Vasectomy and prostate cancer- Is there a link? | Minneapolis & St Paul

Vasectomy is one of the most common methods of male contraception in Minnesota, and is popular due to its efficacy and permanence. It was estimated that 15%, or about 50 million men had vasectomy procedures done in the United States. The first mention of an association between vasectomy and prostate cancer were in the late 1980s, where a study showed a positive link between vasectomy and risk in developing prostate cancer. Further studies throughout the years since then have been contradictory or inconclusive as to whether or not vasectomies actually increase the risk of prostate cancer.

For the most part, prostate cancer is nothing to fear for men considering a vasectomy. A recent 2015 meta-analysis of 9 different cohort studies was statistically analyzed in order to determine if a possible correlation between vasectomies and prostate cancer. The study concluded that there was no evidence that vasectomy increased the risk of prostate cancer. While there was slight positive correlation, it was deemed not statistically significant. Furthermore, correlation does not equate causation- there is no reason why vasectomy would actually cause prostate cancer. There is no proven biological mechanism that relates these two together.

There are many reasons why early studies may have shown a correlation between the two; for an example, men who have had a vasectomy were more likely to have tests for prostate cancer under a urologist. Also, prostate cancer diagnoses in general have risen in recent decades in part due to an aging population and better testing methods. Most authorities, like the National Cancer institute and the American Urological Association, agree that vasectomy does not increase the risk of developing prostate cancer.

Regardless, the decision to get a vasectomy is not one to be made lightly. It is an important family planning decision and permanent as well- vasectomy reversals are becoming more and more easily attainable but they are still expensive compared to a vasectomy and are not guaranteed to work, especially if the vasectomy was done a long time ago. Please take the time to decide whether a vasectomy something that you really want.

Scalpel vs. No-Scalpel vasectomy | Minnesota

Vasectomy is a surgical procedure that involves severing or tying the vas deferens, the tubes that carry sperm from the testicles. This is a very effective, permanent form of birth control.
During a conventional vasectomy, the doctor must first make two big incisions in both sides of the scrotal skin. The vas is surgically separated from the other structures in the spermatic cord. The vas is then tied off cut, and separated. The incision is then sutured back together.

In no-scalpel vasectomy, there is no big incision; instead, a small single hole is made in the skin of middle scrotum using a special sharp hemostat, and the vas deferens are lifted using a ring clamp. The surrounding fascia is removed to expose the vas. The vas deferens is cut, and the upper ends are cauterized. The titanium clips are placed on to keep the opened ends of the vas deferens out of alignment. The vas deferens are then placed back into the scrotum. A scrotal support is applied and the procedure is done; no sutures are used on the hole.

No-scalpel vasectomy offers several advantages. No-scalpel vasectomy is inherently less invasive, and safer. The chances of complications with conventional vasectomy is 5-10% as a result of bleeding, scarring, infection, etc, while chance of complications with no-scalpel is less than 1%. No-scalpel vasectomy is takes 10 minutes; conventional vasectomy takes 30 minutes. No-scalpel causes less pain, and it also takes less time to heal completely. Most can resume normal physical activity the next day. They are both equal in effectiveness. Ultimately, it seems clear the no-scalpel vasectomy is the better option of the two.

Dr. Steven Shu in the procedure clinic has performed more than 1000 non-scalpel vasectomies with 100% success rate, Zero percent wound infection, and the extremely high patient satisfaction.

Feedback from Our Vasectomy Patients (1) | Minnesota

Here are the feedback from our vasectomy patients.

• I found I was worried over nothing. It was minimal discomfort and even that was completely gone after a week.

• The procedure was very quick (20 minutes from the moment that I was called in until the moment that I walked out). There was virtually no pain at all, and within 4 days I was completely back to normal. I would highly recommend this procedure and Dr. Shu to anyone looking to have a vasectomy.

• super easy procedure

• I am very pleased with the procedure! It was as easy as 1,2,3 .

• Everything was real good except having to wait 30 min. past the scheduled appointment before getting in for procedure.

• Very easy procedure. Thanks to the staff for calming my nerves.

• It’s hard to rate the procedure. I didn’t enjoy it.

• I have recommended the office to several friends.

• I would highly recommend this type of vasectomy. A quick procedure,with very little pain and a fast recovery.

• Any fears about pain, mishaps, or the procedure were unnecessary. The entire experience was far more easier than I had anticipated. I highly recommended your clinic for anyone considering a vesectomy. Thank you.

• This was as easy and painless as it could possibly be. I also saved a TON of money over going to my regular doctor’s office. I am very happy with my decision.

• I should have had this done 30 years ago

• I could not believe how painless it was. I was worried about it for no reason. It was over in less than five minutes once from the time I was set on the table to the time i was

Three Major Reasons a Vasectomy Beats a Tubal Ligation | Minnesota

Every couple in Minnesota whose family is complete may consider permanent birth control. The sterilization procedures include vasectomy, tubal ligation, or tubal blocking. Both men and women should know and compare the differences, benefits and risks of these procedures. For most couples, vasectomy is often the safer, simpler and more affordable. There are ample medical and personal reasons why a couple might prefer vasectomy to tubal ligation or blocking. This blog may help you make a more informed decision.

1.Hospital based Versus Office based
Tubal ligation in Minnesota is usually laparoscopic procedure that involves hospitalization, general anesthesia and lengthier, more complicated surgery than a vasectomy. In comparison, vasectomy may be completed in 10 minutes with minimal trauma. Tubal ligation requires much longer recovery time than vasectomy. Moreover, Women are more likely to have the immediate and long term complications related to a tubal ligation than men who have a vasectomy.

Vasectomies are usually outpatient procedures performed in the doctors’ office and usually take 10 minutes to complete. No scalpel vasectomy has a very quick recovery and very low risk of complications.

Women who have had tubal ligation may experience abdominal pain/cramping, dizziness, fatigue, gas, bleeding from the incision, and discharge. Of course, not every woman will experience these symptoms, and severity of symptoms can vary from woman to woman.

Believe or not, the Easy™ no scalpel vasectomy procedure is incredibly simple and almost pain free. How do we achieve it?

    No scalpel: The new surgical techniques of the no scalpel vasectomy greatly minimize trauma and pain by only making a small, single punch in the skin of scrotum with special instruments, as opposed to a conventional, more invasive open procedure.
    No Needle: 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, eliminating the need for additional anesthetic.
    No suture: the wound is so tiny ( a few millimeter) that it doesn’t require a suture to close it.

When it comes to cost, a simple office vasectomy is more than four to five times less expensive than a routine tubal ligation.

An advantage of tubal ligation is that it works immediately, but a vasectomy doesn’t give you instant result, it requires 15-20 ejaculations in the period of 2-3 months. So you have to use a backup method of contraception until you’re in the clear in semen analysis.

The Essure and Adiana devices, which are inserted into the Fallopian tubes, are new alternatives to traditional tubal ligation in Minnesota; it requires a confirmation in 3 months with an x-ray test called a hysterosalpingogram to ensure that they’re installed properly. Another form of birth control must be used in the first 3 months. These tubal blocking procedures are less invasive than tubal ligation, but failure rates are higher in tubal blocking procedures than tubal ligation and no scalpel vasectomy.

People in the Minneapolis and St Paul areas should review all information on sterilization procedures from the reliable websites and your physicians, however, when it comes to risks, benefits, cost, and effectiveness, no scalpel vasectomy is more often the best option of sterilization.

An Affordable and One Trip Vasectomy Care System in Minnesota

In the previous blog, we talked about the fear of pain, one of three most common road blockers for Minnesotan men hesitating to have a vasectomy. This blog talks about affordability and convenience in vasectomy care in Minnesota.

Not too long ago, there was no Internet, or very limited information on Internet. All medical information came from the words of doctors only. Therefore, the patients had to come to the doctor’s office for detailed counseling on sterilization. In the 21st century, medical information on the Internet has been exploding, including vasectomy information. The patients are able to study everything about vasectomy procedures as much as they want and take their time to make a wise decision on their family planning. As we all know, men are a different creature, and they hate coming to the doctor’s office three times for finishing the whole process of vasectomy care.

We understand men’s psychology. That is why One Stop Medical Center developed a powerful website,, with rich information on vasectomy and vasectomy reversal. All patients are required to review the important vasectomy information and watch a consultation video. A separate initial consultation is no longer required, although it is an option in certain special situations or per patient’s request. Dr. Shu will finalize the consultation on the same day of the surgery, so the patients don’t need another trip for the initial consultation. Moreover, the patients are able to register their vasectomy procedures by filling out the online registration form in the website.

Traditionally, the vasectomized patients need to bring specimen for semen analysis three months following the surgery. One Stop Medical Center developed a mailer system to eliminate another trip for patients. Patients who live far away may simply mail the specimen to the clinic instead of bringing it personally. Therefore, most patients are able to have a vasectomy done in just one trip to our clinic instead of three.

Our clinic used to charge much more for vasectomy procedure. In order to reduce the financial burden for our vasectomy patients, we cut the price of no scalpel vasectomy almost in half. This way, more men can afford to have their vasectomy done.

One Stop Medical Center has simplified the vasectomy care system to create a more affordable, friendly and convenient vasectomy care system.

Common Questions Men Ask About A Vasectomy: Pain | Minnesota

The idea of Easy™ no scalpel vasectomy can seem daunting – on the one hand, it is a minimal invasive procedure done in a doctor’s office in 10 minutes, using only local anesthesia, and it is one of the most reliable, cost-effective forms of long term birth control available. On the other hand, a vasectomy can feel like kind of a drastic step to take because vasectomy is a surgical procedure. Although the techniques used in Easy™ no scalpel vasectomy is so advanced and so minimal invasive, still, many men in Minnesota hesitate to have their vasectomy done due to three factors: fear of pain, cost, and time. We are talking about each of them in this series of blogs. The first blog is to talk about pain related to vasectomy.

Is there pain during the Easy™ vasectomy procedure?
The number one objection voiced by the male in Minnesota to having a vasectomy done is the fear of pain. Believe or not, the Easy™ no scalpel vasectomy procedure is incredibly simple, safe and almost pain free. How do we achieve it?

1. No scalpel: The new surgical techniques of the no scalpel vasectomy greatly minimize trauma and pain by only making a small, single punch in the skin of scrotum with special instruments, as opposed to a conventional, more invasive open procedure.

2. No Needle: 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, eliminating the need for additional anesthetic.

95% of Minnesotan patients say there was mild, minimal, or no pain with their brief vasectomy procedure. Each patient is unique, and some are more sensitive to pain and discomfort than others. For some men, thinking about it may be more discomforting anxiety than the actual procedure. By offering no needle and no scalpel techniques for a vasectomy, One Stop Medical Center in the Twin Cities has mitigated the pain of the procedure and the fear that comes with it.

How long will I experience discomfort after Easy™ vasectomy?
The single wound in the middle of scrotum after Easy™ vasectomy is so tiny that it doesn’t even require a suture to close it, which further facilitates the recovery and healing. Discomfort afterwards is minimal. A shorter recovery time with mild swelling and bruise means that patients will be back to their normal routine just in two days after the procedure.

Small percentage men state they still felt a certain degree of ache or discomfort for a few weeks after the procedure, but if you’re still sore or tender after more than a couple weeks you may want to give your physician a call.

More FAQ (2)

Q. Is no scalpel vasectomy easily reversible?
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?
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?
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?
No, Asprin is a blood thinner, which may cause bleeding or more bruising.

Q. Can I take Ibuprofen (Advil, Motrin?) or Naproxen ?
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?
No, because no-scalpel vasectomy causes very small trauma in your scrotum.

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

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

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

How is Easy™ vasectomy done without a needle?

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.

How is Easy™ vasectomy done without a scalpel?

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.hemostat_2

  • 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. ring clamp_2

Reversal-Friendly Vasectomy Technique | Minneapolis & St Paul

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.

Vasectomy March Madness in Minnesota

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.

Easy™ Vasectomy in Minnesota

We know you don’t like scalpels and needles, we know you don’t like multiple trips in order to have a vasectomy, and we know you don’t like to pay a lot of money for a vasectomy. So we developed the most convenient, affordable, and efficient system to help you to get the vasectomy done in a single trip.

Here is how it works.
(1) Initial consultations and post vasectomy follow ups are not required.
(2) Before scheduling a vasectomy:

  • Download the Vasectomy Handout, fill out the demographic form, and review the instructions, general information and consent. Bring the seven page vasectomy handout with you on the procedure day. You also review more information in vasectomy page,
  • Watch counseling video. Dr. Shu was personally trained by Dr. Stein, and he uses the same techniques that Dr. Stein uses.
  • Consider payments options. We bill your insurance or charge $640 for the cash patients.
  • Select a location: Edina or Shoreview.
  • You don’t need to buy an athletic supporter, we provide you with one for free.
  • The vasectomy procedure is done under local anesthesia within ten minutes, and you are able to drive home by yourself.

Easy™ Vasectomy is so easy, a single trip and 10 minutes procedure.

Dr.Shu performed six vasectomies on World Vasectomy Day.

Oct 18th was World Vasectomy Day. Dr. Shu participated in the international event as part of a global effort. 1,000 men in 25 countries took the ultimate snip to show they care about the growing strain that population is placing on the planet’s resources, their families, and themselves. The goal of World Vasectomy Day is to raise awareness about the environmental impact of rising population on the planet and men’s roles in family planning and vasectomy as a solution to prevent unintended pregnancies. pizza

Dr.Shu performed six vasectomies on World Vasectomy Day. These patients received free large pizzas and athletic supporters. Some of them took the pictures as a meaningful moment in their life. One of them sent the information to the “Late Show with David Letterman” right after his vasectomy.

We believe that October 18 is becoming a special day every year for many men and families all over the world.

Benefits of Open-ended Vasectomy in Minnesota

More men in the Minneapolis and St Paul areas know about no scalpel vasectomy, but not many of them know about the open-ended vasectomy. The open ended technique leaves the testicular end open, which improves reversibility and lessens the chance of long term chronic pain.

In closed-end vasectomy, blocking the normal exit of sperm in a vasectomy can increase the chance of pain due to elevated pressure within your testes secondary to accumulating fluid, thickening sperm debris and swelling (i.e.dilation of seminiferous tubules).

Open-ended vasectomy Technique:
1) Cut the vas. It is unnecessary to remove a segment
2) Cauterize the prostatic end with eye cautery and seal it with surrounding fascia using a clip
3) Do not cauterize the testicular end

Research shows that these potential problems can be avoided if you leave the testicular end open. Granuloma formed at the cut end of the testicular end acts as a natural safety valve because it does not seal completely, which leads to a reduced rate of post vasectomy pain.

The open-ended technique results in less scarring than when cautery is used and provides an easier vasectomy reversal in men who choose reversal later in life.

Concerns with theOpen-ended vasectomy:
1) If the fascia is not adequately closed over the prostate end of the vas, recanalization can occur. It is important to use the proper cautery technique and implement an adequate barrier of fascia between the cut ends of the vas.
2) Elevated serum levels of anti-sperm antibodies could be a little more common, which may cause a very minor effect on vasectomy reversal. But 50-70% of traditionally closed-ended vasectomized men have elevated serum levels of anti-sperm antibodies anyway.

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