Monthly Archives: April 2014

More FAQ (2)

Q. Is no scalpel vasectomy easily reversible?
A.
Yes, current vasectomy technique is much more reversal friendly. We no longer remove the segment of vas, and we no longer to cauterize both ends of vas. The open ended vasectomy technique keeps healthy vas as long as we can, so vasectomy can be easily reversed if you change your mind later. You also need to remember that we can put the tubes back together in the majority of cases, but you cannot guarantee that the reversal will be successful since the success rate is related to the time between the vasectomy and its reversal. You can’t guarantee that a pregnancy will result. And that is regardless of the method of vasectomy.

Q. What happens if I get an erection during the procedure?
A.
I have performed many hundred of vasectomies in the past decade, I haven’t seen this. Most male patients are nervous enough to suppress their sexual arousal. It is not an issue.

Q. Is there anyone else in the room during the procedure?
A.
Usually not. You will always be asked if someone else is to be present. Our front desk and medical assistants will greet you and help you to get paperwork done right before vasectomy. On occasion the doctor ask the medical assistant to assist if needs more instruments and accessories. Very occasionally, other physicians visit to observe the no scalpel vasectomy procedure. However, no family members or partners will be allowed to attend.

More FAQ (1)

Q. Can I take Aspirin for pain?
A:
No, Asprin is a blood thinner, which may cause bleeding or more bruising.

Q. Can I take Ibuprofen (Advil, Motrin?) or Naproxen ?
A.
Yes, you can take it in limited doses. Acetaminophen (Tylenol) is preferred. Many patients don’t take anything after a vasectomy.

Q. Do I have to put ice on afterwards?
A.
No, because no-scalpel vasectomy causes very small trauma in your scrotum.

Q. Can I lift my kid after the vasectomy?
A.
You should not lift anything in the first week.

Q. Can I take a Sauna/bath/Jacuzzi/Whirlpool?
A.
We recommend to only shower before complete healing.

Q. When can I shower after the procedure?
A.
You can shower in 24-36 hours.

Vasectomy May be the New Condom for Fertility

New research from four months ago published in the journal Andrology shows that very high reversal success makes vasectomy a temporary contraceptive. This study of more than 1,200 reversals (V-V, V-E) demonstrates a vasectomy reversal is possible almost 40 years after the original vasectomy. The author Dr. Turek predicts that a vasectomy can be used as temporary male contraception.

For decades, it has been believed that the older the vasectomy, the less likely that a vasectomy reversal will work. But this is simply not true. This assumption has led many doctors to encourage couples to choose vitro fertilization (IVF), a much more expensive alternative, to build families.

The study shows reversals performed even 38 years after the vasectomy did not have worse outcomes after reversal. In fact, the patency rate after reversal plateaus after 21 years doesn’t decrease much. The chance of achieving live sperm counts after reversal in men with older vasectomies (more than 15 years of obstruction) was 75% compared to 93% in men with younger vasectomies (less than 15 years). In addition, excellent sperm counts are achievable after reversing older vasectomies. The motility of ejaculated sperm after reversal decreases as vasectomy age increases.

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