ENLARGED PROSTATE
Incontinence
Vasectomy
Prostate Cancer
In Office Procedures

Vasectomy

A vasectomy is a permanent form of sterilization. It eliminates the need for any other type of contraception including condoms or birth control pills.

Before the procedure is performed, please make an appointment to see me and he will discuss the advantages and disadvantages of permanent contraception. Although the vasectomy can be reversed surgically, it is a complicated procedure requiring general anesthesia. It is not reimbursed by the insurance company and is quite expensive.

The vasectomy is performed in the office under local anesthesia. After numbing the skin, a tiny hole is made using the No Scalpel vasectomy technique. A short segment of the vas is removed and the ends are sealed with surgical stainless steel staples. The skin is then closed with sutures that dissolve. The patient may drive himself home from the procedure.

The patient will then go home and ice the scrotum until bedtime. He is given a prescription for pain medication if needed. The following day, the patient may resume all his regular activities. Wait an additional day before swimming.

It usually takes 12 or more climaxes to eliminate the sperm from the semen. After a dozen climaxes, patient must bring in a semen specimen obtained at home by masturbation. It will be examined under the microscope. Until there are no sperm seen, contraception must be used.

As with any surgical procedure, there is a risk of bleeding and infection. A small painful knot called a sperm granuloma may develop at the vasectomy site or adjacent to the testicle. Despite the fact that the vas is cut and clipped, the ends may get back together again and sperm will return to the ejaculate. This is known as spontaneous reversal and it is estimated to occur once in every 2,000 vasectomies. Dr. Schonwald recommend that 6 months after the sperm have cleared, the patient bring in another semen specimen to be checked.