Can be done in the office with oral sedation or Nitrous oxide in 10-15 minutes. Typically no sutures and some swelling for a week. No heavy lifting for 4 days following.
May also be done in the hospital with traditional anesthesia increasing cost and time out of your day.
Failure reported between .02%-.2%
Patients must check a semen sample at 3 months to ensure the live sperm have cleared the previously occluded vas deferens (tubes that carry sperm).
The technique used applies 4 methods to prevent recanalization
- Removing a section of the vas
- Cauterizing the ends of the cut vas
- Ligation of the ends w small clips
- Interposition of fascia between the ends
Prior to the procedure patients will need to have a consultation prior to the scheduled date of vasectomy so all questions may be answered and expectations set (patients will not be able to fully understand any instructions on the day of procedure because of medication)
Patients must shave or clip the hair on the scrotum prior to the procedure and MUST have someone drive them to and from the vasectomy procedure. Significant other is not needed for the consultation nor their consent.
If taking a sedative the patient will take that at LEAST one hour prior to the procedure. If using Nitrous oxide no driver is needed but recommended.
Absolutely must use contraception (BCP, condom, IUD, abstinence etc) until the absence of semen is confirmed by laboratory testing.
Nitrous oxide is available for an extra charge to make patients comfortable and relaxed during the procedure. The advantages of Nitrous oxide are that the dose is patient administered and the effects are near immediate onset and recovery.