Vasectomy

What is Vasectomy?

In the procedure room, your scrotum will be shaved and washed with an antiseptic solution.
Local anesthesia will be injected to numb the area, but you’ll be aware of touch, tension, and movement. The local anesthetic should block any sharp pain. If you feel pain during the procedure, you can let your urologist know so you can get more anesthesia.
Conventional Vasectomy
- One or two small cuts are made in the skin of the scrotum. The vas deferens is cut and a small piece may be removed, leaving a short gap between the two ends.
- Next, the cut ends are tied or put some tissue in between them. The scrotal cuts may be closed with dissolvable stitches or allowed to close on their own.
No-Scalpel Vasectomy
- For a no-scalpel vasectomy, the urologist feels for the vas under the skin of the scrotum and holds it in place with a small clamp.
- A tiny hole is made in the skin and stretched open so the vas deferens can be gently lifted out. It is then cut, tied or seared, and put back in place.

Hematoma
- Right after surgery, there’s a small risk of bleeding into the scrotum.
Infection
- If you have a fever, or your scrotum is red or sore, you should have your urologist check for infection.
Post-vasectomy pain syndrome
- This occurs in 1 or 2 men out of 100 vasectomies. Post-vasectomy pain syndrome is a pain that can follow a vasectomy. It isn’t clear what causes this in many cases, but it’s most often treated with anti-inflammatory meds.

Swelling and pain can be treated with an ice pack on the scrotum and wearing a supportive undergarment, such as a jockstrap.
You should avoid sex for 3-7 days or activities that take a lot of strength.
Most men fully heal in less than a week. Many men are able to return to their job as early as the next day if they do desk work.
It is important to know that a vasectomy doesn’t work right away. The time it takes for your ejaculate to be free of sperm can differ. Most urologists suggest waiting to check the semen for at least 3 months and/or 20 ejaculates. One in 100 men will still have sperm in their ejaculate at that time and may need to wait longer for the sperm to clear.
You shouldn’t assume that your vasectomy is effective until a semen analysis proves it is.

In the procedure room, your scrotum will be shaved and washed with an antiseptic solution.
Local anesthesia will be injected to numb the area, but you’ll be aware of touch, tension, and movement. The local anesthetic should block any sharp pain. If you feel pain during the procedure, you can let your urologist know so you can get more anesthesia.
Ask your provider about Pronox (link to pronox section), an effective and non addictive option for superior comfort during procedures.
Conventional Vasectomy
- One or two small cuts are made in the skin of the scrotum. The vas deferens is cut and a small piece may be removed, leaving a short gap between the two ends.
- Next, the cut ends are tied or put some tissue in between them. The scrotal cuts may be closed with dissolvable stitches or allowed to close on their own.
No-Scalpel Vasectomy
- For a no-scalpel vasectomy, the urologist feels for the vas under the skin of the scrotum and holds it in place with a small clamp.
- A tiny hole is made in the skin and stretched open so the vas deferens can be gently lifted out. It is then cut, tied or seared, and put back in place.