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Urology Associates, P.C., Urologists in Manhasset, NY

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Vasectomy, No-Scalpel Vasectomy, & Vasovasostomy (Vasectomy Reversal)

Vasectomy

  • Lawrence A. Fish, M.D., F.A.C.S.
  • Leonard Mondschein, M.D., F.A.C.S.
No Scalpel Vasectomy
  • Gary Goldberg, M.D., F.A.C.S.
  • Sarah K. Girardi, M.D., F.A.C.S.
  • Christopher Johnson, M.D.
  • Keith D. Bloom, M.D.
Vasovastostomy
  • Sarah K. Girardi, M.D., F.A.C.S.

Vasectomy
Instructions

No-Scalpel Vasectomy
Instructions

Post-Vasectomy
Semen Analysis

Vasovasostomy Info

Vasectomy | No-Scalpel Vasectomy | Vasectomy Reversal

Vasectomy, No-Scalpel Vasectomy, & Vasovasostomy

Vasectomy

Over 500,000 men undergo vasectomy in the United Sates each year. Nearly 7% to 10% of all married couples choose vasectomy as their permanent form of birth control.

Vasectomy is the surgical cutting of the tube which transports sperm. It is used for sterility by surgically blocking the vas deferens, preventing sperm from becoming part of the seminal fluid that leaves the body at sexual climax. Vas deferens are the thin tubes in the scrotum that would normally carry sperm from the testicles to become part of the ejaculate. When the sperm channel is interrupted, the man becomes sterile and can no longer father a child. (Please note: this procedure is not immediately effective because sperm in the vas deferens may be viable for many weeks—this can be detected with a semen analysis.)

Things to Remember. Vasectomies are:

  • A safe and simple male sterilization procedure.
  • Highly effective (over 99 percent).
  • Considered a permanent procedure. Alternatives include, vasovasostomy or vasectomy reversal. (Please note: vasectomies should not be considered uniformly reversible.)
  • The procedure is not painful—a local anesthetic is administered.
  • The procedure is less invasive than the sterilization procedure for women (tubal ligation).

No-Scalpel Vasectomy (NSV)

No-scalpel vasectomy began in 1974. It is a safe and minimally invasive procedure with a much lower complication rate than that of the conventional vasectomy. Two special instruments are used for this procedure without using a scalpel.

Benefits of the No-Scalpel Vasectomy:

  • Ten times fewer complications. Results in approximately ten times fewer hematomas, infections, and other complications.
  • Less bleeding and pain. Over 75% of North American physicians who do no-scalpel vasectomy report that men experience much less bleeding and pain during and after the procedure.
  • Faster and no sutures needed. The procedure can be performed up to 50% faster than the conventional technique. Patients naturally like the procedure's sutureless, single, tiny puncture hole and the reduced post-operative pain and swelling.
  • Enhanced popularity. Increased patient satisfaction with No-Scalpel Vasectomy results in good word of mouth and may serve to enhance the popularity of vasectomy for permanent contraception.
  • Quicker Post-operative recovery time.


Vasovasostomy

Vasovasostomy, or vas reversal, refers to the repair of a previous vasectomy or iatrogenic injury to the vas deferens (the tube that transports the sperm from the testis to the urethra). Some men have elected to have the tube tied and cut as a form of sterilization. Other men have had previous hernia operations or other groin surgery that resulted in complete blockage of both tubes. In both cases, the tube can be repaired to restore patency.

In experienced hands, vasovasostomy results in greater than 90% patency and greater than 75% pregnancy rates. The success of surgery depends on many factors including when the original surgery occurred, the techniques used, and the degree of scarring. In most cases, a thorough history combined with the physical examination can help predict the likelihood of success.

Vasovasostomy surgery takes over 3 to 5 hours. It is performed under regional or general anesthesia with an operating microscope. The patient can return to deskwork as early as 2 days after surgery, however, strenuous physical activity (jogging, weight lifting, sex) is prohibited for one month.

For more information, or to make an appointment for a vasectomy consultation, please call the appointment desk at 516.627.6188 Ext 149

Have an appointment? Be sure to review our vasectomy instructions before coming in for surgery.

Features

Robotic Surgery

CAT Scan

Sexual Dysfunction

Male Infertility

Vasectomy

Pathology Lab

Female Incontinence

Clinical Trials



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Urology Associates, P.C.
535 Plandome Rd.
Manhasset, NY 11030
Tel: 516.627.6188
Fax: 516.627.9397
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www.urologyassociatespc.com

Urologists on Long Island, New York




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