Fine Needle Vasography Testicular Biopsy Cryopreservation Semen Cryopreservation TESA/TESE PESA/MESA microTESE Hormonal Therapy Clomiphene Citrate Anastrozole Human Chorionic Gonadotropin Human Menopausal Gonadotropin Surgical Repair Varicocelectomy Epididymovasostomy Vasectomy Reversal Transurethral Resection of - [Videos](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/videos/) - Videos Subscribe to our YouTube channel to receive notifications of new videos and for access to all of our video content Vasectomy Reversal Procedure Subscribe to our YouTube Channel Describes the vasectomy reversal procedure, including the decision to proceed with a vasovasostomy (VV - "simple") or epididymovasostomy (EV - "complex") repair. Subscribe to our YouTube - [Scheduling microTESE](https://malefertilityandpeyroniesclinic.com/microtese-home/scheduling-microtese/) - microTESE Scheduling Schedule Surgery or Check AvailabilitySchedule the microTESE with a clinical consult immediately before the surgery (same visit). Email OR Call to Schedule Schedule Phone CallFree consultation. Process involves discussion with our triage nurse, followed by testing and recommendations by our providers. Email OR Call to Schedule Email Questions Send questions via email. Note: we are unable to answer specific medical - [Review-2](https://malefertilityandpeyroniesclinic.com/review/review-question-2/) - How likely would you refer a friend to our clinic? 1 2 3 4 5 (highest) - [Review-2nd](https://malefertilityandpeyroniesclinic.com/review/review-2nd-question/) - How likely would you refer a friend to our clinic? 1 2 3 4 5 (highest) - [About - How Peyronie's Changes Over Time](https://malefertilityandpeyroniesclinic.com/peyronies/about-pd/about-how-peyronies-changes-over-time/) - Peyronie's Progression with Time Acute versus chronic disease Peyronie's Disease is often classified as being either in the "acute" or "chronic" phase. These terms refer to the period of time when the disease is still changing ('acute') compared to when it has stabilized ('chronic'). Although most Andrologists (clinicians specializing in male sexual health) agree with - [About - Symptoms and Associated Conditions](https://malefertilityandpeyroniesclinic.com/peyronies/about-pd/about-symptoms-and-associated-conditions/) - Symptoms and Associated Conditions What are symptoms of Peyronie's Disease? Symptoms of Peyronie's Disease can include any of the following and are present in the percentages listed among men who are seeking medical attention. Note that the numbers vary because different studies report differing rates.(1-4) Penile curvature (80-91%) Penile nodule or plaque (15%) Penile pain - [About - History and Diagnosis](https://malefertilityandpeyroniesclinic.com/peyronies/about-pd/about-history-and-diagnosis/) - History and Diagnosis When was Peyronie's Disease first mentioned in history? The earliest known mention of Peyronie's Disease was possibly in 3000 BC. This is evidenced by a Minoan sculpture that was found in the sanctuary of a deity with healing powers. As the sculpture was the only one demonstrating an erect penis with a - [Post-op VR Pregnancy](https://malefertilityandpeyroniesclinic.com/resources/post-op/post-op-vr/post-op-vr-pregnancy/) - Post-op Pregnancy When should we try to get pregnant? You should begin trying to get pregnant beginning in your first month post reversal. Ideally, you should have intercourse the day before ovulation, day of ovulation, and day after ovulation. If you are not sure when ovulation occurs, you may wish to purchase an over the - [VR Info - Finances](https://malefertilityandpeyroniesclinic.com/conditions/vr-info/vr-info-finances/) - Info - Finances How much do vasectomy reversals cost? The cost for a vasectomy reversal across the US ranges from under $2,000 to over $30,000. For the Male Fertility and Peyronie's Clinic price, click here. Typically, the cost depends on several factors: Whether the procedure is performed in the office (least expensive), in an ambulatory - [VR Info - Success Rates](https://malefertilityandpeyroniesclinic.com/conditions/vr-info/vr-info-success-rates/) - Info - Success Rates Why does vasovasostomy only have a lower success rate compared to a reversal that offers both epididymovasostomy and vasovasostomy? This is probably the most common misunderstanding among patients researching vasectomy reversals. When a person comes in for a vasectomy reversal, it is not known until surgery begins whether that person will - [VR Info - General](https://malefertilityandpeyroniesclinic.com/conditions/vr-info/vr-info-general/) - VR Info - General How is a vasectomy reversal done? A vasectomy reversal is a surgical procedure performed to restore fertility in a man who has previously undergone a vasectomy. The procedure can be done with varying levels of anesthesia, including full general anesthesia (breathing tube), moderate sedation (IV sedation), light sedation (oral medications), local - [Videos](https://malefertilityandpeyroniesclinic.com/peyronies/multimedia/videos/) - Videos for Peyronie's Disease Treatment of Peyronie's Disease Subscribe to our YouTube Channel Subscribe to our YouTube Channel Subscribe to our YouTube Channel General Treatment Options for PD In this high-level overview, Dr. Landon Trost reviews several different treatment options for Peyronie's Disease including injections, traction, surgery, and others. How to Optimize Xiaflex Outcomes - [Post-op VR Miscellaneous](https://malefertilityandpeyroniesclinic.com/resources/post-op/post-op-vr/post-op-vr-miscellaneous/) - Post-op Miscellaneous What is the recovery time for a vasectomy reversal? Following vasectomy reversal, common recovery includes: Limiting strenuous activities for 8 weeks (see below) No penetrative intercourse for 4-8 weeks (see additional instructions under, "When can I have sex again after vasectomy reversal.") Pain for a few days to weeks (simple repair) or weeks - [Treatments](https://malefertilityandpeyroniesclinic.com/peyronies/treatments/) - Treatment Summary Background on this section This section provides a high-level summary overview of our interpretation of the current scientific literature. Please note that these recommendations are based on our opinions alone and do not represent those of any other society. Additionally, it should be recognized that Dr. Landon Trost, the inventor of the technology - [Appointment - Cancellation](https://malefertilityandpeyroniesclinic.com/scheduling/appointment-cancellation/) - Scheduling Cancellation Confirmation Your appointment has been successfully cancelled. If you wish to schedule another appointment, you may click Scheduling or contact us at the numbers / email below. - [All providers](https://malefertilityandpeyroniesclinic.com/microtese-home/scheduling-microtese/preference/all-providers/) - [Interstate and International](https://malefertilityandpeyroniesclinic.com/resources/interstate-and-international/) - Interstate and International Travel Welcome Eighty-five percent of our surgical patients (vasectomy reversals, Peyronie's treatments, microTESE) are interstate or international. Since the majority of our patients have to travel to visit with us, we have compiled a few resources that we hope will be helpful. Be sure to check out the hotels page for special - [Charity](https://malefertilityandpeyroniesclinic.com/charity/) - Charity - CURE PD What is Cure PD? CURE PD is an independent charity established by Dr. Landon Trost to fund research and education related to Peyronie's Disease (PD) and male infertility conditions. Historically, scientific research for these conditions has been relatively limited due to insufficient funding. We hope that with additional resources, we will - [Low Prices](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/low-prices/) - How our Prices are the Lowest in the United States #1 Unnecessary Costs are Eliminated Dr. Trost was the first in the world to describe epididymovasostomies in a small clinic setting. This dramatically reduced prices by eliminating the large facility and anesthesia fees #2 High Volume We perform among the highest number of vasectomy reversals - [Illustrations](https://malefertilityandpeyroniesclinic.com/peyronies/multimedia/illustrations/) - Peyronie's Disease Illustrations Peyronie's Plaque Illustrations demonstrate a normal (left) and abnormal (right) cross section of the penis. In the right image, a thickened scar can be seen, characteristic of Peyronie's Disease. This scar is often referred to as a plaque. Most plaques are made up of collagen, which constitutes most scars in the body. - [Post-op VR](https://malefertilityandpeyroniesclinic.com/resources/post-op/post-op-vr/) - Post-op Vasectomy Reversal General Pain management, medications, scrotal lumps/bumps Wound Care Post-op swelling, bruising, drainage, infections, fevers Semen Analysis Obtaining and interpreting findings Restrictions and Rec's Diet, exercise, sexual, and other Pregnancy Questions How to optimize chances, intercourse timing, use of medications - [Peyronie's Disease Assessment Form (New Version)](https://malefertilityandpeyroniesclinic.com/peyronies-disease-assessment-form-new-version/) - [Success Rates](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/success-rates/) - Online Assessment To receive a personalized, estimated success rate (using our specific numbers), please complete the following questionnaire. If you do not see a response in your email, please check your junkmail folder. This service is provided by Laboratory and Procedural Services. *Note: success rates depend on several patient-specific factors, and it is often misleading - [Receive Your Free Customized Success Rate](https://malefertilityandpeyroniesclinic.com/receive-your-free-customized-success-rate/) - [TC Yes](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/testosterone-chemotherapy-standard/tc-yes/) - Testosterone, Chemotherapy, or Prior Reversal Since you have either had a prior vasectomy reversal, received chemotherapy, or have taken testosterone within the prior 12 months, it is important to schedule a phone, office, or video consultation prior to scheduling the actual surgery. Schedule Phone CallSchedule a date / time to speak with a surgeon - [Scheduling - Vasectomy Reversal - VV – Riley - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-anes/scheduling-vasectomy-reversal-vv-riley-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV – Riley - TESE - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-tese-anes/scheduling-vasectomy-reversal-vv-riley-tese-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard – Riley - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-anes/scheduling-vasectomy-reversal-standard-riley-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard – Riley - TESE - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-tese-anes/scheduling-vasectomy-reversal-standard-riley-tese-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV - Warner](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv/scheduling-vasectomy-reversal-vv-warner/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV - Trost](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv/scheduling-vasectomy-reversal-vv-trost/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV with TESE - Warner](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-vv-tese-warner/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV with TESE - Trost](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-vv-tese-trost/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV – Landon - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-anes/scheduling-vasectomy-reversal-vv-landon-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV – Landon - TESE - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-tese-anes/scheduling-vasectomy-reversal-vv-landon-tese-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard - Warner](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-standard-warner/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard - Trost](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-standard-trost/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard with TESE - Warner](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-standard-tese-warner/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard with TESE - Trost](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-standard-tese-trost/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [KB](https://malefertilityandpeyroniesclinic.com/microtese-home/scheduling-microtese/preference/kb/) - [JS](https://malefertilityandpeyroniesclinic.com/microtese-home/scheduling-microtese/preference/js/) - [LT](https://malefertilityandpeyroniesclinic.com/microtese-home/scheduling-microtese/preference/lt/) - [Preference](https://malefertilityandpeyroniesclinic.com/microtese-home/scheduling-microtese/preference/) - Do You Have a Preference for Provider? All providers perform an identical surgery. All providers have confirmed similar success rates.Selecting a specific provider limits availability. No Preference Greatest availability - searches among all 3 providers for openings Klint Brearton Joshua Savage Landon Trost Riley Warner - [RW](https://malefertilityandpeyroniesclinic.com/microtese-home/scheduling-microtese/preference/rw/) - [Scheduling - Success - Semen Analysis](https://malefertilityandpeyroniesclinic.com/fertility/scheduling/scheduling-success-semen-analysis/) - Scheduling Congratulations - your appointment has been confirmed For most appointments, you will also receive an email confirmation that contains additional information and instructions. However, you may need to check your junkmail for this appointment. If you have any further questions about your appointment, please contact us using the information below. We appreciate your trust - [Scheduling - Success - microTESE phone call](https://malefertilityandpeyroniesclinic.com/microtese-home/scheduling-microtese/scheduling-success-microtese-phone-consult/) - Scheduling Congratulations - your appointment has been confirmed For most appointments, you will also receive an email confirmation that contains additional information and instructions. However, you may need to check your junkmail for this appointment. If you have any further questions about your appointment, please contact us using the information below. We appreciate your trust - [FAQ - How much do vasectomy reversals cost](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/faq/faq-financial/faq-how-much-do-vasectomy-reversals-cost/) - How much do vasectomy reversals cost? The cost for a vasectomy reversal across the US ranges from under $2,000 to over $30,000. For the Male Fertility and Peyronie's Clinic price, click here. Typically, the cost depends on several factors: Whether the procedure is performed in the office (least expensive), in an ambulatory surgical center, or - [FAQ](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/faq/) - Frequently Asked Questions About Vasectomy Reversal FAQs How is a vasectomy reversal done? A vasectomy reversal is a surgical procedure that is performed to restore fertility in a man who has previously undergone a vasectomy. The procedure can be done with varying levels of anesthesia including full, general anesthesia (breathing tube), moderate sedation (IV sedation), - [Post-op VR Restrictions](https://malefertilityandpeyroniesclinic.com/resources/post-op/post-op-vr/post-op-vr-restrictions/) - Post-op Restrictions Do I have to wait the full 8 weeks to get back into normal things like bending, twisting, lifting, exercise, etc.? Unfortunately, yes. One of the most common causes of failure of a reversal is when the two ends pull apart (known as 'dehiscence'). To reduce the chances of this happening, we recommend - [VV TESE addition (anes)](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/anes-vv-tese-addition/) - Would you like a TESE performed at the time of your reversal? See below for more information. Adds $500 to the total price if selected. Yes, add TESE for $500 extra No, continue without TESE What is a TESE? A TESE is a TEsticular Sperm Extraction. It is used to retrieve sperm for use with - [TESE addition (anes)](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/anes-tese-addition/) - Would you like a TESE performed at the time of your reversal? See below for more information. Adds $500 to the total price if selected. Yes, add TESE for $500 extra No, continue without TESE What is a TESE? A TESE is a TEsticular Sperm Extraction. It is used to retrieve sperm for use with - [Scheduling - Vasectomy Reversal - VV – Joshua - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-anes/scheduling-vasectomy-reversal-vv-joshua-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV – Klint - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-anes/scheduling-vasectomy-reversal-vv-klint-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV – Klint - TESE - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-tese-anes/scheduling-vasectomy-reversal-vv-klint-tese-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV - No Preference - TESE - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-tese-anes/scheduling-vasectomy-reversal-vv-no-preference-tese-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard – Landon - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-anes/scheduling-vasectomy-reversal-standard-landon-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard – Joshua - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-anes/scheduling-vasectomy-reversal-standard-joshua-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard – Klint - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-anes/scheduling-vasectomy-reversal-standard-klint-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard – No Preference - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-anes/scheduling-vasectomy-reversal-standard-no-preference-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard – Joshua - TESE - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-tese-anes/scheduling-vasectomy-reversal-standard-joshua-tese-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard - Klint - TESE - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-tese-anes/scheduling-vasectomy-reversal-standard-klint-tese-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard - No Preference - TESE - Anesthesia](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard-tese-anes/scheduling-vasectomy-reversal-standard-no-preference-tese-anes/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - VV with TESE - No Preference](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv-tese/scheduling-vasectomy-reversal-vv-tese-no-preference/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Copy of Vasectomy Reversal](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal-copy-2/) - [Copy of Copy of Vasectomy Reversal](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal-copy-copy/) - [TESE addition](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/tese-addition/) - Would you like a TESE performed at the time of your reversal? See below for more information. Adds $500 to the total price if selected. Yes, add TESE for $500 extra No, continue without TESE What is a TESE? A TESE is a TEsticular Sperm Extraction. It is used to retrieve sperm for use with - [Post-op Semen Analysis Zero or Declining Sperm](https://malefertilityandpeyroniesclinic.com/resources/post-op/post-op-vr/post-op-semen-analysis/post-op-semen-analysis-zero-or-declining-sperm/) - Post-op Semen Analysis - Zero or Declining Number of Months After Surgery Where 0 Result Observed Likelihood of Having Future Test with Sperm Present VV/VV Surgery VV/EV Surgery EV/EV Surgery 0-2 Months 48% 50% 45% 2.1-4 Months 37% 33% 33% 4.1-7 Months 15% 14% 29% 7.1-10 Months 17% 20% 14% 10.1-18 Months 10% 0% 14% - [Post-op](https://malefertilityandpeyroniesclinic.com/resources/post-op/) - Post-op Instructions Vasectomy Reversal Wound care, restrictions, semen analysis results, optimizing pregnancy, and more Visit Page - [Scheduling lab testing fertility](https://malefertilityandpeyroniesclinic.com/fertility/scheduling/scheduling-lab-testing-fertility/) - Scheduling - male fertility Semen Analysis Schedule a semen analysis online. Includes testing for fertility evaluation or post-vasectomy. Schedule Sperm Cryopreservation Performed most often prior to treatments which may impair fertility, such as chemotherapy, radiation, or similar treatments. Schedule Fertility Consultation Set up an office or video visit to meet with our team. Schedule Email - [VV TESE addition](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/vv-tese-addition/) - Would you like a TESE performed at the time of your reversal? See below for more information. Adds $500 to the total price if selected. Yes, add TESE for $500 extra No, continue without TESE What is a TESE? A TESE is a TEsticular Sperm Extraction. It is used to retrieve sperm for use with - [Scheduling - Vasectomy Reversal - VV with TESE - Brearton](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-vv-tese-brearton/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard with TESE - No Preference](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-standard-tese-no-preference/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Post-op Semen Analysis Info](https://malefertilityandpeyroniesclinic.com/resources/post-op/post-op-vr/post-op-semen-analysis/post-op-semen-analysis-info/) - Videos for Post-op Semen Analysis Info Summary Table Comparing Testing Options Test Cost Advantages Disadvantages Full Semen Analysis $100-500 (some insurances cover) • Provides information on concentration, motility, morphology, volume • Gold standard method of testing • Must be obtained locally • Most expensive option Mail-in Testing $0 - shipping costs only • Accurate assessment - [VR Info](https://malefertilityandpeyroniesclinic.com/conditions/vr-info/) - Vasectomy Reversal Info General Info Includes how it's done, how painful, older partners, IVF/VR cost differences, desire for one child only, time to pregnancy, older vasectomies, and later option for IVF. More Information Success Rates Discusses the impact of various factors on success rates, including VV vs EV, ReVas, time since vasectomy, partner age as - [Scheduling - Success - Vasectomy Reversal Phone or Video Visit](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/scheduling-success-vasreversal-phv/) - Scheduling Congratulations - your appointment has been confirmed For most appointments, you will also receive an email confirmation that contains additional information and instructions. However, you may need to check your junkmail for this appointment. If you have any further questions about your appointment, please contact us using the information below. We appreciate your trust - [Post-op VR Wound Care](https://malefertilityandpeyroniesclinic.com/resources/post-op/post-op-vr/post-op-vr-wound-care/) - Post-op Wound Care Post-Op Photos To view post operative photos please click the button below. Please note that these photos are graphic in nature. Photos sent by patients who are wondering whether certain findings are normal (permission given to use). Although the majority of men will experience routine healing without significant bruising, we figured that - [Penile Photos](https://malefertilityandpeyroniesclinic.com/peyronies/multimedia/photos/) - Penile Photos - Peyronie's Disease Please send us pictures of your Peyronie's Disease As odd as that sounds, please email us pictures of your Peyronie's Disease, including pictures of curvature, hourglass deformities, indentations, and post-operative / post-injection treatments. We've found that patients most often want to see images demonstrating the various possible deformities and what - [Scheduling - Success - Vasectomy Reversal](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/scheduling-success-vasreversal/) - Scheduling Congratulations - your appointment has been confirmed For most appointments, you will also receive an email confirmation that contains additional information and instructions. However, you may need to check your junkmail for this appointment. If you have any further questions about your appointment, please contact us using the information below. We appreciate your trust - [Scheduling - Success - microTESE](https://malefertilityandpeyroniesclinic.com/microtese-home/scheduling-microtese/scheduling-success-microtese/) - Scheduling Congratulations - your appointment has been confirmed For most appointments, you will also receive an email confirmation that contains additional information and instructions. However, you may need to check your junkmail for this appointment. If you have any further questions about your appointment, please contact us using the information below. We appreciate your trust - [Scheduling Cryopreservation](https://malefertilityandpeyroniesclinic.com/scheduling-cryopreservation/) - Scheduling - Cryopreservation This appointment will schedule you a visit to have sperm cryopreserved. However, this will not schedule a visit with a provider to discuss any details regarding cryopreservation. If you wish to schedule both an appointment as well as cryopreservation, please visit the main fertility scheduling page. - [Video consult](https://malefertilityandpeyroniesclinic.com/microtese-home/scheduling-microtese/video-consult/) - microTESE Video Consultation Please note - this service is currently only available in the following locations: Arizona, California, Colorado, Georgia, Idaho, Minnesota, Montana, Nevada, New Mexico, New York, North Carolina, Utah, Vermont, Virginia, Washington, Wisconsin, and Wyoming ---All times for scheduling are in Mountain Standard Time (MST)--- - [Office consult](https://malefertilityandpeyroniesclinic.com/microtese-home/scheduling-microtese/office-consult/) - microTESE Office Consultation - [Phone consult](https://malefertilityandpeyroniesclinic.com/microtese-home/scheduling-microtese/phone-consult/) - microTESE Phone Consultation - [Scheduling Vasectomy Reversal Limited Offering Brearton](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-limited-offering-brearton/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [VV Only Limited Offering Brearton](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv/vv-only-limited-offering-brearton/) - [Scheduling - Vasectomy Reversal - VV - No Preference](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-vv/scheduling-vasectomy-reversal-vv-no-preference/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling - Vasectomy Reversal - Standard - No Preference](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/scheduling/surgeon-preference-standard/scheduling-vasectomy-reversal-standard-no-preference/) - *Note - you may need to click the ">" button on the bottom right of the screen after selecting "Next" to see additional dates / times - [Scheduling Semen analysis](https://malefertilityandpeyroniesclinic.com/fertility/scheduling/scheduling-lab-testing-fertility/scheduling-semen-analysis/) - Scheduling - Full Semen Analysis This will schedule you for a semen analysis alone (without a clinical visit). At the end of your testing, you will be given results. If the results are abnormal, you will be offered to schedule a future appointment with a male infertility provider. However, because this visit is for testing - [Scheduling Semen Analysis Post Vasectomy](https://malefertilityandpeyroniesclinic.com/fertility/scheduling/scheduling-lab-testing-fertility/scheduling-semen-analysis-post-vasectomy/) - Scheduling - Post-vasectomy Semen Analysis This will schedule you for a post-vasectomy semen analysis. You may choose to perform the semen collection in the office at the time of the visit or bring a sample in from home. If you choose to collect the sample at home, please place it in a watertight container. You - [Type of SA](https://malefertilityandpeyroniesclinic.com/fertility/scheduling/scheduling-lab-testing-fertility/type-of-sa/) - Which would you like to schedule? Full semen analysis Tests for volume, concentration, motility, and morphology. Please note, you should abstain from ejaculating for 2-7 days prior to the test. Post-vasectomy Tests for the presence of sperm to determine whether a vasectomy was successful. - [Research Summaries](https://malefertilityandpeyroniesclinic.com/peyronies/research-main/research-summaries/) - All TopicsAcute phaseAssessmentAUAcollagenaseCurvaturedyspareuniaerectile dysfunctionFamilyFibrosisgeneticsGraftHourglassHyaluronic AcidImagingIndentationInfectionInspirationalMale InfertilityMitomycin COral MedicationpartnerPenile Curvaturepenile fracturePenile ImplantPenile LengthPenile Prosthesispenile tractionPeyronie's DiseasePreventionReimplantationShockwaveSMSNAStoriesSurgeryTeenagersTreatmentVasectomy reversalventralVerapamilXiaflex Summary of “Vasectomy Reversal Semen Analysis: New Reference Ranges Predict Pregnancy” Jun 18, 2021 | Male Infertility, Vasectomy Reversal ***Trost Commentary and Key Take-Home Points*** This is one of the most helpful and impactful manuscripts currently available relating to vasectomy - [Scheduling Main](https://malefertilityandpeyroniesclinic.com/scheduling-main/) - Scheduling Vasectomy Reversal Peyronie's Disease microTESE Other Male Infertility - [ReVas](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/revas/) - ReVas Technique REinforcing VAsal Suture WHAT IS REVAS? The Reinforcing Vasal Suture Technique was developed by Dr. Landon Trost at the Mayo Clinic in 2018 while he was serving as the chief of male infertility. At the time, Dr. Trost recognized that the leading cause of failures following reversal (both his and other surgeon's) was - [Post-op VR photos](https://malefertilityandpeyroniesclinic.com/resources/post-op/post-op-vr/post-op-vr-wound-care/post-op-vr-photos/) - Patient Post-op Photos Patient 1 This patient had some scrotal bruising and a small hematoma in the shaft of the penis. The bruising in the scrotum is very common, while the hematoma in the shaft of the penis is uncommon. However, both will resolve in a few weeks are are not concerning (no intervention required). - [Post-op Semen Analysis](https://malefertilityandpeyroniesclinic.com/resources/post-op/post-op-vr/post-op-semen-analysis/) - Post-op Semen Analysis General Information Different testing options, including how to send mail-in kits Interpreting Findings How to interpret results, predictors of pregnancy, and testing limitations Zero or Declining Sperm What to do if results show 0 sperm, how to manage declining sperm counts - [Post-op Semen Analysis Interpreting Findings](https://malefertilityandpeyroniesclinic.com/resources/post-op/post-op-vr/post-op-semen-analysis/post-op-semen-analysis-interpreting-findings/) - Post-op Semen Analysis Interpretation What sperm concentration is a good number after reversal? In a study by Majzoub and colleagues (Fertility Sterility April 2017), the authors reported that men with 5 million or more sperm (per milliliter) went on to achieve a pregnancy in 63% of cases. Interestingly, even if men had more sperm (15 - [Scheduling - Success](https://malefertilityandpeyroniesclinic.com/scheduling/scheduling-success/) - Scheduling Congratulations - your appointment has been confirmed For most appointments, you will also receive an email confirmation that contains additional information and instructions. However, you may need to check your junkmail for this appointment. If you have any further questions about your appointment, please contact us using the information below. We appreciate your trust - [Video Visit New PD (Multiple States)](https://malefertilityandpeyroniesclinic.com/peyronies/appointments/video-visit-state-pd/video-visit-new-pd-multiple-states/) - Video Visit (Multiple States) - [Video Visit New PD (other)](https://malefertilityandpeyroniesclinic.com/peyronies/appointments/video-visit-state-pd/video-visit-new-pd-other/) - Video Visit - Other States We are sorry that we are currently not able to offer video visits in your state. We do not currently have medical licenses in all states, and therefore, an in-person visit would be required. Return to Appointments - [Multimedia](https://malefertilityandpeyroniesclinic.com/peyronies/multimedia/) - Peyronie's Multimedia What would you like to see? Patient Photos Includes actual picture of patients with Peyronie's Disease. Please note that these photos are graphic in nature and in most cases are supplied by patient's directly. Illustrations Illustrations of Peyronie's Disease treatment options. Videos Videos relevant to Peyronie's Disease - [About PD](https://malefertilityandpeyroniesclinic.com/peyronies/about-pd/) - About Peyronie's History and Diagnosis First historical mention of Peyronie's How Peyronie's got its name Definition of Peyronie's Causes of Peyronie's Age when Peyronie's most commonly occurs How common is Peyronie's How to diagnose Peyronie's Read More Symptoms and Associated Conditions Psychological impact of Peyronie's What are other conditions that occur with Peyronie's How common - [Resources](https://malefertilityandpeyroniesclinic.com/resources/) - Resources Interstate and International Travel Resources Provides helpful information for those traveling, including transportation links, hotel discounts, restaurants, site seeing, and other entertainment ideas. Visit Page Vasectomy Reversal Videos Repository of videos relating to various vasectomy reversal topics. Visit Page Peyronie's Research Summaries Provides research summaries and commentary for scientific publications relating to Peyronie's Disease. - [Pricing Main](https://malefertilityandpeyroniesclinic.com/pricing-main/) - Pricing Vasectomy Reversal Select for vasectomy reversal pricing including standard and vasovasostomy options. Pricing Peyronie's Disease Select for Peyronie's Disease service pricing including the cost of visits, ultrasound, Xiaflex, and surgical options. Pricing Other Male Infertility Select for pricing on other male infertility services including semen analyses, lab tests, clinical visits, surgery, and others. Pricing - [Insurance Estimate](https://malefertilityandpeyroniesclinic.com/peyronies/insurance-estimate/) - Please complete the form below for your personalized insurance estimate. Although we typically try to return them within 1-3 business days, on occasion, they may take longer to complete. - [Scheduling - Video Visit (infertility - all other states)](https://malefertilityandpeyroniesclinic.com/fertility/scheduling/scheduling-video-visit-infertility-all-other-states/) - Scheduling - Video Visit (infertility) Please note - this service is currently only available in the following locations: Arizona, Colorado, Idaho, Nevada, Minnesota, New York, North Carolina, Utah, Virginia, Wisconsin, Wyoming ---All times for scheduling are listed in Mountain Standard Time (MST)--- - [FAQ - Financial](https://malefertilityandpeyroniesclinic.com/vasectomy-reversal/faq/faq-financial/) - [Scheduling - Video Visit (new infertility)](https://malefertilityandpeyroniesclinic.com/scheduling/scheduling-video-visit-new-infertility/) - Scheduling - Video Visit (infertility) If you have a preference for clinician, please indicate this under the Calendar / Provider section. Otherwise, the scheduling system will default to first available. Please note that the Male Fertility and Peyronie's Clinic utilizes a standardized system of recommendations which assures that you'll get the same recommendations regardless of - [Scheduling - Varicocele (final landing page)](https://malefertilityandpeyroniesclinic.com/scheduling/scheduling-varicocele-final-landing-page/) - Scheduling - New Varicocele - [Scheduling - Video Visit (follow-up - 15 min final landing page)](https://malefertilityandpeyroniesclinic.com/scheduling/scheduling-video-visit-follow-up-15-min-final-landing-page/) - Scheduling - Video Visit (Follow-up 15min) - [Scheduling - TESE + Vasography (final landing page)](https://malefertilityandpeyroniesclinic.com/scheduling/scheduling-tese-vasography-final-landing-page/) - Scheduling - TESE + Vasography - [Scheduling - microTESE (final landing page)](https://malefertilityandpeyroniesclinic.com/scheduling/scheduling-microtese-final-landing-page/) - Scheduling - microTESE - [Scheduling - MESA (final landing page)](https://malefertilityandpeyroniesclinic.com/scheduling/scheduling-mesa-final-landing-page/) - Scheduling - MESA - [Scheduling - TESE (final landing page)](https://malefertilityandpeyroniesclinic.com/scheduling/scheduling-tese-final-landing-page/) - Scheduling - TESE - [Scheduling - Varicocelectomy (both sides final landing page)](https://malefertilityandpeyroniesclinic.com/scheduling/scheduling-varicocelectomy-both-sides-final-landing-page/) - Scheduling - Varicocelectomy (both sides) - [Scheduling - Varicocelectomy (one side only final landing page)](https://malefertilityandpeyroniesclinic.com/scheduling/scheduling-varicocelectomy-one-side-only-final-landing-page/) - Scheduling - Varicocelectomy (one side only) - [Scheduling - Hydrocelectomy (both sides final landing page)](https://malefertilityandpeyroniesclinic.com/scheduling/scheduling-hydrocelectomy-both-sides-final-landing-page/) - Scheduling - Hydrocelectomy (both sides) - [Scheduling - Hydrocelectomy (one side only final landing page)](https://malefertilityandpeyroniesclinic.com/scheduling/scheduling-hydrocelectomy-one-side-only-final-landing-page/) - 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