Dr. Werthman | Center for Male Reproductive Medicine & Vasectomy Reversal
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CMRM Interested in Vasectomy Reversal?

You are not alone.

Each year in America, more than 25,000 men undergo vasectomy reversal with the desire to become fertile again. Whether the choice is based on remarriage, better life circumstances that allow for more children or other medical reasons, selecting a physician who is right for you and your specific set of circumstances is crucial to vasectomy reversal success.

With more than 20 years of experience in the medical subspecialty of male fertility, Dr. Werthman is the urologist of record who is widely recognized and deeply respected in his field as the pioneer of the mini-incision microsurgical vasectomy reversal. A large number of urologists who perform microsurgical vasectomy reversals today employ the techniques that were created by Dr. Werthman.

Why CMRM? Nothing Less Than the Best

When you’ve made the decision to have a vasectomy reversal in Los Angeles, you shouldn’t settle for anything less than a world-renowned expert to perform it. With each patient’s success and safety his utmost priorities, Dr. Werthman has made the performance of vasectomy reversal surgery his life’s work, and his practice is dedicated exclusively to the care and treatment of male fertility concerns.

Having performed thousands of vasectomy reversals over the span of 20 years, Dr. Werthman’s substantial expertise and profound focus translate to surgical outcomes and success rates that are highest in the world.

Father Holding His Baby Close to His Forehead

Widely recognized as the pioneer of the mini-incision vasectomy reversal and an innovator in the field of male fertility, Dr. Werthman takes great pride in treating each patient as he would a family member.

Family Dancing in the Living Room

How is a Vasectomy Reversal Performed? Quality and Care, with Every Procedure

Vasectomy and vasectomy reversal in Los Angeles are designed to be virtually painless and low-risk procedures when performed by the right surgeon. A vasectomy reversal reconnects the ends of the vas deferens, the duct that transports sperm from the testicle to the urethra that was cut during a vasectomy, and restores the flow of sperm so that men can father more children.

Dr. Werthman and his team at CMRM have pioneered and refined vasectomy reversal so that only a small incision is made over the vasectomy site. The blockage is removed and a drop of fluid at the bottom end of the vas deferens is examined under a microscope to check for sperm, confirming that the route from the testicle to the end of the vas deferens is open. The ends of the vas are then visualized and reconnected using an operating microscope. The inner layer is brought together with micro-sutures that are half the thickness of a human hair. The muscle layer is then closed over it with a heavier suture to add strength. Sperm can then be restored to flow freely once again through the new connection.

However, in some men, a second blockage develops in the epididymis and sperm are unable to flow through to the end of the vas deferens. This blockage has to be bypassed in order to successfully reverse a vasectomy. For this reason, Dr. Werthman invented the mini-incision microsurgical vasoepididymostomy which attaches the vas deferens directly to a tube in the epididymis. This is a very challenging operation and only a few vasectomy reversal experts in the world can perform it because the tubule involved is so small and delicate. But the incision made to perform this procedure is also small and it can be covered with a Bandaid once complete.

When performed successfully, a vasectomy reversal allows men the opportunity to re-establish fertility with the goal of successfully fathering children again and is the single option that allows couples to conceive a child naturally.

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