A Vasectomy is the surgical cutting and sealing of part of each vas deferens as a means of sterilization. The decision to proceed with a vasectomy is a very personal one and it is important that the patient has a clear understanding of what a vasectomy is and is not.
The vasectomy itself is a minor surgical procedure designed to interrupt the sperm transportation system between the testicle and the penis. Vasectomies are performed in the urologist's medical office (depending on the patient's anxiety level.) The scrotal area will be shaved and washed with an antiseptic solution. A local anesthesia will be injected to numb the area but the patient will be aware of touch, tension and movement during the procedure while eliminating sharp pain. The patient is awake during the procedure.
After the vasectomy, the patient should return home for a brief convalescence and avoid strenuous or sexual activity. Most patients can expect to recover completely in less than a week and most can return to their job as early as a day after the vasectomy. Sexual activity can often be resumed within a few days. However, patients should realize that vasectomies are not effective immediately. The effectiveness of the vasectomy must be proven by having the patient submit at least one semen analysis to prove there is no active sperm in the ejaculate. Patients can still use contraception during this period.
There is no significant change in one's ejaculate after a vasectomy since the sperm contributes a small amount to the overall ejaculate volume. Ejaculation and orgasm are generally not affected by vasectomy, and uncomplicated vasectomies cannot cause impotence. These and other concerns can be addressed in the consultation with the urologist.
The Center for Men's and Women's Urology specializes in vasectomies. Our highly trained providers and staff offer a mostly pain-free experience with quick recovery times for patients. Some of the providers have created videos to further highlight the vasectomy process; see below for more information.
"A Vasectomy Procedure" with Dr. Shammai Rockove
A video from Dr. Shammai Rockove of The Center for Men's and Women's Urology and the askdrrockove.com video series entitled "A Vasectomy Procedure" which is available on YouTube and also below. This video provides the actual details of what happens during a male vasectomy.... viewer discretion is advised: this is a true vasectomy video, and graphic medical content is included!
"Undergoing the Snip: Is Vasectomy Reliable?" with Dr. Melanie Crites-Bachert
A video from Dr. Melanie Crites-Bachert of the 360 Pelvic Health Institute entitled "Undergoing the Snip: Is Vasectomy Reliable?" which is available on YouTube and also here:
"Vasectomies" with Dr. Shammai Rockove
Dr. Melanie Crites-Bachert Vasectomy Radio Promotion in Portland!
Dr. Melanie Crites-Bachert of the 360 Pelvic Health Institute and The Center for Men's and Women's Urology created a radio promotion on vasectomies which has been used by several Portland radio stations. You can listen to the vasectomy promotion (in MP3 format) here:
"The Boys Ache! (a vasectomy question)" with Dr. Melanie Crites-Bachert
A video from Dr. Melanie Crites-Bachert of the 360 Pelvic Health Institute entitled "The Boys Ache! (a vasectomy question)" which is available on YouTube and also here: