Vasectomy (permanent male contraception) 

At Gynemed Surgical Center our physician uses a scalpel-free vasectomy technique, a minimally invasive procedure for male sterilization.

The procedure is done in about 15 minutes and uses a local anesthetic for numbing.

Vasectomies are 99% effective. A vasectomy is considered permanent due to the difficulty of a reversal although it is possible; so, the patient must be sure of their decision to not have any more children. A vasectomy stops sperm from entering a man’s semen, so no woman’s eggs will be fertilized, preventing pregnancy.

Vasectomies however, do not protect against STIs. Contraception is advised for 8-12 weeks after the procedure while the semen is cleared of sperm. At least 1 semen test is done post procedure to detect the presence of semen. Once completely clear of sperm, you won’t need contraception to prevent pregnancy.

As with any surgery, there are risks but with this procedure, they are minimal. There is a small risk for bleeding, infection, swelling and bruising post procedure.

What to expect

• A medajet is used to numb the scrotum with pressure instead of a needle.
• A small incision is made to pull the vas deferens through for visibility.
• The vas deferens is cut and clamped at the cut ends and put back into the scrotum.
• Sutures are used to close the incision.
• The same thing is repeated on the other side of the scrotum, done for both testicles.

Sex should be avoided for 7 days after the procedure.

But moving forward, the sensation, sex drive, and ejaculation afterwards is unchanged, except the ejaculate does not contain sperm.

Over the counter medicine such as Tylenol and ibuprofen can be used to reduce pain and tenderness. Supportive underwear is advised during the healing process to also reduce pain and tenderness.

A vasectomy is covered by most insurances but can be paid out of pocket at a discounted rate of $845.

Vasectomy Reversal

A vasectomy reversal is a surgical procedure that reconnects the vas deferens, the tubes that carry sperm from the testes to the urethra, after a vasectomy.

The procedure is typically performed under local anesthesia, with small incisions made in the scrotum.

During the reversal, the surgeon carefully reconnects the severed ends of the vas deferens, allowing sperm to once again be present in the semen.

Recovery usually involves mild discomfort for a few days, with most patients returning to normal activities within a week.

Success rates vary, but many men can regain fertility, though it may take several months to a year for sperm to appear in the semen.

If you have any additional questions, please give the office a call of if interested in scheduling a consultation, please give the office a call at 410-391-1000.