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Vasectomy

Vasectomy is the most common form of surgical sterilization performed in the United States.Approximately 600,000 vasectomies are performed annually. It is a procedure done to surgicallysterilize the male. Once a vasectomy has been successfully completed and the semen has beenconfirmed to be absent of any sperm, then the couple can enjoy intercourse without the fear ofhaving an unwanted pregnancy. Vasectomy is 99.9% successful.

How is a vasectomy performed?

Vasectomy is usually performed in the doctor’s office using a local anesthetic. Only in rare instances will the vasectomy have to be performed in the operating room. Vasectomy is performedthrough a small opening in the scrotal skin. The skin is anesthetized with a local anesthetic similarto when you have a dental procedure. The vas deferens, the tube carrying sperm from the testicleto the penis, is isolated. The vas deferens is tied usually in two locations and a small segment of the vas deferens is cut out. The small opening in the scrotum is then closed. The entire proceduretakes less than 20 minutes.

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What is a no-scalpel vasectomy (NSV)?

No-scalpel vasectomy refers to a special technique of vasectomy where the scrotal skin is not cutwith a scalpel. Instead, a fine pair of instruments is used to create an opening in the scrotum. Theremainder of the procedure is similar to a conventional vasectomy. The advantages of a no-scalpelvasectomy have been reported to be decreased pain at the vasectomy site and decreased chancesof bleeding. There is a big psychological advantage to the patient knowing that a scalpel will notbe used. Most male reproductive surgeons are well trained to perform this type of procedure.Please watch the video below for a full unedited demonstration of the NSV procedure performed at El Camino Urology Medical Group, Inc.

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What is a no-needle vasectomy (NNV)?

No-needle vasectomy refers to a technique of performing vasectomy where the local anesthetic is delivered through a jet anesthetic device avoiding the use of a needle. This device delivers thesame type of anesthetic that a regular vasectomy receives. The transient discomfort of placing aneedle into the scrotal skin is alleviated.

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Who should perform my vasectomy?

A lot of different types of physicians claim that they perform vasectomies. But only a small fraction of physicians are fellowship trained to do so and perform them on a regular basis using the most minimally invasive techniques, guaranteeing your comfort, safety and a high quality of surgery. El Camino Urology Medical Group has established the California Vasectomy and Reversal Center as a center of excellence for men desiring a vasectomy procedure and attracts men from all over the Bay Area and California. Our fellowship trained surgeons specialize in vasectomy and vasectomy reversal. This elite group of fellowship trained surgeons comprises less than 1% of all physicians performing vasectomy.

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How long is the recovery after a vasectomy?

Usually, the recovery after vasectomy is very short. Oftentimes your physician will recommend lightactivity for 1-3 days after the procedure. Most people are able to return to work the next day,especially if they have a sedentary job. Some people prefer to have the procedure performed on aFriday and are back to work on Monday.

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Will my vasectomy be covered by my insurance?

Most insurance companies will cover the total or partial costs of a vasectomy. It is cheaper for theinsurance company to pay for the vasectomy than it is to pay for another pregnancy. Even if yourinsurance carrier does not cover the costs of a vasectomy, most male reproductive surgeons willperform this procedure for under $1000. Considering the cost to raise a child per year isapproximately $10,000, vasectomy is a very affordable option.

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What are the alternatives to vasectomy?

There are many different options for male contraception, however, none of them are as reliableas a vasectomy. Unfortunately, a reliable male contraceptive pill is not available. A couple canchoose to use condoms. These come in various sizes and brands. Condoms offer the additionaladvantage of preventing transmission of sexually transmitted diseases. Condoms can break andthey must be applied every time prior to intercourse. Many men report decreased satisfactionduring sexual intercourse when they wear a condom. Also, care must be taken not to use a latexcondom in couples who have latex allergies. The “withdrawal” method/coitus interruptus or thetiming method are other techniques used to prevent pregnancy. These techniques are notreliable and are associated with unacceptable pregnancy rates.

Female contraception includes birth control pills, spermicides, sponges, intra-uterine devices,implantable hormone pellets, and tubal ligation. Birth control pills and implantable hormonepellets are reliable forms of contraception but increase the woman’s risk of multiple medicalproblems such blood clots and cancer. Spermicides and sponges can be irritating to both themale and female partners. Intra-uterine devices can migrate out of position and require a smalloffice procedure to place them by a physician. Tubal ligation is an operation that must be doneunder general anesthesia and requires abdominal surgery.

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Should I freeze sperm (cryopreserve) prior to my vasectomy?

Most people who wish to have a vasectomy are sure that they do not want to have any morechildren in the future. Any doubts about their decision to have a vasectomy can be alleviated byknowing that they have two very important options. The first is to freeze some sperm prior to thevasectomy. This can be arranged by your physician. Sperm can be frozen for many years. Thelatest successful pregnancy after using frozen sperm is 28 years. The other option is to have avasectomy reversal. This procedure is greater than 95% successful when done by a fellowshiptrained male reproductive surgeon. Vasectomy reversal has been successfully accomplished upto 30 years after a vasectomy.

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How soon can I have unprotected intercourse after my vasectomy?

Normally, your physician will require proof that your vasectomy is successful prior to authorizingunprotected intercourse. This is usually determined by demonstrating two semen samples withoutany sperm. It can take up to 24 ejaculates to clear all of the sperm downstream from thevasectomy site. Your physician will arrange the timing for your semen analysis. It is important toremember that vasectomy does not protect you from sexually transmitted diseases. Otherprecautions are required in these situations.

No Scalpal Vasectomy

Mini Incision Vasectomy

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