Docteur Jean-Philippe Bercier BSc, MD, CCFP




Comment se déroule l’intervention d’une vasovasostomie?

Une vasovasostomie est un type d’inversion de vasectomie. Le chirurgien raccorde les deux extrémités de votre canal déférent, qui ont été séparées lors de la vasectomie initiale. Cela permet aux spermatozoïdes de se déplacer vers le sperme. Si vous avez changé d’avis sur le fait d’avoir des enfants plus tard dans votre vie ou si vous voulez en avoir d’autres, parlez à un médecin de la vasovasostomie dans une clinique de Montréal pour savoir si vous êtes un bon candidat.

Que se passe-t-il pendant une vasovasostomie?

Une vasovasostomie est une intervention réalisée en externe sous anesthésie locale. Il faut compter environ trois à quatre heures pour effectuer cette intervention sur les deux canaux déférents. Le chirurgien pratique une petite incision dans le scrotum. Des antibiotiques vous sont prescrits avant l’intervention pour limiter le risque d’infection. Le chirurgien laisse un petit drain dans le scrotum pour permettre le drainage. Cela minimise le risque de gonflement. Vous aurez un rendez-vous de suivi le jour suivant l’intervention pour retirer le drain.

Combien de temps faut-il pour se remettre d’une vasovasostomie?

Il faudra que quelqu’un vous reconduise chez vous après la chirurgie. Une fois rentré chez vous, vous devrez vous détendre et vous reposer pendant environ 48 heures. Si vous ressentez un inconfort, vous pouvez prendre du Tylenol et du Celebrex. La glace peut également soulager votre inconfort et réduire tout gonflement. Vous devez attendre environ deux semaines avant de reprendre toute activité à faible impact. Si vous êtes très actif physiquement ou si vous devez faire un travail exigeant, vous devez attendre quatre semaines avant de reprendre ces activités.

Quel est le taux de réussite d’une vasovasostomie à notre clinique de Montréal?

Plus le temps s’est écoulé depuis votre vasectomie, plus le taux de réussite est faible, mais même avec les hommes ayant subi une vasectomie il y a 15 ans ou plus, notre taux de réussite est de 70 %. Les taux de réussite des grossesses sont plus difficiles à quantifier, car la réussite dépend de nombreux autres facteurs. Nous vous encourageons à parler à votre médecin de vos objectifs et de la santé de votre partenaire, afin de vous assurer qu’une vasovasostomie est la meilleure option pour vous.

Prenez rendez-vous pour discuter d’une vasovasostomie à notre clinique de Montréal avec le Dr Jean-Philippe Bercier.


Rob CarterRob Carter
21:19 02 Aug 23
Had my vasectomy performed by Dr Dumais, who has taken over for Dr Weiss who has since retired. She was absolutely excellent. Great bedside manner, clear explanations of what was happening and any potential discomfort that might be felt during each step. Entire procedure from freezing to finish took under 10 minutes.Before beginning Dr Bercier confirmed my age (31), that I had no children, and that I was 100% certain I never wanted to have any (and that my partner felt the same way). She reiterated that while surgical reversal is sometimes possible, the procedure should be considered permanent.Nurses/office staff were friendly and efficient. Got up from the table a bit too quick and ended up sitting down in the chair and fainting. They were right on top of things and immediately went into their usual routine for when those things happen. We had a little chuckle about it, and at no point did it feel weird or judgemental which I very much appreciated.A couple of other notes based on some things mentioned in a few other reviews here:- Total out of pocket fees are $170, consisting of a $20 deposit and $150 on the day of the procedure. Those costs are detailed in the attached photo of the “Pre and Post Vasectomy Kit”. As detailed on the page patients can choose to pay only for the specific items/services they want, and they also give you a week post-procedure to request a refund and pay only for the needed items. This information is not provided anywhere before going in, so most will just pay the $170 and be done with it. While some of these costs are certainly quite highly inflated, they do help make up for the fairly minimal compensation the clinic receives from OHIP for each procedure.- Website is a bit of a mess, although most of the important bits are easy to find (and all the most important info is attached to the emails you’ll get). Specifically one thing they have changed is that you do *not* need to travel to the office to pick up your vasectomy package before the procedure! You are given it after your appointment just before leaving.- To the few complaining about pain/discomfort lasting more than the first week and “not being made aware of the risks”… did you not bother to fully read through the documentation available both on the website as well as repeatedly sent to you in the emails? All of the risks and rates of various complications are explicitly laid out in advance. Every body is different, and there is a small chance of a variety of complications. Choosing to ignore the provided information and then complaining that you wouldn’t have gone through with it if you knew is just ridiculous.One last recommendation for the doctors here: I highly recommend investing the few thousand dollars towards having a professional web design company re-build you a new website from the ground up. The current site is a mess, particularly on modern phones, and this is something that will radically improve the patient experience.
Gaignun KukaiGaignun Kukai
03:43 18 Jul 23
Dr. Valerie Dumois did my vasectomy, and she was really quite kind willing to answer questions. It was for the most part painless and the pain you feel is minimal. Reception was also pretty great they answered all my questions to male sire I heal properly. Was great meeting them all and doing it the modern way or a scalpel and needle is definitely in every males favour. Thank you so much for being such great people
Garlic Jr.Garlic Jr.
18:19 06 Jul 23
Half an hour to my appointment they told me to wait outside(35 degrees celcius) until exactly my appointment. Dr. Bercier if you can call him a doctor had the most rude and disrespectful attitude I've had from a doctor. I asked him three questions to which he said he didn't care. During the procedure I simply asked how long does it take and he replied with "How long do you think it takes? Did you see me with the other patients?" I think his attitude was racially motivated because I'm not French. Don't come here! Go somewhere else!
19:58 19 Jun 23
Great clinic, 5 stars all around. Leading up to the appointment they provide you with fantastic information that explains everything in detail. Great communication, super organized, friendly and professional. Everyone from reception, to the nurse, to the doctor - all were pleasant, efficient, and professional. It was a huge piece of mind. The doctor played my choice of music during the procedure. It was practically painless, with only minor discomfort for a brief moment, and it was quick. I am now recovering comfortably with very detailed instructions about how to enhance my recovery. Thank you Dr. Weiss and Dr. Bercier! Highly recommend.
Louis KearnsLouis Kearns
16:14 28 Apr 23
Marc BourgonMarc Bourgon
17:45 11 May 22
The process of getting my vasectomy was quite efficient. From walking in the office door to sitting down in my car again was only 20 minutes. The staff was very friendly in greeting you and providing instructions and Dr. Bercier was pleasant to deal with, friendly and gentle. Dare I say the experience was enjoyable! Any trepidation one has about the procedure, don’t worry! Thanks to all.