What is a vasectomy?
Vasectomy is the procedure of dividing the vas (the tube that delivers the sperm from the testis to the prostate) in order to prevent conception. It is the most common method of male contraception in this country where about 500,000 vasectomies are done each year. It is an elective surgical procedure to achieve sterility. Since vasectomy simply interrupts the delivery of the sperm, it does not change the hormonal function of the testis and sexual drive and ability remain intact. Since most of the semen is composed of fluid from the prostate, the semen will look the same. Although the man continues to have sexual intercourse and climax as before, his semen does not contain sperm and he cannot father a child following a vasectomy.
What is a “No-Scalpel” Vasectomy (NSV)?
No scalpel-vasectomy is different from a conventional vasectomy in the way it is performed surgically. As the name of technique says it, no knife (scalpel) is used. An improved method of anesthesia helps make the procedure less painful.
In a conventional vasectomy, the physician may make one or two small cuts in the skin with a knife, and the doctor would then use sutures or stitches to close these cuts at the end of the procedure
In the no-scalpel vasectomy, instead of making two incisions, the doctor makes only one or two tiny puncture into the skin with a special instrument. This same instrument is used to gently stretch the skin opening so that the tubes can be reached easily. The tubes are then blocked, using the same methods as conventional vasectomy, but because of the lack of scalpel technique there is very little bleeding and no stitches are needed to close the tiny opening. This opening will heal quickly with little or no scarring. No-scalpel vasectomy was introduced in the United States in 1988 and is now used by many doctors in this country who have mastered the technique.
How long does it take to perform vasectomy?
It takes 20-25 minutes to perform vasectomy
How long after vasectomy will I be sterile?
Sterility after vasectomy is NOT immediate. It may take 15 to 20 ejaculations and several weeks before your semen is negative for sperm. You should use alternative methods of contraception till 2 consecutive semen tests are negative. Occasionally, some patients will have rare non-motile (dead) sperm in the semen for periods longer than 3-6 months. Most of these patients will get sperm free semen at some stage on repeated checking. These low counts of sperm are generally incompatible with pregnancy. Only presence of motile (moving and alive) sperm in semen make a case for failed vasectomy.
What happens to sperm after vasectomy?
The testes continue to produce sperm after vasectomy. They however face obstruction on their path to semen at the site of vasectomy. After living their life span (like many other cells) they die and are dissolved. The proteins and debris so produced are absorbed into body.
Other than vasectomy what are my options or alternatives for contraception?
Vasectomy is the safest and most cost effective method for contraception. To read more about alternatives with success/failure rates please click here.
I understand that vasectomy prevents pregnancy but does it also protect me from STDs?
No. The risk of STD is not changed by vasectomy and recommended guidelines for protection against STDs should be practiced.
Is vasectomy permanent?
Unless surgically reversed (vasectomy reversal), vasectomy is considered permanent.
Will my sexuality be affected by vasectomy?
Vasectomy only blocks the transport of sperm from testes to semen (sperm make less than 5-10% of ejaculated fluid). There is no appreciable change in ejaculated volume. The male hormones (responsible for sexual drive) and erection are not affected by this procedure, hence there is no adverse effect on sexual desire and performance.
What is the cost for vasectomy?
Most insurance programs cover a vasectomy, and it may be included in your existing benefits. If your plan covers the procedure the majority of the cost will be paid through the insurance. Depending on the terms of your program, the actual cash cost to you could be only a small co-pay or deductible amount.
If you choose us out of your network, we will accept the out-of-network fee by the insurance company so that your total cost is no different than if you would have stayed within the network.
For self-pay patients, the total cost is $1500.00 ($150 for consult plus $1350 for surgery). For patients covered under an insurance plan, facility charge is also applicable.
Vasectomy, cancer and dementia: Are they linked?
There have been many large, epidemiological studies comparing vasectomized and nonvasectomized men, and none of them have shown any health risks associated with vasectomy especially dementia.
At this time, it is believed that there is no association between vasectomy and prostate or testicular cancer; although more research is needed before definitive conclusions can be reached.
What are the complications of vasectomy?
Vasectomy is low risk procedure and associated with minor complications. For a detailed review of complications please click here.