California Vasectomy
& Reversal Center
Can a vasectomy be reversed?
Vasectomy reversal is the most cost-effective way of achieving pregnancy after a
vasectomy.  Whether a couples desires more children in a relationship or the desire for
children in a new relationship, vasectomy reversal offers the best chance of pregnancy.  

There are over 35,000 vasectomy reversals performed annually in the United States.  
The most common reasons for this procedure include divorce/remarriage, desire for
more children in a current relationship or death of a child.  Occasionally, a vasectomy
reversal will be performed simply because a man has changed his mind and wishes to
restore continuity of his reproductive tract or he has developed pain after his vasectomy.
More information about vasectomy reversal:
Vasectomy Reversal
How is a vasectomy reversal performed?
What is the success rate of a vasectomy reversal?
The success rate for vasectomy reversal is greater than 95% when sperm are identified
at the time of surgery.  The chances of finding sperm at the time of vasectomy reversal
is determined by two important factors: the time elapsed since the vasectomy and the
site of the vasectomy.  When the time interval between the vasectomy and the
vasectomy reversal is greater than 15 years, the chances of developing a secondary
epididymal obstruction is approximately 70%.  Also, when the vasectomy is performed
low on the vas deferens then these chances are compounded.  If sperm are not
identified at the time of vasectomy reversal, an epididymovasostomy will be required to
reverse your vasectomy.  Vasectomy reversal success with epididymovasostomy is
65-70%.  Regardless of the amount of time elapsed since the vasectomy, the success
rate should be constant and only dependent on the type of surgery that is required.
There are two different techniques for reversing a vasectomy: vasovasostomy and
epididymovasostomy.  Both techniques involve bypassing the obstruction in the
reproductive tract.
 Vasovasostomy is the preferred method of vasectomy reversal
when sperm are identified in the vas deferens at the time of surgery.
 
Epididymovasostomy
is the preferred method when sperm are not seen in the vas
deferens.
 

Vasovasostomy
Vasectomy reversal performed by vasovasostomy is done using an operating
microscope that provides magnification 25 times the normal image size.  This is
important since the size of the vas deferens is about the same as a piece of spaghetti
and should be sewn in two-layers to offer the highest pregnancy rates.  Microscopic
suture (10-0 nylon) unseen by the naked eye is used during the vasectomy reversal.  It
is important to use this fine suture to prevent leakage of sperm and to minimize
obstruction of the lumen of the vas deferens by the suture itself.  The cost of the suture
itself is over $900 per vasectomy reversal!
The initial step during a vasectomy reversal
is to identify whether or not there are sperm
in the testicular end of the vas deferens.  If
sperm are  identified, then a vasovasostomy
can be performed successfully using
microsurgical technique.  If sperm are not
identified then a secondary epididymal
obstruction has developed and re-connecting
the vas deferens at the site of vasectomy will
universally be unsuccessful.  This occurs
30% of the time and is dependent on several
factors such as the time since your
vasectomy and the site of your vasectomy.  If
sperm are not seen then an
epididymovasostomy will be required in
order to reverse the vasectomy. (see below)
The next step in a vasectomy reversal is to
re-approximate the ends of the vas deferens
in a tension-free manner.  The 10-0 Nylon
suture provides a water-tight closure for the
sperm to travel through the vas deferens.  If
larger sized suture is used, it can cause
obstruction in the vasal lumen itself.
 
Epididymovasostomy

Epididymovasostomy is required during vasectomy reversal when there is absent
sperm in the vas deferens.  This signifies that a secondary epididymal obstruction has
developed upstream from the vasectomy site.  This situation is encountered in
approximately 40% of individuals after a vasectomy.  Epididymovasostomy can only be
performed using a high powered operating microscope, under general anesthesia, by
microsurgeons using the finest suture (10-0 nylon).
The typical appearance of the vasal lumen
after it has been precisely sewn together
using 10-0 nylon suture.  The suture is made
of the finest non-reactive material to prevent
scarring of the lumen after the surgery.
An outer layer of 9-0 nylon suture is placed to
reinforce the inner layer and to relieve
tension from the important inner layer.  
Numerous interrupted sutures are placed
around the outer layer ensuring a
tension-free closure.
The epididymis is opened and a single
tubule is isolated to bypass the obstruction
that has developed.  
The vas deferens is then attached to the
epididymis using fine sutures (9-0 nylon).  
This attachment brings the vas deferens
into close proximity of the single epididymal
tubule.
The single epididymal tubule is sewn to the
inner lumen of the vas deferens using
microscopic sutures to create a water-tight
closure, similar to vasovasostomy.
Additional fine sutures are placed in the
outer layer of the epididymis to secure the
vas deferens in place and to release tension
off of the fine inner sutures.  
Who should perform my vasectomy reversal?
The leading reproductive society, ASRM,  has issued practice guidelines stating that:

"Since it is seldom possible to determine pre-operatively if epididymovasostomy will be required in a man undergoing
vasectomy reversal, only surgeons skilled in both epididymovasostomy and vasovasostomy should perform vasectomy
reversal"
 

It was also stated in the practice committee guidelines that the success and pregnancy rates of men undergoing
micro-surgical (24 times magnification) vasectomy reversal was much higher than in men undergoing the macro-surgical
technique (2.5 times magnification, Loupe assisted).

Choosing a doctor who is a fellowship trained microsurgeon will guarantee that your surgeon meets the guidelines
established by the leading reproductive society in this country.  Many urologists offer vasectomy reversal services, but only
1-2% of urologists hold the distinction of being fellowship trained and capable of assuring their patients that they meet the
guidelines set forth by the leading reproductive society in this country.


















Some urologists will try to compensate for the lack of this advanced training by offering their patients seasonal specials,
vacation packages or even a money back guarantee along with their vasectomy reversal.  These are gimmicks!  Most
respectable physicians do not ethically participate in such business practices.  These specials are designed to lure
unsuspecting patients into a sub-optimal situation for a vasectomy reversal.  It is important to remember that the ultimate goal
of your process and journey is to have a natural pregnancy after your vasectomy and not receive a free vacation or cut-rate
procedure.  Additionally, most of these money back guarantees are designed to only give you back a small portion of your
investment and not the entire amount.  Read the fine print and you will see that it really isn't a true money back guarantee!

Instead of offering gimmicks or vacation packages, we provide the highest quality service.  We are so proud of our technique
and quality of vasectomy reversal that every patient receives high resolution photographs of the critical steps of their reverse
vasectomy procedure.  We stand behind the quality of our work by providing you proof of the high quality of the procedure with
actual photos from the surgery.  Without these photos, patients are left wondering what happened on the inside and
oftentimes only can evaluate the quality of the incision, which has no relevance to the success of the reverse vasectomy
procedure.

This is why the California Vasectomy and Reversal Center is the leading vasectomy and vasectomy reversal center in
Northern California.  We provide our patients with the latest techniques and most sophisticated equipment when it comes to
their vasectomy or reverse vasectomy procedure.  We are conveniently located to all major metropolitan areas of San Jose,
San Francisco, Oakland, Sacramento, Santa Cruz, Monterey, Fresno, Stockton, Santa Rosa, and Modesto.  Our patients come
from virtually every corner of California, Nevada, Oregon and Hawaii.  Patients from Reno, Las Vegas, Portland, Bakersfield,
Los Angeles, San Diego, Orange County, Riverside, Palm Springs, San Luis Obispo, Visalia and Santa Barbara have all had
successful reverse vasectomy procedures performed at our center.
Additional resources to learn
about Vasectomy Reversal
and IVF:
Related Articles:
More Photos of Actual Vasectomy Reversal and Reverse Vasectomy Procedures performed at the
California Vasectomy & Reversal Center
Vasectomy Reversal Cost
Vasectomy Reversal Success
Microdot Technique Vasovasostomy
Vasectomy Reversal Alternatives
Low Cost Vasectomy Reversal
The Microdot method for performing vasectomy reversal is a
variation of the standard multi-layer reverse vasectomy procedure.    
Similar 10-0 Nylon and 9-0 Nylon sutures to microsurgical
vasovasostomy are used to re-approximate both layers of the vas
deferens.
The microdot technique allows for easy placement of the mucosal
10-0 Nylon sutures.  The microdots guarantee even placement of
the mucosal sutures.  Re-alignment of the vas deferens is
performed during the reverse vasectomy procedure to ensure
patency of the lumen of the vas deferens and to prevent long-term
scarring of the vasectomy reversal procedure.
Once the inner luminal sutures are tied, the knots are cut precisely.
 Because of the very small size of the vas deferens lumen, any
redundant suture material can obstruct the flow of sperm along the
vas deferens.  Likewise, sperm leakage outside of the lumen can
cause obstruction of the vas deferens.  A water tight closure of the
vas deferens mucosa prevents sperm from leaking out of the vas
deferens after the procedure.
The outer serosal sutures are equally important in the reverse
vasectomy procedure.  These sutures relieve tension off of the
finer inner luminal sutures and prevent the ends of the vas
deferens from separating after the reverse vasectomy procedure.  
Liberal placement of these outer serosal micro-sutures needs to
be done under a microscope as well to ensure that the ends of the
vas deferens are precisely approximated.
Epididymovasostomy (LIVE - Longitudinal Intussuception VasoEpididymostomy Technique)
In those cases where sperm are NOT identified in the  testicular
vas deferens, an epididymovasostomy or "bypass" operation is
required.  The typical appearance of the epididymis many years
after the vasectomy procedure.
Vasectomy Reversal
Vasectomy Reversal
A single tubule from the epididymis is isolated for the reverse
vasectomy procedure.  This procedure can only be accomplished
under the highest magnification and the patient laying completely
still under a general anesthetic.  Two microsurgical 10-0 Nylon
sutures are passed through the single epididymal tubule along the
longitudinal axis of the epididymal tubule, prior to opening the
tubule.
Vasectomy Reversal
Vasectomy Reversal
Vasectomy Reversal
Vasectomy Reversal
Vasectomy Reversal
The abdominal end of the vas deferens is re-approximated to the
serosal edge of the tunic of the epididymis.  The attachment of the
vas deferens to the tunic of the epididymis secures the vas
deferens and allows for accurate placement of the inner mucosal
sutures.
The microsurgical 10-0 Nylon sutures are passed through the
mucosa of the vas deferens in their corresponding locations on the
mucosa of the vas deferens.
The 10-0 Nylon sutures are tied creating a water-tight closure
between the epididymal tubule and the mucosa of the vas deferens.
 The single epididymal tubule is pulled (intussucepted) into the
lumen of the vas deferens.
Additional microsurgical sutures are placed between the tunic of
the epididymis and the outer (serosal) edge of the vas deferens.  
The additional microsutures on the outer layer of the vas deferens
relieve the tension off of the important inner luminal sutures.
The final appearance of the vas deferens attached to the
epididymis at slightly lower magnification.  The "bypass" procedure
restores continuity of sperm flowing through the vas deferens when
an obstruction or "blockage" is identified at some part of the
epididymis.
vasectomy reversal san jose san francisco oakland santa rosa
Dr Karpman's article on
Vasectomy Reversal from
M.D. News
microsurgical vasectomy reversal video from YouTube
Video of Dr Karpman
performing a
microsurgical vasectomy
reversal (vasovasostomy).
 Click on the image below.
94002 BELMONT SAN MATEO 94005 BRISBANE SAN MATEO 94010 BURLINGAME SAN MATEO 94011 BURLINGAME SAN MATEO 94013 DALY CITY SAN MATEO 94014 DALY CITY SAN MATEO 94015 DALY CITY SAN MATEO 94016 DALY CITY SAN MATEO 94017 DALY CITY SAN MATEO 94018 EL GRANADA SAN MATEO 94019 HALF MOON BAY SAN MATEO 94022 LOS ALTOS SANTA CLARA 94023 LOS ALTOS SANTA CLARA 94024 LOS ALTOS SANTA CLARA 94025 MENLO PARK SAN MATEO 94026 MENLO PARK SAN MATEO 94027 ATHERTON SAN MATEO 94028 PORTOLA VALLEY SAN MATEO 94030 MILLBRAE SAN MATEO 94035 MOUNTAIN VIEW SANTA CLARA 94037 MONTARA SAN MATEO 94038 MOSS BEACH SAN MATEO 94039 MOUNTAIN VIEW SANTA CLARA 94040 MOUNTAIN VIEW SANTA CLARA 94041 MOUNTAIN VIEW SANTA CLARA 94042 MOUNTAIN VIEW SANTA CLARA 94043 MOUNTAIN VIEW SANTA CLARA 94044 PACIFICA SAN MATEO 94061 REDWOOD CITY SAN MATEO 94062 REDWOOD CITY SAN MATEO 94063 REDWOOD CITY SAN MATEO 94064 REDWOOD CITY SAN MATEO 94065 REDWOOD CITY SAN MATEO 94066 SAN BRUNO SAN MATEO 94070 SAN CARLOS SAN MATEO 94080 SOUTH SAN FRANCISCO 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MATEO SAN MATEO 94402 SAN MATEO SAN MATEO 94403 SAN MATEO SAN MATEO 94404 SAN MATEO SAN MATEO 94497 SAN MATEO SAN MATEO 94501 ALAMEDA ALAMEDA 94502 ALAMEDA ALAMEDA 94503 AMERICAN CANYON NAPA 94506 DANVILLE CONTRA COSTA 94507 ALAMO CONTRA COSTA 94509 ANTIOCH CONTRA COSTA 94510 BENICIA SOLANO 94511 BETHEL ISLAND CONTRA COSTA 94512 BIRDS LANDING SOLANO 94513 BRENTWOOD CONTRA COSTA 94514 BYRON CONTRA COSTA 94516 CANYON CONTRA COSTA 94517 CLAYTON CONTRA COSTA 94518 CONCORD CONTRA COSTA 94519 CONCORD CONTRA COSTA 94520 CONCORD CONTRA COSTA 94521 CONCORD CONTRA COSTA 94522 CONCORD CONTRA COSTA 94523 PLEASANT HILL CONTRA COSTA 94524 CONCORD CONTRA COSTA 94525 CROCKETT CONTRA COSTA 94526 DANVILLE CONTRA COSTA 94527 CONCORD CONTRA COSTA 94528 DIABLO CONTRA COSTA 94529 CONCORD CONTRA COSTA 94530 EL CERRITO CONTRA COSTA 94531 ANTIOCH CONTRA COSTA 94535 TRAVIS AFB SOLANO 94536 FREMONT ALAMEDA 94537 FREMONT ALAMEDA 94538 FREMONT ALAMEDA 94539 FREMONT ALAMEDA 94540 HAYWARD ALAMEDA 94541 HAYWARD ALAMEDA 94542 HAYWARD ALAMEDA 94543 HAYWARD ALAMEDA 94544 HAYWARD ALAMEDA 94545 HAYWARD ALAMEDA 94546 CASTRO VALLEY ALAMEDA 94547 HERCULES CONTRA COSTA 94548 KNIGHTSEN CONTRA COSTA 94549 LAFAYETTE CONTRA COSTA 95053 SANTA CLARA SANTA CLARA 95054 SANTA CLARA SANTA CLARA 95055 SANTA CLARA SANTA CLARA 95056 SANTA CLARA SANTA CLARA 95070 SARATOGA SANTA CLARA 95071 SARATOGA SANTA CLARA 95101 SAN JOSE SANTA CLARA 95103 SAN JOSE SANTA CLARA 95106 SAN JOSE SANTA CLARA 95108 SAN JOSE SANTA CLARA 95109 SAN JOSE SANTA CLARA 95110 SAN JOSE SANTA CLARA 95111 SAN JOSE SANTA CLARA 95112 SAN JOSE SANTA CLARA 95113 SAN JOSE SANTA CLARA 95115 SAN JOSE SANTA CLARA 95116 SAN JOSE SANTA CLARA 95117 SAN JOSE SANTA CLARA 95118 SAN JOSE SANTA CLARA 95121 SAN JOSE SANTA CLARA 95122 SAN JOSE SANTA CLARA 95124 SAN JOSE SANTA CLARA  	94550 LIVERMORE ALAMEDA 94551 LIVERMORE ALAMEDA 94552 CASTRO VALLEY ALAMEDA 94553 MARTINEZ CONTRA COSTA 94555 FREMONT ALAMEDA 94556 MORAGA CONTRA COSTA 94557 HAYWARD ALAMEDA 94560 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ALAMEDA 94613 OAKLAND ALAMEDA 94614 OAKLAND ALAMEDA 94615 OAKLAND ALAMEDA 94617 OAKLAND ALAMEDA 94618 OAKLAND ALAMEDA 94619 OAKLAND ALAMEDA 94620 PIEDMONT ALAMEDA 94621 OAKLAND ALAMEDA 94622 OAKLAND ALAMEDA 94623 OAKLAND ALAMEDA 94624 OAKLAND ALAMEDA 94625 OAKLAND ALAMEDA 94649 OAKLAND ALAMEDA 94659 OAKLAND ALAMEDA 94660 OAKLAND ALAMEDA 94661 OAKLAND ALAMEDA 94662 EMERYVILLE ALAMEDA 94666 OAKLAND ALAMEDA 94701 BERKELEY ALAMEDA 94702 BERKELEY ALAMEDA 94703 BERKELEY ALAMEDA 94704 BERKELEY ALAMEDA 94705 BERKELEY ALAMEDA 94706 ALBANY ALAMEDA 94707 BERKELEY ALAMEDA 94708 BERKELEY ALAMEDA 94709 BERKELEY ALAMEDA 94710 BERKELEY ALAMEDA 94712 BERKELEY ALAMEDA 94720 BERKELEY ALAMEDA 94801 RICHMOND CONTRA COSTA 94802 RICHMOND CONTRA COSTA 94803 EL SOBRANTE CONTRA COSTA 94804 RICHMOND CONTRA COSTA 94805 RICHMOND CONTRA COSTA 94806 SAN PABLO CONTRA COSTA 94807 RICHMOND CONTRA COSTA 94808 RICHMOND CONTRA COSTA 94820 EL SOBRANTE CONTRA COSTA 94850 RICHMOND CONTRA COSTA 94901 SAN RAFAEL MARIN 94904 GREENBRAE MARIN 94912 SAN RAFAEL MARIN 94914 KENTFIELD MARIN 94915 SAN RAFAEL MARIN 94920 BELVEDERE TIBURON MARIN 94925 CORTE MADERA MARIN 94939 LARKSPUR MARIN 94941 MILL VALLEY MARIN 94942 MILL VALLEY MARIN 94964 SAN QUENTIN MARIN 94965 SAUSALITO MARIN 94966 SAUSALITO MARIN 94976 CORTE MADERA MARIN 94977 LARKSPUR MARIN 95002 ALVISO SANTA CLARA 95008 CAMPBELL SANTA CLARA 95009 CAMPBELL SANTA CLARA 95011 CAMPBELL SANTA CLARA 95014 CUPERTINO SANTA CLARA 95015 CUPERTINO SANTA CLARA 95035 MILPITAS SANTA CLARA 95050 SANTA CLARA SANTA CLARA 95051 SANTA CLARA SANTA CLARA 95052 SANTA CLARA SANTA CLARA 95125 SAN JOSE SANTA CLARA 95126 SAN JOSE SANTA CLARA 95127 SAN JOSE SANTA CLARA
Vasectomy Reversal Recovery, Healing and Pictures of Incisions
Patients always wonder what the recovery process is after a vasectomy reversal and what their incisions should look like
after surgery.  Fortunately, vasectomy reversal is not a very extensive operation regardless of which of the two surgeries are
Patients always wonder what the recovery process is after a vasectomy reversal and what their incisions should look like
after surgery.  Fortunately, vasectomy reversal is not a very extensive operation regardless of which of the two surgeries are
notgetting on a plane for 3-4 hours or sitting in the car for an equal amount of time was not a problem as soon as the day
after performed.  The amount of time required for surgery and the need for general anesthesia should  make patients think
that surgery.  

Your restrictions for activity after a vasectomy reversal are designed more for the actual healing process that is on-going
inside the scrotum, than the actual discomfort a patient feels.  The tiny microscopic sutures are all that is holding everything
together after the vasectomy reversal and it is imperative that these sutures are not disrupted while allowing the surgical site
to heal.  There is no good medical justification to tell patients to "take it easy" for 2, 3, 4, or 6 weeks.  These restrictions are
quite arbitrary and usually based on a vasectomy reversal specialist's own experience with the healing process.  We feel that
patients are able to resume all of their physical activities 2-3 weeks after surgery based on our surgical technique at the
California Vasectomy & Reversal Center.
vasectomy reversal recovery and healing pictures
vasectomy reversal recovery and healing pictures
The typical appearance of the scrotum 1 week after vasectomy reversal
surgery.  The vasectomy reversal recovery shows minimal if any swelling
and bruising in the scrotum.  The scrotal rugae or "wrinkles" are apparent
and indicative of resolution.   
vasectomy reversal healing recovery pictures
Close inspection of the right wound
reveals some scab formation on the
incision line.  The scab can liquefy and
cause some staining on the scrotal
support, gauze or underpants.
The left side has virtually no swelling or
bruising.  The incisions are both
approximately one inch in length.  
Compared to the previous
vasectomy
incisions/scars, the wounds are bigger.
 Both incisions are in the spectrum of
normal healing 1 week after the
vasectomy reversal.
Video of Dr Karpman
performing a  
microsurgical vasectomy
reversal
(epididymovasostomy).  
Click on the image below.
94002 BELMONT SAN MATEO 94005 BRISBANE SAN MATEO 94010 BURLINGAME SAN MATEO 94011 BURLINGAME SAN MATEO 94013 DALY CITY SAN MATEO 94014 DALY CITY SAN MATEO 94015 DALY CITY SAN MATEO 94016 DALY CITY SAN MATEO 94017 DALY CITY SAN MATEO 94018 EL GRANADA SAN MATEO 94019 HALF MOON BAY SAN MATEO 94022 LOS ALTOS SANTA CLARA 94023 LOS ALTOS SANTA CLARA 94024 LOS ALTOS SANTA CLARA 94025 MENLO PARK SAN MATEO 94026 MENLO PARK SAN MATEO 94027 ATHERTON SAN MATEO 94028 PORTOLA VALLEY SAN MATEO 94030 MILLBRAE SAN MATEO 94035 MOUNTAIN VIEW SANTA CLARA 94037 MONTARA SAN MATEO 94038 MOSS BEACH SAN MATEO 94039 MOUNTAIN VIEW SANTA CLARA 94040 MOUNTAIN VIEW SANTA CLARA 94041 MOUNTAIN VIEW SANTA CLARA 94042 MOUNTAIN VIEW SANTA CLARA 94043 MOUNTAIN VIEW SANTA CLARA 94044 PACIFICA SAN MATEO 94061 REDWOOD CITY SAN MATEO 94062 REDWOOD CITY SAN MATEO 94063 REDWOOD CITY SAN MATEO 94064 REDWOOD CITY SAN MATEO 94065 REDWOOD CITY SAN MATEO 94066 SAN BRUNO SAN MATEO 94070 SAN CARLOS SAN MATEO 94080 SOUTH SAN FRANCISCO SAN MATEO 94083 SOUTH SAN FRANCISCO SAN MATEO 94085 SUNNYVALE SANTA CLARA 94086 SUNNYVALE SANTA CLARA 94087 SUNNYVALE SANTA CLARA 94088 SUNNYVALE SANTA CLARA 94089 SUNNYVALE SANTA CLARA 94096 SAN BRUNO SAN MATEO 94098 SAN BRUNO SAN MATEO 94099 SOUTH SAN FRANCISCO SAN MATEO 94101 SAN FRANCISCO SAN FRANCISCO 94102 SAN FRANCISCO SAN FRANCISCO 94103 SAN FRANCISCO SAN FRANCISCO 94104 SAN FRANCISCO SAN FRANCISCO 94105 SAN FRANCISCO SAN FRANCISCO 94106 SAN FRANCISCO SAN FRANCISCO 94107 SAN FRANCISCO SAN FRANCISCO 94108 SAN FRANCISCO SAN FRANCISCO 94109 SAN FRANCISCO SAN FRANCISCO 94110 SAN FRANCISCO SAN FRANCISCO 94111 SAN FRANCISCO SAN FRANCISCO 94112 SAN FRANCISCO SAN FRANCISCO 94114 SAN FRANCISCO SAN FRANCISCO 94115 SAN FRANCISCO SAN FRANCISCO 94116 SAN FRANCISCO SAN FRANCISCO 94117 SAN FRANCISCO SAN FRANCISCO 94118 SAN FRANCISCO SAN FRANCISCO 94119 SAN FRANCISCO SAN FRANCISCO 94120 SAN FRANCISCO SAN FRANCISCO 94121 SAN FRANCISCO SAN FRANCISCO 94122 SAN FRANCISCO SAN FRANCISCO 94123 SAN FRANCISCO SAN FRANCISCO 94124 SAN FRANCISCO SAN FRANCISCO 94125 SAN FRANCISCO SAN FRANCISCO 94126 SAN FRANCISCO SAN FRANCISCO 94127 SAN FRANCISCO SAN FRANCISCO 94128 SAN FRANCISCO SAN MATEO 94129 SAN FRANCISCO SAN FRANCISCO 94130 SAN FRANCISCO SAN FRANCISCO 94131 SAN FRANCISCO SAN FRANCISCO 94132 SAN FRANCISCO SAN FRANCISCO 94133 SAN FRANCISCO SAN FRANCISCO 94134 SAN FRANCISCO SAN FRANCISCO 95148 SAN JOSE SANTA CLARA 95150 SAN JOSE SANTA CLARA 95151 SAN JOSE SANTA CLARA 95152 SAN JOSE SANTA CLARA 95154 SAN JOSE SANTA CLARA 95155 SAN JOSE SANTA CLARA 95156 SAN JOSE SANTA CLARA 95157 SAN JOSE SANTA CLARA 95158 SAN JOSE SANTA CLARA 95159 SAN JOSE SANTA CLARA 95161 SAN JOSE SANTA CLARA 95164 SAN JOSE SANTA CLARA 95170 SAN JOSE SANTA CLARA 95172 SAN JOSE SANTA CLARA 95173 SAN JOSE SANTA CLARA 95190 SAN JOSE SANTA CLARA 95191 SAN JOSE SANTA CLARA 95192 SAN JOSE SANTA CLARA 95194 SAN JOSE SANTA CLARA 95196 SAN JOSE SANTA CLARA 95208 STOCKTON SAN JOAQUIN 95213 STOCKTON SAN JOAQUIN 95234 HOLT SAN JOAQUIN 95304 TRACY SAN JOAQUIN 95376 TRACY SAN JOAQUIN 95377 TRACY SAN JOAQUIN 95378 TRACY SAN JOAQUIN 95391 TRACY SAN JOAQUIN 95641 ISLETON SACRAMENTO 95128 SAN JOSE SANTA CLARA 95129 SAN JOSE SANTA CLARA 95130 SAN JOSE SANTA CLARA 95131 SAN JOSE SANTA CLARA 95132 SAN JOSE SANTA CLARA 95133 SAN JOSE SANTA CLARA 95134 SAN JOSE SANTA CLARA 95135 SAN JOSE SANTA CLARA 95136 SAN JOSE SANTA CLARA 95140 MOUNT HAMILTON SANTA CLARA 	94135 SAN FRANCISCO SAN FRANCISCO 94136 SAN FRANCISCO SAN FRANCISCO 94137 SAN FRANCISCO SAN FRANCISCO 94138 SAN FRANCISCO SAN FRANCISCO 94139 SAN FRANCISCO SAN FRANCISCO 94140 SAN FRANCISCO SAN FRANCISCO 94141 SAN FRANCISCO SAN FRANCISCO 94142 SAN FRANCISCO SAN FRANCISCO 94143 SAN FRANCISCO SAN FRANCISCO 94144 SAN FRANCISCO SAN FRANCISCO 94145 SAN FRANCISCO SAN FRANCISCO 94146 SAN FRANCISCO SAN FRANCISCO 94147 SAN FRANCISCO SAN FRANCISCO 94150 SAN FRANCISCO SAN FRANCISCO 94151 SAN FRANCISCO SAN FRANCISCO 94152 SAN FRANCISCO SAN FRANCISCO 94153 SAN FRANCISCO SAN FRANCISCO 94154 SAN FRANCISCO SAN FRANCISCO 94155 SAN FRANCISCO SAN FRANCISCO 94156 SAN FRANCISCO SAN FRANCISCO 94157 SAN FRANCISCO SAN FRANCISCO 94158 SAN FRANCISCO SAN FRANCISCO 94159 SAN FRANCISCO SAN FRANCISCO 94160 SAN FRANCISCO SAN FRANCISCO 94161 SAN FRANCISCO SAN FRANCISCO 94162 SAN FRANCISCO SAN FRANCISCO 94163 SAN FRANCISCO SAN FRANCISCO 94164 SAN FRANCISCO SAN FRANCISCO 94165 SAN FRANCISCO SAN FRANCISCO 94166 SAN FRANCISCO SAN FRANCISCO 94167 SAN FRANCISCO SAN FRANCISCO 94168 SAN FRANCISCO SAN FRANCISCO 94169 SAN FRANCISCO SAN FRANCISCO 94170 SAN FRANCISCO SAN FRANCISCO 94171 SAN FRANCISCO SAN FRANCISCO 94172 SAN FRANCISCO SAN FRANCISCO 94175 SAN FRANCISCO SAN FRANCISCO 94177 SAN FRANCISCO SAN FRANCISCO 94188 SAN FRANCISCO SAN FRANCISCO 94199 SAN FRANCISCO SAN FRANCISCO 94301 PALO ALTO SANTA CLARA 94302 PALO ALTO SANTA CLARA 94303 PALO ALTO SANTA CLARA 94304 PALO ALTO SANTA CLARA 94305 STANFORD SANTA CLARA 94306 PALO ALTO SANTA CLARA 94309 PALO ALTO SANTA CLARA 94401 SAN MATEO SAN MATEO 94402 SAN MATEO SAN MATEO 94403 SAN MATEO SAN MATEO 94404 SAN MATEO SAN MATEO 94497 SAN MATEO SAN MATEO 94501 ALAMEDA ALAMEDA 94502 ALAMEDA ALAMEDA 94503 AMERICAN CANYON NAPA 94506 DANVILLE CONTRA COSTA 94507 ALAMO CONTRA COSTA 94509 ANTIOCH CONTRA COSTA 94510 BENICIA SOLANO 94511 BETHEL ISLAND CONTRA COSTA 94512 BIRDS LANDING SOLANO 94513 BRENTWOOD CONTRA COSTA 94514 BYRON CONTRA COSTA 94516 CANYON CONTRA COSTA 94517 CLAYTON CONTRA COSTA 94518 CONCORD CONTRA COSTA 94519 CONCORD CONTRA COSTA 94520 CONCORD CONTRA COSTA 94521 CONCORD CONTRA COSTA 94522 CONCORD CONTRA COSTA 94523 PLEASANT HILL CONTRA COSTA 94524 CONCORD CONTRA COSTA 94525 CROCKETT CONTRA COSTA 94526 DANVILLE CONTRA COSTA 94527 CONCORD CONTRA COSTA 94528 DIABLO CONTRA COSTA 94529 CONCORD CONTRA COSTA 94530 EL CERRITO CONTRA COSTA 94531 ANTIOCH CONTRA COSTA 94535 TRAVIS AFB SOLANO 94536 FREMONT ALAMEDA 94537 FREMONT ALAMEDA 94538 FREMONT ALAMEDA 94539 FREMONT ALAMEDA 94540 HAYWARD ALAMEDA 94541 HAYWARD ALAMEDA 94542 HAYWARD ALAMEDA 94543 HAYWARD ALAMEDA 94544 HAYWARD ALAMEDA 94545 HAYWARD ALAMEDA 94546 CASTRO VALLEY ALAMEDA 94547 HERCULES CONTRA COSTA 94548 KNIGHTSEN CONTRA COSTA 94549 LAFAYETTE CONTRA COSTA 95053 SANTA CLARA SANTA CLARA 95054 SANTA CLARA SANTA CLARA 95055 SANTA CLARA SANTA CLARA 95056 SANTA CLARA SANTA CLARA 95070 SARATOGA SANTA CLARA 95071 SARATOGA SANTA CLARA 95101 SAN JOSE SANTA CLARA 95103 SAN JOSE SANTA CLARA 95106 SAN JOSE SANTA CLARA 95108 SAN JOSE SANTA CLARA 95109 SAN JOSE SANTA CLARA 95110 SAN JOSE SANTA CLARA 95111 SAN JOSE SANTA CLARA 95112 SAN JOSE SANTA CLARA 95113 SAN JOSE SANTA CLARA 95115 SAN JOSE SANTA CLARA 95116 SAN JOSE SANTA CLARA 95117 SAN JOSE SANTA CLARA 95118 SAN JOSE SANTA CLARA 95121 SAN JOSE SANTA CLARA 95122 SAN JOSE SANTA CLARA 95124 SAN JOSE SANTA CLARA  	94550 LIVERMORE ALAMEDA 94551 LIVERMORE ALAMEDA 94552 CASTRO VALLEY ALAMEDA 94553 MARTINEZ CONTRA COSTA 94555 FREMONT ALAMEDA 94556 MORAGA CONTRA COSTA 94557 HAYWARD ALAMEDA 94560 NEWARK ALAMEDA 94561 OAKLEY CONTRA COSTA 94563 ORINDA CONTRA COSTA 94564 PINOLE CONTRA COSTA 94565 PITTSBURG CONTRA COSTA 94566 PLEASANTON ALAMEDA 94568 DUBLIN ALAMEDA 94569 PORT COSTA CONTRA COSTA 94570 MORAGA CONTRA COSTA 94571 RIO VISTA SOLANO 94572 RODEO CONTRA COSTA 94575 MORAGA CONTRA COSTA 94577 SAN LEANDRO ALAMEDA 94578 SAN LEANDRO ALAMEDA 94579 SAN LEANDRO ALAMEDA 94580 SAN LORENZO ALAMEDA 94582 SAN RAMON CONTRA COSTA 94585 SUISUN CITY SOLANO 94586 SUNOL ALAMEDA 94587 UNION CITY ALAMEDA 94588 PLEASANTON ALAMEDA 94589 VALLEJO SOLANO 94590 VALLEJO SOLANO 94591 VALLEJO SOLANO 94592 VALLEJO SOLANO 94595 WALNUT CREEK CONTRA COSTA 94596 WALNUT CREEK CONTRA COSTA 94597 WALNUT CREEK CONTRA COSTA 94598 WALNUT CREEK CONTRA COSTA 94601 OAKLAND ALAMEDA 94602 OAKLAND ALAMEDA 94603 OAKLAND ALAMEDA 94604 OAKLAND ALAMEDA 94605 OAKLAND ALAMEDA 94606 OAKLAND ALAMEDA 94607 OAKLAND ALAMEDA 94608 EMERYVILLE ALAMEDA 94609 OAKLAND ALAMEDA 94610 OAKLAND ALAMEDA 94611 OAKLAND ALAMEDA 94612 OAKLAND ALAMEDA 94613 OAKLAND ALAMEDA 94614 OAKLAND ALAMEDA 94615 OAKLAND ALAMEDA 94617 OAKLAND ALAMEDA 94618 OAKLAND ALAMEDA 94619 OAKLAND ALAMEDA 94620 PIEDMONT ALAMEDA 94621 OAKLAND ALAMEDA 94622 OAKLAND ALAMEDA 94623 OAKLAND ALAMEDA 94624 OAKLAND ALAMEDA 94625 OAKLAND ALAMEDA 94649 OAKLAND ALAMEDA 94659 OAKLAND ALAMEDA 94660 OAKLAND ALAMEDA 94661 OAKLAND ALAMEDA 94662 EMERYVILLE ALAMEDA 94666 OAKLAND ALAMEDA 94701 BERKELEY ALAMEDA 94702 BERKELEY ALAMEDA 94703 BERKELEY ALAMEDA 94704 BERKELEY ALAMEDA 94705 BERKELEY ALAMEDA 94706 ALBANY ALAMEDA 94707 BERKELEY ALAMEDA 94708 BERKELEY ALAMEDA 94709 BERKELEY ALAMEDA 94710 BERKELEY ALAMEDA 94712 BERKELEY ALAMEDA 94720 BERKELEY ALAMEDA 94801 RICHMOND CONTRA COSTA 94802 RICHMOND CONTRA COSTA 94803 EL SOBRANTE CONTRA COSTA 94804 RICHMOND CONTRA COSTA 94805 RICHMOND CONTRA COSTA 94806 SAN PABLO CONTRA COSTA 94807 RICHMOND CONTRA COSTA 94808 RICHMOND CONTRA COSTA 94820 EL SOBRANTE CONTRA COSTA 94850 RICHMOND CONTRA COSTA 94901 SAN RAFAEL MARIN 94904 GREENBRAE MARIN 94912 SAN RAFAEL MARIN 94914 KENTFIELD MARIN 94915 SAN RAFAEL MARIN 94920 BELVEDERE TIBURON MARIN 94925 CORTE MADERA MARIN 94939 LARKSPUR MARIN 94941 MILL VALLEY MARIN 94942 MILL VALLEY MARIN 94964 SAN QUENTIN MARIN 94965 SAUSALITO MARIN 94966 SAUSALITO MARIN 94976 CORTE MADERA MARIN 94977 LARKSPUR MARIN 95002 ALVISO SANTA CLARA 95008 CAMPBELL SANTA CLARA 95009 CAMPBELL SANTA CLARA 95011 CAMPBELL SANTA CLARA 95014 CUPERTINO SANTA CLARA 95015 CUPERTINO SANTA CLARA 95035 MILPITAS SANTA CLARA 95050 SANTA CLARA SANTA CLARA 95051 SANTA CLARA SANTA CLARA 95052 SANTA CLARA SANTA CLARA 95125 SAN JOSE SANTA CLARA 95126 SAN JOSE SANTA CLARA 95127 SAN JOSE SANTA CLARA
microsurgical vasectomy reversal video from YouTube
Microsurgical Vasectomy Reversal performed by Dr Edward Karpman fellowship trained microsurgeon
High-powered operating microscope used for performing microsurgery
California Vasectomy & Reversal Center, 94002 BELMONT SAN MATEO 94005 BRISBANE SAN MATEO 94010 BURLINGAME SAN MATEO 94011 BURLINGAME SAN MATEO 94013 DALY CITY SAN MATEO 94014 DALY CITY SAN MATEO 94015 DALY CITY SAN MATEO 94016 DALY CITY SAN MATEO 94017 DALY CITY SAN MATEO 94018 EL GRANADA SAN MATEO 94019 HALF MOON BAY SAN MATEO 94022 LOS ALTOS SANTA CLARA 94023 LOS ALTOS SANTA CLARA 94024 LOS ALTOS SANTA CLARA 94025 MENLO PARK SAN MATEO 94026 MENLO PARK SAN MATEO 94027 ATHERTON SAN MATEO 94028 PORTOLA VALLEY SAN MATEO 94030 MILLBRAE SAN MATEO 94035 MOUNTAIN VIEW SANTA CLARA 94037 MONTARA SAN MATEO 94038 MOSS BEACH SAN MATEO 94039 MOUNTAIN VIEW SANTA CLARA 94040 MOUNTAIN VIEW SANTA CLARA 94041 MOUNTAIN VIEW SANTA CLARA 94042 MOUNTAIN VIEW SANTA CLARA 94043 MOUNTAIN VIEW SANTA CLARA 94044 PACIFICA SAN MATEO 94061 REDWOOD CITY SAN MATEO 94062 REDWOOD CITY SAN MATEO 94063 REDWOOD CITY SAN MATEO 94064 REDWOOD CITY SAN MATEO 94065 REDWOOD CITY SAN MATEO 94066 SAN BRUNO SAN MATEO 94070 SAN CARLOS SAN MATEO 94080 SOUTH SAN FRANCISCO SAN MATEO 94083 SOUTH SAN FRANCISCO SAN MATEO 94085 SUNNYVALE SANTA CLARA 94086 SUNNYVALE SANTA CLARA 94087 SUNNYVALE SANTA CLARA 94088 SUNNYVALE SANTA CLARA 94089 SUNNYVALE SANTA CLARA 94096 SAN BRUNO SAN MATEO 94098 SAN BRUNO SAN MATEO 94099 SOUTH SAN FRANCISCO SAN MATEO 94101 SAN FRANCISCO SAN FRANCISCO 94102 SAN FRANCISCO SAN FRANCISCO 94103 SAN FRANCISCO SAN FRANCISCO 94104 SAN FRANCISCO SAN FRANCISCO 94105 SAN FRANCISCO SAN FRANCISCO 94106 SAN FRANCISCO SAN FRANCISCO 94107 SAN FRANCISCO SAN FRANCISCO 94108 SAN FRANCISCO SAN FRANCISCO 94109 SAN FRANCISCO SAN FRANCISCO 94110 SAN FRANCISCO SAN FRANCISCO 94111 SAN FRANCISCO SAN FRANCISCO 94112 SAN FRANCISCO SAN FRANCISCO 94114 SAN FRANCISCO SAN FRANCISCO 94115 SAN FRANCISCO SAN FRANCISCO 94116 SAN FRANCISCO SAN FRANCISCO 94117 SAN FRANCISCO SAN FRANCISCO 94118 SAN FRANCISCO SAN FRANCISCO 94119 SAN FRANCISCO SAN FRANCISCO 94120 SAN FRANCISCO SAN FRANCISCO 94121 SAN FRANCISCO SAN FRANCISCO 94122 SAN FRANCISCO SAN FRANCISCO 94123 SAN FRANCISCO SAN FRANCISCO 94124 SAN FRANCISCO SAN FRANCISCO 94125 SAN FRANCISCO SAN FRANCISCO 94126 SAN FRANCISCO SAN FRANCISCO 94127 SAN FRANCISCO SAN FRANCISCO 94128 SAN FRANCISCO SAN MATEO 94129 SAN FRANCISCO SAN FRANCISCO 94130 SAN FRANCISCO SAN FRANCISCO 94131 SAN FRANCISCO SAN FRANCISCO 94132 SAN FRANCISCO SAN FRANCISCO 94133 SAN FRANCISCO SAN FRANCISCO 94134 SAN FRANCISCO SAN FRANCISCO 95148 SAN JOSE SANTA CLARA 95150 SAN JOSE SANTA CLARA 95151 SAN JOSE SANTA CLARA 95152 SAN JOSE SANTA CLARA 95154 SAN JOSE SANTA CLARA 95155 SAN JOSE SANTA CLARA 95156 SAN JOSE SANTA CLARA 95157 SAN JOSE SANTA CLARA 95158 SAN JOSE SANTA CLARA 95159 SAN JOSE SANTA CLARA 95161 SAN JOSE SANTA CLARA 95164 SAN JOSE SANTA CLARA 95170 SAN JOSE SANTA CLARA 95172 SAN JOSE SANTA CLARA 95173 SAN JOSE SANTA CLARA 95190 SAN JOSE SANTA CLARA 95191 SAN JOSE SANTA CLARA 95192 SAN JOSE SANTA CLARA 95194 SAN JOSE SANTA CLARA 95196 SAN JOSE SANTA CLARA 95208 STOCKTON SAN JOAQUIN 95213 STOCKTON SAN JOAQUIN 95234 HOLT SAN JOAQUIN 95304 TRACY SAN JOAQUIN 95376 TRACY SAN JOAQUIN 95377 TRACY SAN JOAQUIN 95378 TRACY SAN JOAQUIN 95391 TRACY SAN JOAQUIN 95641 ISLETON SACRAMENTO 95128 SAN JOSE SANTA CLARA 95129 SAN JOSE SANTA CLARA 95130 SAN JOSE SANTA CLARA 95131 SAN JOSE SANTA CLARA 95132 SAN JOSE SANTA CLARA 95133 SAN JOSE SANTA CLARA 95134 SAN JOSE SANTA CLARA 95135 SAN JOSE SANTA CLARA 95136 SAN JOSE SANTA CLARA 95140 MOUNT HAMILTON SANTA CLARA 	94135 SAN FRANCISCO SAN FRANCISCO 94136 SAN FRANCISCO SAN FRANCISCO 94137 SAN FRANCISCO SAN FRANCISCO 94138 SAN FRANCISCO SAN FRANCISCO 94139 SAN FRANCISCO SAN FRANCISCO 94140 SAN FRANCISCO SAN FRANCISCO 94141 SAN FRANCISCO SAN FRANCISCO 94142 SAN FRANCISCO SAN FRANCISCO 94143 SAN FRANCISCO SAN FRANCISCO 94144 SAN FRANCISCO SAN FRANCISCO 94145 SAN FRANCISCO SAN FRANCISCO 94146 SAN FRANCISCO SAN FRANCISCO 94147 SAN FRANCISCO SAN FRANCISCO 94150 SAN FRANCISCO SAN FRANCISCO 94151 SAN FRANCISCO SAN FRANCISCO 94152 SAN FRANCISCO SAN FRANCISCO 94153 SAN FRANCISCO SAN FRANCISCO 94154 SAN FRANCISCO SAN FRANCISCO 94155 SAN FRANCISCO SAN FRANCISCO 94156 SAN FRANCISCO SAN FRANCISCO 94157 SAN FRANCISCO SAN FRANCISCO 94158 SAN FRANCISCO SAN FRANCISCO 94159 SAN FRANCISCO SAN FRANCISCO 94160 SAN FRANCISCO SAN FRANCISCO 94161 SAN FRANCISCO SAN FRANCISCO 94162 SAN FRANCISCO SAN FRANCISCO 94163 SAN FRANCISCO SAN FRANCISCO 94164 SAN FRANCISCO SAN FRANCISCO 94165 SAN FRANCISCO SAN FRANCISCO 94166 SAN FRANCISCO SAN FRANCISCO 94167 SAN FRANCISCO SAN FRANCISCO 94168 SAN FRANCISCO SAN FRANCISCO 94169 SAN FRANCISCO SAN FRANCISCO 94170 SAN FRANCISCO SAN FRANCISCO 94171 SAN FRANCISCO SAN FRANCISCO 94172 SAN FRANCISCO SAN FRANCISCO 94175 SAN FRANCISCO SAN FRANCISCO 94177 SAN FRANCISCO SAN FRANCISCO 94188 SAN FRANCISCO SAN FRANCISCO 94199 SAN FRANCISCO SAN FRANCISCO 94301 PALO ALTO SANTA CLARA 94302 PALO ALTO SANTA CLARA 94303 PALO ALTO SANTA CLARA 94304 PALO ALTO SANTA CLARA 94305 STANFORD SANTA CLARA 94306 PALO ALTO SANTA CLARA 94309 PALO ALTO SANTA CLARA 94401 SAN MATEO SAN MATEO 94402 SAN MATEO SAN MATEO 94403 SAN MATEO SAN MATEO 94404 SAN MATEO SAN MATEO 94497 SAN MATEO SAN MATEO 94501 ALAMEDA ALAMEDA 94502 ALAMEDA ALAMEDA 94503 AMERICAN CANYON NAPA 94506 DANVILLE CONTRA COSTA 94507 ALAMO CONTRA COSTA 94509 ANTIOCH CONTRA COSTA 94510 BENICIA SOLANO 94511 BETHEL ISLAND CONTRA COSTA 94512 BIRDS LANDING SOLANO 94513 BRENTWOOD CONTRA COSTA 94514 BYRON CONTRA COSTA 94516 CANYON CONTRA COSTA 94517 CLAYTON CONTRA COSTA 94518 CONCORD CONTRA COSTA 94519 CONCORD CONTRA COSTA 94520 CONCORD CONTRA COSTA 94521 CONCORD CONTRA COSTA 94522 CONCORD CONTRA COSTA 94523 PLEASANT HILL CONTRA COSTA 94524 CONCORD CONTRA COSTA 94525 CROCKETT CONTRA COSTA 94526 DANVILLE CONTRA COSTA 94527 CONCORD CONTRA COSTA 94528 DIABLO CONTRA COSTA 94529 CONCORD CONTRA COSTA 94530 EL CERRITO CONTRA COSTA 94531 ANTIOCH CONTRA COSTA 94535 TRAVIS AFB SOLANO 94536 FREMONT ALAMEDA 94537 FREMONT ALAMEDA 94538 FREMONT ALAMEDA 94539 FREMONT ALAMEDA 94540 HAYWARD ALAMEDA 94541 HAYWARD ALAMEDA 94542 HAYWARD ALAMEDA 94543 HAYWARD ALAMEDA 94544 HAYWARD ALAMEDA 94545 HAYWARD ALAMEDA 94546 CASTRO VALLEY ALAMEDA 94547 HERCULES CONTRA COSTA 94548 KNIGHTSEN CONTRA COSTA 94549 LAFAYETTE CONTRA COSTA 95053 SANTA CLARA SANTA CLARA 95054 SANTA CLARA SANTA CLARA 95055 SANTA CLARA SANTA CLARA 95056 SANTA CLARA SANTA CLARA 95070 SARATOGA SANTA CLARA 95071 SARATOGA SANTA CLARA 95101 SAN JOSE SANTA CLARA 95103 SAN JOSE SANTA CLARA 95106 SAN JOSE SANTA CLARA 95108 SAN JOSE SANTA CLARA 95109 SAN JOSE SANTA CLARA 95110 SAN JOSE SANTA CLARA 95111 SAN JOSE SANTA CLARA 95112 SAN JOSE SANTA CLARA 95113 SAN JOSE SANTA CLARA 95115 SAN JOSE SANTA CLARA 95116 SAN JOSE SANTA CLARA 95117 SAN JOSE SANTA CLARA 95118 SAN JOSE SANTA CLARA 95121 SAN JOSE SANTA CLARA 95122 SAN JOSE SANTA CLARA 95124 SAN JOSE SANTA CLARA  	94550 LIVERMORE ALAMEDA 94551 LIVERMORE ALAMEDA 94552 CASTRO VALLEY ALAMEDA 94553 MARTINEZ CONTRA COSTA 94555 FREMONT ALAMEDA 94556 MORAGA CONTRA COSTA 94557 HAYWARD ALAMEDA 94560 NEWARK ALAMEDA 94561 OAKLEY CONTRA COSTA 94563 ORINDA CONTRA COSTA 94564 PINOLE CONTRA COSTA 94565 PITTSBURG CONTRA COSTA 94566 PLEASANTON ALAMEDA 94568 DUBLIN ALAMEDA 94569 PORT COSTA CONTRA COSTA 94570 MORAGA CONTRA COSTA 94571 RIO VISTA SOLANO 94572 RODEO CONTRA COSTA 94575 MORAGA CONTRA COSTA 94577 SAN LEANDRO ALAMEDA 94578 SAN LEANDRO ALAMEDA 94579 SAN LEANDRO ALAMEDA 94580 SAN LORENZO ALAMEDA 94582 SAN RAMON CONTRA COSTA 94585 SUISUN CITY SOLANO 94586 SUNOL ALAMEDA 94587 UNION CITY ALAMEDA 94588 PLEASANTON ALAMEDA 94589 VALLEJO SOLANO 94590 VALLEJO SOLANO 94591 VALLEJO SOLANO 94592 VALLEJO SOLANO 94595 WALNUT CREEK CONTRA COSTA 94596 WALNUT CREEK CONTRA COSTA 94597 WALNUT CREEK CONTRA COSTA 94598 WALNUT CREEK CONTRA COSTA 94601 OAKLAND ALAMEDA 94602 OAKLAND ALAMEDA 94603 OAKLAND ALAMEDA 94604 OAKLAND ALAMEDA 94605 OAKLAND ALAMEDA 94606 OAKLAND ALAMEDA 94607 OAKLAND ALAMEDA 94608 EMERYVILLE ALAMEDA 94609 OAKLAND ALAMEDA 94610 OAKLAND ALAMEDA 94611 OAKLAND ALAMEDA 94612 OAKLAND ALAMEDA 94613 OAKLAND ALAMEDA 94614 OAKLAND ALAMEDA 94615 OAKLAND ALAMEDA 94617 OAKLAND ALAMEDA 94618 OAKLAND ALAMEDA 94619 OAKLAND ALAMEDA 94620 PIEDMONT ALAMEDA 94621 OAKLAND ALAMEDA 94622 OAKLAND ALAMEDA 94623 OAKLAND ALAMEDA 94624 OAKLAND ALAMEDA 94625 OAKLAND ALAMEDA 94649 OAKLAND ALAMEDA 94659 OAKLAND ALAMEDA 94660 OAKLAND ALAMEDA 94661 OAKLAND ALAMEDA 94662 EMERYVILLE ALAMEDA 94666 OAKLAND ALAMEDA 94701 BERKELEY ALAMEDA 94702 BERKELEY ALAMEDA 94703 BERKELEY ALAMEDA 94704 BERKELEY ALAMEDA 94705 BERKELEY ALAMEDA 94706 ALBANY ALAMEDA 94707 BERKELEY ALAMEDA 94708 BERKELEY ALAMEDA 94709 BERKELEY ALAMEDA 94710 BERKELEY ALAMEDA 94712 BERKELEY ALAMEDA 94720 BERKELEY ALAMEDA 94801 RICHMOND CONTRA COSTA 94802 RICHMOND CONTRA COSTA 94803 EL SOBRANTE CONTRA COSTA 94804 RICHMOND CONTRA COSTA 94805 RICHMOND CONTRA COSTA 94806 SAN PABLO CONTRA COSTA 94807 RICHMOND CONTRA COSTA 94808 RICHMOND CONTRA COSTA 94820 EL SOBRANTE CONTRA COSTA 94850 RICHMOND CONTRA COSTA 94901 SAN RAFAEL MARIN 94904 GREENBRAE MARIN 94912 SAN RAFAEL MARIN 94914 KENTFIELD MARIN 94915 SAN RAFAEL MARIN 94920 BELVEDERE TIBURON MARIN 94925 CORTE MADERA MARIN 94939 LARKSPUR MARIN 94941 MILL VALLEY MARIN 94942 MILL VALLEY MARIN 94964 SAN QUENTIN MARIN 94965 SAUSALITO MARIN 94966 SAUSALITO MARIN 94976 CORTE MADERA MARIN 94977 LARKSPUR MARIN 95002 ALVISO SANTA CLARA 95008 CAMPBELL SANTA CLARA 95009 CAMPBELL SANTA CLARA 95011 CAMPBELL SANTA CLARA 95014 CUPERTINO SANTA CLARA 95015 CUPERTINO SANTA CLARA 95035 MILPITAS SANTA CLARA 95050 SANTA CLARA SANTA CLARA 95051 SANTA CLARA SANTA CLARA 95052 SANTA CLARA SANTA CLARA 95125 SAN JOSE SANTA CLARA 95126 SAN JOSE SANTA CLARA 95127 SAN JOSE SANTA CLARA
Microsurgical
Vasectomy
Reversal
Vasectomy Reversal with Vasovasostomy
Vasectomy Reversal with Vasovasostomy
Vasectomy Reversal with Vasovasostomy
Vasectomy Reversal with Vasovasostomy
Vasectomy Reversal with Epididymovasostomy
Vasectomy Reversal with Epididymovasostomy
Vasectomy Reversal with Epididymovasostomy
Vasectomy Reversal with Epididymovasostomy
Vasectomy Reversal with Epididymovasostomy
Testis
Epididymis
Bypass Site
This final lower power image shows the
relationship of the testis, epididymis and
the bypass site after an
epididymovasostomy.  Sperm are made in
the testis, stored in the epididymis and
bypass the second obstruction through
the bypass site