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Each year, about , men in the U. We sat down with Dr. Technically speaking, a vasectomy is a surgically induced disconnection of the vas deferens. The vas deferens is the tube that allows the sperm to leave each testicle. Each vas deferens is a foot long and goes up and out of the scrotum, into the pelvis, and back around the bladder, where it connects with the urethra. The seminal fluid, or semen, comes from the prostate and the seminal vesicles. The semen mixes with the sperm from the vas deferens as they enter the urethra simultaneously during an ejaculation.
After a vasectomy, the sperm swim up the vas deferens to the site of the vasectomy, where they live a brief life and die. Most men eventually consider the need for a vasectomy. An IUD intrauterine device is a good option that is temporary and lasts five years, with failure rates around 1 percent. However, an IUD is not always well-tolerated, may have side effects or release hormones, and for some couples may have an unacceptable failure risk.
There are only two forms of birth control that a man can control: a condom and a vasectomy. The only certain option that a man can always count on is a vasectomy. Sedation is not necessary, but some men choose to take an oral sedative in case of anxiety, which I offer all of my patients. If a patient chooses to take an oral sedative, he will need someone to drive him home. If not, he can drive himself home. It is done while the patient is lying on a clinic bed in my office. The procedure only takes about 20 to 30 minutes.
We talk, get to know each other and listen to music during the procedure. Some research has shown that allowing for this leakage prevents the thickening or build-up of sperm because the sperm can flow into and be absorbed by the scrotum. The open-ended technique has also been shown to lower complication rates as well as fewer cases of epididymitis when the epididymis tube at the back of the testicle responsible for storing and carrying sperm becomes inflamed.
This lends more support for the notion that a no-scalpel vasectomy is a simplified approach to vasectomy. This minimally invasive procedure offers the straightforwardness of a traditional vasectomy while offering many additional benefits. Typically, a no-scalpel vasectomy does not have any major side effects and is only linked to a very small chance of infection and little pain. You may experience a reaction to the local anesthesia.
There is a tiny chance of developing sperm granuloma — a hard, sometimes painful pea-sized lump due to the sperm leaking out from the open-ended vas deferens. The lump is not dangerous, rarely symptomatic and is almost always resolved by the body in time. Plus, it may actually serve a protective feature to the testis and epididymis. The granuloma is rich in epithelial-lined channels that may vent leaking sperm away from the epididymis and protect against increased pressure from sperm blockage.
In general, vasectomies are considered a lower-cost surgical option. You may be charged for an initial consultation as well as for your follow-up visit to have your semen analyzed. But, after these up-front costs, there are no ongoing costs to maintain this contraceptive method. This procedure is covered by many private insurance plans. The no-scalpel vasectomy is extremely effective— Less than 1 out of women whose partners have had a no-scalpel vasectomy—and follow-up testing to ensure its effectiveness—will get pregnant each year.
Even when the procedure is performed perfectly, the possibility of recanalization can occur. The possibility of this occurring is very rare less than 0. This is why it is extremely critical that you undergo your semen analyses weeks post-vasectomy to be absolutely sure that no sperm are present.
This procedure is intended to be permanent. Though vasectomy reversal procedures are available, they are technically complex, expensive, and have variable success rates. You should only choose to seek a no-scalpel vasectomy if you are sure that you no longer want to have children. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life.
If so, what is your board certification? How many vasectomies have you performed? How many vasectomies do you perform each year? What is your medical background?
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