No-Scalpel Vasectomy FAQs

How Can I Be Sure I Want a Vasectomy – Any Vasectomy?

Be absolutely sure you don’t want to father a child under any circumstances.  Talk to you partner – it’s a good idea to make the decision together.  Consider other kinds of birth control.  Talk to a friend or relative who has had a vasectomy.  Think about how you would feel if your partner had an unplanned pregnancy.  A vasectomy might not be right for you if you are very young, your current relationship is not stable, you are having the vasectomy just to please your partner, you are under a lot of stress, or you are counting on being able to reverse the procedure later.

How Does Vasectomy Prevent Pregnancy?

Male sperm are made in a man’s testes.  During his sexual climax, the sperm travel through two tubes in the scrotum, come out of the scrotum, and come out of the penis.  In a vasectomy, these tubes are blocked so the sperm cannot reach the semen. Without sperm in the semen, a man cannot make his partner pregnant.

What Is Different About a No-scalpel Vasectomy?

No-scalpel vasectomy is different from a conventional vasectomy in the way the doctor gets into the tubes.  In addition, an improved method of anesthesia helps make the procedure less painful.  In a conventional vasectomy, after the scrotum has been numbed with local anesthetic, the doctor makes one or two small cuts in the skin and lifts out each tube in turn, cutting and blocking them so the sperm cannot reach the semen.  The doctor stitches the cuts closed.

How a No-scalpel Vasectomy Works:

In a no-scalpel vasectomy, the doctor feels for the tubes under the skin and holds them in place with a small clamp.  Instead of making two incisions, the doctor makes one tiny puncture with a special instrument.  The same instrument is used to gently stretch the opening so the tubes can be reached.  The tubes are then blocked using the same methods as conventional vasectomy.  There is very little bleeding with the no-scalpel technique.  No stitches are needed to close the tiny opening, which heals quickly, with no scar.  The no-scalpel vasectomy was invented by a Chinese surgeon, and is used throughout China.  It was introduced in the United States in 1988.

Is No-scalpel Vasectomy Safe?

Vasectomy in general is safe and simple.  Vasectomy is an operation and all surgery has some risk such as bleeding, bruising, and infection.  But serious problems usually do not happen.

Does No-scalpel Vasectomy Work?

It is as effective as any other vasectomy method.  There is a less than 1% chance that a man’s partner well become pregnant.

How Long will a No-scalpel Vasectomy Take?

It depends upon the individual patient, but on average, about 10-15 minutes.  The surgery is done right in our office.

Will It Hurt?

Before the vasectomy, you will be given a mild sedative to relax you.  When the local anesthetic is injected into the skin of the scrotum, you will feel some discomfort.  But as soon as it take effect, you should feel no pain.  Afterwards, let’s be honest – you will be sore for a couple of days, and you might want to take a mild painkiller.  But the discomfort is usually less with the no-scalpel technique, because there is less injury to the tissues.  Also, there are no stitches.  You will be provided with complete instructions about what to do after surgery.

How Soon Can I Go Back To Work?

You should not do any heavy physical labor for at least 48 hours after your vasectomy.  If your job doesn’t involve this kind of work, you can go back sooner.  Many men have their vasectomies on Friday so they can take it easy over the weekend and go back to work on Monday.

Will A Vasectomy Change Me Sexually?

The only thing that will change is that you will not be able to make you partner pregnant.  Your body will continue to produce the hormones that make you a man.  You will have the same amount of semen.  Vasectomy won’t change your beard, your muscles, your sex drive, your erections, or your climaxes.  And you won’t sing soprano.  Some men say that without the worry of accidental pregnancy and the bother of other birth control methods, sex is more relaxed and enjoyable than before.

Will I Be Sterile Right Away?

No, after a vasectomy, there are always some active sperm left in your system.  It takes about 20 ejaculations to clear them.  You and your partner should use some other form of birth control until you have a negative semen analysis.

When Can I Start Having Sex Again?

As soon as you are comfortable, but remember to use some other kind of birth control until the doctor says you are sterile.

Does A Vasectomy Cause Any Medical Problems?

Most medical experts, including special panels convened by the National Institutes of Health and by the World Health Organization, have concluded that vasectomy is a safe procedure.  A number of studies have examined the health effects of vasectomy.  The body of research evidence continues to be reassuring and suggests that vasectomized men are no more likely than other men to develop heart disease, cancer, or another illnesses.

Can a No-scalpel Vasectomy Be Reversed?

No more than any other vasectomy procedure.  All vasectomies should be considered permanent.  Reversal operations are expensive and not always successful.  If you are thinking about reversal, perhaps vasectomy is not right for you.

How Much Will A Vasectomy Cost?

A vasectomy is usually covered by insurance and the cost of a vasectomy is about one-quarter of the expense of the tubal ligation surgery used for female sterilization.

The majority of health insurance plans cover vasectomies. Dr. Berg is contracted with over 22 insurance companies which means our charge is based on each companies allowed amount. Prior to your appointment we verify your insurance and notify you of the amount you will be responsible for. Since a vasectomy is an elective procedure, our practice does not offer payment plans.

Will Dr. Berg perform the consultation and the surgery on the same day?

Yes, especially for the convenience of those patients who are coming from outside the Wasatch County area. Dr. Berg’s policy is to wait 2 hours after the consultation for the surgery. Our patients usually see the doctor then go to lunch and return for the procedure. Plan on 3 to 4 hours.

NOTE: This is different for people planning on using Medicaid. Medicaid typically requires a time of 30 days in between the consultation and the procedure.

What does it mean when a patient is not a good candidate for the No-scalpel technique vasectomy?

During the exam if the doctor is not able to feel the tubes at the surface of the skin then the single puncture technique (No-scalpel) cannot be performed and a traditional, left and right incision would be required. Although this is uncommon sometimes there are differences in patient anatomies. Dr. Berg would refer you to a specialist of your choice and the consultation would be at no-charge.

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