Those guys are wrong. Extracting sperm is not that huge a deal, but because the sperm are not mature the only way to fertilize an egg is with in vitro fertilazation. That will cost several thousand dollars each try.

You can get a vasectomy reversal for much less than $10K. For two to three thousand, you can get one. Just make sure its a VR specialist (somebody who does several a week, not several a year) and that it’s microsurgery. With a VR, then you can try all you want for free.

They are most successful when it’s been less than 10 years since the vasectomy (over 95% have return of sperm to your ejaculate and close to 90% pregnancy rate). If it’s been longer than that, percentages are not as good, but still over 80% return of sperm and close to 60% pregnancy rate.

I had one after 15 years, and we had a baby conceived in less than 4 months

You will have to pay the amount upfront in most cases.
Check the sites below

Getting the vasectomy reversed isn’t just uber expensive, it is usually not possible all together if you have had it for a long time.

It is cheeper and MUCH MUCH MUCH less invasive to have a doctor extract sperm directly from the testes and go the invetro rout.

While you are there, have them save "Extra" sperm in a bank for you incase a) the first round of invetro doesn’t go as planned or b) you wish to have another child in the future and don’t want to undergo another retrieval.

GoogleSearch for Vasectomy Reversal
http://www.google.com/search?client=safari&rls=en&q=Vasectomy+reversal&ie=UTF-8&oe=UTF-8

Info I found: (I am NOT telling you to go to this doctor, this is just where I found some info on the topic.)

Considering Vasectomy Reversal After Vasectomy
http://www.vasectomyinfo.com/
Vasectomy reversal is a surgical procedure restoring the flow of sperm through the vas deferens. The procedure begins with the decision process, evaluating the options and alternatives, and getting educated about the techniques. Most importantly, a couple has to choose the right doctor to reverse the vasectomy who meets their need of comfort level to perform the microsurgery. You usually get what you pay for. We feel that we give much more. The most value for your money.

What if the Vasectomy Reversal Fails?

Vasectomy reversal is considered as failed when sperm is not found in the ejaculate after 12 months past the reversal. One in ten men undergoing vasovasostomies and two out of five men having a vasoepididymostomy have no healthy sperm after surgery.

Dr. Bastuba has “redone” many failed vasectomy reversals and successfully reversed previous vasectomy reversal re-do failures from other doctors who gave their patients no hope. In experienced hands, even a second attempt at vasectomy reversal after an initial failure has proven cost effective.

Alternative to Vasectomy Reversal – Vasovasostomy
Vasoepididymostomy
Vasoepididymostomy is a similar procedure to a vasovasostomy and may be performed if a blocked epididymis has been diagnosed or no sperm is found in the fluid of the exposed vas deferens. The epididymis blockage may develop by scar tissue forming after infection or trauma, which may have been caused by the vasectomy.

During vasoepididymostomy the vas is connected to the tubule of the epididymis, which allows healthy sperm pass through the unblocked vas deferens. This is one of the most demanding procedures in microsurgery and most surgeons with limited experience are wise enough not to attempt vasoepididymostomy due to its technical difficulty. For Dr. Bastuba this demanding procedure is routine and performed at no extra cost.

Sperm Retrieval and In Vitro Fertilization–
MESA and IVF and (Microscopic Epididymal Sperm Aspiration)
An excellent alternative treatment to start a family after a vasectomy is sperm retrieval combined with in-vitro fertilization . The woman’s eggs and the man’s sperm are retrieved to be combined in the lab via intracytoplasmic sperm injection (ICSI). Sperm retrieval rates are outstanding at approximately 95%, especially if the male has been involved with prior pregnancy rates. Pregnancy rates are approximately 50% in fertile females. This treatment combination of sperm retrieval for IVF has proven itself to be more expensive than a vasectomy reversal alone. However, it is save, effective and achieves a result almost immediately. When female fertility factor is a major concern or when expediency is demanded, sperm retrieval combined with in-vitro fertilization is a wonderful alternative. Typical IVF cycle treatment costs are between $8,000 to $18,000.

Vasectomy Reversal Surgery Preparation

The patient is put under general anesthesia for a vasectomy reversal. If desired, the procedure can be performed under local anesthesia like epidural or spinal anesthesia instead. Total time of the procedure is approximately 2 to 3 hours. Dr. Bastuba always takes time without rushing through a surgery.

Vasectomy reversal is a surgical procedure restoring the flow of sperm through the vas deferens. There are two types of vasectomy reversal techniques.

1. Vasovasostomy

Vasovasostomy is the standard procedure and most commonly performed vasectomy reversal surgery. During vasovasostomy, the separated ends of the vas deferens are reconnected. This is done after the examination of the vas fluid. The vas fluid is examined under the microscope and considered good if it has a clear non-opaque consistency and contains completely formed, healthy sperm. Motile sperm is even better. See Dr. Bastuba perform a vasovasostomy.

Microsurgical Multi-layer Microdot Technique

Dr. Bastuba uses a high-powered surgical microscope for vasovasostomy. Via a 1-inch incision on the original vasectomy site, six sutures of 10-0 or 11-0 (finer than a human hair) using the formal multi-layer Microdot technique are used to reconnect the inner lumen (tubes) and the outer layer separately. Multi-layer Microdot vasectomy reversal technique has lead to Dr. Bastuba’s high success rates, low risk of scarring and minimal recovery time for his patients.

2. Vasoepididymostomy

In about 30% of Dr. Bastuba’s vasectomy reversal cases, no vas fluid or low quality vas fluid is found during the procedure, which requires a vas-to-epididymis (vasoepididymostomy or VE). During the procedure, Dr Bastuba expresses fluid from the vas deferens coming from the testicle. If there is no sperm in this fluid, we must conclude that there is a blockage upstream closer to the testicle. This blockage will not allow sperm to pass through to the vas deferens. Therefore simply connecting vas deferens to vas deferens and performing a vasovasostomy does not make sense. Blockage in the epididymis upstream following vasectomy may have been caused by inflammation, too much pressure in the epididymis or scarring at the time of the vasectomy. See Dr. Bastuba perform a vasoepididymostomy.

Microsurgical Two-suture Longitudinal Intussusception Technique ( Microsurgical Longitudinal Intussusception Vasoepididymostomy (LIVE)

Dr. Bastuba currently employs the state-of-the-art vasoepididymostomy technique. This technique is sometimes referred to as the two-suture longitudinal intussusception technique and requires two 10-0 or 11-0 sutures. The technique allows a larger opening between the extremely small epididymal tubule and the larger vasal tubule. The technical aspects of this technique have simplified it which is one of the reasons for higher success rates. It is utilizing this technique that Dr. Bastuba has achieved the 87% patency rate in his vasoepididymostomy patients. A three stitch, triangulation intussusception technique was first described by Dr. Richard Berger and then further improved by Dr. Mark Goldstein into the two suture longitudinal intussusception technique (short: LIVE).

During vasoepididymostomy, the vas deferens is connected directly to the epididymal tubule in the epididymis to bypass the blockage. This is one of the most complex and demanding procedures in microsurgery and only physicians who perform vasoepididymostomies on a regular basis should attempt the surgery. For Dr. Bastuba, this demanding procedure is routine and performed at no extra cost. His success rates for vasoepididymostomy are indistinguishable from those of the world’s foremost male fertility microsurgeons.

Other Techniques for Vasectomy Reversals

Laser Vasectomy Reversal
This is a technique, which was popular around 1990. Laser surgery works very well for select blood vessel surgery in cardiovascular microsurgical procedures. However, for vasectomy reversal, research showed that the laser vasectomy reversal success rates are not satisfactory. In fact, laser vasectomy reversal may cause more complications and damage to the vasectomy reversal site. Dr. Bastuba does not perform this method of reversal.

Multilayer Microdot Technique:
M. Goldstein, eds. Surgery of Male Infertility. W.B. Saunders Co., Philadelpia, pp.46-60, 1995.(M. Goldstein, P.S. Li, G.J. Matthews, Microsurgical vasovasostomy: The microdot technique of precision suture placement. Journal of Urology 159:188-190, 1998.

Three Stitch Triangulation Technique:
Richard E. Berger, Triangulation End-to-Side Vasoepididymostomy. Journal of Urology 159:1951-1953, 1998.

Two Suture Longitudinal Intussusception Technique:
Marc Goldstein, Peter Chan, Outcomes of Microsurgical Longitudinal Intussusception Vasoepididymostomy (LIVE): A Prospective Analysis. Abstract presented at Annual Conference AUA 2004