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Your Trusted Vasectomy Reversal Specialist in Frisco, TX
Legacy Male Health has been a leader in male reproductive health since its founding, offering specialized services in vasectomy reversal, male infertility, and sexual dysfunction. Our team, led by Dr. Jeffrey P. Buch, brings decades of experience and a patient-centered approach to care, combining advanced microsurgical techniques with personalized treatment plans. We prioritize both clinical excellence and emotional support, ensuring patients receive comprehensive guidance throughout their journey. Our success rates in vasectomy reversal, even for complex cases, reflect our commitment to quality and innovation.

We maintain open communication with patients long after procedures, fostering trust and lasting relationships. With on-site diagnostic labs and collaborations with IVF programs, we provide full-spectrum solutions tailored to individual needs. Our practice emphasizes transparency, ethical standards, and accessibility, serving both local and out-of-town patients. Recognized by peers and patients alike, we strive to be a trusted authority in male health. Through continuous education and advocacy, we empower men to take control of their reproductive well-being.
Services
Vasectomy Reversal Male Infertility Treatment Low Testosterone Therapy Erectile Dysfunction Treatment Sperm Cryopreservation Vasectomy Procedures Reproductive Health Consultations Hormone Replacement Therapy Sexual Dysfunction Management Microsurgical Sperm Retrieval
Highlights and features
  • We offer fellowship-trained expertise in male infertility and microsurgery since 1985.
  • Our success rates exceed 99% for vasectomy reversal, including complex cases.
  • We provide on-site sperm testing and cryopreservation services.
  • Our team collaborates with IVF programs for comprehensive fertility solutions.
  • We maintain long-term patient communication for post-operative support.
What people say
99% success rate Personalized care Expertise in complex cases Long-term follow-up Successful pregnancies
Services
Vasectomy Reversal
Microsurgical procedure reconnecting the vas deferens to restore fertility. Ideal for men seeking to father children after vasectomy. Success rates exceed 99% even for complex cases, with personalized pre- and post-operative care ensuring optimal outcomes.
Male Infertility Treatment
Comprehensive evaluation and treatment of male infertility factors. Services include sperm analysis, hormonal testing, and surgical interventions. On-site lab facilities enable rapid diagnostics, while collaborations with IVF programs provide full-spectrum fertility options.
Low Testosterone Therapy
Customized hormone replacement programs addressing low testosterone symptoms. Includes diagnostic testing, bioidentical hormone therapy, and ongoing monitoring to restore vitality and improve quality of life for men with hormonal imbalances.
Erectile Dysfunction Treatment
Advanced treatment options for erectile dysfunction including GAINSWave therapy, medication protocols, and vascular assessments. Focuses on addressing root causes rather than temporary symptom management, with personalized treatment plans for long-term improvement.
Sperm Cryopreservation
Sperm freezing services for men facing vasectomy, cancer treatment, or other fertility-risk procedures. Utilizes state-of-the-art cryopreservation techniques to maintain sperm viability, with secure long-term storage options available at our on-site laboratory.
People
Jeffrey P. Buch
Medical Director
Board-certified urologist with 34+ years of experience specializing in male infertility and microsurgery. Completed fellowship training at Baylor College of Medicine and has authored numerous peer-reviewed publications. Recognized annually as a Top Doctor since 2001 by Castle Connolly Medical.
Questions
What is vasectomy reversal success rate?
Our success rate exceeds 99% for sperm return to ejaculation, including patients with prior failed reversals and vasectomies over 20 years old.
Does insurance cover vasectomy reversal?
Most insurance plans don't cover vasectomy reversal. We offer financing options and can provide detailed cost breakdowns during consultation.
How long after reversal can we try conceiving?
Most couples begin trying immediately. Sperm typically appears in semen within 3-6 months, with pregnancy rates peaking around 12-18 months post-surgery.
What alternatives exist if reversal fails?
We collaborate with IVF programs for sperm retrieval and intracytoplasmic sperm injection (ICSI) as alternative pathways to conception.
Can you treat low testosterone symptoms?
Yes, we offer comprehensive hormone replacement therapy programs including bioidentical hormones and ongoing monitoring for low testosterone patients.
Do you accept out-of-town patients?
Yes, we accommodate patients traveling from across the U.S. and internationally, with resources to coordinate travel logistics and post-operative care.
Videos
Reviews (7)
Meagan Willmon
Sep 26, 2021 Report
My husband had a reversal feb 2013. After several sperm checks my husbands count was basically 0. We were told we would most likely have to have ivf if we wanted to grow our family. 18 months after his reversal we received our first positive pregnancy test. Throughout the next 4 years we welcomed 3 healthy babies. Thank you Dr Buch for helping us complete our family.
Matt Nichols
Dec 11, 2020 Report
Dr Buch and his staff are great! Always thorough and they make an uncomfortable topic seem comfortable somehow. Dr. Buch gave my wife and I the gift of life twice. It's been a blessing beyond words that I was able to find this place. Edit: my original words didn't post when I first gave 5 stars. Nonetheless, my feelings have not changed and in fact I'm only more appreciative for Dr Buch and his staff!
Logan Piersall
May 12, 2020 Report
Dr. Buch is an amazing urologist. I highly recommend him to anyone seeking expertise in the field of male infertility. After being a patient of Dr. Buch for the past four months, my wife and I have experienced a renewed hope for having a child of our own. His knowledge, experience and skill as a surgical physician has certainly been a blessing. As for his staff, they exhibit the utmost professionalism. Additionally, his office setup ensures that testing and consultations can be carried out efficiently within a single appointment, which is incredibly convenient from a patient perspective. A big 'thank you' to Dr. Buch and his staff!
Jacob Preble
Apr 12, 2020 Report
Dr. Busch and his staff are not only unprofessional, but also threatened to cancel my prescription for no longer wanting to be their patient. I ultimately had success elsewhere, but would not recommend him or his offices to anyone who expects professionalism or accurate medical care.
Greg Shaffer
Dec 05, 2019 Report
Dr. Buch has a great personality. My wife and I went to him because we decided to try and have a baby. He did a great job in reversing my vasectomy. Our new healthy baby is now here. My wife and I could not be any happier, we are very blessed. Thank you Dr. Buch!
David Eaton
Mar 25, 2019 Report
Dr Bush performed my vasectomy reversal successfully. I had been steril for ten years and at the age of fifty I wasn't sure if I could be fixed. Dr Bush performed two different techniques of reversal on my family gems. Without any extra charges. He is very thorough in what he does. After he did his magic, my wife was pregnant in 8 months. We're very happy with our little girl! I highly recommend Dr Bush. If your looking around at different doctors to perform your reversal, you should stop here. He is the best. You won't be disappointed.
Stx Construction
Dec 25, 2017 Report
Dr Jeffrey Buch is a good and experience urologist, he is calm with patient and he is ready to assist you. I love him and his staffs, they are great people that anybody will be glad to meet. Innocent edu