How do the two relate, cost and success?
Dr. Buch can achieve up to a 99% rate for return of sperm. Your local doctor who only does a few reversals each year averages about a 50 % chance of returning sperm. 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 two since his success rate is only 50%). By comparison, Dr. Buch has a cost structure of $8,300 for a 99% chance to return sperm, which results in a success rate adjusted Vasectomy Reversal Cost of $8,400 (for a first time reversal). He not only has a much 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.Vasectomy Reversal Alternatives
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 $16,000 and the cost of a sperm retrieval procedure averages $2,000 for a combined cost of $18,000 with a pregnancy success rate of 50 % per try, resulting in a success rate adjusted cost of $36,000 per pregnancy. By comparison, a repeat reversal from Dr. Buch has a dollar cost of $8,700 with a natural pregnancy rate of 50 % or greater resulting in a success rate adjusted Vasectomy Reversal Cost of $16,600, and therefore is more than twice as cost effective as the sperm retrieval and IVF-ICSI alternative.