• 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 peice 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 doe not affect your ability to have sex.
• Vasectomy doesnot affect erections, orgasm or ejaculation.
• Vasectomy prevents sperms 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 then 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 2 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, however, if you like to have oral sedative medications, we will give you a prescription of Valium. You may also elect to have the procedure done under 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 thining medications for 7 days.

During the procedure:

• You will be asked t 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 forcep is then used to puncturethe skin, which is then streched 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 atheletic support or tight briefs.
• Keep Ice Pack on scrotum for 2 days. (must use Ice Pack for atleast 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
• Feverl & chills
• Bright red bleeding from the inicision 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
• Recanulization