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How is a Vasectomy Done?

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.

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Dr. Reid Graves, Dr. Nicholas Laryngakis and Dr. Adam Oppenheim of St Pete Urology are board certified urologists in treating urological diseases with the use of the latest technology available. Contact us at our office in St Petersburg, Florida.