No Scalpel 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 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.
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 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.
- 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 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
- Chronic testicular pain
- Sperm granuloma