in Boston, MA
A vasectomy is a procedure performed to sterilize a person. Sperm will not combine with semen anymore, after the process. The fluid that the penis ejaculates subsequently will be sperm-free.
In a vasectomy, two minor incisions in the scrotum by a scalpel, had always been necessary. However, vasectomies without scalpel became a popular option for many people in the United States, in the 1980s.
The no-scalpel technique results in faster recovery and less bleeding while having the same effectiveness as a traditional vasectomy.
About 500,000 people get a vasectomy every year in the United States. They do this with the goal of controlling pregnancy and childbirth. Approximately 5 percent of married men who are of reproductive age get vasectomies, so as to prevent themselves from having any children, or having more if they already have enough children.
No-scalpel vasectomy vs traditional vasectomy Boston, MA
How the surgeon gains access to the vas deferens is the only major difference between no-scalpel and traditional vasectomy. The vas deferens are the ducts that transfer sperm to the urethra from the testicles, where it is then combined with semen.
The surgeon makes an incision on both sides of the scrotum to access the vas deferens, in traditional surgery. The vas deferens are clamped from outside the scrotum in a no-scalpel vasectomy, and a small needle is inserted to make a hole in the scrotum, through which the ducts can be reached.
In a 2014 study, there were almost 5 times less hematomas (blood clots triggering inflammation underneath the skin), infections and other complications for no-scalpal technique than traditional vasectomy.
It can also be performed faster than a regular vasectomy and does not need sutures to cover up incisions. A vasectomy without scalpel often ensures that there's less pain and bleeding.
Our Three step process
Make an appointment for your initial consultation visit. You can call or register online.
If you are ready, you may also have your vasectomy the same day. (Note: some insurances require a wait period between consultation and getting the procedure.)
Get the vasectomy. It usually takes less than 15 minutes using our quick no-scalpel method.
That day, relax with your legs up. Rest for 1-2 days. Wait a week for any really strenuous activity.
Follow up: 2-3 months after your vasectomy drop off a semen sample.
You won't notice a difference, so we'll check for any sperm under a microscope to make sure you have the all clear!
What to expect: Procedure Boston, MA
In the 48 hours prior to your no-scalpel surgery, be sure to skip drugs like aspirin and NSAIDs such as ibuprofen (Advil) or naproxen (Aleve). Having such drugs in your body before any procedure can increase your chances of developing bleeding problems.
Please enquire about any other drugs or medicines that you usually take, with your physician. It's possible that before the procedure, some may have to be stopped.
A vasectomy falls under the class of outpatient procedures. You can go back home on the same day that the procedure was performed.
Be sure to put on clothes that are comfortable and bring along an athletic supporter (jockstrap) that you can wear home.
You may want to trim the hair on your scrotum and around it. This can also be performed just before the operation at the doctor's office.
Review everything that you need to do with your doctor's office. In the days leading to your vasectomy, your surgeon will give you a number of instructions to follow.
You must put on a hospital gown in the operating room and nothing else. A local anesthetic will be given to you by your physician. It will be injected into the groin or scrotum to create a feeling of numbness so that you will not experience pain or discomfort. Several drugs are available that may also help you relax until the vasectomy.
The surgeon will feel around and locate the vas deferens underneath your skin, during the actual procedure. Once the ducts are found, a pressure from outside the scrotum will be placed on them, using clamps. This will hold them in place right underneath the skin.
A small hole will be drilled into the scrotum with a needlelike object. Next step would be to pull the vas deferens through the drilled holes and cut them. After that, they are stitched, clipped, and sealed by a small electrical pulse. They could also be sealed by knotting their cut ends. Lastly, the vas deferens will be restored back to normal position by the surgeon.
The possibility of staying fertile in the first couple of weeks after the operation is an important thing to consider. Make use of other birth control methods until you're sure that your semen is sperm-free, as it might not be for up to six months after the procedure.
In the first few months after a vasectomy, the physician will recommend you ejaculate many times and bring a sample in for analysis.
Estimated Vasectomy Cost Boston, MA
Any form of vasectomy can require coughing up as much as $1,000 without insurance.
Consult with your health insurance company or the local public health department for more information on payment options.
The costs may be fully covered, not only by certain insurance companies but also by medicaid and other public programs.
Vasectomy Reversal Boston, MA
Reversal of a vasectomy is usually requested by people who have undergone the procedure and are now looking for a way to restore back their fertility.
The re-attachment of the cut vas deferens is required in a vasectomy reversal. Men who have one or more kids with one wife and would like to start a new family often request for this procedure. Occasionally, a couple would change their minds about having kids and request for a reversal.
Reversal of vasectomy does not always guarantee fertility restoration. Reversal of procedures that are below 10 years old, are often the most successful.
The Takeaway Boston, MA
A vasectomy without the use of scalpels can be a safe and effective way to control conception. The failure rate can be as small as 0.1 percent when done by doctors with experience.
Because it is designed to be permanent and because a reversal of vasectomy comes with no guarantee, you and your spouse should consider the results and effects carefully before making the decision.
A vasectomy normally does not affect sexual function. Masturbation and intercourse will feel how they've always felt, but you'll just be releasing semen when you ejaculate. Your testicles can still produce sperm, but these cells, like every other cell that fails and is replaced, die and are absorbed by your body.
Speak to our experienced doctor today, if you have any concerns or questions about no-scalpel vasectomy. The more information you have available to you, the better the choice you make will be.
If you are in Boston Massachusetts and wish to get in touch with Northeast Vasectomy and Family Planning, call (617) 368-0090 now!