A wholly owned subsidiary of Urologic Consultants, P.C.

We specialize in vasectomy reversals. Dr. Phillip G. Wise, M.D., F.A.C.S. has been performing vasectomy reversals (also called reverse vasectomy, vasovasostomy, vasal reconstruction and vasectomy reconnection) in the Grand Rapids area since September 2001. Patients for a vasectomy reversal can be seen for a consultation at one of several satellite offices, but the vasectomy reversal surgery is always done at the main office at 25 Michigan Street, Suite 3300 in downtown Grand Rapids.

Since 1993, Dr Wise has been using a local anesthetic, supplemented with oral sedation and narcotics, to help keep the costs under control. One Valium and one Vicodin are taken by the patient about 30 minutes before the vasectomy reversal. Dr. Wise uses a Zeiss two headed operating microscope for each . Any patient considering a vasovasostomy should be aware that the surgery may take three to four hours. Patients with difficulty laying still for that amount of time should consider having his vasectomy reversal performed in the hospital under general or regional anesthesia.

Dr Wise always checks for sperm in the fluid from the upstream end of the vas during the vasectomy reversal. If no sperm are seen and if the fluid is not clear and abundant, then a vaso-epididymostomy can be carried out at the same time. There is no need to refer the patient to another center for another procedure. There is no extra cost for patients who come in for a vas reversal and have a vaso-epididymostomy instead. 

A vaso-epididymostomy is a type of vasal reconstruction where the vas is connected or anastomosed to the gland on the back of the testicle called the epididymis. Most surgeons that specialize in vasectomy reversals use a microscope for exact placement of the 10-0 nylon sutures in both ends of the vas but also in case a vaso-epididymostomy should be necessary, since the epididymal tubules are about the size of fingerprints.

Costs are subject to change without notice but as of the time this article was written, the initial consultation for a vasectomy reversal is $187.00.
The $4,300 vasectomy reversal fee includes:
1) the surgeons' fee,
2) the facility fee,
3) the surgery, weather it is a vaso-vasostomy or vaso-epididymostomy,
4) supplies used during surgery,
5) follow-up visits for one year, and
6) evaluation of the semen for the presence or absence of sperm and motility for up to one year.
There is a $500 deposit when the patient decides to schedule the vasectomy reversal, and the balance is due two weeks before the surgery. The expenses for the Valium and Vicodin and any travel arrangements for out of town patients are the responsibility of the patient.