I use three techniques to ensure the vas deferens is disconnected for good:
No. I do not use any metal clips or permanent stitches. Following the procedure the skin is held together with an instrument for two minutes to seal the incision.
Please arrive at least 15 minutes prior to the procedure. It’s always a good idea to confirm with your insurance company and our billing department what your out-of-pocket expense will be for the procedure. Otherwise we ask that you shave your scrotum (the sac) to the best of your ability prior to the procedure. Trimming pubic hair can also be helpful. Lastly, please bring compression shorts or a jock-strap to wear home for the first week. Need a pair? We found these on Amazon.
You may resume sexual activity after 3 days however YOU MUST USE OTHER FORMS OF CONTRACEPTION UNTIL YOU HAVE A LEFT A SEMEN SAMPLE SHOWING NO SPERM.
YES YOU MUST. You will receive information from our office about obtaining a 'Mail-In Home Test Kit' from PVSA (more info here). You'll provide a semen sample after you've had a MINIMUM of 20 ejaculations AND it has been a MINIMUM of 8 weeks after the vasectomy. Until you receive a call from our office with news of a negative sample, you must continue using contraception.
The immediate risk, other than pain, is bleeding. Bleeding within the scrotum (a hematoma) usually presents with increasing pain, swelling and bruising. Luckily, this happens to only 1% of men. Should this occur please contact me immediately.
To minimize your risk of bleeding please limit your activity for at least 3 days. It is also important to notify us before your procedure if you or any family member have any bleeding disorders. Lastly, you want to make certain that you are not taking any medications with blood thinners. Click here for a list of common over-the-counter blood thinners. If you take a prescription blood thinner than you will need permission from your primary care doctor to stop this prior to the vasectomy.
Chronic testicular pain from the procedure is seen in 1/1000 men. This can often be managed with medication, rarely is another surgery needed to improve the pain. Vasectomy failure is rare. The causes may include a difficult vasectomy and variation of anatomy including an extra unrecognized tube. Performing the semen sample as instructed will catch this and prevent an unwanted pregnancy.
No, the risk of infection is so low that current guidelines recommend against antibiotics.
Having a vasectomy does not cause any diseases. Men who have had a vasectomy are more likely to undergo regular health screenings later in life. Therefore, they are more likely to be diagnosed with silent diseases like prostate cancer because they are going to their doctor and getting evaluated.
Prior to scheduling your procedure, our office will confirm with your insurance company what your cost will be for the procedure and the consultation appointment. If you choose to do "self-pay", meaning you do not file anything with your insurance company, then the procedure cost is $1000. This includes the cost of your consult. If you choose to file through your insurance you can expect to pay varying amounts. Most insurance plans will cover the consult and procedure, but it may not cover them 100% which means you may still have an out-of-pocket expense based on your deductible and coverage. Vasectomy consultations and procedures require payment at the time of service. Regardless, the procedure is much less expensive than another child!
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