Sperm production occurs in the male testis (testicle). Each testis contains seminiferous tubules, which are tiny coiled tubes lined with spermatogonia (sperm stem cells) and sertoli cells (sperm nurse cells) for sperm production. Around the tubes are testosterone-producing cells called Leydig cells, which produce hormones that stimulate the nurse cells and regulate sperm production. It takes roughly 70 days for sperm to develop in the testis and be ready for action.

Movement of Sperm

Newly formed sperm cells move into the epididymis (a tightly coiled duct located above the testis), where special proteins are added to the sperm membrane resulting in highly specialized cells capable of swimming, binding and penetrating the ovum (female egg). Since sperm cells only form a small portion of the ejaculated fluid, the cells are typically mixed with fluids from glands such as prostate, seminal vesicles and Cowper’s gland as they are pushed through the ducts. In fact, a big part of the fluid making up semen comes from the prostate gland and the seminal vesicles. From the epididymis, sperm cells move into the vas deferens and then into the urethra.

Sperm after vasectomy

During a vasectomy, the sperm duct (vas deferens) is cut and its ends sealed to prevent passage of sperm into the urethra. So sperm cells are still produced and moved into the epididymis to mature but are not able to pass into the vas deferens because of the blockage at the ends of the vas. After a vasectomy, sperm is still produced but does not get into the ejaculated fluid due to the blockage of the vas deferens. And since the sperm cells cannot move out, they naturally dissolve and are absorbed by the lining (membrane) of the epididymis. Vasectomy does not reduce a man’s ability to have orgasms. In fact, you still have the same mind-blowing experience but without the possibility of a pregnancy.

Does vasectomy have complications?

Vasectomy is one of the most effective and safest methods of birth control. However, like every other surgical procedure, a vasectomy may have complications. Therefore, it is important to discuss this with your doctor before undergoing the procedure.

Whenever complications occur after a vasectomy, they are usually minor and very easy to treat. For instance, after the procedure a man may experience a dull ache or pain due to pressure on the tiny tubes of the epididymis. This pain is treated with medication, though removal of epididymis sometimes may be recommended. Other possible complications are a risk of infection, fluid accumulation, temporary swelling, transient bruising or bleeding. Vasectomy does not increase the risk of prostate cancer.

Looking for a surgical and medical center where you can have the safest vasectomy procedure? At St Pete Urology, you can be sure of getting one of the most skilled and experienced pool of urologists, latest medical and surgical equipment, and patient-friendly, multidisciplinary services that guarantee the best outcomes. For more information, visit the “St Pete Urology” site.

Are you done having children or just feel sure you never want kids? If so, then you may consider having a permanent birth control (sterilization) procedure. For couples, sterilization can be performed on either a man or woman, with the procedure for men called a vasectomy while for women it is known as tubal ligation (getting your tubes tied). Sterilization is a common method of birth control, with more than 23 percent of all couples in the United States relying on it to stop having children.

What is tubal ligation? What is vasectomy?

Tubal ligation is a sterilization option for women. During the procedure, the fallopian tubes are sealed off or blocked to prevent ova (eggs) moving from the ovary via the fallopian tubes, preventing them from meeting with male sperm. A vasectomy is a sterilization option for men in which a man’s vas deferens tubes are blocked or tied and cauterized to prevent the transportation of sperm during ejaculation. While both vasectomy and tubal ligation are viable options, only one of the two procedures may be necessary when a couple chooses sterilization as a method of birth control. And often, vasectomy is the most preferred method of sterilization for couples because it is simpler, safer, cheaper, more reversible and more effective than tubal ligation.

Safety of vasectomy and tubal ligation

Both tubal ligation and vasectomy are extremely safe. However, tubal ligation involves hospitalization of women as the procedure is performed under general anesthesia. Tubal ligation is a more complex and lengthier procedure. On the other hand, a vasectomy, particularly the no-scalpel procedure, can be performed in as little as 10 minutes with the patient allowed to go home soon after operation. Vasectomy is less invasive and the doctor barely scores the scrotum skin. So when as a couple you are choosing between a vasectomy and tubal ligation, then the safety, convenience, minimal complications and short recovery time should make vasectomy the better option.

Risks of vasectomy and tubal ligation

Tubal ligation is typically a laparoscopic procedure that requires many hours or days of recovery. There also may be serious complications associated with general anesthesia, perforation of intestines or even infection. Tubal ligation also may cause long term side effects such as painful menstrual cycles and pelvic pain, though this occurs rarely. A vasectomy is a simple, minimally invasive outpatient procedure which takes less than one hour. It also does not have scientifically proven long-term risks or complications.

Efficacy of vasectomy and tubal ligation

Both vasectomy and tubal ligation are very effective. Studies examining the failure rates of vasectomy and tubal ligation have rated them among the most effective methods of birth control, with less than 1 in 100 chance of pregnancy after sterilization. However, because tubal ligation is more invasive and women have to stop using all forms of contraception after attaining a certain age, vasectomy is more appropriate.

Cost of vasectomy and tubal ligation

The costs associated with vasectomy and tubal ligation is quite different. A tubal ligation costs four times as much as a vasectomy. The average cost of a tubal ligation procedure is $2,000 or more while the average cost of a vasectomy procedure is $500, though the exact price varies from one surgeon to another. Nevertheless, if you have to pay for sterilization straight from your pocket, then a vasectomy may be more preferable as it is less expensive.

Reversibility of vasectomy and tubal ligation

Vasectomy and tubal ligation are considered permanent procedures. While a reversal of either is possible, the reversal procedures are quite expensive and without guarantee of success. While at least half of couples have reported successful pregnancy after a reversal of either type of sterilization, success rates depend on a number of factors, including the age, time since sterilization and type of surgery. So if you are not really sure that you do not want children, you should consider other birth control methods such as the implant (IUD) instead of sterilization.
Birth control is not the sole responsibility of women and their male partners should work with them to choose safer and more effective methods of birth control. A vasectomy has lower risks of complications, lower costs and more convenience than tubal ligation. However, before making a decision, it is important to speak with your doctor to obtain all the crucial information necessary for making an informed decision. At St Pete Urology, we help couples to make the right birth control decisions and to have access to safe and effective procedures. For more information, visit the “St Pete Urology” site.

If for some reason, such as a remarriage or loss of a child after a vasectomy, you choose to have children, can you get a vasectomy undone? Certainly yes! In fact, you can have a vasectomy undone even after a period of time as long as 25 years. However, at St Pete Urology, we are aware that some people may misuse this procedure. For this reason, we are committed to open and informative discussions with our patients before they have a vasectomy, ensuring they know that vasectomy is a permanent birth control method which they should undergo only when certain that they no longer want to have children. We also inform them of the option of vasectomy reversal but only as an ideal option when there is a drastic change of circumstances and a pressing need to have children after a vasectomy.

Outpatient procedure

Vasectomy reversal is often done as an outpatient surgery performed under localized, regional or general anesthesia. Executed with the help of an operating microscope and taking 3-4 hours, vasectomy reversal involves reconnecting the two severed ends of the vas deferens to allow sperm to be transported out of the body. Most men are eligible for a vasectomy reversal, but we usually go through the procedure in detail with our patients to ensure it is right for them.

Techniques for reversing a vasectomy

Before embarking on a reverse vasectomy, the urologist checks for sperm within the vas deferens. The presence or absence of sperm determines the type of surgery performed by the doctor. For instance, if sperm is found within the vas, the urologist will simply need to put the two ends of the vas deferens back together in order to restore male fertility. This procedure is called vasovasostomy, a sewing back together of the severed ends of each tube that carries sperm. In other cases, a blockage closer to the testicle may prevent sperm from reaching the vas. This calls for a more complicated surgery called vasoepididymostomy, which bypasses the blockage. Vasoepididymostomy involves connecting the vas deferens directly to the epididymis (a small organ located at the back of every testicle and which holds sperm).

High success rate

A vasectomy reversal is a more complex procedure that requires more expertise and experience than the original vasectomy. Therefore, it is important that you work with a surgeon who performs vasectomy reversals on a regular basis and who has a track record of success with both types of reversals. When properly performed, vasectomy reversal has a high success rate of 80-95 percent. In fact, the return of sperm (potency rate) is as high as 95 percent, while pregnancy rates vary from 50-70 percent. However, the likelihood to achieve pregnancy after a reversal depends on various factors, including experience of the surgeon, length of time since the vasectomy was done, tissue or tube damage that occurred during original vasectomy, and fertility status and age of your female partner.

Recovery after a reversal

After reversal surgery, it takes 5-14 days to recover. Vasectomy reversal is a minimally-invasive procedure that will not have a heavy toll on your body so you may only expect some soreness in the scrotal area, but this can be relieved with pain medication. However, sexual intercourse and heavy lifting should be avoided during the first 4 weeks after surgery. Your doctor will assess the success of reverse vasectomy by examining your semen 6-8 weeks after the operation. Sperm quality will return to normal 3-6 months after reversal surgery.
At St Pete Urology, we have state-of-the-art facilities, experienced urologists and a patient-centered multidisciplinary approach to ensure your vasectomy reversal is an absolute success. For more information, visit the “St Pete Urology” site.

Vasectomy is one of the most effective and safest methods of birth control. It is also a quick, easy and office-based procedure that patients can walk in and out of without assistance. During a vasectomy, the small tubes in the scrotum called vas deferens are either cut or blocked off to prevent sperm from leaving the body to cause pregnancy. The surgical procedure takes 10-30 minutes and you can return home on the same day.

Specialized attention

At St Pete Urology, we ensure that patients get the best and safest operation possible. Our vasectomy procedures are typically performed in the office of a urologist, a doctor specialized in treating conditions of the urinary tract and reproductive system. Prior to the procedure, the urologist discusses all aspects of vasectomy with the patients and their partners as openly and candidly as possible. This ensures that the procedure is performed only on the right patients. We also give all our patients close and confidential attention and help them through the decision-making process.

Types of vasectomy

There are two types of vasectomies: the conventional (incision) method and the non-scalpel [no-cut) method. With the incision method, the urologist makes 1 or 2 small cuts in the scrotum in order to access the vas deferens. A tiny section of the vas deferens is cut and removed, then the ends are cauterized (sealed with heat) and tied with stitches. The urologist completes the operation by performing the same procedure on the other testicle, either via the same opening or a second scrotal incision. After the vas deferens is tied off, the doctor applies skin “glue” or a few stitches to close the opening(s) in the scrotum.

With the non-scalpel method, the urologist makes a tiny puncture hole on one side of the scrotum. Using the hole, the doctor finds and pulls out the vas deferens from under the skin. After cutting and removing a small section of the vas deferens, the doctor ties off or cauterizes its ends before putting it back in place. The procedure then is repeated on the other testicle. No stitches are necessary because the puncture holes are quite small. Since you will be awake throughout the procedure, the doctor gives you a localized anesthetic to numb the scrotum and minimize pain and discomfort. However, you will still feel some pulling and tugging during the procedure.

Recovery

Whether performed through the incision or the non-scalpel method, vasectomy is typically a minimally invasive procedure that you will recover from quickly. After the procedure, you will experience mild to moderate pain and soreness in the scrotal area, but this can be managed easily with pain medication. It will take you about 5-7 days to return to full activity and 1-2 weeks to resume sexual intercourse. Be sure to contact your doctor as soon as you experience any complications.

Ignore the myths

Vasectomy will not change your sexual desire or performance. It does not affect your levels of testosterone, erections and volume of ejaculate. In fact, based on available clinical data, vasectomy does not have any long-term effects on sex drive in men. On the contrary, many men have reported a remarkable improvement in their sexual vigor and enthusiasm after the procedure because they have been relieved of the fear of unwanted pregnancy. Vasectomy also will not increase your risk of prostate enlargement or prostate cancer. So if you are thinking of having a vasectomy, ignore the myths and speak with your doctor for help.

At St Pete Urology, we have offered non-scalpel vasectomies for many years and incision vasectomies for much longer. We provide comprehensive vasectomy services that include pre-procedure consultations, a safe and effective office-based procedure, and all the requisite follow-up testing. If you are thinking about having a vasectomy, call or visit us for help. For more information, visit the “St Pete Urology” site.

It is a surgical procedure at which it reconnects the two ends of the vas deferens that has been cut during a Vasectomy operation.[Read Full Article…]

Many men choose a vasectomy as a permanent form of contraception. Vasectomy is a safe method of contraception. This reference summary will help explain the vasectomy procedure. [Read Full Article…]

A vasectomy is the most effective form of birth control for men. The procedure, which is done under local anesthesia, involves the cutting of the vas deferens, the tube that connects the urethra to the testis where sperm is produced. This prevents the sperm from mixing with the semen which is produced for ejaculation. Semen without sperm will not cause fertilization. If a man has had a vasectomy, there is no chance of his partner getting pregnant from sexual intercourse. [Read Full Article…]

Vasectomy is a permanent method of contraception for the male reproductive system. It involves the surgical cutting and blocking of tubes located in the groin (vas) in order to prevent the movement of sperm from the testicles to the penis. It is an effective and safe birth control option. The chance of conception from sex with a man who has undergone the procedure is only one in 1,000. Even though the procedure is a routine operation in many surgical clinics around the globe, it is not widespread. In the United States, only about 500,000 vasectomy operations are performed annually. [Read Full Article…]