Yearly Archives: 2015

World Vasectomy Animation

Video World Vasectomy Animation

We all have occasions we celebrate each year. For us, that date is World Vasectomy Day!

But what is World Vasectomy Day? Let’s take it one step at a time.

A vasectomy is a permanent form of birth control for men where the doctor first separates the vas deferens and then seals up each end. This prevents sperm from entering into the seminal stream and fertilizing a woman’s egg. After it’s done you’ll still produce the same amount of semen, but no sperm, or like some say, ‘all juice no seeds’.

Can you just use a condom? For sure, but it turns out 18 out of every 100 men who use a condom as their primary form of birth control get a woman pregnant within a year.

With a vasectomy, failure is less than 1%. You do the math. And what do you call a man who uses withdrawal? Daddy.

And while no guy likes a doctor poking around in our private parts, for almost 99% of men there’s no lasting pain, the whole thing takes only 15 minutes and there’s no negative effect on our sex lives.

In fact, eliminating the fear of pregnancy can actually make it better.

You’d think every man, whose family is complete would get a vasectomy, but there are whole countries where less than 1% even choose the option.

So why are men so resistant?

Bad information and old habits lead to fears like my sex life will decrease” or “My testosterone will decline.

The Luo language of Kenya uses the same word for “vasectomy” and “castration’, but the common fear world over is that a vasectomy makes you less of a man.

Really?

Manhood is not determined by how many children you make, but how well you care for those you already have.
And some people don’t even want any kids and that’s their choice as well.

A courageous man doesn’t run from risk, he shares responsibility with his partner. He doesn’t give in to fear. He gets a vasectomy out of love.

And if that love includes concern for the planet our children will inherit, you should know that a vasectomy lowers carbon footprint 28 times more than a lifetime of reducing, reusing and recycling.

So on World Vasectomy Day we celebrate the men and women who rise as one to take responsibility for our children, our families and our future. For some this means choosing to get a vasectomy, for the doctors and providers it means doing them.

For all of us how we create new life is certainly the most important conversation of our lives. So join us this year on November 13, as we make history and create a better future.

2 Free Large Pizza on World Vasectomy Day on November 13th | Minnesota

Doctors around the world will perform as many vasectomies as possible in one 24-hour period for World Vasectomy Day on November 13, 2015. This 3rd annual event is designed to heighten awareness of and dispel myths about vasectomy, increase access to the procedure, and inspire more men to become engaged in global family planning conversations. Dr. Steven Shu of One Stop Medical Center in the Twin Cities announced his clinic’s participation in 2015 World Vasectomy Day and will offer 2 large free pizza to all vasectomy patients on November 13.

WVD

pizza

2015 World Vasectomy Day will be headquartered in Bali with free vasectomies offered by the local providers in Bali and international trainers. They will be joined by over 500 vasectomists worldwide. The event will be live-streamed, including interviews with family planning experts, patients and their family members.

“This is my third time participating in this event. In 2013 we celebrated our first year out of Adelaide, Australia with 150 doctors doing 1000 vasectomies in 25 countries. In 2014 we headquartered in Orlando, Florida, and 500 doctors in 32 countries did 30,000 vasectomies, making it the largest male-oriented family planning event in history,” said Dr. Shu, medical doctor and surgeon at One Stop Medical Center. “A countdown to Third World Vasectomy Day will begin on November 13. More information can be found at http://worldvasectomyday.org.”

A majority of the men who undergo the vasectomy procedure do so in order to ease the burden of family planning on their wives. Although a vasectomy has long been considered as the most effective and affordable way for a couple to pursue long-term contraception, there is still much resistance. Many men hesitate to undergo a vasectomy due to fear of pain, cost, and time. In order to eliminate these roadblocks, One Stop Medical Center in Minnesota’s Twin Cities has developed an affordable, virtually painless and convenient one-trip vasectomy care system. The patients are able to register their vasectomies online through its website http://www.EZvasectomy.com.

Failure of Vasectomy and Recanalization | Minneapolis & St Paul

The patients will have the semen analysis to confirm the success of the procedure three months after the vasectomy. If motile sperm is present 12 weeks after the vasectomy, it indicates that recanalization has occurred or that there was a technical failure in vas occlusion.

However, the vasectomy should not be repeated immediately if motile sperm is found in the semen analysis prior to six months after the vasectomy. Additional semen analysis should be performed at intervals of four weeks for up to six months after the vasectomy for further evaluation.

Approximately 30% to 50% of men with recanalization eventually achieve azoospermia or rare nonmotile sperm over a period of six months after the vasectomy due to fibrosis of the vas and occlusion of the recanalization. Therefore, the decision to repeat the vasectomy should not rely on a single semen analysis. A repeat vasectomy should be done if the number of motile sperm increases in the subsequent semen analyses or if motile sperm persists for six months after vasectomy.

Motile sperm may represent a risk of pregnancy and indicate the need for continued use of another contraceptive method.

One Stop Medical Center in Minnesota reported a zero failure rate in about 600 vasectomy cases, most of which were performed in the past few years. All vasectomies were performed with no scalpel, no needle, and no suture techniques.

Getting Pregnant After a Vasectomy Reversal

Many couples become frustrated when many months have gone by after vasectomy reversal and their female partners are still not pregnant. Months of negative pregnancy tests can certainly take its toll on any couple’s spirit. This blog is going to talk about getting pregnant after a vasectomy reversal; it’s important for couples to know what a realistic expectation should be and to understand the process of conceiving.

Getting pregnant after a vasectomy reversal can be a long and frustrating process. Here is what you can expect after getting a vasectomy reversal.

First, it takes a few months for sperms to return to a normal count following a vasectomy reversal. After vasovasostomy, semen analysis will be done to confirm whether or not the procedure is successful. The initial test can be done in four to six weeks. If the initial semen analysis is negative, the test should be repeated in a few months (within six months following the reversal procedure). If there is no sperm in the ejaculate after six months, then the reversal has not been successful.

It takes time for sperm count to be normalized. Generally speaking, a man turns over his sperm reserve every three to four months. Getting pregnant after a vasectomy reversal is usually a six to twelve month process although some get pregnant within six months. It can take a couple of turnovers of sperm reserve, or more than six months, before sperm count returns to a level where getting pregnant is optimal. At this point, it can still take another six months or so for a couple to conceive. Some couple may get pregnant within a few months after the reversal, but it is not the norm.

We recommend the initial semen analysis at the four to six week period, and then every two months for two more times. Once the semen analysis shows optimal sperm count and motility (although some men may never have normal sperm counts and motility), a couple should monitor ovulation, having timed intercourse every other day in 4 days before and after ovulation. Semen analysis should be repeated if a couple has not conceived within six months to make sure the sperm counts are still normal and then female partner should be evaluated for their fertility issues.
Getting pregnant after a vasectomy reversal sometimes can be a long process. There are many factors that come into play for couples trying to conceive, from sperm count and quality to women’s fertility. Don’t become discouraged if you’re not pregnant after only a few months following the reversal.

Achieving Zero Failure Rate and Zero Infection Rate in No Scalpel Vasectomy | Minnesota

All birth controlmethods work best if used correctly every time you have sex. The vasectomy has one of the lowest failure rates among birth control methods. Moreover, no-scalpel vasectomy has many proven advantages with a lower complication rate over the conventional vasectomy. Still, some men in Minnesota hesitate to have their vasectomy done because they are afraid of failure and complications.

One Stop Medical Center of Twin Cities reported a zero failure rate and zero infection rate in about 600 vasectomy cases, most of which were performed in the past few years. All vasectomies were performed with no scalpel, no needle, and no suture techniques.

The failure rate for the no scalpel vasectomy, which uses the fascia clipping technique, is even lower than the traditional vasectomy. The immediate risks of vasectomy are bleeding and infection, but these risks are generally very low for vasectomies. The risks are even lower with our no scalpel vasectomy.”

A very small percentage of patients develop small hematomas (collection of blood) and large hematomas are even rarer. Small hematomas usually resolve by themselves. Large hematomas need an incision and drainage.

One Stop Medical Center has developed a powerful website with a plethora of information on the vasectomy that helps Minnesota patients to understand the potential side effects and complications. It also provides detailed instructions on how to prevent common complications.

World Vasectomy Day, November 13, 2015 | Minnesota

On November 13, 2015 World Vasectomy Day will be headquartered in Bali with free vasectomies offered by the local providers in Bali and international trainers. They will be joined by over 500 vasectomists worldwide. The event will be live-streamed including interviews with family planning experts, patients and their family members.

For the third year in a row, Dr.Shu will be participating in World Vasectomy Day, an event that brings focus to the role men can take in family planning as responsible citizens of our planet. The vasectomies we are offering on World Vasectomy Day are part of a global effort.

WVDDoctors in health clinics and medical offices around the globe will perform as many vasectomies as possible in one 24-hour period for World Vasectomy Day, Nov. 13, 2015. The third annual event is designed to heighten awareness of and dispel myths about vasectomy, increase access to the procedure, and to inspire more men to become engaged in the global family planning conversation.

More information about World Vasectomy Day can be found at http://worldvasectomyday.org.

A Different Experience in Haiti Vasectomy Mission comparing to the Philippine Mission | Minneapolis & St Paul

Dr. Shu of One Stop Medical Center in Minneapolis participated in the vasectomy mission in Haiti in mid of July 2015. This is the second time this year that he has been part of an international vasectomy mission sponsored by the nonprofit organization, No Scalpel Vasectomy International Inc (NSVI).

Dr. Shu shares a passion with the vasectomy guru Dr. Doug Stein in Tampa, FL, promoting and providing no scalpel vasectomy (NSV) services worldwide. He joined the international team in the Philippine mission in February 2015.

Thanks to the opening of the expanded runway at Cap Haitien Airport, there is now jet service to Northern Haiti from Miami. We served three locations: the Uls Sante Clinic in Ft. Bourgeois, the town of Plaisance, and the Ft. St. Michel Health Center in Cap Haitien, and three physicians performed about 90 vasectomies in three days.

The Haiti mission is much more challenging than the Philippine mission because of the poor economy with a high unemployment rate, poor public infrastructure, and an under-developed health care system. NSVI has established a Domestic Program in Northern Haiti as it has done in the Philippines. The Haitian government has made family planning a national priority, and should be very receptive to the help offered by NSVI.

Please feel free to steer a few of your philanthropic dollars toward NSVI. You probably already give to other organizations with top-heavy administrations who are strangers to you. What better gesture than to donate $45 to help a poor Haitian man (1) reduce his overhead, (2) reduce the risk to his partner of another unintended pregnancy, (3) more successfully nurture fewer children, and (4) reduce overcrowding in a small country whose environment has already been stripped of many resources by a population of over 10,000,000.

One Stop Medical Center Provides Vasectomy & Reversal Online Registration

When patients seek the vasectomy or vasectomy reversal procedures, they often face frustration related to lengthy check-in processes involving necessary but substantial paperwork. To ease this burden, One Stop Medical Center recently unveiled an online registration forms in its website, EZvasectomy.com that allows patients to conveniently prepare for their visits and office procedures in advance, using either their computers or their mobile devices.

There are many advantages to use the secure online registration. By using the online registration, the patients are required to review all information before they sign off. Therefore, the patients are completely informed after online registration. It will save time on the day of consultation and/or procedures. By registering in the privacy of patients ‘own homes or offices, the patients will not be distracted by other activity within doctor’s office on the day of visit. The patients are able to give more accurate information because they may also have access to medical information (prior surgeries, medications, names of doctors) that they may not recall on the day of visit. Moreover, Doctors are able to review patients’ history and to call them if there are any medical or social concerns before their office visits.

When a patient registers online for a vasectomy or a reversal procedure, we can expedite their visit to make it much more convenient and easy. In fact, once they arrive, it’s basically just a matter of verifying who they are in order to see the provider, since we already have most of the information needed in our system.

Vasectomy Online Registration

Reversal Online Registration

New Surgical Techniques in Vasectomy Reversal: No Scalpel, No needle, No suture

Dr. Shu has been providing affordable vasectomy reversal (vasovasostomy) service with a high success rate in the past two years. Early this year, Dr. Steven Shu further improved his surgical techniques on vasectomy reversal by using the same minimal invasive principles and surgical instruments as the no-scalpel vasectomy. The innovative new surgical techniques of the no scalpel vasectomy reversal significantly minimize trauma and pain by only making a small, single punch in the skin of scrotum, as opposed to a conventional, more invasive open procedure. In order to further reduce the fear of pain and needle, Dr. Shu also adopted the same anesthesia technique as the no needle, no suture vasectomy. Now, he performs the no needle, no suture in the most reversal patients.

Madajet is a spray applicator that delivers a fine stream of anesthetic at a pressure great enough to penetrate the skin and envelop the vas deferens tube beneath the skin with an almost 100% efficacy rate in the initial anesthesia. The additional anesthetics can be given accordingly during the dissection.

The surgical trauma is minimized, and the wound no longer needs Penrose drainage. The skin incision is so small that it doesn’t need a suture to close it most of the time, which reduces the recovery time, the operative time, and the postoperative complications.

“By offering no scalpel, no needle, and no suture vasovasostomy, we have mitigated the pain of the procedure and the fear that comes with it.” says Dr. Steven Shu. “We constantly improve our surgical techniques and the whole service system on vasectomy reversal procedure. I was thinking, no-scalpel, no needle, no suture vasectomy has many proven advantages over conventional vasectomy, why couldn’t we use the same principle and instruments to do vasectomy reversal?”

One Stop Medical Center in the twin Cities has developed an affordable, minimally invasive and convenient vasectomy reversal care system. This approach eliminates these three road blocks in the men’s mind: fear of pain, cost, and time.

Vasectomy Reversal & Birth Defect | Minnesota

Recently we got a question from a patient on the relationship of vasectomy reversal and birth control. The patient wanted to know if the vasectomy reversal procedure will increase the chance of birth defect. This blog post will specifically address this issue.

Back in 2006, a study conducted at Chulalongkorn University in Bangkok showed that chromosomal abnormalities of sperms were more common in vasectomized men than men with healthy fertility. However, the authors of the study acknowledged that they were unsure whether these findings would support the theory that the risk of birth defects was higher after vasectomy reversal. So far, there have been no follow-up studies to confirm that such a link exists.

Although vasectomy reversal birth defects are among the possible risks discussed during the consultation, most men are pleased to hear that there is no definitive evidence to suggest that the rate of birth defects after vasectomy reversal is significantly higher than that among the general population. In fact, the rate of birth defects may actually be higher among those who achieve pregnancy through in vitro fertilization (IVF) and intra-cytoplasmic sperm injection (ICSI), which has been indicated in many researches.

Here are statistics that help you to better understand this issue:

About 3 percent of all children born in the United States are born with major birth defects (or 6 to 7 percent when accounting for developmental abnormalities). The rate of birth defects after vasectomy reversal is slightly higher at 5 percent. On the other hand, research suggests that there is a greater risk of birth defects in both IVF (9 percent) and IVF-ICSI (8.6 percent) compared to their control group (4.2 percent).

New Techniques in No-Scalpel Vasectomy Reversal | Minneapolis

Recently, Dr. Steven Shu innovatively improved his surgical techniques on vasectomy reversal by using the same principles and instruments as the no-scalpel vasectomy. One Stop Medical Center now offers No-Scalpel Reversal Procedure in its Edina surgical center.

A vasectomy reversal (vasovasostomy) is a microsurgical procedure that reconnects the vas deferens where it was interrupted by a vasectomy. A traditional approach to vasectomy reversal is to make two incisions in each side of scrotum. Over the past decade, more surgeons adopted a single incision in the middle of the scrotum. In order to further reduce the trauma, the recovery time, the operative time, and the postoperative complications, the mini incision vasectomy reversal approach is proposed. Similar to no-scalpel vasectomy, the initial mini-incision is created using a sharp penetrating forceps that spreads the tissue apart instead of cutting it with a sharp scalpel.

“We constantly improve our surgical techniques and the whole service system on vasectomy and vasectomy reversal procedures,” says Dr. Steven Shu, medical director of OSMC. “I was thinking, no scalpel vasectomy has many proven advantages over conventional vasectomy, why couldn’t we use the same principle and instruments to do vasectomy reversal?”

One Stop Medical Center in the Twin Cities has developed an affordable, minimally invasive and convenient vasectomy reversal care system. This approach eliminates these three road blocks in the men’s mind: fear of pain, cost, and time.

One Stop Medical Center also has a powerful website with a plethora of information on vasectomy reversal. All patients are required to review important vasectomy reversal information before scheduling a procedure. Dr. Shu will finalize the consultation on the same day of the surgery, so the patients do not need another trip for the consultation.

Dr. Shu Announced to Participate in Vasectomy Mission in Haiti in July 2015 | Minnesota

Dr. Shu of One Stop Medical Center has announced that he will participate in the vasectomy mission in Haiti in late July 2015. This is the second time this year that he has been part of an international vasectomy mission sponsored by the nonprofit organization, No Scalpel Vasectomy International Inc (NSVI). A total of 365 vasectomies were performed by the international team in six days in the Philippines mission last month, and Dr.Shu did more than 50 vasectomies alone.

Dr. Shu shares the passion with the vasectomy guru Dr. Doug Stein in Tampa, FL, promoting and providing no scalpel vasectomy (NSV) services worldwide. He joined the international team in the Philippine mission last month, and the whole team performed 365 vasectomies in 6 days.

In the past 13 years, Dr. Shu has dedicated his time to community activism, including the founding of the Minnesota Chinese Physician Association (AMCP) and the free clinic Minnesota Chinese Health Center (MCHC), and publishing the Chinese newspaper Minnesota Times. From 2015 onward, he will focus more on his international volunteer work.

Roles of Anti-sperm Antibodies in Patients with Vasectomy & Vasectomy Reversal | Minnesota

We got a question from a patient on anti-sperm antibodies last week: the patient wanted to know the level of anti-sperm antibodies in his blood because he is concerned that they will influence the success rate of a vasectomy reversal. This blog post will specifically address this issue.

What is an Antibody?

An antibody is a blood protein produced by your body’s immune system in response to the stimulation of a specific antigen. Common antigens include multiple antigens in bacteria, viruses, cancer cells and foreign substances in the blood. The antibodies combine chemically with antigens and serve to help the body target and fight-off theses “dangerous” or “unwanted” cells or substances.

What are Antisperm Antibodies?

Normally, sperm antigens in sperm are not exposed to the immune system because of the blood-testis barrier and other epithelial barriers along the reproductive tract. When the blood-testis barrier is compromised under certain circumstances, such as trauma/surgery, infection, cancer and congenital defect, sperm could be exposed to blood and trigger the immune responses, which leads to antibody development. Development of anti-sperm antibodies after vasectomy is thought to be related to the breakdown of the blood-testis barrier and leakage of sperm antigens from the epididymis.

Antisperm antibodies are found in between 8% and 21% of men in the general population, 9% and 36% of infertile patients, and 70-100% of men after vasectomy.

What is the Relationship of Anti-sperm Antibodies with Vasectomy and Vasectomy Reversal Procedures?

How Anti-sperm antibodies affect fertility following vasectomy reversal is not clear. The practice guidelines of the American Society for Reproductive Medicine and the Society for Male Reproduction and Urology stated:

“Overall postoperative conception rate (following vasectomy reversal) is relatively high (50% to 70%) and the presence of antisperm antibodies does not correlate closely with postoperative fecundability. Consequently, the value of preoperative antisperm antibody testing remains controversial and unproven.”

Here is a summary of research evidence:
1) Despite almost all men having detectable antibodies following a vasectomy, two thirds of vasectomy reversals are successful in achieving a pregnancy.

2) The presence and levels of antibodies following vasectomy reversal inconsistently predicts what couples will be successful in achieving a pregnancy.

3) The subjects of most research were infertile men. Research data from fertile men is lacking.

4) Testing for sperm antibodies is not well standardized. There are different types of antibodies and different locations in the sperm. The influences from each antibody are unclear.

What is the Long Term Medical Consequence of Existing Anti-sperm Antibodies?

Studies have provided convincing evidence that a vasectomy does not lead to development of autoantibodies in men other than anti-sperm antibodies, and there is no evidence of any immunologic or other diseases related to development of anti-sperm antibodies following vasectomy.

 

Sperm Recovery Rate (Patency Success Rate) | Minnesota

Success rate for vasectomy reversal is generally reported in two ways: sperm recovery rate (patency success rate) and pregnancy rate. Although the statistical averages derived from large numbers of patients offer a general guide, your specific situation and results may differ from that of the average due of many personal variables, such as the surgeon’s vasectomy techniques, your age, you and your partner’s fertility, and a host of other factors.

Vasectomy reversal can be a gamble, with the success rates and fees varying from office to office, so the evaluating couple must determine where they can get the greatest value from their investment. For example, if the candidate’s interval is 4-6 years and one office has a rate of 93% (sperm recovery) for a fee of $3000, and another office offers a competitive rate of 97% for $10,000, then only the couple can decide whether the increment in higher success is worth the difference in cost.

The single most important factor in whether a vasectomy reversal procedure will be successful is the interval in time (years) between vasectomy and vasectomy reversal. Theoretically, the sperm recovery rate drops two percent every year after vasectomy. This is because the likelihood of obstruction in the epididymis increases—especially after 7-10 years. Many men, however, do not develop any obstructions after 15, even 20 years, and may therefore expect a better sperm recovery success rate with a vas-to-vas procedure.

Based on all of the cases with the reported semen analysis results, the sperm recovery rate (Patency Success Rate) in our clinic is 93.3% for all cases within nine years of vasectomy. We have yet to obtain a large enough number of procedures from 11 years to 25 years of vasectomy to do a meaningful statistical analysis, but the general pattern of successful operations seen in our patients follows Dr. Doug Stein’s published data (Dr. Shu having adopted the same techniques from Dr. Stein).

SpermRecovery

Minnesota Physician Dr. Shu to participate in Vasectomy Mission in the Philippines in Feb 2015

A group of doctors from the United States, Canada, Australia, Poland, and Ireland will be going to the Philippines from February 3nd to 10th to provide free vasectomies for local residents. Minnesota physician Dr. Steven Shu, medical director of One Stop Medical Center, is participating in this mission. It is expected that more than 500 no scalpel vasectomies (NSV) will be done in the 8-day trip.

The NSV mission is sponsored by No Scalpel Vasectomy International Inc.(NSVI), which has been providing free NSV services since 2001. The mission of NSVI is to promote and provide free No-Scalpel Vasectomy services worldwide, but especially in developing countries whose infrastructure and environmental resources are challenged by rapid population growth unchecked by established and/or effective family planning programs.

As an expert in office procedures in Minnesota, Dr. Shu has been enjoying making my contributions to local communities over the past 13 years. From now on, he will focus more on his international volunteer work.

For more information, please read the news release “Minnesota Physician to Participate in Vasectomy Mission in the Philippines“.

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