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About Vasectomy

What is a Vasectomy?

A vasectomy is a form of permanent birth control for men. Each year, approximately 500,000 men choose to undergo this safe, effective procedure.

A vasectomy involves separating the tubes (vas deferentia) that lead from the testicles and the epididymides, where sperm is stored, to the prostate. It is from the prostate that semen is expelled upon ejaculation. By separating the tubes, sperm are unable to travel to the prostate and be expelled, which renders the semen sterile. Sperm will still be produced by the testicles, but will be reabsorbed into the body, a natural process that also occurs if ejaculation has not happened for some period of time.

Will it work?

The vasectomy procedure generally has high success rates and provides permanent results unless surgically corrected with a vasectomy reversal (vasovasostomy).

While it is possible for the sperm ducts to spontaneously rejoin, this is extremely uncommon. Fewer than 0.02% of the men who undergo the vasectomy procedure report persistent sperm in the ejaculate.

How do I know I’m ready?

While this is an important decision only you can make, we’re here to help. Our expert team led by Dr. Bar-Chama, a renowned urologist from Mount Sinai Hospital, is happy to consult with you if you are considering the vasectomy procedure.

Options to consider:
Storing sperm before the procedure

• If you choose, you may produce a semen sample and have it frozen and stored at a long-term facility, We can help provide you lists of reputable sperm banks in your area.
Vasectomy reversal (vasovasostomy)
• If you have a vasectomy and later decide you would like to have a child, a vasectomy reversal procedure is possible.

Will this affect my sex drive?

It is important to know that a vasectomy is not the same as castration, and being sterile is not the same as being impotent. Because your testicles will remain intact, you will still produce normal male hormones. There should be no change in your masculinity or sex drive. You will also continue to ejaculate.

The Vasectomy Procedure

How do I prepare for the surgery?

After your initial consultation with the physician, you will schedule a date for the vasectomy procedure that works with your schedule. The State of New York has a mandatory 30 day wait period from consultation to performance of the vasectomy. If you choose to move forward with the vasectomy, you will be provided the Sate of New York form and the date of procedure will be at least 30 days after you consultation. You will be contacted 48 hours prior to the procedure to confirm the exact date and time of your appointment. Please make arrangements to arrive on the 9th floor of 635 Madison Avenue in Midtown Manhattan at the specified time.

During the week prior to your appointment, follow these important guidelines:

• Do not take anything containing aspirin for 7 days prior to your surgery.
• Do not ejaculate 2-4 days prior to the surgery.
• Do not eat or drink anything, including water, 8 hours prior to your surgery. (If there are medications you must take, you may do so with minimal water.)

Will I be asleep?

Yes, anesthesia is used during the vasectomy procedure.

What should I expect after the procedure?

After the surgery, you will be groggy. You must arrange for someone to pick you up and take you directly home. Some tenderness is normal. We recommend that you rest for at least the remainder of the day.

You may experience these common side effects:

• Slight bleeding and mild swelling. This should dissipate within 72 hours.
• Mild testicular discomfort. This usually improves with warm soaks, scrotal elevations and no steroidal anti-inflammatory agents.
• In rare cases, the base of the penis and the skin of the scrotum may appear bruised for a few days. This is not painful or permanent, and does not require treatment.

Be sure to notify your doctor immediately if there is discharge from the wound or you develop a fever

How should my doctor and I follow up?

You should call to schedule a post-operative appointment 1-2 weeks after the procedure. Next there will be two scheduled semen analyses to gauge the decrease of sperm in your ejaculate.

Sperm can survive for 6 months or more in the sperm ducts. You should wait at least 3 months and 20 ejaculations before the first semen analysis. Once a second analysis confirms sterility (the absence of sperm in the semen), your doctor will approve engaging in sex without contraception.

How long should I wait before resuming normal sexual activity?

You should wait about 72 hours, or until you feel comfortable, before returning to normal sexual activity with contraception. After your second semen analysis confirms the absence of sperm, you can engage in sex without contraception.

When can I return to work?

We recommend allowing at least 24 hours for recovery. You should avoid strenuous exercise and heavy lifting for 72 hours.

Next Steps

Ready to schedule a consultation?
Call 212-756-5777 or fill out an online appointment request. New patients can download consultation paperwork prior to their appointment.

Out of town patients can take advantage of hotel discounts through RMA of New York.

Have additional questions about vasectomy? We are happy to answer any questions you may have or provide more information about vasectomy. Email urology_info@rmany.com or call the main line 212-756-5777.

Have additional questions about the cost of a vasectomy? Our finance team is happy to assist you, please call 212-756-5777 and ask to speak to a finance professional about our affordable vasectomy.

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