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Hire a lawyer and sue the doctor
I would never question it with my wife. However just for everyone elses piece of mind we will do one.Gosh. I want to be positive. It is yours now and will probably be the pride of your life!
That said. I'm sorry. I've been married almost 30 yrs. I'd still do a DNA test. Doesn't mean I wouldn't love it as my own if it wasn't, but I'd wanna know.
I've gotten one and had to back to confirm nothing was still active... you did go back, right?
No matter how sure one can be; get that DNA test done. Otherwise congrats!
So, success rates are very high. Failure rates are very very low because even if you do the least conservative technique--which would include fulguration of each vas deferens without separating it into separate tissue compartments or without suture ligation--any obliteration of the vas deferens is generally enough to disrupt the flow of sperm.
The advice that your urologist (or family doc, whoever did it) gave you about multiple ejaculations before repeating analysis isn't really sound advice. Generally it's a time constraint, not a set number of ejaculates. The reason being that the life of a sperm is 90ish days and so you generally wait this period of time in case you would have any viable sperm remaining in the vas deferens. So the most common method of testing success would be two semen analyses a week or so apart at least three months after the vasectomy.
However, presuming this was a failed vasectomy, it just means that you had recanalization of the vas deferens on one side. Said another way, it doesn't necessarily mean that he did a shoddy job and it was flawed surgical technique; its just testament to the reason success rates are quoted--some people just get unlucky. The free ends of the vas deferens found a way back to each other and re-cannulated. Very very very very rare, and I personally have never seen it, but I've heard of colleagues that it's happened to.
Regarding the comments on suing the doctor, you would have to show gross negligence on his part, which most likely didn't happen. So just because you were the guy that falls into the very small percentage that is explained during your consent, it doesn't mean that you can sue him. I mean, you certainly can if you want, but unless you could prove that he did the surgery in a substantially different fashion than the standard of care, then it will be going nowhere.
At any rate, congratulations on the baby!! My wife is pregnant with our first so I'm in a current state of disbelief still as well haha.
Edit: shit just re-read that and left out that I'm a urologist. Might help to know. [emoji13]
It sounds like his sperm samples are coming back negative. Is it still possible that one ejaculation can still contain sperm? Is it a random possibility or once you are clear you are clear?
I don't understand how it is actually possible if your tubes are still cut and not connected.
Great info dude
Ok so talked with my wife since she remembers better than me
Had it done in march of last year. Gave a sample on June and got cleared
Now she is 9 weeks pregnant. Gave a sample last week and still negative.
How could that happen?
Not sure if cut them or tied them or what. I do remember smelling something burning and hearing a lot of clipping. I don't think he did any thing wrong. He has been doing it for 30 years.
I wouldn't have thought that sperm would stay viable if they had to travel outside of the vas deferens.
They wouldn't. If it recannulated it would be an enclosed system. Like, the surrounding tissue would either form a tunnel, or the ends would physically meet and re-seal.
Yeah, that I do understand. I was talking more on if the canals never reconnected. Could a simple ultrasound be used to check and see if the canals are still seperate?
Well, that math would mean she got pregnant around 6-7 months after your vasectomy. So it's conceivable that you had a partial recannulization on one side that remained for a few months and has since sealed. Again, this is kind of shooting from the hip, cuz if you were negative 4 months after and are negative now at 11 months after, seems like you would've been negative the whole time. But listen, not everything can be explained and there are certainly exceptions to every situation. So the above scenario is possible.
There was a few times where my balls were killing me. Couldn't even walk or shake after a piss without wanting to cry in pain. They said it was a "sperm leak" and happens to less than X percent (don't remember the number but it was low)
Anyway. Took some Advil and it went down but then happened awhile later.
Could that have anything to do with her getting pregnant? Or can you explain more about this sperm leak
Btw congrats on the baby
Semen analysis would be a more accurate way. Because you would likely see granulomas in the region of the cut ends. And an ultrasound that didn't show a physical connection wouldn't rule out a functional connection. The only imaging test would be a vasogram which is a procedure. You have to cannulate the vas upstream with a needle and inject a contrast media and take x-rays as you watch a road map of the dye and see if it makes it past the vasectomy site. Again, all of the above is overkill, because a semen analysis that shows zero sperm means it's successful.
Props to you for going into urology. The only thing that has made me squeamish in healthcare are urology procedures. Especially assisting with catheter insertions the size of garden hoses for bladder irrigation. Thankfully these patients have been heavily sedated on a vent.
Ha, yeah you get used to it I guess. When my wife and I were in med school, I remember once telling her that I would do any surgical subspecialty except urology. You can see how that ended ha. But it's a great field for a bunch of reasons that would be boring to people here. My specialty is actually urologic oncology, so I do surgery for cancer of the urinary tract (kidney cancer, prostate cancer, bladder cancer, testicular cancer, penile cancer). So general urology isn't really my wheelhouse any more, but obviously still part of my universe. And most times when I put an oversized catheter in someone, they're generally awake, so I'm not always the most popular person in the hospital.
so. . . . [MENTION=12057]Gamble[/MENTION] has fathered the second coming of Jesus Christ and TCG is the first witness?!?! these are exciting times [MENTION=13075]ltjpunk7[/MENTION] do I really need my wife's consent for a vasectomy??