In order to make vasectomy patients happier, the no needle technique was invented. It significantly reduces the fear and vasovagal reaction (fainting) during vasectomy.
Conventional needle anesthesia in no-scalpel vasectomy involves the use of a 27 gauge needle to raise a wheal at the skin of scrotum; it is then advanced its full length along the vas on each side where further anesthetic solution is deposited. One could feel a small poke and a bit of a squeezing pain during injection. However, most men do not like needles of any size … especially there!
MadaJet® was invented to replace needle injection. Wilson in 2001 initially described no-needle jet injection as a new anesthetic technique. Weiss and Li refined the jet injection technique for vasectomy. (J Urol 2005; 173:1677-1680). It is a spray applicator that delivers a fine stream of anesthetic at a pressure great enough to penetrate the skin and envelop the vas tube beneath the skin, attaining a close to 100% efficacy rate with no need for supplemental anesthetic.
The patients in Minneapolis and St Paul areas always wonder how Easy™ vasectomy is performed without a scalpel.
No-scalpel vasectomy instruments were developed in China in the mid-70’s and introduced into the United States in 1985. The refined techniques of no-scalpel vasectomy that minimize trauma, pain and complications. The introduction of no-scalpel vasectomy has successfully allayed many men’s fears with regard to the scalpel.
Dr. Shu uses two important No-scalpel vasectomy instruments to perform the procedure. A very pointy hemostat is used in three steps.
First used to make an initial tiny opening into anesthetized skin by puncturing, then skin is spread to 0.5cm opening.
Then used to spread all layers (the vas sheath) down to the vas tube.
Finally, used to spread adherent tissue and blood vessels away from the vas under direct vision
A ring clamp is used to initially grab the vas and secure it during the procedure.
Dr. Shu has performed no scalpel vasectomy for 14 years. Recently, one of his previous vasectomy patients came for the vasectomy reversal. He lives in Minneapolis. He and his wife changed their mind and wanted more kids now. The patient was told that it would be difficult to reverse it because Dr. Shu’s old vasectomy technique was quite “aggressive”, although the patient had a successful reversal during the surgery.
Like many surgeons, Dr. Shu stopped performing “aggressive” no scalpel vasectomy since he started offering the vasectomy reversal last year. He used to cut off a small segment of vas on each side and destroy the lining of the tube on both ends with a cautery. This technique meets the concept of permanent sterilization, but it is not reversal friendly.
Now Dr. Shu adopted the open-end and reverse-friendly vasectomy technique. He no longer cuts off a segment of vas, and he no longer cauterizes both ends of vas. Instead, he destroys the lining of the tube on the upper end only and keeps the healthy vas as long as possible. This reversal friendly technique will significantly improve the success of reversal in case patients change their mind and want more children in the future.
National media reported the phenomena of vasectomy March Madness last year, and CNN gave a follow up report on this topic last week. What is Vasectomy March Madness? It is the phenomena that more men seek vasectomy during NCAA Basketball tournament time.
There is no national data to support the trend of vasectomy March Madness. Dr. Ed Sabanegh, chairman of the Department of Urology at the Cleveland Clinic told CNN that they performed 40 or 50 more vasectomies a month before and during the 68-team basketball tourney.
One Stop Medical Center in MN reported that we didn’t notice a trend with vasectomies in Minnesota during the NCAA Basketball tournament last year. We monitored it closely this year, and we did notice big jump in vasectomy procedures in the past few weeks although other factors may play a role, too, such as lowering price and the convenient one trip vasectomy service system.
Men can do two things at once; recover from their vasectomy and catch some great basketball action. It just may become a trend. Pick your favorite sport and time your procedure with the games you want to watch. It may be the World Series, The Super Bowl or the Stanley Cup playoffs that you want to watch with your wife’s approval during your recovery time.
Finally, low cost vasectomy reversal is here for men in Minnesota and surrounding states. Dr. Shu of One Stop Medical Center is quickly expanding his practice in vasectomy and vasectomy reversal by offering low cost procedures.
Life changes and some people regret having their vasectomy, but can’t afford the reversal procedure. “That’s why we are here, so that anyone who needs a reversal can get one,” says Dr. Shu.
These fees are less than what other places will charge. There are a number of reasons for this:
Since vasectomy reversal is performed in our accredited private surgical center, there are no facility fees.
Because it is done under local anesthesia, there are no fees for an anesthesiologist or nurse anesthetist.
We purposely lowered the price, so more people can benefit from it.
According to published data, someone who receives a reversal within 10 years of having their vasectomy will have greater odds. The best chance for the returning of live sperm is less than three years after the original vasectomy.
The minimally-invasive procedure performed at One Stop Medical Center is known as Vasovasostomy; it is performed under local anesthesia with the assistance of an operating microscope (microsurgery) and typically takes 2-3 hours to complete.
According to a study presented at a meeting of the American Society for Reproductive Medicine on October 15, 2013, there was an increase in the rate of vasectomies performed each year from 2005 to 2012, which coincided with the recession starting in 2007. The increasing trend of vasectomies plateaued at the end of the recession in 2012. The researchers interviewed about 1,700 men who had a vasectomy consultation at a clinic in Wisconsin. About 1,450 of the men went through with the vasectomy procedure.
The studies showed that recession drove men to have a vasectomy earlier. Men who received vasectomy consultation in the years 2005-2008 had on average 3.1 children, a number that fell to 2.3 following the 2008 recession.
The study researcher Dr. Anand Shridharani, a practicing urologist in Milwaukee, thinks that the increase in vasectomy rates mirrors the decrease in average income, which could be taken as a measure of economic health. He believes the economy plays a role in trying to prevent having unintended children because of the economic burden of having a child. Another possible factor is that people may have become more educated about various options for contraception, including vasectomy.
More studies are needed in the future to prove the trend that the recession influences more Americans to decide against having another child with abortions and vasectomies.