FREQUENTLY ASKED QUESTIONS ABOUT VASECTOMY

Will it decrease my sex drive?

Changes in sex drive are rare, far more rare than the changes in drive experienced by women who take contraceptive pills and shots.  A study published in the Journal of Sexual Medicine in 2014 showed that the sexual drive and responses of women often improve after their partners undergo vasectomy.

Will it decrease my performance?

90% of men notice no change, but when there is a change, it is usually a positive one.

Will it decrease testosterone production?

 

There is no change in testosterone production

Is it reversible?

Yes, however the chances of vasectomy reversal success depend on how much time has passed between the vasectomy and the reversal.

How is vasectomy done without a scalpel?

A pointed hemostat is used to make a tiny opening into anesthetized skin of the scrotum.  A ring clamp is then used initially to secure each vas tube through this opening. The pointed hemostat is then used to spread all the tissue layers surrounding the vas tube to then deliver a small loop of the vas through the opening as the ring clamp is released. The vas tubes are then divided and the upper end cauterized with a hand-held cautery unit so that it will seal closed.

How is vasectomy done without a needle?

Traditionally, a local anesthetic has been injected into the skin and alongside each vas tube using a needle.  However, most people do not like needles... A MadaJet® is a spray applicator which delivers a fine stream of liquid anesthetic at a pressure great enough to penetrate the skin to a depth of about 3/16", deep enough to envelop the vas tube held beneath the skin. Each vas is positioned in turn beneath the middle of the front scrotal wall and given 2 or 3 sprays. This numbs the skin and both vas tubes adequately for 99% of men. The other 1% (usually men who have thick skin or scarring due to prior surgical procedures in the area) will require a bit more anesthetic delivered with a fine needle, usually with no pain at all because of the partial anesthesia achieved with the MadaJet.

 

 

 

 

 

 

 

 

 

 

How are the ends prevented from rejoining?

After the vas is divided, the one end is allowed to slide back down into the sheath, while the other end is held outside the sheath. A small clip (the size of a grain of rice) is then used to close the empty portion of the sheath between the 2 ends. It would be like making a lengthwise opening in a wire's insulation, reaching in and dividing the wire, lifting one cut end out through the insulation, then putting a clip on the empty portion of the insulation, thereby holding one end outside and one end inside, the insulation itself serving as a barrier between the two ends. Most clips are made of titanium, a non-magnetic metal used for many types of implanted medical devices such as dental implants, heart valves, and joint replacement.

 

Men with fewer than two children 

 

If you are less than 30 years old and you have had fewer than 2 children, please consider the following points before having a vasectomy:

  1. Vasectomy should be considered a permanent and non-reversible procedure because vasectomy reversals are not always successful. Before having a vasectomy, know all of your options.

  2. You may regret it. Men who have vasectomies when they are in their 20's, especially if they have had fewer than 2 children, may be the ones most likely to seek vasectomy reversal at a later date, often regretting their vasectomy decisions if their reversals are not successful.

  3. You may change your mind. Many men who think they will never want children when they are in their early 20's are delighted with fatherhood when they are in their 30's. You may be totally convinced now that you will never want children, but people change and you may have a much different outlook 10 years from now.

  4. Women may change their minds. Similarly, women who have no desire for children when they are in their early 20's may have a much stronger desire when they are in their 30's and when many of their friends are having children of their own.

  5. Relationships end. You may not be with the same partner ten years from now and a new partner may have a much stronger desire for children than your present partner does. Just because your present partner claims that they will never want children, their decision may change 10 years from now, or they may not be your partner in 10 years.

  6. Have you discussed your decision with your parents? If not, consider this: You're an adult, yes, but they helped you get there. How would you feel if your son came home one day and said that he had had a vasectomy? That he had done something to limit his future potential (to be a father) and to limit your own potential (to be a grandparent). Having a vasectomy is still your decision, but at least you granted them the respect of letting them render an opinion. And if they succeed in discouraging you, because they know you better than any doctor does, you may one day thank them. If they don't succeed in discouraging you, they may split with you the cost of sperm storage and feel much better about your vasectomy in doing so.