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 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 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

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