Vasectomy

By Neal Patel, M.D. and Jitesh Patel, M.D., Advanced Urology

Summary

When it comes to forms of permanent male birth control, a vasectomy is the ideal permanent surgical procedure available to men. The idea that vasectomy makes intercourse no longer enjoyable is a myth. Vasectomy generally doesn’t interfere with male pleasure, and the recovery time is usually very short, especially in no-scalpel procedures. The cost of vasectomy is relatively low compared to long-term female birth control medication or tubal ligation. Vasectomy works by surgically altering the way sperm enters the semen. Vasectomy, in effect, cuts off that sperm supply. This is accomplished surgically by severing and then sealing the tubes that transport sperm called the vas deferens.

The Essential Facts about Vasectomy

If you have looked up “vasectomy near me,” you probably want to learn more about the procedure and not travel far. One of the great things about vasectomy is that it carries a very low risk of complications, and it is most often available to be performed as an outpatient procedure with localized anesthesia being administered. Today’s vasectomy has become faster and more sophisticated than the image most people have of the classic vasectomy. Today’s no-scalpel vasectomies require a minuscule round incision performed by a small surgical tool, and this technique doesn’t require stitches after the procedure.

While a vasectomy reversal is medically possible, vasectomy should only be chosen as a permanent birth control solution. The reversal process is also more difficult than vasectomy itself. Also, understand — a vasectomy does not in any way protect against STIs (sexually transmitted infections) such as syphilis, gonorrhea, HPV, chlamydia or HIV. The only way to prevent the spread of STIs is to practice safe sex with a condom.

To perform a traditional, manual vasectomy, the surgeon must make a small incision in the scrotum to access the tube called the vas deferens. Next, the surgeon cuts through the vas deferens (this is the tube where sperm is joined into semen), and seals the ends of the tube. The incision is then closed with a traditional buried stitch.

Modern vasectomies are usually performed without a scalpel— the no-scalpel vasectomy carries a lower risk than the standard manual procedure. In fact, vasectomy has become increasingly popular, with more internet users searching for “no-scalpel vasectomy near me.” With fewer side effects like pain or bleeding, these no-scalpel procedures have become popular. Instead of a linear incision, the surgeon simply uses a surgical tool to cut a minuscule hole into the scrotum. Then the surgeon can remove, bisect and seal the vas deferens and replace it without needing to stitch the scrotum. The Atlanta urology experts at Advanced Urology are here for you.

Benefits of Vasectomy

Among the chief benefits of vasectomy is the sheer efficiency of the procedure — vasectomy is more than 99 percent effective at preventing pregnancy. Only one or two cases per 1000 have been observed as a failed vasectomy. This is also an added benefit for those looking for birth control alternatives to female contraceptives such as birth control medication or male forms of contraceptives such as condoms. Vasectomy is most often an outpatient procedure and is available at our Atlanta urology centers. Vasectomy as a permanent male contraceptive is much more cost effective than the cost of permanent female contraceptives such as tubal ligation or the aggregate costs of long-term birth control medications. Vasectomy rare carries sexual side effects. A few men will notice less liquid during ejaculation, but the procedure doesn’t generally affect sexual performance or enjoyment.

Vasectomy in Atlanta: What to Know Before Your Procedure

Peace of mind is important, so having as much information as possible about preparing for surgery, the procedure, and your recovery is ideal. If you’ve decided that vasectomy is right for you, there are a few things that you should keep in mind before moving forward with the procedure.

• It’s a permanent contraceptive solution — while vasectomy reversal is medically possible, it’s rarely advised. Don’t enter into the decision lightly.
• Sign your consent forms.
• Stop taking NSAID medications like aspirin, ibuprofen or naproxen sodium for two weeks prior to your procedure.
• If you’ve previously undergone scrotal surgery, let us know.
• We generally perform the procedure with oral sedation using valium and local anesthesia using lidocaine. If you are anxious or nervous we can do your vasectomy in our state of the art surgery centers that are located on site at every location. You will need a driver to take you home.
• The procedure itself is very quick and usually takes under ten minutes to perform.
• Shower and clean your genital area prior to surgery. You should shave your scrotum at least 2 days prior to vasectomy.
• Arrange for an adult family member or friend to provide you with a ride home from the surgical center.
• We generally recommend you do not eat or drink for 6 hours prior to your procedure.
• Bring a snug pair of cotton underpants with you to wear after the procedure.

Cost

Most commercial insurance plans (Aetna, Blue cross, United, Humana, Cigna and Ambetter) will cover a vasectomy for little to no cost. Medicare and Medicaid generally do NOT cover vasectomy. Check with your health insurance carrier if a vasectomy is covered under your plan.

If you consider the long cost of having a child or spending money on other contraceptives, a vasectomy is a considerably cheaper option and the one-time surgery intends to last forever.

How Will I Be Billed?

Things which can affect pricing for a vasectomy include:

• Whether the procedure is non-standard or specific to your overall condition
• The supplies needed to perform the procedure
• Type of anesthesia used
• Doctor’s and facility fees

Most bills will invoice and list what was used during the procedure including the anesthesia, sedatives, supplies and other costs.

Does Insurance Cover Vasectomy?

If you’re wondering if a vasectomy is covered by your health insurance plan, you’re in luck.

Nearly all commercial insurance plans cover vasectomies. Speak to your health insurance provider if a vasectomy is covered under your plan.

Paying for Vasectomy in Atlanta

If you’re currently uninsured or your insurance doesn’t cover the procedure, we have a convenient self pay rate available HERE.

Effectiveness

Vasectomy, which is also referred to as male sterilization, is a birth control surgical procedure performed on men to cut the supply of sperm on the semen.

This simple surgery is intended to be a permanent way to prevent pregnancy and is normally conducted in a hospital or clinic. Vasectomy got its name from the tubes in the scrotum called vas deferens, which are the ones that are cut or blocked off through this medical procedure to prevent sperm from mixing with the semen and going out of the body.

Vasectomy Success Rates

Vasectomy is considered one of the most effective ways to prevent pregnancy.

Only 15 to 20 of every 10,000 women experience pregnancy in the first year after their partner has undergone a vasectomy.

Meanwhile, 1,400 of every 10,000 women become pregnant every year while their partners are using condoms as the birth control method. Furthermore, 500 of every 10,000 women become pregnant annually while using contraceptive pills. This data goes to show that vasectomy is far more effective compared to other birth control methods.

While success rates are high for this procedure, it is important to emphasize that it is not effective immediately after the procedure.

It takes around three months or 15 to 20 ejaculations on average before the semen will be totally cleared out of sperm. Only 1 of every 5 men requires a longer amount of time before their semen becomes completely devoid of sperm.

After the procedure, a urologist must check the patient’s semen for sperm count at least once. Only when the sperm count has gone down to zero is vasectomy deemed effective, but until then, it is highly recommended to use other birth control methods.

Lifestyle Recommendations for Vasectomy

In the days leading up to your vasectomy in Atlanta, you should stop taking naproxen, aspirin and ibuprofen since these are blood thinners. Any drugs prescribed by another physician should be continued.

After the procedure, it is recommended to use tight-fitting underwear or athletic supporter to keep the scrotum supported and to reduce swelling and other side effects. Furthermore, it is also ideal for you to get a ride home after the surgery to avoid unnecessary pressure or movement that may result from driving.

Side Effects and Recovery

While vasectomy is a routine procedure, and no-scalpel vasectomies carry few side effects, there are possible complications and side effects to keep in mind. Infection and pain are foremost among these. They key to managing side effects and preventing complications is to follow doctor’s orders following your procedure.

Bruising, light bleeding and pain are common following a vasectomy. To prevent pregnancy, follow all post-operative protocols around care and monitoring your sperm count following your vasectomy.

Side Effects of Vasectomy

Following your vasectomy, these are the common side effects you may experience:

• Possibility of infection – Infections are rare. If you do experience fevers, chills, severe pain, or redness, contact us right away to avoid more serious complications.
• Swelling & pain– Use an icepack to ease the swelling at the surgical site and be sure to take it easy for the first few weeks after the procedure. You may be prescribed pain medication or be advised to take over-the-counter pain medications like acetaminophen or ibuprofen. Avoid heavy lifting and sexual activity until your doctor gives you the green light.
• Sensitive or painful urination – It’s possible that your urethra may be sensitive for the first few hours or so after the procedure.
• Bleeding – while not always expected, some bleeding can occur and discolor the urine.
• Sperm granulomas – Sperm may leak into the tissue during the procedure and produce lumps. It’s not painful and will go away with rest and time.

Possible Complications from Vasectomy

While uncommon, post-operative complications may occur. Contact your doctor if you experience any of these:

• Bleeding which leads to blood clots in the urine
• Significant pain beyond tenderness or soreness at the surgical site
• Signs of infection such as fever, chills or discharge at the surgical site
• Being unable to urinate
• Because these are serious, it’s paramount you address these side effects with your doctor to prevent further complications. If you feel you’re having an emergency, call your doctor now or go to the hospital. If you’re unable to get to a hospital, call 911.

When to See Your Atlanta Specialist for Problems

While some basic side effects are normal, it’s important to keep an open line of communication with your doctor after surgery. If you’re experiencing any of the more serious complications or side effects we mentioned such as infection or severe pain, do not hesitate to seek medical attention immediately. If you’re having an emergency, call your doctor and get to a hospital to avoid further complications related to your procedure.