What is a vasectomy?
A vasectomy is a permanent form of male birth control. It’s a simple, in-office procedure that’s nearly 100% effective at preventing pregnancy. A vasectomy does not change sexual desire, performance, orgasm, masculinity, or testosterone levels. Ejaculation of semen (seminal fluid) will still be the same, only it will not contain sperm (the reproductive cells).
Vasectomy Procedure – What to Expect
A vasectomy takes about 30 minutes to complete and is performed in our office-based surgical facility.
A local anesthetic is used to numb the area. Then, the doctor makes one or two small incisions to access the tubes that carry sperm. These tubes are then disconnected and tied to block the flow of sperm. Because the incisions are so small, stitches are not usually needed.
Vasectomy Recovery Time
Procedure Day: The most important aspect of your post-operative care is rest. We recommend spending the remainder of your procedure day resting. Using an ice pack for the first 6-8 hours after the procedure can help reduce pain and swelling.
Next 2 Days: We recommend staying home from work for two days following your procedure. You should also avoid strenuous physical activity and long periods of time on your feet.
3rd day: You may return to work and light-duty activity 3 days after a vasectomy. You should continue to use supportive undergarments throughout the first week.
Sports and Recreational Activities: After one week, you may ease into regular physical activity. After two weeks, you should be back to your full, regular routine.
Sexual Activity: Avoid sexual activity and ejaculation during the first week after your vasectomy. At the end of the first week, you may resume sexual intercourse but you need to use contraception until sterility has been documented.
The cost of a vasectomy will depend on your insurance. Comprehensive Urologic Care performs vasectomies for men with or without insurance.
Vasectomy with Insurance: Most health insurances cover vasectomies. You can verify vasectomy coverage with your insurance company by calling the 800 number on your insurance card.
Vasectomy without insurance: The total cost of a vasectomy is without insurance is $1550. This includes the assessment/physical appointment, the vasectomy procedure, and the follow-up semen check.
Partial Payment/Deposit: $750 of the vasectomy cost is due at the time of the vasectomy assessment & physical. The remainder will be due prior to the procedure.
- Complete your consultation and physical exam.
- Complete and sign all forms and surgical consent.
- Check with your insurance carrier regarding coverage for the consultation and the vasectomy.
- Wash your genitals thoroughly with soap and water the night before and the day of your vasectomy.
- Shave or trim the hair of the upper scrotum
- Eat a light meal prior to your procedure.
- Wear or bring a supportive undergarment with you the day of your vasectomy
- Go straight home; put your feet up or lie down; place an icepack/cold pack on the upper scrotum. Do not apply ice or the cold pack directly against the skin.
- Engage in minimal activity for the remainder of the day; engage in light activity for the first two days following your procedure.
- Wear a supportive undergarment (athletic supporter, snug jockey briefs, bike shorts or training shorts) for the first week after your vasectomy, especially when you are up and around.
- You may shower the day after your vasectomy. Remove the applied band aids prior to showering and re-apply for the next two days. You do not need to scrub the incision sites.
- Keep the vasectomy incisions covered with a band aid for the first three days following your procedure.
- Apply an antiseptic such as betadine, Bacitracin or Neosporin to the incision sites prior to replacing a band aid and after you have discontinued using a band aid.
- Use Tylenol or the prescription medication provided by your doctor. Do not take aspirin or non-steroidal anti-inflammatory drugs (NSAID) such as ibuprofen, Advil, Alleve, etc. for five days after your vasectomy.
Most men return to work two days after their vasectomy (vasectomy on Friday, return to work Monday)
It is not unusual to have some mild to moderate discomfort/pain associated with mild bruising and swelling of the scrotum for the entire first week after your vasectomy. Significant pain, bruising and swelling is unusual. The more physically active you are at work or at home after your vasectomy, the more discomfort you will experience
You may resume sexual activity one week after your vasectomy. You will need to continue to use some form of contraception until sterility is confirmed. It is our policy to perform follow-up semen analyses starting at ten weeks after your procedure.
Yes, you must have one negative semen sample before you are considered sterile. You can drop off a semen sample at any of our offices. Please be sure to call ahead to be sure the office you prefer is open.
Bring the semen sample in a container that has a secure lid (that was provided to you at the time of your vasectomy.). Do not bring the sample in a condom or plastic bag. Do not refrigerate the specimen.
Bring the specimen the office within 4 hours of collection.
You do not need to schedule an appointment to drop off your specimen; but please call to ensure that someone is in the office to receive and process your specimen. Do not leave your specimen in the hall outside the office.
Following a vasectomy, no new sperm traverse the reproductive passages; however, all old sperm within the passages must be eliminated through a series of ejaculations. We ask that you abstain from intercourse and ejaculation during the first week following your vasectomy.
Over the subsequent nine weeks, you will need to have 15-20 ejaculations. After 15-20 ejaculations, you have a seventy –five percent chance of having cleared all the old sperm from your reproductive passages. If your first sample is positive indicating that sperm have not been cleared, you need to have 10 more ejaculations prior to dropping off your next sample.
After the first 10 weeks, the time interval for the additional 10 ejaculations is not important. A small percentage of men will require a significant number of ejaculations to clear the system. If sperm persist in the system for greater than or equal to 12 months following your vasectomy, consideration will be given to repeating the procedure.
Following a vasectomy, the testicles will decrease the number of sperm that they produce. Second, the body will increase the process of sperm breakdown and reabsorption. Over a period of time, the equilibrium between sperm production and sperm reabsorption is fine tuned.
No. A vasectomy will have no impact on your ability to obtain or maintain an erection, nor will it have any detrimental impact on your sex drive. In fact, many men feel more confident about their sexuality because they no longer fear an unplanned pregnancy.
The quality, quantity and appearance of the semen will not change.
We perform a conventional vasectomy. We believe the most important factor relating to a good surgical outcome is surgeon experience and not the surgical technique utilized. All the physicians in our practice are highly trained and experienced in performing a conventional vasectomy. All vasectomies require entering through a small hole in the scrotum. The only difference between a no-scalpel and conventional vasectomy is how that small hole is created.