Dr. Steven Sukin specializes in the No-Scalpel Vasectomy which has become the gold standard technique in performing this procedure. This minimally invasive technique can now be performed in less than 10 minutes in the physician's office. The No-Scalpel procedure typically has less discomfort and less bleeding than the traditional procedure. It is performed through a single small hole. This is why more than a half a million men in the United States choose a Vasectomy yearly and why a Vasectomy is the number one form of permanent birth control in America.
What is a Vasectomy?
There are many forms of birth control including abstinence, condoms, diaphragms, the birth control "pill", and a Vasectomy. A Vasectomy is a permanent form of birth control. The procedure involves blocking off the flow of sperm from the testicles. The sperm is blocked off by removing a small section of the tubes that deliver the sperm away from the testicles called the Vas Deferens and placing suture, clamps, or cautery across the ends of these tubes. There is both a right and left vas deferens.
Who is a candidate?
Any adult male considering permanent sterilization is a candidate for this procedure, but no one should consider this procedure unless they are absolutely sure that they do not want any more children. Although the procedure can be reversed in a procedure called a Vasectomy Reversal, this procedure can be very expensive, involves microsurgery, and does not always have successful outcomes. In other words, no one should consider a Vasectomy a temporary procedure.
What is the difference between a traditional and a No Scalpel Vasectomy?
The No Scalpel Vasectomy allows the entire procedure to be performed through a single puncture wound or polk hole after the scrotal skin has been numbed by a local anesthetic using our technique of the procedure. Specialized instruments that were developed in China allow the physician to perform the entire procedure through this single small hole. Usually, no stitches are required at the end of the procedure.
What can I expect?
You should bring a ride with you to provide safe transportation home following the procedure. We also recommend you bring a jock strap or very tight underwear to allow compression of the scrotum following the procedure that may reduce the risk of swelling or bleeding. Most patients will spend 1 day laying down and using ice packs intermittently to prevent bleeding or swelling. In addition, most patients will return to work in 3 days and will return to normal activity in 5 days.
Are there risks?
Men undergoing a Vasectomy will not see a change in their hormone levels. Therefore, a Vasectomy will not change a man's sexual desire. A man will still have normal ejaculation (or the man will still produce semen during intercourse). But, following a Vasectomy, the semen will no longer have sperm present in it making the patient safe to have intercourse without pregnancy.
Some of the more common risks include bleeding which can cause a hematoma (large blood clot in the scrotum) and infection of the testicles. These risks are rare. Your doctor will discuss other risks at the time of your consultation.
What kind of follow-up will there be after the procedure?
We recommend that men continue birth control following the Vasectomy for 3 months. At 3 months, we will obtain a semen analysis looking for any remaining sperm. If no sperm are identified, you may discontinue birth control at that time. The risk of continued fertility at this point is extremely rare. Some men may choose to have a second semen analysis again at 4 months if they are anxious about their results.