Dr. Harold Reed Blog

Category Archives: Vasectomy

FAQ | Dr. Harold Reed M.D. | Vasectomy

Having a vasectomy is a safe and effective means of permanent contraception. Approximately 500,000 vasectomies are performed in the United States every year.

How is a Vasectomy done?

This procedure performed under local anesthesia takes about 10 to 15 minutes. The experience of the surgeon is the single most important factor assuring a smooth convalescence. A collection of blood under the skin called a hematoma occurs in 2% of patients and usually reabsorbs spontaneously. Wound infection could be a suture reaction … less than that.  Prolonged pain in the testicles may occur in 3% of patients and has been called by some, the “testicular congestion syndrome.” Post-operative instructions include bed rest overnight, application of a cold compress in a pillowcase to the scrotum overnight to minimize discomfort and bruising, no ejaculation for 1 week, protected sex until all sperm above the incisional area are cleared.  Do return to the office for a gratis seminal analysis to confirm the absence of sperm in the ejaculate after 8 strong ejaculations. Others say after 2 months.

The American Urological Association recommends a second analysis to confirm the absence of sperm. Although there is a very low rate of re-canalization of the vas, the few sperm that may again appear in the ejaculate usually do not render a patient fertile. If you are married we ask you to provide a letter of approval from your spouse, as this involves her “right” to reproduce.. We can do the so called non-scalpel technique in which a bleb of anesthesia allows us to puncture the skin with tiny sharp scissors, or do the same with a small nicking incision, again under local anesthesia. Plan on gong home afterwards and lying down with a cold scrotal compress in a pillowcase applied overnight. This reduces pain and bruising.

This procedure performed under local anesthesia takes about 10 to 15 minutes.

Comprehensive fee: $500.00. Verification by an outside laboratory that a vasectomy specimen has been performed is available.  This could serve as a quick “put down” for those who may challenge you in a paternity suit.

The Reed Centre for Ambulatory Urological Surgery | Miami
1-305-865-2000|

read more Vasectomy Procedure blog posts or the AUA Vasectomy Guidelines .

Vasectomy | Dr. Harold Reed | Miami

Having a vasectomy is a safe and effective means of permanent contraception. Approximately 500,000 vasectomies are performed in the United States every year.  At times we are asked to do simultaneous Vasectomy and Cosmetic Circumcision. How is a Vasectomy done? This procedure performed under local anesthesia takes about 10 minutes. The experience of the surgeon…Continue Reading

Vasectomy and circumcision

Dear Dr. Reed  Vasectomy and circumcision, can both be done together. I live in Miami.  In that you are a urologist, could you do both together.  Both my wife and I would appreciate that. Javier Good afternoon Javier, Yes, of course.  We do need a letter from your wife saying she approves of a vasectomy…Continue Reading

Vasectomy

Having a vasectomy is a safe and effective means of permanent contraception. Approximately 500,000 vasectomies are performed in the United States every year. How is a Vasectomy done? This procedure performed under local anesthesia takes about 10 minutes. The experience of the surgeon is the single most important factor assuring a smooth convalescence. A collection…Continue Reading

Vasectomy Effectiveness

Vasectomy Effectiveness when proven fatherhood by DNA testing is taken into account. About 10 years ago, a vasectomy patient called me angrily on Saturday morning and said “I’m going to sue your ass.” His wife became pregnant. I met the patient at the office and I said, please produce a seminal specimen and we’ll both look…Continue Reading

AUA Vasectomy Guideline Statements – Abstracted

AUA Guidelines of 2015 on Vasectomy, abstracted by Dr. Harold M. Reed, senior member of the American Urological Association AUA Guideline Statements 1. A preoperative interactive consultation should be conducted, preferably in person. If not as an in-person, then preoperative consultation by telephone. 2. The minimum and necessary concepts that should be discussed in a…Continue Reading

Vasectomy and Penile Enlargement

November 29, 2015 I am contemplating vasectomy with penile enhancement, is that possible. Richard Good morning Richard, Yes, although I am not a big proponent of simultaneous genital surgery, for sure this can be done as the vasa (plural for vas) in the scrotum are well away from the penis. Applying penile traction,. a needed…Continue Reading

Vasectomy And Penile Enlargement

Will a vasectomy interfere with traction used after penile enlargement or lengthening? Eddie Dear Eddie, It will not. Pull on the head of your penis and see if the scrotum moves. If it does not as I would suspect, you can have both procedures simultaneously. Please remember about 3% of patients who have vasectomy have…Continue Reading

Vasectomy And Penile Enlargement

Very commonly at the Reed Centre a patient undergoing penile enlargement will ask for simultaneous vasectomy. Because this is an add-on procedure the fee is minimal, $300. If married, a letter of release from the wife is required as her ability to procreate is altered. Doing a vasectomy adds about 10 minutes to the procedure…Continue Reading