A vasectomy is a minor outpatient procedure performed by David Shin, M.D., to make a man sterile. Dr. Shin performs vasectomies right here in our office at the medical center. A vasectomy is a safe, simple, and highly effective form of contraception. The procedure takes just about 30 minutes to complete, and most men walk out of the office without difficulty. A vasectomy does not affect a man’s sex drive, ability to have an erection, or to ejaculate and have an orgasm.
During a vasectomy, Dr. Shin cuts the vas deferens, a small tube that carries sperm from the man’s testicles to become part of his semen. The man can continue to have sexual intercourse and ejaculate as before, but the semen will not contain sperm and he cannot father a child.
There are two ways to perform a vasectomy. Both are equally effective. In both cases a local anesthetic is used:
Traditional vasectomy: A scalpel is used to make one or two incisions in the skin of the scrotum. The vas deferens is lifted, cut, and tied or cauterized. The cut tubes are returned to the scrotal sac, and the incisions are closed with a few stitches.
No-scalpel vasectomy: Although a scalpel is not used, a small opening is made in the scrotum with special instruments. The vas deferens is held in place with a small clamp. A tiny opening is made in the skin, through which the vas deferens can be lifted out, cut, tied, clipped, and/or cauterized, and then put back into place. The opening may be closed with stitches, or it may close quickly without sutures.
A vasectomy does not make a man sterile right away. It may take up to several months before a man’s semen is free of sperm. Following a vasectomy, some men experience a dull ache, which can be treated with medication.
Microsurgical varicocelectomies are outpatient procedures, and patients go home on the same day of surgery.