About No-Scalpel Vasectomy
Vasectomy is a safe, efficient, and effective form of permanent contraception with a failure rate of <1%. At Top Gun NW, Dr. Abano performs the no-needle, no-scalpel vasectomy technique. The procedure takes approximately 30 minutes and is minimally invasive. You will experience a gradual return to normal life just 2 – 3 days after the procedure.
Tubal ligation is the female form of permanent contraception. The vasectomy procedure is known to be safer in terms of operative risks. It is also safer than continuing hormone replacement after you are done having children.
With this procedure, you will experience the following:
- No change in sex drive
- No change in semen ejaculate except absence of sperm
- No changes in testosterone
- No changes in erection or orgasm
- Safer and protected intercourse
Who should get a vasectomy?
Vasectomy is a method of birth control chosen by more than 500,000 men each year in the United States. It is a simple and safe procedure that is more than 99% effective in preventing unwanted pregnancy. Vasectomy does not affect one’s manliness in any way because it has no effect on the male hormones produced by the testes. Sex drive, the ability to attain and maintain erections, and the sensation of orgasm usually remain the same following vasectomy. Since the procedure only prevents sperm from entering the semen (ejaculate) and since sperm compromise only 2-5% of the semen volume, most men notice no change in the male reproductive fluids.
If you and your partner have had your desired amount of children, whether it is zero or 10 children, a vasectomy is the safest method of permanent contraception. With a vasectomy, you can take charge of your family planning and your sex life. Having this procedure will eliminate the need of contraception for your partner.
Ultimately, you and your partner will enjoy intimate relations without ever worrying about unplanned pregnancies.
What are the risks?
There are currently no proven long-term health risks associated with vasectomy. In rare instances, the following risks have been observed.
Failure: Vasectomy has a failure rate of <1%. Failure results to unintended pregnancy that occurs after a vasectomy. This may occur after unprotected intercourse during the first three months AND having fewer than 20 ejaculations after the procedure is done.
Recanalization: There are very rare instances of recanalization of the vas deferens (what we call the sperm highway) which could lead to delayed failure. Recanalization is the development of a channel for sperm flow between the two cut ends of the vas. If this happens early during healing process, the semen never become sperm-free until the vasectomy is repeated. If recanalization happens late, months or years after a man’s semen has been examined and declared sperm-free, this could result to an unplanned pregnancy.
Recanalization leading to unplanned pregnancy is exceedingly rare, less likely than any other form of contraception, and the risk decreases over time.
Bleeding: Bleeding can occur during or after vasectomy, but it is less common with no-snip vasectomy. If bleeding occurs within the scrotum, drainage of a scrotal hematoma (blood clot) in a hospital operating room may be necessary. Smaller hematomas do not require surgical drainage, but tender swelling can last for 2 to 4 weeks. Bleeding that leads to hematomas is very rare. Occasionally, if the scrotal skin bleeds at the vasectomy access site, the scrotum can become discolored (black and blue) for about a week; this is painless but more common than swelling.
Infection: Infection is a rare complication and is usually responsive to antibiotics.
Sperm granuloma: A sperm granuloma is a pea-sized (sometimes tender) lump on the vas tube at the vasectomy site. Sperm granulomas almost never require treatment. Any periodic tenderness usually responds to an anti-inflammatory medication such as ibuprofen and other non-steroidal anti-inflammatory (NSAID) medications.
Chronic Pain and Congestion: Although rare, tender buildup of sperm and white blood cells may form upstream or at the vasectomy. Tenderness usually goes away with use of an anti-inflammatory medication, such as aspirin or ibuprofen.
Chronic post-vasectomy discomfort or Post-Vasectomy Pain Syndrome (PVPS): Although exceedingly rare, PVPS can be severe enough for a patient to seek vasectomy reversal or neurolysis, a division of the sensory nerves coming from the testes to block pain. Some forms of PVPS may include chronic pain that can affect quality of life, but not enough for patients to seek vasectomy reversal.
What are the costs?
Most insurance plans will either cover the $1200 cost of the procedure completely or provide significant discounts. We do offer a discounted cash only rate of $800 for patients paying cash/HSA/FSA/Credit card.
Unintended pregnancy can be expensive and put a strain on your relationship. When your family has reached the right size, having a vasectomy safeguards your financial future.
A preliminary consultation visit is not required. We would be happy to do a preliminary consultation however with any patient who wishes to do so prior to his procedure. This will should be scheduled when our staff calls you to obtain reservation fee and schedule you for the procedure. This will be a no-charge 15 minute preliminary visit.
We usually require a separate visit or preliminary phone consultation for men in their 20’s without any children. This will be a no-charge 15 minute preliminary visit or phone call prior to scheduling you for the procedure.
+ Three days = Return to light/sedentary work and sexual intercourse
+ One week = Return to normal lifting
+ Three months = Return sperm sample