Monthly Archives: April 2017

Possible Vasectomy Alternative in the Future? | Minneapolis & St Paul

Many men in Minnesota wonder if any vasectomy alternatives are available in the future. Yes, a simpler, reversible vasectomy alternative is in the works at the Parsemus Foundation in California. This works by injecting a gel into the vas deferens, blocking it and preventing sperm from entering the ejeculate. The difference is that another dissolving gel can be injected that restores fertility by removing the original gel barrier.

The technology was tested on rhesus macaques monkeys who were allowed to mate for two years after the gel was injected, and in the that time no monkeys were birthed. In the words of Dr. Colagross-Schouten: “We were impressed that this alternative worked in every single monkey, even though this was our first time trying it.”

Gel functions like a reversible vasectomy, blocking or filtering out sperm. It is made from a dense web of molecules that form a viscous barrier in the vas deferens. The resulting gel implant remains in a soft gel-like state that allows water-soluble molecules to pass but not larger structures such as spermatozoa. This quality is thought to be a benefit for preventing back-pressure on sperm storage areas, which helps to reduce “blow out” in the epididymis.

The whole process of procedure will be almost same as the no scalpel vasectomy. A small amount of local anesthesia is placed into the scrotal skin and around the vas deferens. A tiny puncture is made with a pointy hemostat in the numbed area of scrotal skin. The vas deferens are then secured and pulled out with a ring clamp through the small opening. The surrounding fascia is stripped with a sharp instrument to expose the vas deferens, and the gel was injected in the lumen of vas deferens. The complications of post bleeding and hematoma are expected to be lower.

Since tests in monkeys were successful, human trials will begin shortly. Pretty soon, this alternative vasectomy method may be available across the globe which come with the benefits of vasectomy, but are easily reversible.

Hematospermia After Vasectomy | Minnesota

An anxious patient recently called my office two weeks after his vasectomy. “I think I might have problem with my recent vasectomy,” he said anxiously. “My wife and I had sex last night, and she noticed that there was blood in my semen.”

Blood in the ejaculate often causes great concern to the men who experience it after vasectomy, a condition called hematospermia, or hemospermia. It could occasionally happen in the first month after a vasectomy. If you can imagine, the vas tube has been opened and any resultant blood from the wound or ruptured capillary vessels can pass through the tube during healing.

Post vasectomy hematospermia is an uncommon finding after a vasectomy however it is not alarming Most cases of hematospermia after vasectomy are generally self-limited, and it usually resolve within a few weeks, and no further diagnostic workup is needed; however, in some patients, hematospermia may be the first indicator of other urologic diseases such as prostate or seminal vesicle (male sex glands). If it persists perhaps it might be wise to consult with an urologist

Vasectomy Reversal and Other Alternatives | Minnesota

Traditionally vasectomies were considered to be permanent procedures, but headways in science and medicine have made reversal attainable for the average person. Vasectomy reversal is a procedure that involves the surgical reattachment of the severed vas deferens, with the end goal of restoring fertility in men that have had a vasectomy in the past. There are many reasons why someone would want a vasectomy reversal. Most couples want more children, often following a remarriage, some couples that at one point did not want children change their minds, and a few have unfortunately lost children and desire more.

Other methods of having children besides vasectomy reversal are available as well. IVF, (in-vitro fertilization), known colloquially as having a “test tube baby”, involves taking one of the female’s eggs and retrieving sperm from the male, and manually combining them outside of the body without sexual intercourse. The embryo is then transferred to the uterus. ICSI (intracytoplasmic sperm injection) is a more recent innovation that involves directly injecting a single sperm into an egg, and is very effective for severely infertile men whose semen lacks enough motile (moving) sperm cells.

The average cost of basic IVF in the US is around $12,500, and medications run another $3,000-$5,000. Pre-implantation genetic diagnosis (PGD) step of the process another $3,000 to $6,000. Altogether, conservatively speaking, The cost of basic IVF is about $20,000 … for each attempt to have a healthy child utilizing a procedure that is successful (most optimistically) about 40% of the time, depending upon factors such as maternal age and the specific medical circumstances of the parents.

Adoption or sperm donation are other options as well, but many naturally desire to raise their own biological children. Sperm donation is the cheaper option, and usually costs $400-$1,000. Adoption is considerably more expensive ($5,000-$40,000) and the process can take years to accomplish. The final, and often least desirable option is a child-free lifestyle.

For couples where the child-rearing partner is reproductively healthy, vasectomy reversal seems to be the most cost effective way of having biological children. One Stop Medical Center offers vasovasostomy at $2,490, considerably cheaper than IVF and adoption while still making biological children of both parents attainable, which cannot be said of sperm donation.

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