Why does the cost of a vasectomy reversal vary?

Vasectomy reversal costs vary with the time since the vasectomy, the damage to the vas deferens, and the surgical method (vas-to-vas or connection to the epididymis). Costs also differ depending on whether microsurgery is used.

How much does a vasectomy reversal cost?

Vasectomy reversal costs vary by surgical method and the condition of the vas deferens. It generally runs about KRW 2–5 million, depending on whether precision microsurgery is used and how difficult the operation is. We give an exact cost after examining you at a consultation.

Is varicocele treatment covered by national health insurance?

Yes. Varicocele is covered by national health insurance. However, additional tests at the clinic or certain treatments may involve non-covered out-of-pocket costs.

How much does varicocele surgery cost?

Varicocele surgery is most often done by microsurgical varicocelectomy. As the condition is covered by national health insurance, out-of-pocket cost is roughly a few hundred thousand won, varying with the tests performed and whether you are admitted

How much does varicocele treatment cost?

Varicocele treatment costs vary with the surgical method, severity, and whether hospitalization is required. Out-of-pocket costs are generally about KRW 1.1 million (hospitalization fees not included) and may differ by examination and treatment method. Exact costs are provided after consultation.

How soon after a vasectomy reversal is pregnancy possible?

The reconnected vas deferens knits firmly in about a week. But sperm pass freely only once the partly blocked epididymis reopens and the hematoma and swelling at the site fully resolve. So a semen analysis about a month after surgery checks for sperm; if found, pregnancy is possible.

Can I resume daily life right after a vasectomy reversal?

To help the reconnected site heal well, you should rest sufficiently for 2–3 days, and for about a week it is best to avoid strenuous exercise and prolonged sitting.

Is vasectomy reversal covered by national health insurance?

Yes, national health insurance covers it. To counter the worsening birth-rate decline, the government introduced policies encouraging childbirth. Under them, vasectomy lost insurance coverage while vasectomy reversal remains covered.

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AI CURATION

Briefly describe your symptoms
to the smart Goldman AI.

e.g. I urinate frequently and always feel residual urine
e.g. I feel a burning pain when I urinate
e.g. Itchy, stinging blisters on my genitals

Male Infertility

Detailed testing of reproductive function lets us diagnose male infertility systematically.

Male infertility treatment
is done right only when it starts with urology.

Male infertility information, Goldman Urology Clinic Director Kim Tae-hyun, Goldman TV

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From precise diagnosis to treatment,
Goldman's expertise makes the difference in results.

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What is male infertility?

Male infertility is a condition in which problems with sperm production or sexual function make natural conception difficult.
It includes cases involving qualitative or quantitative sperm problems, such as sperm count, motility, or morphology, as well as difficulty with erection or ejaculation.

Male infertility: what are the causes?

The causes of male infertility range from physical factors (sperm abnormalities, hormonal problems, varicocele) to smoking, stress, obesity, and other lifestyle factors and genetic causes, so it is important to identify the cause through accurate diagnosis.

Physical factors

Sperm abnormalities, hormonal problems, varicocele, infection, structural abnormalities, and
a range of other physical factors can cause male infertility.
Genetic Factors

Chromosomal abnormalities or genetic defects affect sperm production
and can be a root cause of male infertility.
Lifestyle Factors

Smoking, drinking, stress, obesity, heat exposure, and medication use
can impair sperm function and lead to infertility.

Male infertility screening:
what methods are available?

We assess sperm and reproductive health with semen analysis, hormone tests, ultrasound, and genetic testing to find the cause of male infertility.

STD and Infertility Testing

We accurately test for STIs and infertility to support healthy family planning.

Urological Disease Testing

If kidney, urinary tract, or genital abnormalities are suspected, detailed testing follows the basic workup.

Ultrasound Examination

Scrotal ultrasound diagnoses varicocele, and surgery is considered if needed.

Prostate Examination

It detects kidney and bladder tumors, urinary tract obstruction, and orchitis; transrectal ultrasound examines the prostate.

Basic Blood Test

Blood cholesterol and liver function tests reveal systemic factors that may affect reproductive function.

Male sexual function testing

For problems such as premature ejaculation or erectile dysfunction, we test in detail to find the cause.

Staying ahead with an advanced digital analyzer:
Goldman's sperm and semen analysis

Goldman's digital sperm and semen analyzer minimizes sperm loss and makes results more objective and accurate.

Results in under 30 minutes, with same-day consultation

High accuracy through automated analysis

High reliability, based on the latest WHO criteria

Male infertility treatment:
how does it proceed?

Male infertility has many causes and symptoms, so testing and treatment must fit each person's condition.
Based on an accurate diagnosis, we provide tailored treatment and choose the right approach, such as medical (drug) therapy or hormone therapy.

Medication Therapy

Medication is used depending on factors such as hormonal imbalance, infection, or inflammation; male hormone supplements and antibiotics help relieve symptoms and support sperm production.
Surgical treatment

Surgical treatment for conditions such as varicocele improves blood flow and enhances sperm quality, and congenital abnormalities or obstructions can also be corrected surgically.

From varicocele treatment to vasectomy reversal surgery!
Goldman is in a different league.

What is a varicocele?

A varicocele is a condition in which the veins around the testicle become abnormally enlarged, occurring mainly on the left side.

It is found in 20~40% of infertile men, and the scrotum may feel lumpy or have a soft mass.

What causes a varicocele?

Over 85% of varicoceles occur in the left testicle, where the vein is longer and more prone to blood pooling and reflux.

Joins at a gentle angle, so blood flows freelyJoins at a right angle, so blood flows poorlyRight arteryLeft arteryThe left vein is longer than the right Illustration of varicocele anatomy

Joins at a gentle angle, so blood flows freelyJoins at a right angle, so blood flows poorlyRight arteryLeft arteryThe left vein is longer than the right

Dilated, tangled veins are visible Dilated, tangled veins are visible

How a varicocele looks
The valves stop blood flowing backward The valves stop blood flowing backward

Normal
Backflow widens and twists the veins Backflow widens and twists the veins

Advanced varicocele

Is a varicocele a major cause of male infertility?

Varicocele is one of the leading causes of male infertility, found in about 35% of infertile men and 85% of men with recurrent pregnancy failure.
It lowers sperm count and motility and raises the proportion of abnormal sperm, making conception difficult.

Why a varicocele harms sperm quality

01 From the adrenal glands and kidneys, toxic metabolites flow backward

02 Venous blood pools and raises the temperature inside the scrotum

03 Pooled venous blood causes oxygen deficiency

04 Within the testicle, male hormone levels decline

How is a varicocele diagnosed?

Varicocele is diagnosed step by step, from a simple physical examination to semen analysis and Doppler ultrasound examination.
The appropriate diagnostic method is chosen according to your symptoms and condition for an accurate assessment.

Physical examination

Because the signs can disappear when lying down, the examination is done standing, checking whether lumpy varicose veins are visible or can be felt inside the left side of the scrotum.If diagnosis is difficult, you may be asked to bear down to raise abdominal pressure for a clearer check.
Semen analysis

A varicocele lowers sperm motility and, in severe cases, can cause infertility.When a varicocele is confirmed, a semen analysis is therefore performed as well.
Doppler ultrasound

Doppler ultrasound shows the varicocele directly, so it gives the most accurate diagnosis.It reveals the size of the testicle as well as the size and number of the dilated veins, so it is used frequently.

How is a varicocele treated?

Varicocele is treated with microscopic surgery that ties off the dilated veins. The operation takes about 30 minutes to 1 hour, with same-day discharge and a quick return to daily life.
Recurrence and complication rates are low, but if treatment is delayed, testicular function may be difficult to recover, so early treatment is important.

Goldman's Key Points in Varicocele Treatment

Local anesthesia improves patient comfort and reduces complications.
Goldman's own precise verification process minimizes recurrence.
A minimal incision means little discomfort, no scarring and an excellent cosmetic result.
Fast recovery and a prompt return to daily life.
It improves sperm quality with a high pregnancy success rate.

What is vasectomy reversal surgery?

Vasectomy reversal is divided into vasovasostomy, which reconnects the divided vas deferens when pregnancy is desired after a vasectomy, and vasoepididymostomy, which locates the site where sperm are present and connects it to the vas deferens when azoospermia has occurred because the epididymis is blocked.

	Vasovasostomy (vas-to-vas anastomosis)	Vasoepididymostomy (epididymis-to-vas anastomosis)
Candidates and purpose	When pregnancy is desired after a vasectomy	When a blocked epididymal duct causes azoospermia
Description	Surgery that reconnects the divided vas deferens — the standard method of treating male infertility	Delicate microsurgery locates sperm in the tiny epididymal duct and joins that point to the vas deferens

How is vasectomy reversal surgery performed?

Vasovasostomy (vas-to-vas anastomosis)

A two-layer anastomosis that separately joins
the inner mucosal layer and the outer muscular layer
Vasovasostomy (vas-to-vas anastomosis)

If the epididymis is blocked, surgery is performed
to connect the vas deferens directly to the epididymis

How successful is vasectomy reversal surgery?

Surgical success is judged by the 'patency rate': the vas deferens is considered patent when it is properly reconnected and sperm are found in the semen.
Even when sperm are confirmed, however, pregnancy can depend on many other factors.

Timing of surgery	Patency rate	Pregnancy rate
Within 5 years of the vasectomy	About 90%	About 60~70%
10 or more years after the vasectomy	About 80%	About 10~30%

※ Delaying surgery sharply lowers the pregnancy rate.

Surgical Cases (CASE)

A patient who had a vasectomy 7 years ago:
2 million sperm confirmed after vasectomy reversal

Before surgery
About 5 million sperm confirmed in the right vas deferens
After surgery
Semen analysis found about 1–2 million sperm

Finding sperm in a semen analysis after vasectomy reversal is proof that the surgery was successful.
At Goldman, precise microsurgery delivers a high success rate, and vasectomy reversal effectively raises the chances of natural conception.

See more Goldman treatment cases

Questions about male infertility? Get answers now.

Goldman's know-how gives clear answers to patients' questions.

The cost of a vasectomy reversal can vary depending on the time elapsed since the vasectomy, the degree of damage to the vas deferens, and the surgical method (vas-to-vas or vas-to-epididymis connection), among other factors. The cost may also differ depending on whether microsurgery under a microscope is used during the procedure.
The cost of a vasectomy reversal can vary depending on the surgical method and the condition of the vas deferens. In general, the cost may be around 2,000,000 to 5,000,000 KRW, and it may differ depending on whether precision microscopic surgery is used and the difficulty of the operation. We will give you an exact cost after confirming your condition at your consultation.
Yes. Varicocele is a condition eligible for national health insurance coverage. However, non-covered costs may be included depending on the additional tests or certain treatment methods performed at the clinic.
Varicocele surgery is usually performed using the microsurgical varicocelectomy technique under a microscope. Because the condition is covered by national health insurance, the out-of-pocket cost is roughly a few hundred thousand won, and it may vary depending on the tests performed and whether you are admitted
The cost of varicocele treatment can vary depending on the surgical method, lesion severity, and whether hospitalization is needed, among other factors.In general, it costs approx. KRW 1,100,000 (excluding hospitalization fees), and it may differ depending on the tests and treatment methods used.We will give you an exact cost after your consultation.
The reconnected vas deferens knits firmly in about a week.But sperm pass freely only once the partly blocked epididymis reopens and the hematoma and swelling at the site fully resolve.So a semen analysis about a month after surgery checks for sperm; if found, pregnancy is possible.
To help the reconnected site heal well, you should rest sufficiently for 2–3 days, and for about a week it is best to avoid strenuous exercise and prolonged sitting.
Yes, national health insurance covers it.To counter the worsening birth-rate decline, the government introduced policies encouraging childbirth.Under them, vasectomy lost insurance coverage while vasectomy reversal remains covered.