Docteur Jean-Philippe Bercier BSc, MD, CCFP



Inversion de vasectomie une option sûre?

Nous voulons avoir un bébé – L’inversion de la vasectomie est-elle une option sûre?

La vasectomie est une procédure courante pour les hommes qui ont fini d’avoir des enfants. Si votre situation change et que vous décidez d’avoir à nouveau un enfant, vous pouvez envisager une inversion de vasectomie. N’oubliez pas qu’après une vasectomie, vous continuez à produire des spermatozoïdes. Bien que les inversions ne soient pas aussi courantes que les vasectomies, c’est une option si vous avez changé d’avis et que vous voulez avoir un bébé avec votre partenaire.

Que se passe-t-il lors d’une inversion de vasectomie?

Lorsque vous avez subi une vasectomie, le médecin a coupé le canal déférent pour empêcher les spermatozoïdes de se mélanger au sperme. L’inversion de vasectomie la plus courante est la vasovasostomie, qui consiste à reconnecter les deux extrémités du canal déférent. Lorsque la vasectomie initiale a laissé des cicatrices, il peut être difficile de reconnecter les deux extrémités avec succès. Le médecin peut alors pratiquer une vasoépididymostomie, qui relie l’épididyme au canal déférent. Il s’agit d’une opération plus technique lorsque la vasovasostomie n’est pas possible.

Quelle est la difficulté de se remettre d’une inversion de vasectomie?

L’inversion de vasectomie est une procédure qui se déroule en cabinet. Vous rentrerez chez vous le jour même de l’intervention. En général, la plupart des hommes ne ressentent pas plus de douleur que lors de la vasectomie initiale. Vous devrez vous ménager pendant 5 à 14 jours après l’inversion, ce qui est plus long que pour la vasectomie. Vous devez prévoir d’éviter de soulever des charges lourdes et d’avoir des rapports sexuels pendant quatre semaines après l’inversion. L’inversion de vasectomie est une procédure sûre qui comporte peu de risques.

Quel est le taux de réussite d’une inversion de vasectomie?

Les inversions de vasectomie ont un bon taux de réussite. Dans notre cabinet, environ 85 % des hommes affirment avoir récupéré des spermatozoïdes. Plus le temps écoulé depuis la vasectomie est court, plus le taux de réussite est élevé. Si la vasectomie a eu lieu il y a trois ans ou moins, nous avons un taux de réussite de 97 %. Pour les vasectomies datant de plus de 14 ans, notre taux de réussite est de 69 %. Les inversions de vasectomie sont généralement effectuées dans le but d’obtenir une grossesse. Comme de nombreux facteurs peuvent affecter la grossesse, il peut être difficile de déterminer le taux de réussite des grossesses après une inversion de vasectomie.

Si vous songez à une inversion de vasectomie, prenez rendez-vous avec le Dr Bercier pour obtenir de plus amples renseignements sur l’intervention et discuter de vos antécédents médicaux et de votre état de santé en général.



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.