Urology

Specialties and Specialists

Vasectomy

Many men choose to have a vasectomy as part of their family planning. A vasectomy is a simple, safe and effective surgical procedure that renders a man sterile (unable to father children).

About the vasectomy procedure

A vasectomy is an outpatient surgery. It is performed under local anesthetic, and is considered a permanent means of birth control. During this procedure, the vas deferens (tubes that carry sperm from the testicles to the penis) is cut, trapping sperm in the testicles, where the body absorbs them.

Recovery from vasectomy

A vasectomy is performed under local anesthetic, so the area is numb for about 1-2 hours after the procedure. Afterwards, some bruising, swelling and tenderness is common. These symptoms abate within a few days. Recovery from a vasectomy typically lasts 1-2 days, but may last as long as a week. Strenuous activities, such as lifting, are discouraged for at least one week after the procedure.

A patient may resume sexual activity as soon as he is ready, usually a week after the procedure.

Possible vasectomy side effects

A vasectomy is broadly considered to be a safe and minor procedure with minimal risk of side effects, but complications may occur with any surgery.

A vasectomy does not affect a man’s hormone level, sexual desire or the ability to have normal sexual relations. Many patients who have undergone a vasectomy resume normal sexual activity soon after the procedure.

During recovery, short term bruising and swelling can occur. This normally abates within a few days.

A minority of patients can experience long term testicular pain. This condition is known as Post-Vasectomy Pain Syndrome (PVPS) The chances of PVPS vary depending upon the type of vasectomy procedure used and the experience of the surgeon performing the vasectomy.

Choosing to have a vasectomy is a deeply personal choice and can be an emotional decision. It may not be surprising then, that some men who choose to have a vasectomy can experience feelings of anger, regret or sorrow after the procedure.

What does a vasectomy cost?

A vasectomy can be an expensive procedure. However, it is generally a one-time expense that in the long term, can be much less expensive than other forms of birth control.

Vasectomies are covered by many insurance plans. If you are considering a vasectomy, you should first consult a health professional.

Vasectomy reversal

Marshfield Clinic offers vasovasectomy (vasovasostomy), an operation that reverses a vasectomy and restores a man's ability to conceive through regular intercourse.

The success of vasectomy reversal can vary, and it can have a significant failure rate. The success of a vasectomy reversal is largely dependent upon the type of vasectomy procedure used and the length of time between vasectomy and vasovasectomy. Men often have low sperm count or abnormal sperm following a vasovesectomy.

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