How to find us
Our physicians
Ambulatory Surgery Center
Vasectomy Reversal
Vas reversal resource library
Vasectomy Reversal 101
GreenLight Laser Therapy
Overactive Bladder / IC
Female Incontinence
Urologic Conditions
New Patient Documents
Insurance Resources
Educational Links

Visit Dr. McHugh's Georgia Vas Reversal Website

Thank you Dr. McHugh! After our 3rd child was born my husband and I thought we were done having children and opted to have a vasectomy. Well, about a year later we both realized that we were not done having children and wanted to try for one more. I researched urologists in the area that performed vasectomy reversals and Dr. McHugh really stuck out to me. My husband had his consultation and agreed that he was a great doctor and felt really comfortable with him. My husband had his VR done October 30, 2014 and I was pregnant 4 months later. We couldn’t believe it and we were so ecstatic! Our perfect little girl, Layla Anne Kapish was born November 3, 2015 at 8lbs 6oz. Now with two girls and two boys she really completes our family and we couldn’t imagine life without her. If you are considering a vasectomy reversal, Dr. McHugh is the one you should see. We HIGHLY recommend him! Thank you so much again to him and all of his staff. INCREDIBLE!
Marly and Robert K.

January 22, 2015  "Dr. McHugh performed my vasectomy in October 2012 after the birth of my daughter. In early 2014 my wife and I decided to try for a second child. Dr. McHugh  reversed my vasectomy on March 6, 2014. The procedure was completed in a few hours with no complications. I experienced no more pain or discomfort than with my original vasectomy. With in three weeks my wife had a positive pregnancy test and we celebrated the birth of our son on November 14, 2014. I would highly recommend using Dr. McHugh for both vasectomies and reversals."

Cleveland, Georgia.

June 2014
Dear Dr. McHugh,
Thank you! It worked!!
Watson Hodges Wheeler was born 3/14/14 at 3:07 P.M. He weighed 8lbs 3 oz and he is completely perfect! Our hearts are full.
Thank you again,
Claudia and Michael Wheeler

Back in July 2010, we welcomed our fifth child into our family. At that time, I made the decision to have a vasectomy about 6 months after her birth. My wife was accepting, but was not in total agreement. In 2012, we both agreed that The Lord was not yet done growing our family. Confident that this was the best decision for our famliy, we began to reseach physicians who could perform the vasectomy reversal. After extensive research, we found that the technique performed by Dr. McHugh was the best fit for us. It was the least invasive, and offered the fastest recovery. Dr. McHugh & his team delivered a high caliber of service & comfort for me, & I am extremely thankful for his practice.

Naomi Aria Polk was born May 18th 2013, just 12 months after having my surgery, & we couldn't be happier with our newest addition!  Reginald Polk

Naomi Aria Polk-Another Northeast Georgia Urological Associates' Microscopic Vasectomy Reversal success story!

Two for the price of one! Congratulations to another Vasectomy Reversal success story-Christopher and Anthony of Savannah, Georgia. Microscopic Reversal at our Urologic Ambulatory Surgery Center in March of 2012 and the arrival of twins in 2013.


Meet Liam-A Recent Vasectomy Reversal Success Story!

Dr. McHugh and staff, 
In March of 2012 we found out we were going to have a child and the surgery you performed worked after all. Thank you for being there before, during and after the surgery. We waited until Liam Tucker Duke was born, on October 26th at 8:28 pm, 7 pound 6ounces and 20.5 inches long, to email you and let you know the good news. We don't know how to ever thank you for what you did and for what you have given us. I don't know how we could ever be happier.

Thank you and all your staff for what you did for us and for what you do each day. We are forever grateful, and Liam will too one day be grateful when we tell him about how he is a miracle baby. Again thank you from the bottom of our hearts. I have attached two pictures of a completely healthy baby and his ecstatic parents.

Rachel, Tucker and Liam.

If after viewing this page you have any questions, please feel free to contact us by email. Vas reversal consultations with Dr. McHugh for couples are free and can be set up with this form. We look forward to working with you both by educating you about the process of vas reversals and achieving pregnancy.

Dr. McHugh has performed microscopic vas reversals for over twenty years.  The opening of the Northeast Georgia Urological Surgery Center in 2009, an AAAHC accredited facility, has simplified the vas reversal process for both Dr. McHugh and the patient. Not having to go to the hospital for this surgery is both more convenient and cost effective for the patient and his family. To further reduce costs and improve safety for the patient, conscious sedation is used for the procedure. Anesthesia is provided by pre-operative oral sedatives and intra-operative local anesthesia and IV medication. Patients often sleep through the procedure and yet have the opportunity to shift  their hips or rearrange their body throughtout the procedure. This ability to shift and move extremities avoids some of the potential complications of general anesthesia. The procedure usually lasts three hours and is similar to an extended dental procedure. Patients are encouraged to bring their ipod and earphones to listen to their favorite music.

The procedure involves two small scrotal incisions. The sutures placed dissolve on their own and will not need to be removed.

We advise patients to be off their feet for a few days, no strenuous activity or sex for three weeks and a follow up appointment is not necessary unless there is an issue or question.  Some edema (swelling) of the scrotum with brusing is common after a vas reversal to varying degrees and usually resolves with conservative measures.

Using an operating microscope, suture the size of hair (9-0 Nylon) is used to align the lumen of the vas tubes. Dr. McHugh uses the Modified Two-Layer technique. The first layer joins both the outside of the vas and the lumen (the channel that carries the sperm).

The second layer of this method of performing the vasovasostomy joins the outside of each of the vas tubes. This method provides for both the proper alignment of the lumen as well as support of the repair ensuring a tension free anastomosis. Studies have shown that this technique has similar success  rates as other methods which  take longer to perform. 

After asking about cost, the most common question which the couple seeking infomation about a vas reversal  is, " What is the success rate?" This question is tricky and the answer is, " Well it depends." When one inquires about success there are several factors to take into account and the particulars of each will vary from patient to patient. There are three primary factors that are important in the success of a vas reversal. In addition to these factors one must also remember that there are variables that pertain to the female. In other words, if everything has been done right and the male's factors are maximized, there is still the possibility that there may be an issue of the female that will thwart pregancy.

The three factors that must be understood by the couple having a vas reversal are: The number of years since the vasectomy was performed, patency (are there sperm after in the ejaculate after the reversal), and achieving pregancy. In general the closer you are to having had a vasectomy the better your chances of patency and pregnancy.

Vasectomy Reversal Success Rate 

Less than 3 years  Patency 97% Pregnancy 76%

3-8 years             Patency 88% Pregnancy 53%

9-14 years           Patency 79% Pregancy 44%

Greater than 15 years Patency 71% Pregancy 30%

Belker AM, et al. Results of 1,469 microsurgical vasectomy reversals by the Vasovasostomy Study Group. Journal of Urology 1991; 145(3):505-11.

So you see the answer to the question, " What is the success rate?" is a complicated one. If the male after a vas reversal has sperm in his ejaculate, that does not necessarily mean that the couple will achieve pregnancy. The time it takes for sperm to regain its former motility varies as well. Then of course as a backdrop to all of these issues are the normal impediments to pregnancy that all couples face. This is why in the chart above you see the desparity between patent and pregnant.

Our office will be happy to schedule a free consultation in order to discuss other issues. Doing the procedure in our ambulatory surgery center not only makes it more convenient than having it done at a hospital, it dramatically reduces the cost.

Finally, the majority of our vasectomy reversal patients live outside of the North Georgia area and prefer not to travel after the procedure. In this situation we provide accommodations at a nearby  Holiday Inn! We look forward to hearing from you soon.

Maddox-Another Microscopic Vasectomy Reversal Success Story!

Vasectomy Reversal Consultation Office Visit 101.pdf