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T.J. Morris MD and Family

Vasectomy Pro

Vasectomy is the safest, simplest, and most effective form of permanent birth control.

 

Vasectomy is an office procedure that prevents sperm from reaching the semen ejaculated from the penis. After a successful vasectomy, semen still exists, but it does not contain any sperm. Vasectomy is more effective at preventing pregnancy than any other method of birth control, except for 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, 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.

"Better than the dentist gas."

Advantages

- Low one time expense

 More dependable than any other form of contraception

-Eliminate risks associated with 

birth control pills, shots and IUD.

-A vasectomy is less costly/more 

successful than tubal ligation.

-Since reversal attempts sometimes do not lead to pregnancy, a vasectomy should be considered an irreversible form of contraception.

Happy Family After Vasectomy

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)

After vasectomy

Happy Couple After Vasectomy

The portions of divided vas tubes above still have live sperm. Men are still considered fertile and must continue birth controls until their semen is examined microscopically at 12 weeks or greater to verify they are sperm free. 

Risks

Bleeding can occur during or after vasectomy, but it is less common with no a 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. 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(aspirin or ibuprofen). About 1 in 2000 patients will experience chronic post-vasectomy discomfort 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 to flow between the two cut ends of the vas. If this happens during the healing process, the semen won't become 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. This includes birth control pills and tubal ligation (female sterilization). Failure rates of vasectomy are less than 1%.

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