Vasectomies

Procedure done Friday, back to work on Monday!

Frank KerriganDr. Frank Kerrigan has performed no-scalpel vasectomies for over 20 years. He prefers this procedure because of its numerous advantages including, minimal downtime, no stitches or sutures, and significantly less discomfort. Consultations are done in a warm and friendly environment, and the vasectomy itself takes between 20 and 30 minutes. You can have your procedure done Friday and be back to work on Monday! Call for a convenient appointment. We look forward to helping you.

About Vasectomies

A vasectomy is traditionally one of the safest and most successful methods of permanent birth control. In fact, it is much safer and less expensive than tubal ligation.

A vasectomy is performed to block two tubes called vas deferens, so that sperm can no longer get into semen. During a conventional vasectomy, following a local anesthetic, a doctor uses a scalpel to make one or two incisions in the scrotum to access the vas deferens on both sides. Both vas deferens are cut and blocked, and the incisions are closed with sutures.

No-Scalpel Vasectomy

Dr. Kerrigan is pleased to offer no-scalpel vasectomy to his patients. Developed in China in 1974, this procedure is simple, safer, quicker and far less invasive. A no-scalpel vasectomy differs from a conventional vasectomy in how anesthesia is delivered and how the vas deferens are reached.

During a no-scalpel vasectomy, an advanced technique is used to anesthetize the scrotum more efficiently. No scalpel is used. Dr. Kerrigan carefully isolates the vas deferens. Subsequently, the tubes are fixed just below the scrotal skin with an instrument designed to hold securely without pinching. Using pointed forceps, Dr. Kerrigan makes a single, small opening in the skin, enabling him to access the tubes, cut them and seal them in a conventional way. No sutures are needed to close the tiny opening.

Worldwide, over 15 million men have had this procedure.

Advantages of NSV

  • Less discomfort
  • Faster recovery
  • Less complications
  • No sutures or stitches necessary

Frequently Asked Questions

1.How will a vasectomy affect me?

A vasectomy is not castration. It merely interrupts the tubes that transport sperm from the testes, where they are added to semen. Your penis and testes will not be changed. A vasectomy does not affect your hormones and sexual functions, thus your voice, body hair and interest in sex will not change. Following the surgery, your body will still produce semen, and erections and ejaculations will occur as normal. However, your semen will not contain sperm. Just as before, your body will naturally absorb any unused sperm.

2.Should I stop using other birth control methods immediately following a vasectomy?

No! It is possible for sperm to remain in the vas deferens above the operative site for weeks or months after the procedure. You will not be considered sterile until one post surgical semen tests indicate that no sperm is present. These samples are taken 10-12 weeks after your surgery. Until then, other birth control methods should be used to prevent pregnancy.

3.Are there any complications?

As with any contraceptive method, there are risks as well as benefits. Complications include:

  • Bleeding and Infection -However, these complications are rare. No-scalpel vasectomy decreases the likelihood that bleeding will occur because the blood vessels responsible for bleeding are less likely to be affected and the opening in the scrotum is very tiny.
  • Failure -Even if the surgery is performed successfully, it is possible for sperm to find a way to travel between the two blocked ends of the vas deferens. Known as recanalization, this is highly unusual but can occur. It has been known to occur during the first 2-3 months after the vasectomy, but can even occur years later.
  • Sperm granuloma -This hard, sometimes painful lump is about the size of a pea and develops as a result of sperm leaking from the cut vas deferens. This lump is not harmful, and is almost always resolved by the body in time. Mild pain relievers and scrotal support may relieve symptoms, although other treatment may be necessary.
  • Congestion -This is characterized as a sense of pressure caused by sperm in the testes, epididymis, and lower vas deferens. Although, it may cause discomfort some 2 to 12 weeks after the procedure, like the granuloma, this condition typically resolves itself in time.
4.Is a vasectomy painful?

No. You may experience minimal discomfort when the local anesthetic is given. However, once it takes effect, you should feel no pain, though some men may feel a slight “tugging” sensation as the tubes are manipulated. Following surgery, you may be a little sore for a few days. Typically, most men can return to work, and resume most normal, non-strenuous physical activity after two to three days of rest. Sex can usually be resumed 7 days after the procedure.

5.Does a vasectomy cause any long-term health risks?

Research suggests that no significant risks exist. Men who have a vasectomy are not more likely to develop cancer, heart disease or other health problems.

In 1993, a board assembled by the National Institutes of Health, the Association for Voluntary Surgical Contraception, and the National Cancer Institute confirmed the conclusion of most medical experts that a vasectomy is a safe and efficient method of birth control. The board advised doctors to continue offering a vasectomy, and that all men should receive a regular screening for prostate cancer and other conditions.

6.Can a vasectomy be reversed?

In most cases, the cut ends of the vas deferens can be surgically reattached. However, this procedure, which is known as a vasovasostomy, is expensive and does not guarantee a return to fertility. Thus, a vasectomy should be considered a permanent procedure. Prior to the surgery, make sure that you and your partner do not want any more children. If reversal is an option, you should take more time to decide if the vasectomy is right for you.

Consultation

Prior to your treatment, Dr. Kerrigan will discuss the procedure with you to decide if a no-scalpel vasectomy is appropriate for you. We will discuss your health history as it relates to a vasectomy, and Dr. Kerrigan will perform a brief physical exam. At some point, you and your wife or partner will need to sign a consent form, stating that you understand a vasectomy, its possible complications, and that there is no guarantee that permanent sterility will be a result. We will discuss all your questions and concerns.

Before Surgery

  • If you have not already done so, please sign the consent form.
  • Do not take any NSAID’s or Aspirin for ten days prior to surgery without medical approval. Aspirin or NSAID’s increase the risk of bleeding.
  • Trim or clip away the hair in front of the scrotum the day before.
  • Thoroughly wash the scrotum and groin the day before and the morning of surgery to decrease the risk of infection.
  • Take any pre-operative medicines prescribed by Dr. Kerrigan several hours before the surgery.
  • Bring a clean athletic supporter with you.