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Now Offering No Scalpel Vasectomy Services 

Vasectomy is a simple, safe, and extremely effective form of permanent birth control. It is a gentle, office-based procedure that takes about 15 minutes to complete, without the use of a scalpel. 

Vasectomy works by blocking the tubes (vas deferens) that carry sperm from the testicles.  This prevents sperm from entering the semen.

How is it done?

During a vasectomy, the vas tubes are accessed through a single, tiny skin opening in the scrotum.  Each tube is divided and sealed off using heat (cauterization) and a very tiny clip.  This prevents the passage of sperm but does not change the amount of semen in any way that can be noticed - most semen is made in glands above the tubes.

Does it hurt?

Your vasectomy will be pain free... or almost – and over after 15 minutes. The majority of patients say that it is better than going to the dentist or getting blood drawn!  The doctor uses a spray applicator or very fine needle (the size of a hair) for local anesthesia.  This numbs the skin and area around the tubes.  General anesthesia is not needed.  The vasectomy site does NOT touch the testicles, penis, or other sensitive areas.

How well does it work?

Vasectomy is extremely effective (it fails less than 1 time in 2000).  But, it can take up to 3 months for it to start working.  The semen needs to be checked after the surgery to make sure there is no more sperm in it.  Until then, another method of birth control must be used or pregnancy can occur.  Most patients have no more sperm in their semen the first time it is tested. 

What is the difference between “no scalpel” and classic vasectomy?

At Planned Parenthood of Southwest and Central Florida, we performed the no-scalpel vasectomy.

No-scalpel vasectomy does not use a scalpel.  It uses special small tools to reach the vas tubes by making one small opening in the scrotum without cutting.  Because this opening is so small, stitches are not needed.  This is different from the “classic” vasectomy that makes two larger openings on the scrotum and sometimes needs stitches.  The chance of complications (infection and bleeding) is less with the “no scalpel” technique.  Recovery is faster.  The no scalpel vasectomy is as effective as classic vasectomy for birth control.

Frequently Asked Questions

Are vasectomies permanent?

Vasectomy is for life.  After vasectomy a man will no longer be able to get a woman pregnant.  If a man is unsure about not wanting more children some day, or doesn’t know, vasectomy might not be a good choice for him.  Surgical procedures do exist to reverse vasectomy; but these operations are expensive and do not always work.  On average, only half of couples that try having children after reversal do have a child.  We do not do reversals.  For information about this, we can refer you to a urologist who does reversals.

What are the risks?

Vasectomy is a very safe, low-risk procedure, but with any surgery some complications can occur.  Mild bruising is the most common reaction.  We recommend wearing tight underpants or a jock strap for the first few days after the vasectomy to decrease your chances of bleeding.

Are there complications?

Other rare complications include: infection (very rare and can be treated with antibiotics), a painful bump on the vas (sperm granuloma), and bleeding into the scrotum causing a collection of blood (scrotal hematoma). Several weeks after the procedure some patients experience pain in the testicles that usually only lasts a few days (about 5%). This resolved with oral anti-inflammatory medications, like ibuprofen (Advil or Motrin).  Chronic pain is very rare (about <1%).

Although unlikely, the continuing ability to get someone pregnant is also a risk of vasectomy. 

What do I do after my procedure?

Relax with your feet up on the day of your vasectomy.  If you choose, you can return to work or light activity the following day.  There may be some initial soreness for a night or two after the procedure.  This is easily relieved with a cold compress and/or non-prescription pain relievers such as acetaminophen (Tylenol).  Wearing tight underpants or a jock strap for support can decrease discomfort with movement.

Are there hormonal changes?

Vasectomy does not cause health problems.   Vasectomy does not affect the male hormones produced by the testicles.  After vasectomy, sexual function does not change.  Sensations, erections, and ejaculations will be the same except that the ejaculate no longer contains sperm.

Are there limitations?
  • Not 100% reversible
  • Must use other forms of birth control until sperm-free (approximately 3 months).
  • Does not prevent transmission of sexually transmitted infections (STI's).

Vasectomy Advantages

  • No (noticeable) change in the semen 
  • No change in sex drive or climax sensation 
  • No change in the testes
  • No change in erections
  • No need to use other methods of birth control

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