Vasectomy is a Permanent Decision
Vasectomy is a simple, safe and effective surgical procedure, which makes a male sterile (unable to father a child). Because a vasectomy should be considered irreversible, it is a serious step to take. You and your partner must be sure that both of you desire no more children. It is also important to understand that there are alternative methods of birth control available.
The Vasectomy Procedure
When a vasectomy is performed, the vas deferens are interrupted to prevent sperm from traveling to the penis. This is the only change that takes place. The testes continue to produce sperm, but since they are prevented from traveling outside, they are simply reabsorbed by the body. The contribution of the testes to the ejaculate is only 5%, so the volume, feel, and look of the semen is not significantly affected by the procedure. A vasectomy will not affect the male hormone system or the ability to have normal erections or sexual intercourse.
What is the Difference between a Vasectomy and No-Scalpel Vasectomy?
Both procedures are performed in the office with local anesthetic and Valium prescribed prior to the procedure if desired. The No-Scalpel procedure uses a microblade instead of a small scalpel to create the smallest opening possible to perform the procedure.
During the Vasectomy
You will be asked to undress, lie on the table and the scrotal area will be shaved and prepped with a sterile solution. A local anesthetic will be used to ensure that you do not feel pain or discomfort during the procedure. Once the area is anesthetized, a technique will be used to remove a small section of the vas deferens on both sides. The cut ends are then closed; you may feel a pulling type sensation. Some small stitches are placed in the skin which will dissolve spontaneously in 1 to 2 weeks. The procedure will take about 15-20 minutes and is well tolerated by most men.
After the Vasectomy
The local anesthetic will begin to wear off within two to four hours. It is imperative that you go directly home following the procedure. An ice pack or bag of frozen vegetables should be used on the scrotum for the first 24 hours. You are required to limit activities and stay off your feet as much as possible for two to three days and use athletic support or tight cotton briefs at all times for the first week. You may return to work in two to three days, provided this does not involve very strenuous activity, which should be limited during the first week. There may be some mild discomfort for a few days, which can usually be controlled with Tylenol™.
Sexual activity can be resumed in one week, keeping in mind that you must use some other form of birth control until you are told that a semen sample obtained after the vasectomy is sterile. A semen analysis can be done at home using a kit that will be mailed to you, and mailed back by you to the lab. Results are usually available within 24 hours. After a negative sample has been obtained, the sterility rate is 99.44%.
You will be scheduled for a post-operative visit approximately 3 months after the procedure to ensure you are completely healed.
Dr. Steinberg has performed thousands of vasectomies in his career.
To schedule an appointment with Dr. Steinberg for an evaluation for a Vasectomy, please call his Milford office at (508) 473-6333.