PRO VASECTOMY is the safest, simplest, and least expensive method of permanent birth control. It is a simple office procedure done in a our office under local anesthetic.
PRO VASECTOMY is a minor procedure to block sperm from reaching the semen that is ejaculated from the penis. After the vasectomy, semen still exists, but it has no sperm in it. Sperm are still made by the testes, but can no longer mix with the semen. A vasectomy prevents pregnancy better than any other method of birth control, except abstinence.
Men usually experience:
No change in sex drive
No change in sensation
No change in testes or scrotum
No change in erections
No change in semen volume
NO NEEDLE NO SCALPEL
Anesthesia: A pressure spray applicator is used to numb the skin and vas tubes without using any needles.
Access: Special instruments are used to perform the procedure through a tiny access-opening on the front side of the scrotum. The 1/4-inch slit usually seals within hours, so no stitches are needed.
Each vas (left & right) is divided about one inch above each testis, where it is just beneath the thin scrotal skin and easy to reach.
Most men say it hurts less than having a blood sample drawn. Many say their procedure was painless.
We now offer the PRO-NOX Nitrous Oxide System for patients that wish to have something to calm their nerves during the vasectomy procedure. Pro-Nox delivers a safe and non-addictive 50/50 mix of Nitrous Oxide or ‘laughing gas' and Oxygen. The gas provides relief within seconds. Ask us about Pro-Nox at check-in or call us with any questions.
ADVANTAGES OF VASECTOMY
Low one time expense
More dependable than any other form of contraception
Eliminates risks associated with birth control pills, shots and IUD
Vasectomy reversals are less costly/more successful than tubal ligation reversals.
Since reversal attempts often do not lead to pregnancy, vasectomy should be considered an irreversible form of contraception.
LIMITATIONS OF VASECTOMY
Not 100% reversible
Must use other forms of birth-control until deemed sperm-free
Does not prevent transmission of sexually transmitted infections (STI's)
The portions of the vas tubes above where they were divided still have live sperm. Men are still considered fertile and must continue birth control until their semen is examined microscopically at 12 weeks or greater to verify they are sperm free.
Bleeding can occur during or after vasectomy, but it is less common with no scalpel vasectomy. If this occurs within the scrotum, drainage of a scrotal hematoma (blood clot) in a hospital operating room could be necessary. Smaller hematomas do not require surgical drainage, but tender swelling can last for 2 to 4 weeks. Both large and small hematomas are very rare. If the scrotal skin bleeds at the vasectomy access site, the scrotum can become discolored (black and blue) for about a week; this is more common than swelling. Infection is also a rare complication.
Congestion, tender buildup of sperm and white blood cells upstream from or at the vasectomy site, can occur anytime after vasectomy, but usually goes away with use of an anti-inflammatory drug such as aspirin or ibuprofen. About one in 2000 patients will experience chronic post-vasectomy discomfort (PVPS or Post-Vasectomy Pain Syndrome) severe enough that he will seek vasectomy reversal or neurolysis (division of the sensory nerves coming from the testes). A larger percentage may have milder forms of chronic pain that can affect quality of life but not severely enough to seek vasectomy reversal.
Recanalization is the development of a channel for sperm flow between the two cut ends of the vas. If this happens during the healing process (early), the semen never becomes sperm-free until the vasectomy is repeated. If recanalization happens late (months or years after a man's semen has been examined and declared sperm-free), an unplanned pregnancy could result; but the odds of this occurring are far less after vasectomy than the odds of pregnancy with any other form of birth control including birth control pills and tubal ligation (female sterilization). Failure rates of vasectomy are <1%.
There are no proven long-term health risks (neither cancer nor cardiovascular disease) associated with vasectomy.