How Does the Vasectomy Procedure Function? – Dr. Nicholas Laryngakis

Key Takeaways:

  1. The vasectomy procedure is relatively quick and painless and is performed by making a small incision in the scrotal skin and removing a small portion of the vas deferens.
  2. Post-surgery care involves avoiding heavy lifting or strenuous activity for the first 48 hours and avoiding ejaculation for 5 to 7 days.
  3. St. Pete Urology is dedicated to providing the highest quality of care for their patients, with a focus on patient education and transparent communication.

Demystifying the Vasectomy Procedure

For many men, the thought of undergoing a vasectomy can be both confusing and intimidating. However, gaining a better understanding of the procedure and its function can help ease those concerns. Dr. Nicholas Laryngakis is a board-certified urologist at St. Pete Urology. He provides an insight into the vasectomy procedure and what to expect during and after the surgery.

Quick and Painless: The Vasectomy Process

According to Dr. Laryngakis, “The vasectomy will take about 10 to 20 minutes to perform.” The process begins with the injection of a local anesthetic into the scrotal skin adjacent to the vas deferens. This step “affords almost immediate anesthesia,” ensuring patients remain comfortable and pain-free throughout the procedure.

After, a small incision is made in the scrotum. This incision allows the surgeon to expose the vas deferens. Next, a small portion of this tube is then removed, and the severed ends are either clipped, tied with suture, or cauterized. Typically, the incisions are closed with a single dissolvable suture. This generally heals within 7 to 10 days.

Post-Surgery Care and Precautions

After the surgery is complete, Dr. Laryngakis recommends that patients can “take showers the following morning after the procedure.” It’s essential to follow specific postoperative guidelines to ensure a smooth recovery process. Furthermore, reduces the risk of complications.

For the first 48 hours after the procedure, patients should avoid heavy lifting or strenuous activity. To ease any swelling, ice packs can be periodically applied to the scrotum during the first 24 to 36 hours. After, the patient may gradually begin physical activities as comfort allows.

In terms of resuming sexual activity, Dr. Laryngakis advises that “ejaculation should generally be avoided for about 5 to 7 days.”

Promoting Confidence and Trust: St. Pete Urology

At St. Pete Urology, the team of skilled professionals led by Dr. Nicholas Laryngakis is dedicated to providing the highest quality of care for their patients. With a focus on patient education and transparent communication. Furthermore, they help dispel concerns and fears surrounding urological procedures, such as vasectomy.

Located in St. Petersburg, Florida, St. Pete Urology offers a comprehensive range of services to address a variety of urological issues. Trust the experienced team at St. Pete Urology for a safe, comfortable, and effective vasectomy procedure. For more information or to schedule an appointment, visit their website or contact their office today.

References:

How Much Does a Vasectomy Cost?

Key Takeaways:

  1. Vasectomies are a permanent form of contraception and are typically a cost-effective solution.
  2. Costs of vasectomies can range from under a thousand dollars to several thousand depending on associated fees.
  3. St Pete Urology is a reliable and experienced urology practice offering a range of services including vasectomies and reversals.

Vasectomies have become an increasingly popular form of permanent contraception for couples who have decided not to have children. But along with this growing popularity comes the question of how much does a vasectomy cost? In this article, we will address the procedure, cost factors, advantages and disadvantages, and more.

Introduction

A vasectomy is a surgical procedure performed by a qualified physician or urologist that renders a male patient sterile by sealing off the tubes that carry sperm from the testes. Patients must be informed of the permanent nature of a vasectomy before they proceed with the procedure. Couples may consider a vasectomy for various reasons. These reasons include family planning, a desire for longer-term contraception, and personal health considerations.

What Does a Vasectomy Involve?

The vasectomy itself is a relatively straightforward procedure typically performed in a physician’s office. After receiving local anesthesia, the healthcare provider cuts and seals the patient’s vas deferens. These tubes transport sperm to the penis along with seminal fluid, and this procedure is performed using surgical techniques. The entire procedure is minimally invasive and typically only requires a few stitches in the scrotum. However, potential side effects can include swelling, infection and bleeding.

Cost Overview

There is no single price for a vasectomy. Costs can vary depending on several factors. These factors include the complexity of the procedure, the office’s location, the urologist’s fees, the type of anesthesia administered, and any prescribed medications. Generally speaking, however, the basic procedure rarely costs more than $1,000 and is often covered under insurance, although some policies may have exclusions. Anesthesiology and aftercare, such as follow-up visits, can add anywhere from $200-$500 or more to the overall cost. In some cases, a sliding scale fee system may be available, which adjusts the fee based on the patient’s income level. Alternatively, financing options may be offered to assist with covering the costs of the procedure.

Advantages of Vasectomy

The main benefit of a vasectomy is that it is a permanent form of contraception. Additionally, a vasectomy is considered a minimally invasive procedure. Furthermore, it can typically be completed in less than an hour at a doctor’s office. When factoring in the recovery time, a vasectomy proves to be a cost-effective method of birth control. This cost-effectiveness becomes evident when compared to other long-term forms of contraception.

Disadvantages of Vasectomy

The main disadvantage of a vasectomy is that it is irreversible. The technique of vasectomy reversal, or vasovasostomy, is available, but it is not always successful or cost-effective, and can require multiple surgeries. Veins may form in the connective tissues that are cut and create scarring, which can reduce or prevent their function. Additionally, the procedure itself can involve complications such as infection, swelling and bleeding. Lastly, a vasectomy can also have emotional and psychological consequences for a couple if they decide at a later point that they want to have children.

Conclusion

A vasectomy is a permanent form of contraception that can be a cost-effective solution for couples who have decided not to have children. The cost of a vasectomy can range from under a thousand dollars, to several thousands depending on associated fees. Additionally, the procedure can have associated risks and potential emotional effects. When considering a vasectomy, it is important for couples to manage expectations, understand the potential risks, plan for any changes that may occur, and be aware of any potential for the procedure to be reversed.

St Pete Urology is a trusted urology practice located in St Petersburg, Florida. Their team of experienced registered nurses, nurse practitioners, and physician assistants partner with highly skilled and experienced urologists to provide the highest quality of urological care. St Pete Urology has earned a positive reputation among patients and their peers, and they offer a wide range of services that include vasectomies and vasectomy reversals.

References:

Understanding the Vasectomy Procedure: What You Need to Know

Key Takeaways:


1. A vasectomy is a permanent form of contraception for men that prevents pregnancy by blocking the flow of sperm from the testicles to the penis.
2. Preparation for a vasectomy includes discussing potential risks and complications with a doctor, scheduling an appointment at a certified facility and undergoing pre-surgery testing.
3. After the surgery, patients should expect minor pain and swelling, use an alternate form of contraception until the procedure is confirmed successful, and follow-up care with their doctor.

Understanding the Vasectomy Procedure: What You Need to Know
A vasectomy is a permanent form of contraception for men that prevents pregnancy by blocking the flow of sperm from the testicles to the penis. Though the procedure is relatively safe, with proper tools and techniques it is important to understand what is involved. This article aims to provide an overview of the vasectomy procedure and explain the reasons for considering this option. It will also detail what is involved in preparation, surgery, and recovery.

Introduction

A vasectomy is a routine and relatively safe procedure that involves blocking the flow of sperm from the testicles to the penis, making it an extremely effective form of contraception. Men considering the procedure should understand the risks and benefits associated with the procedure, and make sure to discuss the specifics with their doctor.

Overview of the Vasectomy Procedure

A vasectomy is a surgical procedure that is performed under local anesthesia and is relatively quick and simple. During the procedure, a surgeon can access the tubes that transport sperm from the testes to the penis. They use clamps, heat, or a cauterizing device to cut and seal these tubes. Vasectomy does not interfere with male hormones or with the appearance of the patient’s external genitalia. However, it does not protect against sexually transmitted diseases.

Reasons for Considering a Vasectomy

Men may consider having a vasectomy for personal, finance, or medical reasons. If smaller families are desired, couples may consider a vasectomy. They might choose this option if they are sure they do not want any more children. Additionally, a vasectomy may be recommended if a medical condition, such as a genetic disorder, increases the risk of having a baby with birth defects.

In addition, vasectomy is much less expensive than other contraceptive methods such as tubal ligation. So, couples may decide it is the best option to meet their needs.

Description of the Vasectomy Procedure

What Is Involved in the Procedure?

The vasectomy procedure typically takes no more than 30 minutes and is performed in an outpatient setting. During the procedure, the surgeon anesthetizes the scrotum and cuts the connecting tubes through which sperm travels. These tubes are then sealed using heat or clamps and the scrotal incision is closed using sutures.

Once the procedure is completed, the sperm are still present in the seminal vesicles and ejaculatory ducts, but can no longer travel to the penis, making the patient infertile.

Side Effects and Complications

While a vasectomy is generally a safe and relatively simple procedure, as with any medical procedure there are always potential risks or complications. The most common complication is post-vasectomy pain syndrome, which usually subsides within a few months. Other complications include infection, pain, swelling, and bruising.

What to Expect Following the Surgery

Immediately following the procedure, pain, swelling, and bruising may occur, but typically subsides within a few days. Generally, patients can return to work within a few days, but heavy lifting or strenuous activity should be avoided for 1-2 weeks. Sexual activity can usually resume soon after the procedure, however, it is important to use another form of contraception until the doctor confirms that the procedure was successful.

Preparing for a Vasectomy

What to Discuss with Your Doctor

Prior to scheduling the procedure, it is important to have a thorough and informative conversation with your doctor. This discussion should cover the risks and complications associated with the procedure and any underlying medical conditions that could affect the surgery. Your doctor should also provide detailed instructions about preparation for the procedure and what to expect afterwards.

Scheduling Your Appointment

Patients should schedule the procedure at a facility that is certified to perform such operations. It is also important to allow enough time for all tests and consultations that may be necessary prior to the surgery.

Pre-Surgery Testing

Your doctor may require you to have additional testing done, such as a urine test, complete blood count, and a semen analysis. These tests are done to make sure the patient is in good health and has the correct hardware that is needed for a successful surgery.

What to do and Not do Before and After the Procedure
Before the surgery, it is important to plan ahead. Make sure to have someone available to drive you home after the procedure, and make arrangements to take a few days off work to allow time for recovery. Additionally, patients should avoid alcohol for two days before the surgery, and avoid any strenuous activity for several days afterwards.

Aftercare and Recovery

Expected Recovery Time

Recovery from a vasectomy typically takes a few days and includes minor pain and swelling. Pain typically subsides within a few days and patients are usually able to resume most activities within a week.

Follow-up Care

It is common for patients to experience some residual swelling and flesh colored lumps around the scrotum for up to six weeks. Your doctor may also ask you to provide a semen sample three months after the procedure to make sure the tubes remain blocked.

How to Make Sure the Procedure Was Successful
It is important to use another form of contraception until a semen sample confirms that the procedure was successful. If a sperm sample is not produced six weeks after the operation, your doctor may recommend another semen sample at three months post-surgery.

When Is It Safe to Resume Sexual Activity?
Typically, sexual activity can resume soon after the surgery. However, it is important to use an alternate form of contraception until the doctor confirms that the procedure was successful.

Conclusion

A vasectomy is a highly effective form of contraception for men and is a safe and routine procedure. Prior to scheduling the procedure, it is important to talk to your doctor in order to receive instructions and advice on preparation, surgery, and recovery. With proper aftercare and follow-up care, the procedure can be successful and help couples reach their family planning goals.

For more information or to schedule an appointment to discuss the vasectomy procedure, visit St Pete Urology. We are a urology practice located in St Petersburg, Florida, dedicated to providing the highest quality of care and specialized treatment for our patients.

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The Pros and Cons of Vasectomy

Penis enhancement surgery is a procedure to correct structural and functional problems of the penis. It may be recommended after an injury, defect, or loss of function. But usually, it is a corrective measure for a micropenis or a buried penis. Both of which cause functional issues with urinating, sexual intercourse, or hygiene.

In rare cases, the procedure may be considered for making the penis longer or larger. It may also be used to make the stomach smaller in order to allow the penis to appear longer and wider. However, surgery to increase the size or width of the penis is medically discouraged. It is a deeply personal decision that requires careful consideration. 

That’s because most men who usually think they have a small penis tend to actually have a normal-sized penis. Also, most of the penis enhancement claims are false and tend to involve techniques and products that may be harmful to the penis.

Alternatives to surgery

  1. Jelqing exercises

Jelqing is a natural penis enlargement exercise involving a hand-over-hand rolling motion to increase blood flow to the head of the penis and stretch the organ. Though a fairly safe practice that can enhance the penis, it is not backed by enough medical studies. And it may lead to pain, irritation, or scar tissue formation if done too often or aggressively.

  1. Pills, potions, and lotions

While there are numerous penile enlargement vitamins, pills, herbal preparations, hormones, and lotions, most of the claims about them aren’t supported by evidence. Some may even interfere or interact with other medications or be harmful to users.

  1. Penile extenders

Penile extenders are non-invasive devices that use traction to stretch the penis. Studies have reported that extenders help to increase the length of a flaccid penis by more than 1.5 centimeters after 3 months of use. 

But more research is necessary to assess their safety and effectiveness. Plus, they are uncomfortable and cumbersome to use, and can overstretch the penis causing nerve damage, bruising, or blood clots.

  1. Vacuum pump

Though they are designed to treat erectile dysfunction, some people use them to occasionally “exercise” and stretch their penis. In the process, they can trigger tissue damage and cause erectile problems.

  1. Clamps and rings

Clamps and rings are used by some people to stretch and elongate their penis. The devices are placed around the base of an erect penis to reduce blood flow out of the penis. While wearing one of these devices may temporarily enlarge the penis, having it on for more than 30 minutes may cut off blood flow and damage penile tissues.

What are the pros and cons of penile enhancement surgery?

Typically, a urologist recommends penile enhancement surgery to correct an injury, treat a defect, or improve function of the organ. Only in very rare cases can the doctor recommend surgery to increase the length or width of the penis.  

That’s because penis enhancement surgery comes with the risk of serious complications such as scarring, pain, infection, loss of penile sensation, and erectile dysfunction. 

Pros of penis enhancement surgery

  1. Helps to correct a micropenis – defined as a very small penis. A micropenis is a condition you’re born with, but which needs correction because it causes functional problems. 
  2. Helps to correct a buried penis – defined as a penis buried under the skin from your stomach, thighs or scrotum. A buried penis can be a congenital condition or a result of aging.
  3. Helps to restore a functional penis by correction of penile abnormalities caused by injuries or disease. Penile abnormalities may make it difficult to urinate while standing up or hinder penetrative sexual intercourse.
  4. Helps to achieve a satisfactory appearance of the penis, particularly in those with persistent, bothersome, and embarrassing concerns about their penis size or width.
  5. Helps to create a new sense of masculinity and sexual potency, which in turn improves personal relationships, overall mood, and productivity in daily work.
  6. Helps to increase confidence and self-esteem by achieving a penis length and girth that meets personal goals and expectations.

Cons of penis enhancement

  1. Is associated with surgery risks such possible infection, bleeding, or damage to nerve endings.
  2. There may be adverse reactions to anesthesia.
  3. It may produce a lop-sided penis appearance, where the penis seems to hang from the scrotum instead of from the abdomen.
  4. Fat used to widen or enlarge the penis can be reabsorbed, which eventually reduces the width of the enhanced penis.

Safe, effective penis enhancement 

At St Pete Urology, we perform penis enhancement surgery on a regular basis to correct congenital and acquired micropenis. The goal of the surgery is usually to restore a functional penis size in order to achieve normal standing urination, satisfying sexual intercourse, and enhanced quality of life.  

Occasionally, we perform penis enhancement procedure on men with normal length penises, but who perceive themselves to have small ones—something that is usually a psychological condition. But for such a procedure, a lot more consultations and a multidisciplinary approach are usually necessary to come up with a highly individualized surgery that meets patient goals and expectations.

For more information on penis enhancement and other procedures for treating urologic disorders, visit the site “St Pete Urology.”

What are the Success Rates of a Vasectomy Reversal?

A vasectomy reversal is the surgical procedure to undo a vasectomy.  The operation involves reconnecting each vas deferens that was cut and sealed off during vasectomy. Once reconnected, each vas deferens becomes a channel through which sperm can again pass through from the testicle into the semen.

The reversal procedure is a more difficult and delicate procedure compared to the vasectomy. It is performed with the aid of a powerful surgical microscope that helps to magnify the vas deferens by as much as forty times in size. And most importantly, the surgery demands a high degree of skill and experience to carry out.

What is a successful vasectomy reversal?

A successful vasectomy reversal not only restores sperm in semen, but also enables a man to get his partner pregnant. Many men undergo the reversal procedure due to loss of a child, change of heart or remarriage and with their motivation being the opportunity to have more children. 

So the measure of a successful reversal is fundamentally on whether or not a man is able to make his partner pregnant. Unfortunately, this is not a straightforward measure as many factors are involved in achieving a pregnancy. 

For instance, getting a pregnancy depends on the man’s age, age of his partner, and on the health and motility of his sperm.  This means that having a vasectomy reversal after the age of 50 years when the number of healthy sperm and their motility has reduced significantly may not be successful. In contrast, having a vasectomy reversal done when a man is younger and with a younger partner may increase the chances of success of the procedure.

Success of a vasectomy reversal also depends on the type of vasectomy procedure a man had and how long it has been in place. The more time after a vasectomy, the more likely you are to develop scar tissue in the vas deferens that will make it difficult to have sperm pass through the tube and reach semen.

What are the success rates of a vasectomy reversal?

The success rates of vasectomy reversal range from 10-90 percent depending on the type of procedure, time that has elapsed since the vasectomy, age of the partner, the surgeon’s experience and training, and whether you had fertility issues before the vasectomy. 

When the reversal procedure is done soon after the vasectomy, the chances of success are quite high. In fact, if a vasectomy is reversed within 10 years after the procedure, there is more than 95-percent possibility of having sperm back in the ejaculate and over 50-percent chance of achieving pregnancy. But a reversal performed more than 15 years after the vasectomy has a lower potential of restoring sperm back in semen and as low as 30-percent rate of pregnancy.

Success rates of vasectomy are:

  1. Up to 97 percent success rate of sperm in semen and 76-percent rate of pregnancy when reversal is done within 3 years after the vasectomy.
  2. Up to 88 percent success rate of sperm in semen and 55 percent rate of pregnancy when reversal is done between 3-8 years after the vasectomy.
  3. Up to 79 percent success rate of sperm in semen and 44 percent pregnancy rate when the reversal is done 9-14 years after the vasectomy.
  4. Up to 71 percent success rate of sperm in semen and 30 percent rate of pregnancy when the reversal is done 15-19 years after the vasectomy.
  5. Up to 52-percent sperm in semen and less than 10 percent rate of pregnancy when the reversal is done after 20 years since the vasectomy.

The reversal technique used and its eventual success depend on the part where the surgeon finds sperm during the procedure. If the surgeon finds sperm within the blocked vas deferens, the vasectomy is reversed by simply reconnecting the two ends of the vas deferens back together. This is a simple procedure that offers 75-97 percent chance of restoring sperm in semen and over 50 percent chance of achieving pregnancy.

But when there is no sperm in the tubes, which is often due to a blockage nearer the testicles, the surgeon will often perform the vasoepididymostomy procedure. During vasoepididymostomy, the vas deferens is connected to the epididymis. This procedure gives a 58-85 percent success in having sperm in semen and produces an average 34 percent rate of pregnancy.

For more information on vasectomy and vasectomy reversal, visit the site “St Pete Urology.”

Can you still have Orgasm after Vasectomy?

Men, we all desire to be good husbands and partners. Many of you may have seen your wife or partner experience the adverse effects of some contraception. Some will want to help alleviate this unfortunate circumstance.

The option of undergoing vasectomy may come up. This procedure is one big step to take a lead role in family planning and protect your partner. However, you may also have concerns about how it will affect your sex life afterward.

The good news is, vasectomy will not adversely affect your sex life.

It will neither reduce your sex drive nor affect your ability to have an erection. It will not affect your ability to ejaculate or have any difference in the amount of semen you ejaculate.

No effect on testosterone production

Your male characteristics depend on the hormone testosterone. Produced in your testicles and responsible for secondary sexual characteristics, testosterone is the hormone that maintains your libido (sex drive), sensation, and ability to have an erection and an orgasm.

An average testosterone level after vasectomy means you maintain the same level of sexual performance and satisfaction after the procedure.

So does a vasectomy affect your testosterone level? No. Your testicles continue to produce testosterone after the procedure, just as they did before the surgery. The operation is done on the vas deferens and not on your testicles, which means there are no effects on testosterone production. Plus, it means you continue to have normal erections, ejaculations, and orgasms.

If you experience a drop in testosterone after vasectomy, the reduction may be unrelated to the procedure. Such a reduction is often due to diminished function of the testes (hypogonadism), which is linked to age.

Hypogonadism affects 1 in 50 men aged 40-79 years. It is more common in men with diabetes, kidney disease, heart disease, or those taking certain medications, such as steroids. It may also be due to stress, depression, or too much alcohol.

If you notice any drop in your sex drive after vasectomy or feel you might have symptoms of low testosterone, speak with your doctor for help.

Normal ejaculations

A vasectomy does not significantly affect the quantity of the ejaculate. While the procedure ensures that the sperm made in the testicles do not pass through the vas deferens to reach the urethra, it doesn’t noticeably change the quantity of fluid you ejaculate.

In a typical ejaculation, the semen produced in your seminal vesicles and prostate gland forms 95-98 percent of the ejaculate. And so, since sperm only makes 2-5 percent of the ejaculate, preventing sperm from being included in the semen doesn’t make a big difference in the volume of the ejaculate. You will not even realize the difference in your ejaculations.

Remember that the procedure does not stop sperm production. Your testicles will continue to secrete sperm throughout your life; only that the sperm will not reach the urethra to be added to the semen before ejaculation.

During a vasectomy, your vas deferens is cut and blocked to stop sperm and make it impossible for them to travel to the urethra. The sperm dies and is absorbed by the lining (membrane) of the epididymis, where they dissolve naturally. The absorption process doesn’t interfere with testosterone production, erections, or orgasms.

Enhanced orgasms

With a vasectomy, you will feel relieved from the anxiety or stress of an unplanned pregnancy. And, with that freedom, your lovemaking will be more spontaneous, sensual, frequent, and intense.

Recent studies have shown that the procedure isn’t only reliable but boosts sex drive in men and ensures stronger erections and better orgasms without the risk of pregnancy.

Safe, effective vasectomy

Want to have a vasectomy but have questions before the procedure?

At St Pete Urology, we do vasectomies every week and guide men to make the right family planning decisions. We will listen to your concerns, give you the right advice, and help you make an informed decision.

Over the years, we have seen our clients undergo vasectomy procedures and report results that make us proud. We are happy that our patients retain the highest level of sex drive, firmer erections, unchanged ejaculation, and regular orgasms after the procedure.

If you’re considering having a vasectomy at St Pete Urology, you shouldn’t fear it would affect your sex drive or orgasms. We can guarantee that your sexual performance and satisfaction will only get better. 

Can you still ejaculate after a vasectomy?

A vasectomy does not affect your ability to ejaculate. Neither does it have any adverse effect on the appearance of the ejaculate. You will still have normal ejaculations and enjoy orgasms after the procedure.

Why is there no change in ejaculation?

A vasectomy is a surgical procedure done on the vas deferens—the tubes that transport the sperm to the urethra, which then carries it out of the body during ejaculation. During the procedure, your doctor will cut and seal the vas deferens tubes to make it impossible for sperm to leave the body via ejaculation.

Even after a vasectomy, your body will still function normally. Your testes continue to make sperm, but the sperm cannot pass through the vas deferens and are reabsorbed back into the body. As a result, you are no longer able to get your partner pregnant. With an almost 100% success rate, this procedure is considered one of the most effective birth control methods.

You will continue to have normal ejaculations because sperm only makes up 2-5% of the semen. The rest of the semen is made in the seminal vesicles and the prostate gland. You will hardly notice any difference in its volume.

A vasectomy does not affect semen quality, texture and amount, and does not reduce the sensation during orgasm.

First ejaculation after a vasectomy

You should wait for a few days after the surgery before you have sex or masturbate. Following a vasectomy, you will feel some pain, soreness, swelling, and discomfort in your testicles, particularly around the small wounds on each testicle where the doctor made the incision.

It is advisable to avoid sex for 1-2 weeks to prevent the irritation of tissues that are already swollen and sensitive. After about two weeks, you can resume sexual activity.

The discomfort felt during the first few ejaculations should lessen with time. There may also be some blood in the semen. If you experience discomfort well into the third week, you should see your doctor as it may be a sign of a complication.

Roughly 1-2% of men who have a vasectomy experience post-vasectomy pain syndrome—a chronic testicular pain that lasts for at least three months. The condition causes constant or occasional pain and may lead to painful ejaculations.

Sexual activity after a vasectomy

With the pain and swelling gone, you can resume sexual intercourse with your partner. However, it is important to remember that sperm will still be present in the tubes for several weeks. To avoid pregnancy, you should use condoms or another form of birth control for at least the first three months after the procedure.

You will need a follow-up test after three months or about 20 ejaculates to check for sperm in the semen. If you still have sperm in your ejaculate at this point, you will need to use another form of contraception until a semen analysis confirms that your ejaculate is sperm-free.

Just like sexual intercourse, it is safe to masturbate after the vasectomy wound has healed and the swelling and pain are gone. To obtain semen for analysis, your doctor will ask you to masturbate into a cup at home or in the doctor’s office. You do not need additional precautions before masturbating after a vasectomy.

Enhanced sexual performance

A vasectomy does not have any adverse impact on bodily processes, hormones, or penile structure. Hence, it does not affect sex drive, sexual performance, ejaculation, or erectile function.

You will still have the same libido level as before, get erections, ejaculate, and have orgasms. And with the stress of unplanned pregnancy eliminated, you should find lovemaking more spontaneous, pleasurable, and satisfying.

The procedure also does not affect the secretion of the male hormone testosterone. There is usually a little testosterone boost because the hormone is no longer lost in the vas-deferens fluid when you ejaculate. And by helping you to reabsorb some testosterone into the body, it should give a slight boost to your sex drive.

Likewise, because erectile dysfunction can be triggered by stress, not worrying about unwanted pregnancy means you are freer to experiment during intercourse. Your greater confidence to engage in sexual activity can enhance the experience and improve your overall sexual performance.

Safe, effective vasectomy

Are you a man who is done having children? If so, you can have a safe, effective vasectomy procedure at St Pete Urology. At our state-of-the-art facility in St Petersburg, Florida, hundreds of vasectomies are performed every year with remarkable success. Our patients can enjoy their sex lives with more freedom to express themselves and without the fear of unplanned pregnancy.

Long Term Risks of Vasectomy

Vasectomy is a one-time male contraception procedure that provides 99.9 percent efficacy in preventing pregnancies. It offers permanent contraception and, compared to the female procedure of tubal ligation, vasectomy is:

  • Simpler.
  • More effective.
  • Safer, with fewer complications to patients.
  • Much less expensive.
  • Conveniently performed on an outpatient basis.

Following a vasectomy, you will find sex with your partner more spontaneous and enjoyable. After all, you will no longer have to worry about a potential pregnancy or need to interrupt pleasure to apply contraception.

So what are the long-term benefits and risks of a vasectomy?

Vasectomy is typically performed on younger men in their thirties and forties. These men still have many years of their lives during which long-term health effects might appear.

Luckily, medical studies have examined the long-term health impact of vasectomy and the evidence suggests there are no significant risks. In fact, men who have undergone vasectomy have basically the same risk of developing heart disease, cancer, or other health problems as those who have not.

Let us now consider the specific issues.

1. Vasectomy and testosterone levels

Vasectomy does not affect the secretion and release of testosterone—the male hormone responsible for facial hair, sex drive, deep voice and other masculine traits. Hormonal tests in those who have had a vasectomy show that there is no significant change in both free and total testosterone. Hormone levels in the body remain within normal range. There is also no significant difference in testicular or epididymal size after a vasectomy.

2. Vasectomy and sexual function

Can a vasectomy affect your sexuality negatively? Studies indicate there is no such effect. Apart from changing your fertility, a vasectomy will not influence your sexual and reproductive physiology. The nerves that are critical for erectile function and ejaculation remain intact and you will still achieve normal erections, climax and produce the same amount of ejaculate—only that your semen will not have sperm.

The procedure will not diminish your libido, which is related to various hormones in the body that are not altered by the surgery. Even your sperm production remains normal except that they are reabsorbed in the body. So the only change you are likely to have is ability to enjoy yourself without the worry of pregnancy.

3. Pain, discomfort and abscesses

The cause of post-vasectomy pain syndrome is unclear, but on rare occasions when it occurs, it can be a challenging urological problem. An estimated 1-2 percent of men experience chronic scrotal pain after a vasectomy that ranges from a dull, aching sensation to a sharp, biting pain. There is no single treatment for the pain, but your urology will tailor a solution for you should it occur, and it will rarely require further surgery to reduce or correct.

Abscesses are quite rare after a vasectomy, but they may occur. In typical cases, they result from post-operation infection at the surgical site. Fortunately, most respond to treatment with antibiotics and eventually resolve. However, when left untreated, the abscesses can fill with fluid and may need to be drained. So if you suspect you have an abscess after a vasectomy, you should see your urologist immediately to stop the condition from getting worse.

4. Epididymitis

In 1-3 percent of men who undergo vasectomy, inflammation of the epididymis may occur—a condition called epididymitis. The epididymis is a duct found behind the testicles that allows flow of sperm to the vas deferens. It is highly coiled and very narrow; since sperm still flows through the epididymis to the vas deferens after a vasectomy, the duct may get inflamed when the sperm get backed up as the vas deferens is already severed.

Inflammation of the gland is rare, but is often characterized by tenderness, pain and swelling. Some urologists recommend anti-inflammatory drugs to help with epididymitis, though the swelling should be gone within a week or so after surgery. If it gets worse after the first week, speak with your urologist about it.

5. Sperm granulomas

Cutting the vas deferens during a vasectomy ensures sperm is stopped from reaching scrotal tissues. In some cases, however, the sperm may leak through the cut vas deferens into scrotal tissues. When this occurs, the sperm may form a hard, occasionally painful lump or mass, the size of a pea, called granuloma in the scrotal tissue.

Once formed, a lump can cause small bumps or cysts, which range in size from 1 millimeter to 1 centimeter. Lumps may also produce multiple lesions that tend not to produce symptoms, though some men may experience pain at the granuloma areas. Studies estimate that 15-40 percent of men undergoing vasectomy have sperm granulomas.

While sperm granulomas are not usually dangerous and often gets absorbed by the body, some cause pain and swelling in the genital region. Actually, the entire area may become sensitive to temperature and pressure changes. Most granulomas respond to anti-inflammatory drugs and the sensitivity and swelling subsides within a week after treatment. But in some extremely rare cases, reverse vasectomy may be necessary if the leakage does not stop and the swelling becomes increasingly worse.

6. Vasovenous fistula

This is another rare risk of vasectomy. It occurs when several blood vessels adhere to the vas deferens injured when vasectomy is done. It can cause pooling of blood vessels leading to development of a fistula, or abnormal association between the vas deferens and close by blood vessels. The symptoms of vasovenous fistula may include blood in ejaculate or urine. Although the risk is quite rare, you need to seek immediate medical attention should these symptoms occur.

7. Immune based illnesses

Some men may have immune reactions to the sperm that gets absorbed in their bodies after a vasectomy. The effect is the possibility of immune reactions that may lead to heart disease and other immune-based illnesses. However, many extensive studies have concluded that a vasectomy does not lead to immune-based illnesses or heart disease later in life. In fact, studies show that the risk of immune-based illnesses is so insignificant that it should not concern either the urologist or the patient.

8. Vasectomy and cancer

One serious concern has been the possibility of a vasectomy increasing the risk of having prostate or testicular cancer. A study published in the Journal of the American Medical Association in 1993 suggested that 20 years or more after a vasectomy, men who have undergone the procedure are twice as likely to develop prostate cancer compared to men of the same age group who have not undergone the procedure.

However, reviews of the study by the medical community have since demonstrated that the study did not include enough participants and the findings are therefore not statistically significant. In fact, compared to other studies that have used PSA tests to establish the possible risk of prostate cancer, the general consensus is that vasectomy comes with no increased risk of the cancer.

The risk of prostate cancer among men who have and those who have not undergone the procedure is the same when PSA tests are combined with digital rectal exam, ultrasound or prostate biopsy. Therefore, as a rule, men should undergo prostate cancer screening whether or not they have had a vasectomy. Likewise, there have been no reports of increased risk of testicular cancer after a vasectomy.

At St Pete Urology, we have offered vasectomy services for decades and we are proud of the results. The procedure has minimal long-term risks compared to other surgical procedures and provides men the freedom to enjoy sex without having to worry about a possible pregnancy. And the risk of prostate cancer, testicular cancer, heart disease, immune-based illnesses and other conditions are too insignificant to stop you from having a vasectomy.

We are ready to answer all your vasectomy related questions and concerns during your consultation. For more information, schedule a consultation or visit the St Pete Urology website.

How soon can I have sex after a vasectomy?

Men have a vasectomy in order to not have to worry about conception when they are making love. A vasectomy is one of the few ways men can have control over their reproductive capacity. It’s also one of the most reliable ways to prevent an unwanted pregnancy.You may have questions before or right after having a vasectomy. Here are some answers to the most frequent questions.

What is a Vasectomy?

Considered a minor surgery, a vasectomy is when the vas deferens is cut and the two ends are seal and tied together. Depending on factors that your urologist can discuss with you, you will either have a conventional vasectomy or a “no-scalpel” vasectomy.

During a conventional vasectomy, the surgeon will make one or two small incisions in the skin of the scrotum to access the vas deferens. The surgeon may remove a small piece of the vas deferens before searing the ends and tying them off with a suture. The procedure is repeated on both sides. The small cuts in the scrotum may be closed with dissolvable stitches or simply left to close on their own.

For a no-scalpel vasectomy, your urologist will locate the vas deferens by feeling for it under the skin of your scrotum and place a small clamp on the vas. A minute hole is made in the skin, which is stretched open so the vas deferens can be lifted out to cut, and then the ends are tied or seared, and replaced.

What will sex be like?

A vasectomy is a fairly simple procedure without long-term effects on sexual activity. Your surgeon may recommend abstaining from sex for a short time afterward. This is to allow the incisions and sutures time to heal.

Normally the recommendation is to wait for any pain or swelling to resolve before having sex. The reason you should wait to have sex is because if it is too soon, you could reopen the site of the incisions and infection-causing bacteria might enter the incision.

Most men can resume sexual activity within a week or two. During the time shortly after your vasectomy you should use an alternative form of birth control because it takes a little while before all the sperm is cleared from your ejaculate. Your doctor will test your semen sometime after surgery, usually around six to twelve weeks.

Having a vasectomy rarely changes anything about ejaculation or orgasm. There are a few cases of post-vasectomy pain syndrome. But most patients have only the following post-surgical inconveniences which generally go away on their own:

  • mild to moderate pain or discomfort
  • bruising or soreness of the scrotum
  • blood clots in the scrotum
  • swelling in your genital area or scrotum
  • blood in the semen

Having the peace of mind that a vasectomy delivers sometimes can enhance sex life, with better arousal and erections. About three months after your surgery, you can have unprotected sex without fear a possible pregnancy. However, it is always wise to use protection with a new partner.
To find out more about the vasectomy procedure, visit St Pete Urology’s websit.