Vasectomy Reversal Cost is best judged by looking at the value you receive. Most of us look simply at the Dollar Cost of a service, but the true Vasectomy Reversal Cost is a more complete analysis of dollar cost as compared to the individual doctor’s success rate in general, and more specifically for you as an individual. We will help you to look at Vasectomy Reversal Cost from several different angles. It’s our hope, that we can turn you into a savvy consumer who is not “lured” into the wrong clinic for you by the low price leaders. Only when you understand the real Vasectomy Reversal Cost, can you get the right care at a fair price and the most complete care at a good value.
How do you compare Vasectomy Reversal Cost in Dollars to the individual doctor’s Vasectomy Reversal Success rate?
For example, if you are only 3 yrs or less removed from your vasectomy to the time of your vasectomy reversal, Dr. Buch can achieve up to a 97 % rate for return of sperm. Your local Urologist, often the doctor who performed the vasectomy, may only do a few reversals each year with a 50 % chance of returning sperm to your ejaculate as compared to experts like Dr. Buch who average 3 reversals per week with much higher success rates. If the local Urologist has a cost structure of approximately $6,000 for a 50 % chance to return sperm this results in a success rate adjusted Vasectomy Reversal Cost of $12,000 (if 100 % chance of returning sperm was achievable then his dollar cost of $6,000 is multiplied by 100 % and then divided by his actual 50 % success rate). By comparison, Dr. Buch has a cost structure of $8,300 for a 97 % chance to return sperm which results in a success rate adjusted Vasectomy Reversal Cost of $8,500, and not just a higher success rate, but gives you a much better value than your local doctor, even if you live a jet flight away from Dallas and include your travel costs.
How does the time from Vasectomy to time of Reversal affect Vasectomy Reversal Cost?
The longer the time from vasectomy to time of reversal, the greater the chance that a second blockage has occurred at a level closer to the testicle (in what’s called the epididymis). The surgeon only knows this for sure at the time of surgery. Especially as the time frame approaches 10 yrs and beyond, this possibility greatly increases, but Dr. Buch has seen such cases even at only 2 years from time of vasectomy. These situations require a technically more demanding procedure called Epididymovasostomy (EV). Many doctors who call themselves experts at vasectomy reversal are not capable of performing EV or do not get high success rates for the EV procedure. If you choose the wrong surgeon simply because his dollar cost structure was low, then you will probably fail to return sperm in cases where an EV is needed and your Vasectomy Reversal Cost is extremely high on a success rate adjusted basis. Basically, you have thrown your money away. Also, many doctors will charge you more money after your surgery if an EV was performed and this also increases your Vasectomy Reversal Cost. Is it possible that you didn’t need the EV and the doctor performed an EV to be paid a higher fee? Probably not, but this is why Dr. Buch has the same Vasectomy Reversal Cost regardless of whether an EV is performed. Dr. Buch’s Money Back Guarantee program further assures you that you have had the best possible chance for return of sperm in such cases.
What about the Vasectomy Reversal Cost for repeat surgery in cases of a previously failed vasectomy reversal?
One half of the cases that Dr. Buch performs are repeat surgeries after failed vasectomy reversals which often follow an original surgery from one of the “low price leaders” offering vasectomy reversal. If an EV procedure is required on both sides in a redo reversal, your cost with Dr. Buch is just $400 more than our usual price of $8,300. Often in a repeat reversal situation we are able to perform a straight forward redo vasectomy reversal (vasovasostomy) of one of the sides, and in this case we are 90 % successful for return of sperm for a success rate adjusted Vasectomy Reversal Cost of approximately $9,200 based on the formula mentioned earlier. However, if a lower cost provider is used, for example with a return of sperm rate of only 50 % on redo reversals at a cost of $6,000, then the success rate adjusted Vasectomy Reversal Cost is $12,000. I think you can see the point.
What about the alternative of retrieving sperm from behind the failed vasectomy reversal and using that sperm for In Vitro Fertilization with Intra Cellular Sperm Injection (IVF-ICSI)?
Dr. Buch has offered sperm retrieval combined with IVF-ICSI as an alternative to vasectomy reversal since 1994. However, this combination is not his typical recommendation, even for couples with a prior failed reversal since the Vasectomy Reversal Cost of a redo reversal from Dr. Buch results in a more cost effective solution. For example, IVF-ICSI in Dallas has an average cost of $13,000 and the cost of a sperm retrieval procedure averages $4,000 for a combined cost of $17,000 with a pregnancy success rate of 50 % per try, resulting in a success rate adjusted cost of $34,000 per pregnancy. By comparison, a repeat reversal from Dr. Buch has a dollar cost of $8,300 with a natural pregnancy rate of 50 % resulting in a success rate adjusted Vasectomy Reversal Cost of $16,600, and is twice as cost effective as the sperm retrieval and IVF-ICSI alternative.
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