Skip to content
  • Home
  • our team
  • services
  • faqs
  • consultations
  • Locations
    • Townsville
    • Cairns
    • Rockhampton
    • Mackay
  • chrysalis medispa
  • Home
  • our team
  • services
  • faqs
  • consultations
  • Locations
    • Townsville
    • Cairns
    • Rockhampton
    • Mackay
  • chrysalis medispa
REQUEST A CONSULTATION

LOOK AND FEEL YOUR BEST
IN REGIONAL QUEENSLAND

Call Us
  • Townsville & Mackay – 0747258400
  • Rockhampton & Cairns – 0749227000
  • Call Us
  • Townsville & Mackay
    07 4725 8400
  • Rockhampton & Cairns
    07 4922 7000
Envelope-open
Facebook-f
Facebook-messenger
Instagram
  • Call Us
  • Townsville & Mackay
    07 4725 8400
  • Rockhampton & Cairns
    07 4922 7000
    VIEW ALL PROCEDURES

    VASECTOMY REVERSAL

    OVERVIEW

    What is a Vasectomy?
    A Vasectomy is a safe, simple, quick and effective method of contraception. Vasectomy is a surgical procedure that disrupts the flow of sperm through the vas deferens. A cut is made through the Vas Deferens and a clip or suture is placed around the cut ends.

    A Vasectomy Reversal is a surgical procedure that restores the flow of sperm through the vas deferens. It is usually performed by an experienced Microsurgeon using an operating Microscope. There are two types of Vasectomy Reversal – Vasovasotomy and Vasoepididymostomy:

    CONTACT US

    PROCEDURES

    Vasectomy Reversal:

    A Vasovasotomy is the operation most frequently performed for Vasectomy Reversal. It involves stitching the cut ends of the vas deferens together. This is the surgery of choice for vasectomy reversal, however if excessive inflammation or scarring has occurred in the epididymus, sperm may be blocked from getting to the vas deferens. If a blockage has occurred in the epididymus, merely connecting the two cuts ends of the vas deferens will not solve the problem. To bypass the blockage in the epididymus, a Vasoepididymostomy must be performed.
    With the implementation of Microsurgery into Vasectomy Reversal, success rates following microsurgical Vasovasotomy and Vasoepididymostomy have risen.
    Recent studies indicate that following Vasovasotomy, sperm appears in the semen in approximately 85 – 97% of men and approximately 50% of couples subsequently achieve a pregnancy.
    Following Vasoepididymostomy, sperm appears in the semen of approximately 65% of men and approximately 20% of couples subsequently achieve a pregnancy.
    The length of time from Vasectomy to Reversal Surgery correlates with success, however no interval is considered too long to perform reversal surgery.

    The Technique:

    No special preoperative tests are needed before a Vasectomy Reversal – other than the standard lab tests required by some Hospitals.
    The Surgery can be performed as Day Surgery, however a General Anaesthetic will be required and you will not be discharged from Hospital until the Doctor and staff are satisfied with your recovery from Anaesthetic.
    Vasovasotomy takes about 2 to 3 hours, however Vasoepididymostomy may take as long as 5 or 6 hours. The length of Surgery depends on individual circumstances, some of which are not evident until the time of Surgery.
    Incisions are usually in the front of each side of the scrotum. The incision is vertical so that it can be extended in length if there is difficulty in locating the site of the vasectomy.
    Microscopic technique is used to rejoin the ends of the vas deferens in a Vasovasotomy and to create a bypass is Vasoepididymostomy. Microscopic dissolving sutures are used.
    You will be required to attend your Surgeon for follow-up in the immediate post-operative period. The first semen analysis is usually undertaken at about 8 weeks after Surgery and then again at two to three month intervals.

    Postoperatively:

    Discomfort following Vasectomy Reversal varies from patient to patient. In general, pain may be similar to that experienced with Vasectomy. You will be given medication for pain from your Surgeon prior to discharge from the Hospital. Swelling and Bruising is usually evident in the immediate post-operative period and can be reduced by cool compresses applied to the area. You may be asked to wear a scrotal support for four weeks following Surgery. Excessive standing or walking should be avoided in the immediate post-operative phase, as this will create additional dependent swelling and bruising.
    Normal strenuous exercise can be resumed four weeks after Surgery, provided there are no complications present. Gentle walking is permitted commencing in the day or so following your Surgery.
    It is generally best to wait three weeks after Surgery before resuming any type of sexual activity.

    Semen Analysis:

    Three months after a Vasovasotomy, the semen analysis often reveals a good sperm count with poor motility. After 6 months the count is usually stable or slightly improved and the motility is also improved.
    After Vasoepididymostomy, sperm usually takes longer to appear in the ejaculate, and in most cases, it takes at least 4 to 6 months to appear.
    Studies have shown that following initially successful reversal surgery, where good sperm counts and motility has been obtained, a significant number of men subsequently experience significant deterioration in sperm counts. This may be caused by the formation of scar tissue, which can occur from sperm leakage at the reversal site or from a disruption of the blood supply at the site of surgery.
    In the light of the 10 to 20 percent of patients who deteriorate after successful surgery, sperm banking should be a consideration, particularly after a Vasoepididymostomy.
    The average time from reversal surgery to conception is 12 months.

    Options for Unsuccessful Vasectomy Reversal:

    If Surgery is unsuccessful, then you can consider re-operation or assisted reproductive techniques such as IVF or ICSI. For a man who has no sperm in the ejaculate after reversal, sperm for IVF and similar can be obtained through a minor surgical procedure which extracts sperm directly from the testicles and/or epididymus in some cases.

    Complications:

    Normal signs and symptoms after surgery include slight swelling, bruising or discolouration of the scrotal area.
    A sore throat, headache, nausea, constipation and general body ache due to the anaesthesia may also be present. These symptoms usually resolve in a few days.

    Additional complications include:

    • Scrotal haematoma – which may require drainage and further Hospitalisation
    • Wound infection – requiring antibiotic treatment and which may require further Hospitalisation.
    • Unsuccessful Reversal
    Vasectomy Reversal is the procedure performed to reverse the effect of Vasectomy and has varying degrees of success, enhanced over the last years with improved Microscopic technology and technique. This information brochure is intended to give a broad overview of Vasectomy Reversal from our Practice. Discussions on the procedure, risks and outcomes will be further undertaken with your Plastic Surgeon. It is sometimes helpful if you make a list of questions to take to your consultation with you, so that you may cover all areas of concern at that time.

    MAKE AN ENQUIRY

    You can make an appointment for your consultation in Townsville or Mackay 
    on (07) 4725 8400 and Rockhampton or Cairns on (07)4922 7000, or alternatively fill out this contact form.

    FAQS





      TOWNSVILLE
      CAIRNS
      ROCKHAMPTON
      MACKAY

      TOWNSVILLE

      Consulting from –
      281 – 285 Ross River Road
      Aitkenvale, QLD 4814

      Operating from –
      Mater Hyde Park – Day Surgery
      12-14 Oxford Street
      Hyde Park, QLD 4812

      P 07 4725 8400
      F 07 4725 8311
      E reception@qldplasticsurgery.com.au

      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa
      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa

      CAIRNS

      Wallamurra Towers
      Level 1, 189 Abbott Street
      Cairns 4870

      P 07 4922 7000
      F 07 4922 7111
      E amanda@qldplasticsurgery.com.au

      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa
      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa

      ROCKHAMPTON

      Consulting from –
      Suite 1, Kenmore House
      31 Ward Street
      The Range 4700

      Operating from –
      Mater Rockhampton
      31 Ward Street
      Rockhampton QLD 4700

      P 07 4922 7000
      F 07 4922 7111
      E amanda@qldplasticsurgery.com.au

      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa
      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa

      MACKAY

      Consulting from –
      Mackay Day Surgery
      1 Wellington Street
      Mackay QLD 4740

      Operating from –
      Mater Mackay
      76 Willetts Road North
      Mackay QLD 4740

      P 07 4725 8400
      F 07 4725 8311
      E info@qldplasticsurgery.com.au

      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa
      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa
      Townsville
      cairns
      ROCKHAMPTON
      MACKAY
      Townsville

      TOWNSVILLE

      Consulting from –
      281 – 285 Ross River Road
      Aitkenvale, QLD 4814

      Operating from –
      Mater Hyde Park – Day Surgery
      12-14 Oxford Street
      Hyde Park, QLD 4812

      P 07 4725 8400
      F 07 4725 8311
      E reception@qldplasticsurgery.com.au

      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa
      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa

      cairns

      CAIRNS

      Wallamurra Towers
      Level 1, 189 Abbott Street
      Cairns 4870

      P 07 4922 7000
      F 07 4922 7111
      E amanda@qldplasticsurgery.com.au

      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa
      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa

      ROCKHAMPTON

      ROCKHAMPTON

      Consulting from –
      Suite 1, Kenmore House
      31 Ward Street
      The Range 4700

      Operating from –
      Mater Rockhampton
      31 Ward Street
      Rockhampton QLD 4700

      P 07 4922 7000
      F 07 4922 7111
      E amanda@qldplasticsurgery.com.au

      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa
      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa

      MACKAY

      MACKAY

      Consulting from –
      Mackay Day Surgery
      1 Wellington Street
      Mackay QLD 4740

      Operating from –
      Mater Mackay
      76 Willetts Road North
      Mackay QLD 4740

      P 07 4725 8400
      F 07 4725 8311
      E info@qldplasticsurgery.com.au

      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa
      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa

      Dr. Mark Vucak

      M.B., B.S.(W.A), F.R.A.C.S

      Degrees & Training

      The University of Western Australia – Bachelor of Medicine and Bachelor of Surgery 1983.
      Emory University – Resident in Plastic Surgery 1993 – 1994.

      Fellowships

      The Royal Australasian College of Surgeons – Plastic & Reconstruction

      Memberships

      The Australasian Society of Aesthetic Plastic Surgeons

      Dr Vucak has a holistic approach to patient care and understanding as he commenced medicine in general practice. He then he undertook 4 years of general surgery and 4 years of plastic surgery training before completing his cosmetic fellowship at Emory University and Hospital in Atlanta, Georgia where he was under the supervision and guidance of six of America’s best plastic surgeons working in a team. This is where his interest in plastic and reconstructive surgery was kindled and he has continued down this path since that time, over 25 years ago.

      Dr Mark Vucak travelled extensively as a child as his father was an aircraft engineer and his mother a flight attendant. His father was working in Kuwait when Dr Vucak was born and he lived in the Middle East as a child because of this. This causes great amusement when travelling as he is continually pulled up by security, especially when travelling in the USA, as his passport shows his birthplace as Kuwait. The Vucak family returned to Perth a few years later where Dr Vucak completed his education.

      The first medical experience Dr Vucak can remember is in Lae, New Guinea where his mother worked in the hospital and he did a paper round when he was in grade 5. It was of the smell of the hospital; he says that hospitals all over the world have the same smell.
      Dr Vucak’s introduction to plastic surgery was as a patient in the burns unit at Royal Perth Hospital after being caught in a gas explosion whilst fighting a fire on a surfing trip. He managed to get a patients’ perspective on the treatment, which has helped him throughout his career.

      Always an active person, Dr Vucak was in the Australian Canoe team while studying at university and represented Australia overseas and at the World Championships where he performed very well. His main interest now is chess and he has travelled all over the world competing in chess competitions.

      Dr Vucak has had a very busy working life; he has previously worked as a surgical consultant at Royal Perth Hospital, Sir Charles Gairdner Hospital, Freemantle Hospital and The Townsville Hospital. He has lectured at international meetings where he has been requested to speak on Breast Surgery and Augmentation. He is also involved in media education and teaches medical students, interns and Surgical Trainees through James Cook University. He attends Peer review and management meetings regularly including the Medical Advisory clinic of the Mater Hospital Townsville. Dr Vucak also advises the hospitals on the equipment needed in the theatres, he was instrumental in bringing Erbium resurfacing laser and reciprocating powered liposuction cannulas for very even and effective procedures into the hospital.

      Dr Vucak developed Chrysalis Medispa in the early 2000’s as a response to the North Queensland environment. As we age in North Queensland the environment is not kind and sun damage can advance the ageing process. Dr Vucak became aware of this and has since developed Chrysalis Medispa; which offers a suite of lasers and modern technology including IPL, vascular laser rejuvenation, Cool sculpt, Dermapen, Protégé RF treatment, high intensity LED skin care, acne light treatment, Zimmer cooling machines, Fraxel and Pearl lasers as well as carbon dioxide laser and a range of medical grade skin care. It provides a very comprehensive clinic not often found in any capital city.
      The clinic has six staff including two general practitioners, an injectable nurse, a dermal therapist and a skin care therapist. The staff can often diagnose and successfully treat many non-surgical skin diagnoses and provide a range of treatments including.

      Featured Articles

      Personalities in Business – Dr. Mark Vucak: Life is a game of strategy
      As seen in Definitive Guide to Breast Augmentation – Reducing Risk

      Other Articles of Interest

      Cosmetic Surgeon or Plastic Surgeon

      Dr. Ian Tassan

      M.B., C.H.B.(U.T.C)

      Degrees & Training

      University of Cape Town – Bachelor of Medicine & Bachelor of Surgery – 1978

      Fellowships

      College of Surgeons of South Africa – Plastic & Reconstructive Surgery – 1988
      Royal Australasian College of Surgeons – Plastic & Reconstruction 2001

      Memberships

      South African Association of Plastic & Reconstructive Surgeons
      The Australasian Society of Aesthetic Plastic Surgeons
      The Australian Society of Plastic Surgeons

      Dr. Tassan and his family then decided to emigrate to Australia, to enjoy a better quality of life, because violent crime in South Africa poses a constant threat to one’s safety and security. Dr. Tassan arrived in Townsville in July 2000 and joined Dr. Mark Vucak in practice of Plastic and Reconstructive Surgeries.
      His Practice is General Plastic and Reconstructive Surgery and includes Skin Cancer Treatment, Hand Surgery, Breast Reconstruction and Cosmetic Surgery.
      Dr. Tassan is married to a Medical Doctor who teaches at James Cook University, Townsville.
      Dr. Tassan’s interests include music, art, running, cycling and the outdoors.

      Dr Malcolm Linsell

      BSc, MBBS, FRACS, MS

      Degrees & Training

      Bachelor of Science 1975 Monash University
      Bachelor of Medicine and Bachelor of Surgery 1979 Monash University
      Masters of Surgery 1995 Monash University

      Fellowships

      Royal Australasian College of Surgeons – Plastic and Reconstructive 1991
      Memberships
      Australian Society of Plastic Surgeons
      Australasian Society of Aesthetic Plastic Surgeons
      American Society of Aesthetic Plastic Surgeons
      International Society of Aesthetic Plastic Surgeons

      Memberships

      South African Association of Plastic & Reconstructive Surgeons
      The Australasian Society of Aesthetic Plastic Surgeons
      The Australian Society of Plastic Surgeons

      Malcolm has a rich heritage in the Salvation Army and wanting to ‘make a difference’ has been at his core for many years. At the age of 13, he was inspired to become a Plastic Surgeon following a Plastic Surgical procedure performed on his hand.

      Almost 25 years later, he graduated as a Plastic Surgeon becoming a Fellow of the Royal Australasian College of Surgeons (FRACS). He studied at Monash University, initially attaining a Bachelor of Science (BSc) before attaining the basic medical degree, a Bachelor of Medicine and Bachelor of Surgery (MBBS) and a subsequent Masters of Surgery (MS).

      Malcolm spends time to listen and fully understand his patient’s desires before discussing the expected outcome, so that every patient feels heard and fully informed.
      Malcolm has recently published his first book, An Ordinary Man, An Extraordinary Life, which parallels his own life with that of one of his patients, Wesley Koni, the story of which was screened on 60 Minutes.
      Malcolm is married to Dr Kim Carr, a dentist in Sydney and together they have 4 adult children.

      Queensland Plastic Surgery
      • Home
      • our team
      • services
      • faqs
      • consultations
      • Locations
        • Townsville
        • Cairns
        • Rockhampton
        • Mackay
      • chrysalis medispa