Vasectomy is a method of birth control chosen by more than 500,000 men each year in the United States that have decided they do not want to have any or more children. It is a simple, safe procedure that is more than 99% effective in preventing unwanted pregnancy. Vasectomy does not affect your manliness because it has no effect on the male hormones produced by the testes. Sex drive, the ability to attain and maintain erections, and the sensation of orgasm usually remain the same following vasectomy. Since the procedure only prevents sperm from entering the semen (ejaculate) and since sperm comprise only 2-5% of the semen volume, most men notice no change in the male reproductive fluids.
Vasectomy is performed in the office using numbing medication and most patients agree that it hurts about as much as having a blood sample drawn from the arm, though many say not at all. We use a spray applicator (Mada Jet) to deliver a stream of anesthetic so fine that it numbs the skin and penetrates to a depth of about 3/16 of an inch, enough to surround and anesthetize each vas tube as it is lifted into position beneath the skin.
After cleansing and draping the scrotum in a sterile field as the anesthetic takes effect, one vas tube is moved back into position just underneath the area of numb skin. It is held against the skin with a special tool, then drawn through a small opening in the skin, divided, and the upper cut end cauterized so that it will seal by scarring. A small titanium clip is used to close the vas sheath around the upper end so that the ends are separated by a tissue layer and less likely to grow back together. (No, you will not have limitations and can freely pass through TSA and have MRIs after the procedure.) The vas ends are released back into the scrotum and the other vas is brought out through the same opening and treated similarly. No sutures are required; the small opening will seal within a day. Partners are welcome to accompany patients for support and watch the procedure.
The patient is asked to minimize physical activity for 48 hours. He may return to work soon after the procedure and normal sexual activity 7 days after the procedure. Because reversal attempts are not always successful, vasectomy should be considered a permanent and irreversible procedure.