Dr. Mark Hickman Performs Affordable Microsurgery Procedure for Reversal of a Vasectomy

Dr. Mark Hickman, MD, FACS, a surgeon in New Braunfels, TX, has announced that he can perform a microsurgery procedure for reversing a vasectomy at an affordable price, at two all-inclusive options. The first all-inclusive option is available at $3,300 and already includes the cost for local anesthesia and an oral sedative. The second option is available at $4,200 and includes IV sedation that will be administered by a board certified anesthesiologist. Dr. Hickman ensures that there are no hidden costs for the two all-inclusive options. In addition, out-of-town patients can take advantage of the arrangements that Dr. Hickman has made with the local hotels in New Braunfels allowing them to save 50 percent of the hotel accommodation costs.

Dr. Hickman says, “I am committed to devoting my entire practice on the successful reversal of vasectomies. I have already performed thousands of successful vas reversals over the course of my 26 year career, resulting in thousands of births and happy new parents. The procedure involves the microsurgical repair of the vas deferens with a powerful operating microscope and fine nylon suture (much finer than a human hair). A typical repair requires 10-15 stitches. The goal is to create direct and careful alignment of the lumen of the two ends of the vas and a watertight closure.”

During the vasectomy reversal surgery, after local anesthesia has been provided, a small incision is made on both sides of the scrotum. This will allow Dr. Hickman to find the two ends of the vas deferens. He will then free those ends from the surrounding scar tissue. Next, he will perform a microsurgical repair of the vas deferens using a 10-0 nylon suture and a Zeiss OPMI-MDM operating microscope.

To optimize the chances of success of the procedure, Dr. Hickman will get a sample of the fluid from the testicular end of the vas deferens, put it on a glass slide, and examine it under a laboratory microscope. This fluid should contain some sperm since the testicle continues to release sperm even after vasectomy. There are three possibilities with regards to what will be found in the sample fluid. The first possibility, which would be the best one, is that the fluid contains whole sperm. The second possibility is that the fluid is thin and doesn’t contain a whole sperm but only sperm parts. The third possibility is that the fluid is thick and pasty and doesn’t contain any sperm.

The third scenario indicates the presence of an obstruction, which is known as an epididymal blowout. The obstruction is typically found at two levels: at the location of the vasectomy and the rupture of a tube in the epididymis. This means that Dr Hickman will not only need to perform a vasovasostomy, but also a vasoepididymostomy. The vasoepididymostomy procedure will require a microscopic invagination of the epididymal tube into the lumen of the vas deferens and this will also need 10-0 nylon sutures. But patients need not worry because there will be no additional cost for them if both repairs need be done for the vasectomy reversal.

Dr. Hickman obtained his medical degree from the University of Texas Medical Branch in Galveston, Texas. He then trained in General Surgery Residency for five years at the University of Texas Health Science Center at San Antonio and it was during this period of time that he came to know about the microsurgery techniques being applied by plastic and reconstructive surgeons. He discovered the amazing benefits offered by microsurgery, such as the much reduced impact on the patient, which is why he decided to employ laparoscopic surgery techniques when he established his own private practice in 1988 in New Braunfels.

Those who would like to know more about the affordable vasectomy reversals being offered by Dr. Hickman can check out the Microsurgical Vasectomy Reversals by Dr. Mark Hickman website or contact them on the phone or through email. The practice is open from 8:00 am to 5:00 pm, from Monday to Friday.