No Needle Vasectomy

UAR is the first practice in the Rochester area to offer the no needle vasectomy. A new, less-invasive vasectomy option offered by Urology Associates of Rochester is intended for men who have avoided a vasectomy due to a fear of needles or due to the pain associated with the procedure.

In a traditional vasectomy, a provider inserts a needle into the scrotum to anesthetize the area around each vas deferens prior to the procedure. During the new procedure, the anesthetic is delivered with a no needle jet injection.

“For some men, the traditional vasectomy can be scary and painful choice for permanent birth control,” said Laurence Donahue, M.D. “Our new, no needle alternative is designed to alleviate patient fears and to reduce the pain associated with the procedure.”

Frequently Asked Questions (FAQ)

What is a Vasectomy?

A: As you probably already know, a vasectomy is a surgical procedure that renders a man sterile. Do not confuse sterility with erectile dysfunction. A vasectomy has NO effect on the ability to have an erection. A Vasectomy is a surgical interruption of the vas deferens, or the small tubes that bring the sperm from the testes to the penis during ejaculation. The procedure does not involve a scalpel or stitches. The physician will locate the vas deferens in the patient’s scrotum and use a small clamp to bring them to the surface of the scrotal sac. A small hook is used to expose the vas deferens, thereby stopping the sperm from reaching the seminal vesicle where it is held until ejaculation. The sperm will die and be reabsorbed into the body.

Will I be sterile as soon as the operation is over?

A:  No. Contrary to what many people believe, you may not be sterile immediately following the procedure. This is because there are still some sperm residing in the vas deferens above the area that has been cauterized. Until all of these sperm cells have been ejaculated, you will still be fertile. It generally takes between 12 – 20 ejaculations following the vasectomy for the sperm to disappear. You will be provided two SpermCheck Vasectomy home tests after your appointment, at the cost of $25 each. Instructions are included in the kits. You will be asked to test two semen specimens, the first after 10 ejaculations and the second after another 10 ejaculations. The first and second specimens should be about 1 month apart. Continue to use contraception until a negative result is received from the second test. You will need to report your results to Alere, the manufacturer of the home test kit. The toll free phone number is provided in the kit.

How will the procedure affect my sex life?

A: Although the vasectomy will make you sterile, it will have no effect on your ability to have sex. In fact, many couples find their sex life improves after the vasectomy because they no longer have to worry about the surprise of an unplanned pregnancy.

Will I still ejaculate in the normal manner?

A: Yes. Most of the fluid a male ejaculates is produced by the seminal vesicle (where the sperm are stored prior to the vasectomy) and the prostate gland. Only a small amount of fluid consists of sperm. Therefore, after vasectomy, ejaculation will take place the same way it did before. The only difference is that there will be slightly less fluid ejaculated, and this difference is barely noticeable.

Is a vasectomy painful?

A: As with any procedure, no matter how minor, there will be some discomfort associated with it. However, with proper anesthesia, this discomfort will be kept to a minimum, A mild pulling and tugging sensation may be felt. Your physician will discuss the types of anesthesia to be used. As a rule, local anesthesia is all that is required. The procedure takes about ½ hour from start to finish.

Are there any complications associated with a vasectomy?

A: The problems that occur after the operation are usually quite minor. There will be some pain and tenderness in the area where the procedure was performed. Usually this can be controlled with ibuprofen or Tylenol. You may also experience some swelling and bruising of the scrotum. As with any surgery, the possibility of infection s always present. However, this is quite rare following a vasectomy. Contact the office if there is any excessive pain or swelling.

How soon after the operation may I have sexual intercourse?

A: You may resume intercourse 5 days after the vasectomy or, whenever you are comfortable after the 5th day. Ejaculation should not occur until the 5-day period has ended. Remember, however, that you will not be sterile until some time after the procedure, and therefore you should continue to use some form of contraception until the physician confirms that all sperm have disappeared from your semen.

Is there anything special that I need to do before the procedure?

A: On the morning of the procedure, please shower and wash well. Your physician may ask you to bring an athletic supporter of tight briefs with you to wear following the procedure.

What about after the procedure, what must I do?

A: After the procedure, go home and lie down. You should be off of your feet for the remainder of the day, When you are on your feet; you may want to wear an athletic supporter. Put ice in a plastic bag with a thin washcloth or gauze pad between the ice and the procedure site. Keep the ice pack on the scrotum for 45 minutes out of every hour. Continue until bedtime. Use hot tub baths for 2 – 3 days after the procedure if discomfort persists. You many shower on the day after your procedure. Do no let the shower flow directly onto the procedure site. Just be sure you wash the scrotum gently. When you dry your scrotum, do so by blotting with a soft towel.

Be sure to discuss any questions you may have with your physician prior to the procedure.