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.
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’s technique involves 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.