Urology Specialists of Ohio
Thank you for choosing the Urology Specialists of Ohio. Your care and well-being are our primary concerns, and we want your stay
to be as comfortable as possible. Please call us if you have any questions at (937) 342-9260
- Vasectomy is an effective method of birth control; only about 15 out of 10,000 couples had a pregnancy occur after vasectomy.
- Vasectomy is a surgical technique done in men to cut the vas deferens bilaterally to prevent sperm from reaching the seminal fluid during ejaculation.
- Vasectomies are usually done by urologists by cutting small holes or slits in the scrotum and then cutting the vas deferens bilaterally and sealing both sides of each cut with stitches or cautery.
- Vasectomy is one of the most effective methods of birth control; about 33 times more effective than oral contraception and about 90 times more effective than condoms but not immediately (it takes about 3 months before all sperm is removed from the semen).
- Risks of vasectomy include hematoma, infection, granulomas, vasectomy failure and “regret.”
- Vasectomy should not affect your sex life.
- Vasectomy does not increase the risk of prostate or testicular cancer.
- Vasectomy does not change your risk for STD’s (sexually transmitted diseases).
- Most vasectomies can be reversed by a urologic surgeon.
- A vasectomy (pronounced va-SEK-tuh-mee) is a surgical procedure performed as a method of birth control in men. It involves cutting the tubes (the vas deferens, pronounced VAS DEF-uh-renz) that carry sperm from the testicles.
- Vasectomy is one of the most effective forms of birth control. Only about 15 of every 10,000 couples get pregnant in the year after the man has a vasectomy.
As part of a program of research on the safety and effectiveness of male contraceptives, the National Institute of Child Health and Human Development (NICHD) supports studies and other activities advancing understanding of vasectomy.
What is vasectomy?
A vasectomy is a surgical procedure performed as a method of birth control. It involves cutting the vas deferens (pronounced VAS DEF-uh-renz) in order to close off the tubes that carry sperm
Thank you for choosing our group of doctors and staff for your Urology needs. In order for us to better serve you, below is a checklist of things to know and bring to your first appointment. If you do not have the paperwork filled out prior to your appointment, please arrive 15 minutes early to complete in the office. If you do not have the paperwork filled out prior to your appointment time then your appointment will be rescheduled to another date.
Urology Specialists of Ohio has been a committed part of the Springfield community for more that 10 years, and now serves Springfield, Beavercreek, London, Xenia, and Urbana striving to improve the medical community, with excellence in all areas of urology.
Our goals are to provide state of the art medical treatment for patients with genitourinary problems. We provide this in the most compassionate and cost effective way possible. We take pride in providing excellent care with attention to detail and respect in a friendly atmosphere.
from the testicles (there is one vas deferens per testicle). If a man has a vasectomy, he can no longer get a woman pregnant. Sperm are made in the two testicles, which are inside the scrotum. Sperm is stored in a tube attached to each testicle called the epididymis (pronounced ep-i-DID-uh-mis). When a man ejaculates, the sperm travel from the epididymis, through the vas deferens, and then mix with seminal fluid to form semen. The semen then travels through the urethra (pronounced yoo-REE-thruh) and out the penis. Before a vasectomy, semen contains sperm and seminal fluid. After a vasectomy, sperm are no longer in the semen. The man’s testicles will make less sperm over time, and his body will absorb any sperm that are made.
How is a vasectomy done?
A vasectomy is usually performed in the office of urologist, a doctor who specializes in the male urinary tract and reproductive system. In some cases, the urologist may decide to do a vasectomy in an outpatient surgery center or a hospital. This could be because of patient anxiety or because other procedures will be done at the same time.
There are two ways to perform a vasectomy. In either case, the patient is awake during the procedure, but the urologist uses a local anesthetic to numb the scrotum.
With the conventional method, the doctor makes one or two small cuts in the scrotum to access the vas deferens. A small section of the vas deferens is cut out and then removed. The urologist may cauterize (seal with heat) the ends and then tie the ends with stitches. The doctor will then perform the same procedure on the other testicle, either through the same opening or through a second scrotal incision. For both testicles, when the vas deferens has been tied off, the doctor will use a few stitches or skin “glue” to close the opening(s) in the scrotum.
With the “no-scalpel” method, a small puncture hole is made on one side of the scrotum. The health care provider will find the vas deferens under the skin and pull it through the hole. The vas deferens is then cut and a small section is removed. The ends are either cauterized or tied off and then put back in place. The procedure is then performed on the other testicle. No stitches are needed with this method because the puncture holes are so small.
After a vasectomy, most men go home the same day and fully recover in less than a week.
How effective is vasectomy?
Vasectomy is one of the most effective forms of birth control. In the first year after vasectomy, only 15 to 20 of every 10,000 couples will experience a pregnancy.1,2 In comparison, 1,400 of every 10,000 couples have a pregnancy each year using condoms, and 500 of every 10,000 couples experience a pregnancy each year using oral contraceptive pills.
However, a vasectomy is not effective right away. You still need to use other birth control until the remaining sperm are cleared out of the semen. This takes 15 to 20 ejaculations, or about 3 months. Even then, 1 of every 5 men will still have sperm in his semen and will need to wait longer for the sperm to clear.
Your health care provider will check your semen for sperm at least once after the surgery. Once the sperm count has dropped to zero, it is safe to assume your vasectomy is now an effective form of birth control.2,5 Until that time, you need to use another form of birth control to make sure your partner does not become pregnant.
What are the risks of vasectomy?
Although vasectomy is safe and highly effective, men should be aware of problems that could occur after surgery and over time.
After surgery, most men have discomfort, bruising, and some swelling, all of which usually go away within 2 weeks. Problems that can occur after surgery and need to be checked by a health care provider include:
Hematoma. Bleeding under the skin that can lead to painful swelling.
Infection. Fever and scrotal redness and tenderness are signs of infection.5
The risk of other problems is small, but they do occur. These include:
A lump in the scrotum, called a granuloma. This is formed from sperm that leak out of the vas deferens into the tissue.
Pain in the testicles that doesn’t go away. This is called postvasectomy pain syndrome and occurs in about 10% of men.
Vasectomy failure. There is a small risk that the vasectomy will fail. This can lead to unintended pregnancy. Among 1,000 vasectomies, 11 will likely fail over 2 years; and half of these failures will occur within the first 3 months after surgery. The risk of failure depends on a number of factors. For example, some surgical techniques are more likely to fail than others. Additionally, there is a very small risk that the two ends of the vas deferens will grow back together. If this happens, sperm may be able to enter the semen and make pregnancy possible.
Risk of regret. Vasectomy may be a good choice for men and/or couples who are certain that they do not want more or any children. Most men who have vasectomy, as well as spouses of men who have vasectomy, do not regret the decision. Men who have vasectomy before age 30 are the group most likely to want a vasectomy reversal in the future.
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1164 E. Home Road
Springfield, Ohio 45503