No Scalpel No Needle Vasectomy in Cleveland, OH

Facts About Vasectomy Procedures


  • 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 in case 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.

How to Prepare for a Vasectomy

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 absorb-able 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 themselves. 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 Should You Contact Us?

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

Potential 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

Now Offering Telehealth!

For the safety of our patients, we’re proud to now offer telehealth appointments and services. For more information or to schedule your appointment, please contact us at (440) 891-6500 or request your appointment online today!

 

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