No Scalpal No Needle Vasectomy & Reversal

  • Vasectomy is the most popular form of permanent birth control for men all over the world.
  • More than 500,000 men undergo vasectomy in United States alone every year.
  • Vasectomy is a simple, safe and effective surgical procedure.
  • The procedure involves removal of small segment of vas and then ligation of vas deferens (the tube that transports sperm)
  • The procedure is performed in our office under local anesthesia unless you request mild I.V. sedation.
  • Procedure takes only 10 minutes to perform.
  • Vasectomy does not affect your ability to have sex.
  • Vasectomy does not affect erections, orgasm or ejaculation.
  • Vasectomy prevents sperm from mixing with the semen at ejaculation then, semen is devoid of sperm.
  • There is no conclusive evidence that vasectomy causes cancer of the prostate or any health problems.
  • After vasectomy, testes will continue to produce sperms, but they can no longer pass through the vas deferens. Instead, they die in the epididymis and are absorbed into the body.
  • Testes continue to produce the male hormone.
  • While vasectomy is considered a permanent procedure, it can be reversed.
  • Some patients may want to consider sperm banking incase they desire to father another child in the future. We can refer them to sperm bank. Patients are charged a fee for storage.
  • After vasectomy, patients must practice other methods of contraception for 6-8 weeks because the sperms are still present in the seminal ducts.
  • To confirm the success of operation, patients must have a semen analysis in our office. Once two consecutive semen analysis show absence of sperm, patients are considered sterile.
  • Very rarely vas deferens may grow back together. This can occur anytime after vasectomy.

Before the Procedure

During your initial consultation:

  • Procedure will be explained to you.
  • All complications will be discussed.
  • You will be given the opportunity to ask questions.

If you decide to have the operation:

  • Our office staff will schedule your procedure.
  • Procedure is usually performed under local anesthesia or I.V. sedation - we will instruct you accordingly.
  • Please shave your lower pubic area and scrotum at home.
  • Please bring a scrotal support or tight brief.
  • Please bathe or take shower night before and morning of the procedure.
  • Please bring some one with you to drive you home.
  • You may eat and drink as you wish unless you have chosen I.V. sedation, in that case please do not eat or drink past midnight.
  • Please stop aspirin and all blood thinning medications for 7 days.

During the Procedure

  • You will be asked to sign a consent form.
  • You will be asked to undress and change into a gown and lie on the examination table.
  • You will be cleaned with antiseptic soap.
  • You will be given injection of a local anesthetic into the skin of your scrotum using very tiny and thin needle. This causes very minor discomfort.
  • Once the anesthetic takes effect, vas deferens will be palpated through the scrotal skin, and a special clamp will be placed to encircle and hold the vas deferens. A special instrument is then used to puncture the skin, which is then stretched and vas deferens is dissected, divided, suture ligated or fulgurated.
  • The tiny opening in the skin may be closed with one or two absorbable sutures.
  • This improved technique is quicker (less than 10 minutes) causes less pain, less swelling and no bleeding.
  • Sterile dressing will be applied and you will be sent home with your family.

Post-Operative Care

  • Once you get home, stay off your feet as much as possible for the first two days.
  • Wear athletic support or tight briefs.
  • Keep Ice Pack on scrotum for 2 days. (must use Ice Pack for at least 6-8 hours soon after surgery)
  • Take all your medications as prescribed.
  • No dietary restrictions.
  • You may take Tylenol, Advil, or Aleve for pain.
  • You may bathe or take shower after 24 hours.
  • Wait 4-5 days before having intercourse, but remember you MUST use other methods of contraception. Otherwise she might get pregnant!
  • Avoid strenuous exercise for 1 week.
  • If sutures were used, they will dissolve by themself. Please do not take them out. Occasionally, it takes 4-6 weeks before they are absorbed by your body.
  • For about a week, your scrotum may look bruised and slightly swollen. You may have a small amount of bloody discharge from the incision site and you may feel mild discomfort. These symptoms are NORMAL.
  • Please call our office to make an appointment to see us in 6 weeks. At this visit please also bring a fresh sample of your semen in the cup provided to you in our office.
  • You may return to your work and normal routine activities after 2-3 days.

When to Contact Us?

  • Persistent pain
  • Fever & chills
  • Bright red bleeding from the incision site
  • Scrotal swelling
  • Pus like discharge from the incision

Possible Risks and Complications

Although the risks are considered rare after vasectomy, any invasive procedure carry with it a certain degree of risk.

  • Scrotal hematoma - a small blood vessel may leak under the skin
  • Infection
  • Chronic testicular pain
  • Sperm granuloma
  • Recanalization

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