Vasectomy

Vasectomy is a simple, safe surgery procedure for permanent male fertility control.  The tube (called a "vas") which leads from the testicle is cut and sealed in order to stop sperm from leaving.  The procedure usually takes about 30 minutes.  Since the procedure simply interrupts the delivery of sperm, it does not change hormonal functions -leaving sexual drive and potency unaffected.

The No-scalpel, single puncture is used to perform the vasectomy on both sides through one single puncture.  The puncture is made into the scrotum and usually requires no suturing or stitches. The procedure is done with the aid of a local anesthetic called "Lidocaine".  Several techniques are used to increase successful sterilization including removing a segment of vas, suturing or cauterizing each end and interposing local tissue between the segments.

As with any surgical procedure, the primary risks of vasectomy are infection and bleeding.  These risks are generally low for this procedure.  It is also important that each patient understands that vasectomy is approached as an irreversible procedure.  While vasectomy can be reversed surgically at times, its successful reversal cannot be guaranteed.  Also important is the fact that the vas deferens can grow back together.  This is called recanalization and occurs only rarely - less than 1/2 to 1 percent of the time.

The Effects of a Vasectomy

A vasectomy leaves the patient unchanged except for the fact that the sperm cord (vas) is blocked.  The testes still produce sperm, but they die and are absorbed by the body. The level of male hormone remains the same and all sexual characteristics remain the same.  Ability to have an erection is also entirely unchanged.

Preparing for Your Vasectomy

1. SHAVE ALL HAIR FROM THE UPPER SCROTUM. This means just under the penis, onto the sac about 2-3 inches.  You should do this on the day of the vasectomy.  You may lather the scrotum with soap and water, and shave with a safety razor.
2. After shaving the area, thoroughly wash the penis and the scrotum.  Shower or bathe to remove all loose hairs.  If needed, wash the area again just before coming in for your vasectomy.
3. Bring a scrotal support.  For example; jock strap, suspensory, or tight jockey shorts.
4. Wear comfortable trousers.
5. Bring someone who can drive you home.
6. Do not eat a large meal prior to the procedure.
7. Take Ativan 2MG, 1 hour prior to the appointment.  We must verify that you have a ride to and from the office.
8. NO Aspirin, Advil, Motrin, Aleve, supplements, herbs, vitamins at all, 10-14 days before the procedure.  Tylenol is OK to take.
9. PLEASE CONFIRM YOUR APPOINTMENT AT LEAST 24 HOURS IN ADVANCE!
10.  Please arrive 30 minutes early for your procedure.

The Procedure

After you undress, the scrotum will be washed and a drape will be put on you.  The anesthetic will be injected into the scrotum at the site of the vasectomy.  This will not be an injection into the testicle.  The anesthetic will prevent you from feeling pain as the doctor uses a special instrument to puncture the scrotum and grasp the vas deferens.  The vas is then cut and sealed.  Through the same puncture, the other side is similarly done.

After Vasectomy

Following your procedure it is important that you remain off your feet as much as possible for 24 to 48 hours.  This is important in order to minimize the chance of post-surgical complications.  The anesthetic will wear off in approximately 1 to 2 hours after surgery.  You should have someone else drive you home.  You may shower the next day.  Sexual activity may be resumed in approximately 1 week. (At this time you are not yet sterile and safe from pregnancy.)

You may expect some minor post-operative problems and occasionally some complications.  The minor discomforts which frequently occur include: (1) black and blue marks on the scrotum; (2) swelling beneath the incisions; (3) tenderness around the incision sites and testicles; (4) or a discharge from the edges of the skin incisions. Other potential complications including epididymitis, sperm granuloma, hematoma, chronic pain, recanalization and failure of vasectomy.

Your doctor will ask you to have semen specimens checked approximately 12 weeks after your vasectomy. A second semen analysis will be check 2 weeks later. This must be checked in order to be assured that the vasectomy worked and that you are sterile. You are considered sterile only when two negative semen analyses are confirmed, and you should use other modes of contraception until this time.

If you are considering a vasectomy procedure, you may contact our office to schedule a consultation. Your doctor will be able to go through the procedure details with you and answer any questions you may have.