A vasectomy surgically blocks the vas deferens, thin tubes carrying sperm from the scrotum, and prevents sperm from becoming part of the seminal fluid that leaves the body at sexual climax. The most popular type of vasectomy is the No Needle, No-Scalpel Vasectomy (NNNSV).

BEFORE THE VASECTOMY

• To prevent the possibility of increased bleeding, do not take aspirin or other blood thinners for 10 days before the procedure. May take Ibuprofen 3-4 tabs 1 hour before vasectomy.
• Trim the hair as short as possible in the front of scrotum with a scissor (do not shave)
• Shower and bring an athletic supporter on the day of the procedure.
• Think of any questions you may want to ask your doctor.
• You are able to drive home by yourself after the surgery.

DURING THE VASECTOMY

• You will lie on the exam table, and the procedure site will be prepped with the Betadine solution. Sterile drapes will be placed over you to guard against infection.
• Under local anesthesia given by jet spray (no needle technique), a tiny puncture is made in the middle of scrotum. Either right or left vas deferens is lifted through this hole and then dissected, and a section is removed. The two ends of the vas are heat sealed and the distal ends are buried under the fascia with metal clips before placed back into the scrotum (metal clips are left in the scrotum without any harm). The same procedure is repeated for the opposite vas deferens. The small puncture that was made earlier can naturally heal by itself; there are no stitches in the NNNSV.

AFTER THE PROCEDURE

• Discomfort should be mild, may take Tylenol or Ibuprofen as needed, normally strong pain relievers are not necessary. Get plenty of rest and stay off your feet. Don’t need to use ice packs.
• Read your doctor’s written instructions
• You should wear a new scrotal support immediately after the vasectomy and for a few days afterward.
• Contact us immediately if you experience severe swelling or a growing mass related to bleeding, any sudden fever, chills, increasing pain, swelling or drainage, and lasting pain.
• You should be able to take showers after a day or two. Do not take baths or submerge your body in water for a few days after surgery.
• You should be able to return to work after three days. No strenuous activities or heavy lifting for 1-2 weeks.
• It is recommended that you abstain from sex 1-2 weeks after the surgery. Keep in mind that until your doctor confirms that you are sterile, use an alternate form of birth control.
• You will be expected to collect your specimen after 3 months (at least ejaculate 20 times before collecting). You can do this at home and bring the container into the clinic. You are considered sterile only after your doctor confirms it.