Vasectomy on the Go - Frequently Asked Questions [Rosenblum Urology]

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How does a vasectomy work?
A vasectomy blocks the tubes (vas deferens) that carry the sperm from the testicle to the seminal fluid.  The sperm that are left in the testicle are recycled naturally.  For a diagram see Procedure Details.

What is No-Needle anesthesia?
"No-Needle" anesthesia is a new method for applying local anesthetic with a SPRAY instead of a needle.  The end result is rapid, comfortable, and effective numbing without a needle. 

What is No-Scalpel vasectomy?
"No-Scalpel" vasectomy is a method by which specialized instruments are used in Dr. Rosenblum’s trained hands to make a small single mid-line puncture in the scrotum to access each vas deferens.  No scalpel is used. This minimally invasive technique is a major improvement over "conventional" scalpel vasectomy as it produces less tissue trauma.  Less tissue disruption means less potential for bleeding and swelling, as well as a faster and more pain free recovery.

Who should have a vasectomy?
Any man who is convinced he does not want any more children.

Are there any changes to my sexuality after vasectomy?
No.  Libido (desire for sex), hormone levels and erection are unchanged.  The amount of fluid with ejaculation is not noticeably different.

Does it hurt?
The No-Needle technique used by Dr. Rosenblum produces rapid and comfortable anesthesia without using needles.  Most men are surprised how easy the procedure is. (See "Testimonials")

What should I do in preparation for a vasectomy?  
Pre-Vasectomy Instructions:

  1. Do not use aspirin, ibuprofen (Motrin, Advil) and naproxen (Aleve) or any blood-thinning products for 7-10 days prior to the vasectomy as they can increase bleeding risk.  You may use acetaminophen (Tylenol) during this period. If your medical doctor has put you on aspirin or any blood thinner please ask him/her if you can stop this medication. 
  2. Shave the skin covering the front of the testicles (scrotum) starting at the base of the penis the day prior to your scheduled appointment.
  3. Bring a new jock strap or athletic supporter with you to wear after the procedure.
  4. Download, read, and sign the "Consent Form" form which the doctor will need prior to performing your procedure.
  5. Plan appropriately for recovery. (see below)

How long is the recovery?
Post-Vasectomy Instructions:

  1. Following the vasectomy you should be prepared to rest that day with your feet up.
  2. Wear the jock strap as much as possible.
  3. Keep ice packs on the area for 20 minutes on and 20 minutes off as much as possible.
  4. If you are going to shower in the next day or two after the vasectomy keep your back to the water for a week’s time.
  5. Nothing strenuous for another 5-7 days. Then you may gradually increase your activity.
  6. Dr. Rosenblum requests that you make a one week follow-up appointment so that he can make sure you are healing well.
  7. You will need to bring in a semen sample at 6 and 8 weeks after the vasectomy to confirm that there are no sperm. A good rule of thumb is to have at least 14 ejaculations before the first semen sample to get rid of any residual sperm.

Can vasectomy be reversed?
Not always.  Vasectomy reversal is expensive and not always successful. Therefore, do not have a vasectomy if you are unsure about having more children.

What are some drawbacks of vasectomy to keep in mind?
Vasectomy is a procedure with low risks however it does not protect you from sexually transmitted diseases.

Does it work right away?
NO!  You must continue birth control. You will have a semen analysis at 6 and 8 weeks after the vasectomy. If both samples show no evidence of sperm you may resume unprotected intercourse if you choose.  


To learn more about the No-Needle, No-Scalpel Vasectomy and whether it is right for you, please contact us toll-free at 1-877 MD URINE or 610-933-1133.

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