Vasectomy Procedure | Austin Urology Institute

Why Choose Dr. Koushik Shaw and Austin Urology Institute for Your Vasectomy?

Over the past decade, we’ve performed thousands of safe, affordable vasectomies for men from around Central Texas and beyond. We don’t know for sure why guys drive hundreds of miles to see Dr. Shaw, but we suspect it has something to do with renown service, a caring environment and convenient weekday and weekend appointments. A vasectomy is one of the safest, easiest, and most reliable forms of permanent birth control. The average procedure takes approximately 15 minutes to complete in our relaxing, state-of-the-art facilities. It’s an outpatient procedure, so you’ll be back home taking it easy on your couch within a few hours.

Dr. Shaw has been practicing urology in Austin for over a decade and is one of the most accomplished urologists in the area. He was appointed chief of staff of the St. David’s North Austin Medical Center and is one of two physicians serving on the kidney transplant team for North Austin and Central Texas Medical Center.

Dr. Shaw and the Austin Urology Institute staff understand that the decision to have a vasectomy is a sensitive one, and we make sure your time with us is as comfortable as possible.

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All The Facts

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Before, During, and After the 15-Minute Vasectomy


The vast majority of vasectomies are performed in the office; the actual procedure usually takes approximately 15 minutes for most people. Although we perform vasectomies most office days, we have found that Fridays are a great day to have this procedure, which minimizes time off work. Most of our patients opt to take a full or half day off on Friday, recover quickly over the weekend, and return to work on Monday. We are also the only clinic to offer select Saturday vasectomy clinics, allowing you to minimize your downtime! At the Austin Urology Institute, we give you the option of taking a mild sedative prior to the procedure. Should you take this option, we require that a spouse or friend take you home afterwards. At your request, we will gladly electronically send a prescription to the pharmacy of your choice for both a mild sedative as well as minor pain medication that can be picked up in advance of the vasectomy. We ask that you shave the scrotal hair the day prior to the procedure. Also, please purchase jockey briefs, or similar supportive (bike-short type) underwear. UnderArmor, Jockey, and Champion are good options. We ask you wear this for about a week after the vasectomy.

The Procedure

Relax! We have a state of the art, comfortable procedure table, along with a flat-screen TV with a choice of programs to keep your mind off things. You may also feel free to bring your own music/iPod. There are several ways to perform a vasectomy properly. Dr. Shaw and Dr. Law’s technique involve a small amount of lidocaine numbing medication into a dime-sized area on the scrotum, using a jet-spray (no needle!). This may feel somewhat like getting thumped with a rubber-band, but this is truly the most uncomfortable part of the procedure. Thereafter, we make a small incision in the scrotum, about the length of this line —- to perform the entire procedure. The vas deferens, which is about the size and caliber of spaghetti, is gently grasped, and anesthetized. We then ligate (cut) the vas deferens, remove a segment, and tie off the ends with suture. Both ends are additionally cauterized (heat sealed) for additional security. This provides several levels of protection to keep sperm from traveling across the vasectomy site. This provides 3 levels of protection from sperm getting from one side to the other. The small incision is then closed with a small stitch that absorbs and disappears over 10 days. Usually within a few months, the incisions are no longer visible.


Go home and relax, it’s OVER! Seriously, we ask that you plan a relaxing weekend after the vasectomy. Watch movies, sports, read books, but whatever it is, be a couch potato. The kids are going to want to jump in your lap the second you get home, so be careful! We ask that you wear your scrotal support/tight underwear for at least one week after the vasectomy. Also refrain from sports, including biking, running, weight lifting, bull riding, and sliding down stairs for at least one week. Several men have tried (unsuccessfully) to get out of general household duties, but we advise that you do so at your own risk… You can shower the day after the procedure, but no tub-baths for at least one week. Pain medications are typically only needed the day of the procedure, and typically most men can do fine with a few Advil/Motrin/ibuprofen for the next few days. You can resume intercourse about a week after the procedure. It is critical to understand that there are several hundred million sperm that are still in the vas deferens ahead of the area that was clipped, and pregnancy is still possible after a vasectomy. It is important that you continue using some form of contraception until a semen analysis is shown to be negative. Approximately 30 ejaculations, or two months after the vasectomy, we will have you perform a sperm test to make sure that you have ‘cleaned the pipes’. We are one of a select group of practices that is proud to partner with Alere Pharmaceuticals to offer SpermCheck, which is a convenient, at home test to determine the success of your vasectomy and make sure no more sperm are present. This easy to use, accurate test can be done in the privacy of your home, without the need for embarrassing follow up semen-analysis.

Dr. Shaw is the vasectomy expert in Austin.

Here Are The Reasons Why

A Little Nudge

If you’re trying to talk your partner into a vasectomy, try sending them a subtle message with one of our e-cards.

A Mom’s Perspective

Most often the decision to get a vasectomy is made by two people: a husband and his wife. Here’s a snippet from a blog written by an Austin mom about her husband’s vasectomy:

“I was not totally against getting my tubes tied, and I requested it be done during my C-Section with Finn. Unfortunately, the hospital where I delivered does not allow tubal ligations (ugh), so I was going to have to wait until after I healed from my C-section. In order to have a tubal after birth, I would have had to go completely under general anesthesia, and I was NOT okay with that.”

You can read the full article on the Austin Moms Blog.

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