Vasectomy

Vasectomy is a safe, simple and effective procedure at Georgia Urology.

Our highly trained urologists performed over 1700 vasectomy procedures last year alone. This outpatient procedure is skillfully performed by our urologists at many of our convenient locations in the Atlanta metro area.

The decision to have a vasectomy is very personal. At Georgia Urology, we understand that some men may be apprehensive because of the delicate area of the body involved. Our compassionate staff and experienced urologists use great care and precision when performing a vasectomy procedure. A vasectomy does not affect a man’s sexual drive or pleasure or his ability to have erections or ejaculations. A vasectomy has no effect on masculinity, only the physical transport of sperm hence ability to father a child.

The procedure usually takes usually takes about 15 to 30 minutes. Most men experience very little pain or discomfort and are able to return to nearly all activities typically within a week. If you and your partner do not wish to have more children, you should consider having your vasectomy done by Georgia Urology.
Please note that a vasectomy is over 99% effective and is intended to be permanent. However, vasectomies can be reversed in certain cases.

In contrast to the traditional vasectomy procedure, urologists at Georgia Urology are skilled in the No-Scalpel Vasectomy (NSV) technique. No-scalpel vasectomy (NSV) which, as the name suggests requires no scalpel-made incisions or skin sutures in most men; the NSV instruments allow for minimally traumatic access to the vas deferens which translates to less pain and much quicker recovery. (Please note: No-Scalpel Vasectomy is not offered at all Georgia Urology locations.)

How a vasectomy works
When you have a vasectomy, the vas deferens (the two tubes in the scrotum which carry sperm from the testes to the prostate) are cut to prevent sperm from exiting during ejaculation. Sperm are still produced by the body but are entrapped within the ductal networks behind the vasectomy site; they die and are absorbed by the body after a vasectomy procedure.
After a vasectomy, you will still produce seminal fluid so your ejaculate does not look or feel any different. A vasectomy does not affect your male hormone or testosterone levels, so your sex drive and ability to have an erection will remain the same.

How to prepare for a vasectomy
Your urologist will ask you to stop taking aspirin or ibuprofen for one week before your vasectomy. Notify your urologist if you are taking medication to thin your blood. Anti-inflammatory and blood thinning medication could cause excessive bleeding.

You may eat a light meal before the procedure. You may also be asked to shave your scrotum and bring a jock strap with you to wear home.

During the vasectomy procedure
Generally, a vasectomy is performed in our office under local anesthesia. It may be done at a Georgia Urology ambulatory surgery center using intravenous sedation if you and your urologist determine it is needed.

After the anesthesia takes effect, a small incision is made in the scrotum. In the no-scalpel vasectomy (NSV) method, a small instrument is used make a puncture instead of a small cut. The procedure is straight forward and similar to a visit to the dentist.

Selected urologists at Georgia Urology now uses a new, “no needle” device to apply the anesthesia and numb the surgical area with a jet injection. This method helps to reduce anxiety about the procedure in general and the use of a needle in particular. Routinely used by many dentists for years, the no-needle injection is described by many patients as “painless” or nearly painless.

The urologist may use various techniques to block the passage of sperm through the vas deferens.

After the procedure

  1. Most men can drive home afterwards. However, if you have been given medication to help you relax, you will need an adult to drive you home.
  2. Return home immediately and remain off your feet after the procedure and avoid strenuous or sexual activity
  3. Apply an ice pack on the scrotum for 8 hours to minimize swelling and discomfort.
  4. Wear a supportive undergarment such as a jockstrap to apply pressure to the scrotal area.
  5. Our urologist will prescribe a pain medication or you may simply take Tylenol.

Your urologist will give you specific instruction about returning to work and sexual activity. Most men recover completely in less than a week and many are able to return to their job as early as a 24 to 48 hours after the procedure. Sexual activity can usually be resumed within a week following a vasectomy

You must use some form of birth control until your urologists says your vasectomy is effective and you are sterile.

You must take a number of semen samples and it may take several months to ensure that the procedure has been completely effective.

In certain cases, vasectomies may be reversed; however, the procedure is considered permanent. Talk to your urologist to learn more.