Freeman VIP Medical Clinic - No-Scalpel No-Needle Vasectomy:Safe and Minimally invasive procedure than the conventional Vasectomy:
Millions of men have safely undergone the No-Scalpel No-Needle Vasectomy:
Vasectomy, is it the right form of birth control for you?
Vasectomy is a minor surgical procedure that makes a man permanently unable to father a child by keeping sperm out of semen. Sperm are made in the testicles. They pass through two tiny tubes called the vas deferens to other glands and mix with seminal fluids to form semen. Vasectomy blocks each vas deferens and keeps sperm out of the seminal fluid.
The procedure involves dividing and sealing the two tubes that carry sperm from the testicles to the seminal fluid. After the procedure, your semen will not contain sperm, so when you ejaculate during sexual intercourse, you will be unable to get a woman pregnant. For your convenience and comfort, this procedure is performed in the office in a private, relaxing environment instead of the hospital or surgical center.
About 50 million men worldwide have had a vasectomy and approximately 500,000 men in the United States undergo the procedure each year. More American married couples rely on vasectomy for family planning than on any other method except female sterilization (tubal ligation) and birth control pills (oral contraceptives).
Why Have a Vasectomy?
Additional reasons for a man to have a vasectomy:
In Office, No-Scalpel Vasectomy:
Although conventional vasectomies have been around since the late 1700's the no-scalpel vasectomy was invented by a Chinese surgeon, Dr. Li Shunqiang, in 1974, and has been used throughout China and North America on millions of men. It was introduced into the United States in 1988. It is thought by many to be an improvement on an otherwise excellent procedure providing permanent birth control for men (and therefore couples) desiring this option.
Our patients have told us that the Vasectomy was much faster, simpler, and easier than they had ever expected.
Why have a No-Scalpel Vasectomy?
What's the difference between a No-Scalpel Vasectomy & Conventional Vasectomy?
The no-scalpel vasectomy is different from a conventional vasectomy in the way the doctor gets access to the tubes and the improved method of local anesthesia helps make the procedure much more comfortable.
In a conventional vasectomy, after the scrotum has been numbed with a local anesthetic, the doctor makes two small cuts in the skin of the scrotum and lifts out each tube. The tubes are cut and blocked so the sperm cannot reach the penis. The doctor then stitches them closed.
In a no-scalpel vasectomy, the doctor numbs the skin and the nerves to the vas deferens ("the tubes"). Instead of making two incisions, the doctor usually makes only a single tiny opening with a special instrument. The same instrument is then used to gently stretch the opening so the tubes can be easily reached. The tubes are then blocked by cutting, cauterizing (sealing them shut) and then tying off each end. There is very little bleeding with the no-scalpel technique. With this gentle technique, there are no stitches needed to close the tiny opening and the procedure is done in the office in a private, relaxing environment (not in the hospital or surgical center.)
The Bottom Line is that the no-scalpel vasectomy is better than the conventional vasectomy. Patients like the fact that it is a safe and effective procedure where they can heal quickly with fewer complications. Our patients find that they are back to work, sports, and their regular activities sooner than they imagined. They especially like that we do the vasectomy in a comfortable office setting as opposed to a hospital or surgical center.
Before & After the No-Scalpel Vasectomy
Before your No-Scalpel Vasectomy:
Please make an appointment with Dr. Freeman for your private consultation where you can discuss any questions and concerns you or your partner may have. At that time, he will review the procedure with you, perform an examination, and provide you with information to take home so that you and your partner can further discuss if a vasectomy is right for you.
Dr. Freeman asks those men taking Aspirin or similar medications such as Advil, Motrin, Aleve and Naproxen to stop taking them 2 weeks before (and for 3 days after) the vasectomy because they can thin your blood and cause bleeding. Instead, use acetaminophen (Tylenol®) during this time if you need to relieve pain.
To help you relax and minimize any anxiety Dr. Freeman may prescribe a sedative for you to take the night before and the morning of the procedure. If you do take the preoperative sedative, please arrange for a family member or friend to drive you to and from the office on the day of the procedure. Other than that, the only thing you really have to do is shave (the penis and scrotum) the day of surgery and arrive to your appointment on-time. Dr. Freeman recommends using shaving cream and a new, disposable razor not Neet, Nair, or any other depilatory as it leaves the scrotum itchy, red, and swollen.
After your No-Scalpel Vasectomy:
You will leave to go home with your ride (most men have someone drive them home and must do so if they take the preoperative sedative). After you return home, take it easy. You may experience a day or two of soreness, which you can treat with acetaminophen (Tylenol®). You may also have minimal bruising, but the discoloration should lighten and disappear after about two weeks. You may take a shower the day after surgery, but avoid bathing and swimming for two or three days. Refrain from sports and heavy lifting for at least a week. If you have a desk job, you can probably return to work the next day. If you perform physical labor or have a job that requires much walking or driving, you can resume working after two days or so.
You may choose to wear an athletic supporter/jock strap for a few days after the surgery if you feel you would benefit from the support. The majority of our patients have told us that since they didn't experience much discomfort after the surgery, they never felt the need to wear the supporter. However, if you do heavy work or lots of sports, you may be more comfortable with the extra support for a week or so after surgery.
Vasectomy has a success rate higher than 99 percent, making it one of the most effective forms of birth control. But it isn't effective immediately after the surgery. Although you can have sex as soon as three days after a vasectomy, you temporarily remain capable of fathering a child with the sperm that still remain in the ducts. It generally takes at least 20 ejaculations to flush them all out.
Use a backup method of birth control until you have your first semen analysis test result. You will need to have two of these tests: the first about eight weeks or after 15-20 ejaculate after your vasectomy, the second about 6 months after surgery. Once you have the first tests showing no sperm, you are considered sterile and will no longer need to use other methods of birth control. In very rare situations, the body will make its way in reconnecting the tubes, if that happened it will be in the first 6 months and that is why we do the 6 month retest for the semen.
For additional information and questions we welcome you to visit our Frequently Asked Questions.
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