What type of surgeon performs vasectomy

The vans deferens, or the two tubes that carry sperm from the testicles to the urethra, are pulled out, severed and sealed with clamps. This prevents sperm from getting into the semen and leaving the body to cause pregnancy. I usually tell patients to wait three days before going back to work and restoring normal activities.

I also recommend putting ice on your scrotum for 20 minutes out of every hour of the first day post-surgery. It takes about two months for a vasectomy to take effect. It usually takes about two months for sperm to clear from both of the vans deferens. The amount of sperm that goes into the total ejaculate is not very much. And there should also be no difference in sensation. It takes seven to 10 days to resume physical activity and sex. There is a small risk of bleeding under the skin, a minor infection or chronic discomfort.

The discomfort generally gets better with time and conservative measures. But that is the lowest risk of failure of all forms of birth control. The biggest thing is to be sure about it.

When patients come in to talk about it, my first question is, how do you feel about it? How did you make this decision? There have been a lot of studies on this, and it is conclusive that there is no connection between vasectomies and prostate cancer. In general, they are reversible. I think about it like getting a tattoo. People who get vasectomies generally do so because they want a permanent solution. Reversals are a little harder to accomplish than vasectomies. So not everybody who wants a reversal ends up getting one.

A vasectomy is generally not recommended for men who are very young, single or without children. Those are risks that put a man at a higher risk of regret. Of course, there are exceptions. A lot of men eventually will take birth control on as their responsibility in the relationship, to shut down fertility going forward for the couple, and this makes a lot of sense because it requires nothing more than a minute procedure.

Are you interested in learning more about getting a no-needle, no-scalpel vasectomy? April 24, Men's Health , Urology.

You may have some pain, swelling, and bruising in the area where the surgery was performed. The bruises should slowly lighten and be gone in about two weeks.

You should feel back to normal within a couple of weeks. Your doctor will give you instructions to follow after surgery. The instructions may include:. All of these can thin your blood and increase bleeding. You can also try acetaminophen brand name: Tylenol to relieve pain.

If you have a desk job, expect to return to work after a couple of days. If you do physical labor, or walk or drive a lot, talk with your doctor about when you can return to work. For that reason, keep using birth control. Your doctor will ask you to bring in samples of your ejaculation two or three months after the procedure. Only after you have a sperm-free sample will you be considered unable to get a woman pregnant.

You may need to wait to have a vasectomy, or may not be able to have one, if you have an infection on or around your genitals, or if you have a bleeding disorder. Problems that might occur after your vasectomy include bleeding, infection, and a usually mild inflammatory reaction to sperm that may have gotten loose during the surgery called sperm granuloma. Another risk is that the ends of the vas deferens may find a way to create a new path to one another.

But if it does, you could be able to get a woman pregnant. Your body will absorb the sperm that are made. Last Updated: May 27, This information provides a general overview and may not apply to everyone. Sometimes a doctor can remove sperm from the testicle in men who have had a vasectomy or a reversal that didn't work. The sperm can then be used for in vitro fertilization.

Both vasectomy reversal and sperm retrieval can be expensive, may not be covered by insurance, and may not always work. Vasectomy is a safer, cheaper procedure that causes fewer complications than tubal ligation in women.

Although vasectomy is expensive, it is a one-time cost and is often covered by medical insurance. The cost of other methods, such as birth control pills or condoms and spermicide, is likely to be greater over time. The procedure takes about 20 to 30 minutes and can be done in an office or clinic. It may be done by a family medicine doctor , a urologist , or a general surgeon. No-scalpel vasectomy is a technique that uses a small clamp with pointed ends.

Instead of using a scalpel to cut the skin, the clamp is poked through the skin of the scrotum and then opened.

The benefits of this procedure include less bleeding, a smaller hole in the skin, and fewer complications. No-scalpel vasectomy is as effective as traditional vasectomy. In the Vasclip implant procedure , the vas deferens is locked closed with a device called a Vasclip. The vas deferens is not cut, sutured, or cauterized sealed by burning , which possibly reduces the potential for pain and complications.

Some studies show that clipping is not as effective as other methods of sealing off the vas deferens. Your scrotum will be numb for 1 to 2 hours after a vasectomy. Apply cold packs to the area and lie on your back as much as possible for the rest of the day. Wearing snug underwear or a jockstrap will help ease discomfort and protect the area.

You may have some swelling and minor pain in your scrotum for several days after the surgery. Unless your work is strenuous, you will be able to return to work in 1 or 2 days. Avoid heavy lifting for a week. You can resume sexual intercourse as soon as you are comfortable, usually in about a week. But you can still get your partner pregnant until your sperm count is zero. You must use another method of birth control until you have a follow-up sperm count test 2 months after the vasectomy or after 10 to 20 ejaculations over a shorter period of time.

Once your sperm count is zero, no other birth control method is necessary. Most men go back to the doctor's office to have their sperm count checked. But there is also a home test available. A vasectomy will not interfere with your sex drive, ability to have erections, sensation of orgasm, or ability to ejaculate.