1. Georgia Urology - Vasectomy is not sterile immediately after a vasectomy. At Georgia urology, we recommend continueduse of complications Mild scrotal swelling and ecchymosis (black and http://www.georgiaurology.com/vasectomy.shtml

VASECTOMY Vasectomy is the most efficacious form of surgical sterilization for men. Over 500,000 of these procedures are performed annually in the United States. It is a safe, simple, and reliable form of birth control. Nevertheless, individuals considering a vasectomy should understand the preparation, technique, follow-up, and potential complications of the procedure. Patient Preparation Only individuals seeking a permanent form of sterilization should consider a vasectomy. The procedure should be considered nonreversible. Almost all vasectomies can be performed in an office setting without the need for pre-medication or sedation. Patients taking aspirin or other blood thinners are often asked to stop the medication for 5-7 days prior to the procedure. We often ask out patient to shave the scrotum at home just prior to the procedure. Technique There are several ways of performing a vasectomy. A patients body habitus and physician preference dictate the type of procedure performed. The goal of the vasectomy is to interrupt the vas deferens and prevent sperm from entering the ejaculate. Most techniques have similar outcomes and complication rates. In general, the patient lays on a table and the scrotum is cleansed with an antiseptic solution. The surgeon will then grasp the vas deferens which is readily palpable through the scrotal skin, and inject lidocaine or any other numbing medicine through the skin and into the tissue surrounding the vas deferens. A small incision or puncture (the no-scalpel technique) will then be carried out through the skin directly over the vas deferens. The vas deferens can then be grasped directly with an instrument and surrounding tissue swept away. Once isolated, a segment of the vas deferens is removed and the cut ends of the vas can be clipped, sutured, or cauterized in a variety of ways. A similar procedure is performed on the other vas deferens, often through the same scrotal incision or puncture. A small suture is then placed in the skin incision at the termination of the procedure. This suture may dissolve on its own and not require future removal.

2. Southwest Urology - Vasectomy, Prostate, Kidneys, Impotence, Infertility Clevela Although complications are rare with vasectomies, any surgical procedure, no inflammationor scarring from the original vasectomy blocks the SOUTHWES T urology. http://www.southwesturology.com/vasectomy.html

Vasectomy Vasectomy is the most common form of male contraception in this country. Each year, about half a million men in the United States who want to practice reliable birth control without placing the burden on their female partners undergo this relatively simple surgical procedure. Vasectomy is the clinical term given to the process of dividing the tubes that deliver sperm from testes. The procedure typically takes about half an hour and involves minimal surgery. Generally, the patient heals quickly with relatively few complications or failures, and no discernible negative impact on sexual performance. Although intended as a permanent form of male sterilization, it is sometimes possible to reverse the process surgically at a later date. Back To Top Physiology To understand how a vasectomy works, it is helpful to have a basic understanding of the parts of the male reproductive system and how they function. The testicles - or testes - are the paired male organs that produce sperm. They are located in an external sac at the base of the penis called the scrotum. Each testicle is connected to a small, coiled tube called the epididymis, where sperm are stored for as long as six weeks as they mature. The epididymes, in turn, are connected to the prostate gland by a pair of tubes called the vas deferens. The vas deferens are part of a larger bundle of tissues, blood vessels, nerves and lymphatic channels called the spermatic cord. At sexual climax, seminal fluid produced by the prostate gland mixes with sperm from the testes to form semen. The semen then is ejaculated through the penis.

3. Vasectomy - Urology - DrRajMD.com About Dr. Raj. MD. Our urology Centers. Patient Information Possible complications. vasectomy and prostate cancer http://www.drrajmd.com/vasectomy/quicklinks.htm

Home What is a Urologist? Medical Conditions Emergencies ... Self Help Information coming soon... adam.com Privacy Practices The information contained above is intended for general reference purposes only. It is not a substitute for professional medical advice or a medical exam. Always seek the advice of your physician or other qualified health professional before starting any new treatment. Medical information changes rapidly and while DrRajMD.com and its content providers make efforts to update the content on the site, some information may be out of date. No health information on DrRajMD.com , including information about herbal therapies and other dietary supplements, is regulated or evaluated by the Food and Drug Administration and therefore the information should not be used to diagnose, treat, cure or prevent any disease without the supervision of a medical doctor.

4. Digital Urology Journal: Vasectomy A short but informative article on noscalpel vasectomy from the Digital urology Journal.Category Health Reproductive Health vasectomy...... This is important in order to minimize the chance of post surgical complications. tobring a semen specimen in approximately 4 to 6 weeks after your vasectomy. http://www.duj.com/vasectomy.html

"NO SCALPEL" VASECTOMY Effective Birth Control Over 500,000 vasectomy procedures are done each year in The United States. Vasectomy is a simple, safe surgical procedure for permanent male fertility control. The tube (called a vas) which leads from the testicle is cut and sealed in order to stop sperm from leaving. The procedure usually takes about 15 to 20 minutes. Since the procedure simply interrupts the delivery of sperm it does not change hormonal function leaving sexual drive and potency unaffected. The "No-Scalpel" Technique The "No-Scalpel technique is a technique to do the vasectomy thru one single puncture. This puncture is made into the scrotum and requires no suturing or stitches. It represents a significant improvement over conventional vasectomy techniques in that it is less traumatic and shortens recovery time. This procedure is done with the aid of a local anesthetic called "Xylocaine" (similar to "Novocaine"). The actual interruption of the vas which is done with the technique is identical to the interruption used with conventional techniques. The "No-Scalpel" technique is simply a more elegant and less traumatic way for the surgeon to control the vas and proceed with its interruption. Risks and Complications As with any surgical procedure, the primary risks of vasectomy are infection and bleeding. These risks are generally low for this procedure. It is also important that each patient understand that vasectomy is approached as an irreversible procedure. While vasectomy can be reversed surgically at times, its successful reversal cannot be guaranteed. Also important is the fact that the vas deferens can grow back together. This is called recanalization and occurs only rarely less than 1/2 to 1 percent of the time.

5. Vasectomy Reversals Patient medical question and doctor answer from The urology Forum at Med Help. Health topic area and articles about urology general. Subject vasectomy procedures. Topic Area urology - General. Forum The urology Forum invasive procedure which probably has more complications. Generally the main complication http://www.azurology.com/vas%20reversal.htm

Home Doctors Offices Services ... Patient Information Adults Cancer Erectile Dysfunction Incontinence Infertility ... Vasectomy Reversal Pediatrics Bedwetting Urology Web Sites Contact Us Vasectomy Reversals We perform vasectomy reversals. VVS is the best option for vasectomy reversal based upon higher pregnancy rates, less complications, and significantly less cost Links Male Infertility

6. If It Works, Don't Fix It! Vasectomy Information Home Page An individual discusses his personal experience and provides a different view about this role of surgical Category Health Reproductive Health vasectomy...... complications of vasectomy include overt failure, occasional urology (a textbookfor urology students and of pressureinduced damage after vasectomy falls on http://dontfixit.org/

What Every Man Should Know Before Having a Vasectomy If It Works, Don't Fix It! Many men have experienced significant problems, complications, and pain following their vasectomies, which has resulted in substantial effects on their health and their lives. Often, the possibility of these types of problems was not disclosed beforehand, despite decades of research in medical literature demonstrating numerous complications. This can lead to a desperate, painful, and lonely situation for a man and his family. This web site is dedicated to sharing factual information about men's experience with vasectomy and the consequences of the procedure. Hopefully, this resource will help to shed light on this little-discussed issue for the benefit of men, their families, and the medical and other professionals who wish to help them. Kevin Hauber Founder Author of 'If It Works, Don't Fix It: What Every Man Should Know Before Having A Vasectomy' Contact Kevin Hauber Family physicians should be aware of the potential effects and complications of vasectomy so they can appropriately counsel patients seeking sterilization. Vasectomy produces anatomic, hormonal and immunological changes and... has been reputed to be associated with atherosclerosis, prostate cancer, testicular cancer, and urolithiasis [kidney stones]. Complications of vasectomy include overt failure, occasional sperm in the ejaculate, hematoma, bleeding, infection, sperm granuloma, congestive epididymitis [post-vasectomy pain syndrome], antisperm antibody formation and psychogenic impotence.

7. X-Plain Vasectomy XPlain urology. Senior Health. vasectomy. English. By The Patient Education Institute extensively discusses the reasonable risks and complications of the procedure and what to http://www.patient-education.com/PUBLIC/ur030101.htm

X-Plain Urology Senior Health Vasectomy English By The Patient Education Institute Home This lesson explains the procedure of a vasectomy. The lesson covers anatomy, symptoms and their causes, alternative treatments, and the recommended surgical procedure. The lesson extensively discusses the reasonable risks and complications of the procedure and what to expect after surgery. www.x-plain.com www.patient-education.com

8. The Rate Of Hydrocele Perforation During Vasectomy INSERT DESCRIPTION Obstet Gynecol 1990; 7656872. R. complications of vasectomy. Am Fam Physician 1993; 481264-8. Smith's general urology. 14th ed. Norwalk, Conn Appleton Lange; 1995; 681 686. http://www.jfponline.com/content/2000/06/jfp_0600_05370.asp

The Rate of Hydrocele Perforation During Vasectomy Is Perforation Dangerous? John Seidl, MD, and Gregory Brotzman, MD Milwaukee, Wisconsin METHODS RESULTS DISCUSSION REFERENCES BACKGROUND Hydroceles are not uncommon, are often occult, and may be associated with an inguinal hernia. The rate of hydrocele perforation during elective vasectomy has not been reported in the medical literature. Our objective was to estimate the frequency and consequences of hydrocele perforation incidental to vasectomy. METHODS We retrospectively reviewed data from a series of patients undergoing vasectomy using the no-scalpel technique for the incidence of complications. A supplementary chart review was done to determine preoperative conditions, and telephone contacts were made if needed to assess later morbidity. RESULTS We noted 7 perforations in 150 vasectomies. Only one patient had a hydrocele documented preoperatively. Three had histories of inguinal hernia and herniorrhaphy. Five patients had evidence of minor swelling early on, but none had additional morbidity or long-term associated complications. CONCLUSIONS This small case series of vasectomies had a 4.7% incidence rate of perforated small or occult hydroceles. Physicians should be aware of this potentially alarming but apparently minor phenomenon that may accompany vasectomy.

9. Urology At UT Southwestern hematoma) and infections are the most common complications. there are alternativesto vasectomy reversal, but about the Department of urology, contact Phone http://www2.utsouthwestern.edu/urology/pt_vasec.htm

ANSWERS TO COMMON QUESTIONS ABOUT VASECTOMY What is a vasectomy? How does vasectomy work? What are the benefits? How will a vasectomy affect me? ... What if I change my mind? What is a vasectomy? Vasectomy is a minor surgical procedure that typically leads to permanent sterilization. It is the most common form of male contraception in the United States, and more than 500,000 men have a vasectomy each year. It is safe, highly effective, and has no impact on erection or sexual performance. Return to top How does vasectomy work? Sperm are produced in the testicles; they then pass through the urethra and are ejaculated during sexual intercourse. Vasectomy prevents sperm from mixing with semen by blocking the sperm ducts. After vasectomy, sperm continue to be produced. However, during ejaculation, the sperm make it only as far as the newly blocked point in the ducts, where they are reabsorbed. As a result, there are no sperm in the ejaculated semen during intercourse. Return to top What are the benefits?

10. Vasectomy - Vasectomy Information By Vascenter Provides information needed to make an educated decision about the most effective form of birth control, Category Health Reproductive Health vasectomy...... frequently asked questions (FAQ’s) to expected costs and complications. will betailored to help women evaluate vasectomy and other urology procedures. http://www.vascenter.com/

VasCenter.com can provide you with all the information you need to make an educated decision about the most effective form of birth control, vasectomy. It is important that your vasectomy is performed by an experienced urologist. In some areas vasectomies are performed by family practitioners and general surgeons who don't have as much training in this surgical procedure and may not know how to take care of complications, should they arise. Our Find A Doctor service will help you locate a urologist in your area. The failure rate of birth control pill is up to 30 per 1000. The failure rate of tubal ligation is up to 4 per 1000. The failure rate of vasectomy is only 1 to 3 per 1000. The cost of birth control pill averages $30 per month. If you are paying for this out of pocket, that is significant, especially considering that vasectomy is usually covered by insurance. If it is not covered, paying out of pocket for vasectomy pays for itself in eighteen to twenty-one months. Vasectomy is a procedure that can be done in the office under local anesthesia, but tubal ligation requires the woman to be hospitalized and is done under general or spinal anesthesia, therefore it is much easier for the man to undergo vasectomy than it is for the woman to undergo tubal ligation.

11. Vasectomy - Urology - DrRajMD.com vasectomy is the clinical term given to the process of dividing the Generally, thepatient heals quickly with relatively few complications or failures, and no http://www.drrajmd.com/vasectomy/vasectomy.htm

Vasectomy Quicklinks Overview No Scalpel Reversal ... Testicular Anatomy Vasectomy is the most common form of male contraception in this country. Each year, about half a million men in the United States who want to practice reliable birth control without placing the burden on their female partners undergo this relatively simple surgical procedure. Vasectomy is the clinical term given to the process of dividing the tubes that deliver sperm from testes. The procedure typically takes about half an hour and involves minimal surgery. Generally, the patient heals quickly with relatively few complications or failures, and no discernible negative impact on sexual performance. Physiology What a vasectomy does and doesn't do Preparing for a vasectomy How a vasectomy is performed ... Can a vasectomy be reversed? Physiology To understand how a vasectomy works, it is helpful to have a basic understanding of the parts of the male reproductive system and how they function. The testicles - or testes - are the paired male organs that produce sperm. They are located in an external sac at the base of the penis called the scrotum. Each testicle is connected to a small, coiled tube called the epididymis, where sperm are stored for as long as six weeks as they mature. The epididymes, in turn, are connected to the prostate gland by a pair of tubes called the vas deferens. The vas deferens are part of a larger bundle of tissues, blood vessels, nerves and lymphatic channels called the spermatic cord.

12. No Scalpel Vasectomy - Urology - DrRajMD.com Risks and complications As with any surgical procedure, the primaryrisks of vasectomy are infection and bleeding. These risks are http://www.drrajmd.com/vasectomy/noscalpel_vasectomy.htm

Vasectomy Quicklinks Overview No Scalpel Reversal ... Testicular Anatomy Over 500,000 vasectomy procedures are done each year in The United States. Vasectomy is a simple, safe surgical procedure for permanent male fertility control. The tube (called a vas) which leads from the testicle is cut and sealed in order to stop sperm from leaving. The procedure usually takes about 15 to 20 minutes. Since the procedure simply interrupts the delivery of sperm it does not change hormonal function leaving sexual drive and potency unaffected. "No-Scalpel" technique Risks and complications The effects of a vasectomy Preparing for your vasectomy ... After vasectomy The "No- Scalpel " Technique The "No-Scalpel" technique is a technique to do the vasectomy thru one single puncture. This puncture is made into the scrotum and requires no suturing or stitches. It represents a significant improvement over conventional vasectomy techniques in that it is less traumatic and shortens recovery time. This procedure is done with the aid of a local anesthetic called "Xylocaine" (similar to "Novocaine"). The actual interruption of the vas which is done with the technique is identical to the interruption used with conventional techniques. The "No-Scalpel" technique is simply a more elegant and less traumatic way for the surgeon to control the vas and proceed with its interruption.

13. Morristown Urology Associates - UrologyChannel Member Site - New Jersey - Vasect local anesthesia; and while complications also are rare, the complications tend to Formore information on vasectomy click here. Morristown urology Associates http://www.morristownurology.com/vasectomy.shtml

Vasectomy is a simple, safe, and effective means of permanent birth control or sterility. Each year about one-half million men in the United States are choosing vasectomy as their method of birth control. It is and important decision because it is potentially irreversible. There are two important decisions that you need to make before proceeding with a vasectomy. Number one is that you don't want to have anymore children. This is a decision that you need to make with your partner. A vasectomy may not be for you if you are very young, if your current relationship is not permanent, if you are having a vasectomy to please your partner and you do not really want it, if you are under a lot of stress, or if you are counting on it being reversed at a later day. Your Reproductive System How a Vasectomy Works The Vasectomy Procedure Surgery ... Pre and Post-Operative Instructions for Vasectomy Patients Your Reproductive System To understand how a vasectomy works, you need to know how sperm is produced, stored and released by your reproductive system. The testes are glands that sit inside pouch of skin called the scrotum . The testis produce tiny sperm (male reproductive cells)and male hormones. The epididymis is a coiled tube that holds the sperm while they mature.

14. About Urology Associates Of Danbury, PC: Vasectomy Information Possible complications Although complications are rare with vasectomies, any surgical UrologyAssociates of Danbury does provide vasectomy reversals to http://www.danburyuro.com/procedures/vasinfo.html

SEARCH Vasectomy What a Vasectomy Does and Doesn't Do Preparing for a Vasectomy How a Vasectomy is Performed - "No Scalpel" Vasectomies What to Expect During the Postoperative Period ... How to Arrange for a Vasectomy Vasectomy is the most common form of male contraception in this country. Each year, about half a million men in the United States who want to practice reliable birth control without placing the burden on their female partners undergo this relatively simple surgical procedure. Vasectomy is the clinical term given to the process of dividing the tubes that deliver sperm from testes. The procedure typically takes about half an hour and involves minimal surgery. Generally, the patient heals quickly with relatively few complications or failures, and no discernible negative impact on sexual performance. Although intended as a permanent form of male sterilization, it is sometimes possible to reverse the process surgically at a later date. What a Vasectomy Does and Doesn't Do In a vasectomy, the physician cuts and ties off the ends of the vas deferens. This prevents sperm from mixing with the seminal fluid. At ejaculation then, the semen is devoid of sperm. Although the testes will continue to produce sperm, they can no longer pass through the vas deferens. Instead, they die and are absorbed into the body.

15. Vasectomy Information From Urology Consultants Of Orlando Florida Fewer than 3 in 100 men develop complications such as infection, hematoma (bleedingunder the skin), or vasectomy Reversal urology Consultants Orlando http://www.urologyorlando.com/vasect.htm

16. Kidney Stones Information From Urology Consultants Of Orlando To reduce the chances of complications, doctors usually of Orlando Florida, urology,Urologists, Doctors urinary incontinence, pumps, vasectomy, kidney stones http://www.urologyorlando.com/kidney.htm

17. Re: Failed Vasectomy? Forum The urology Forum Topic Area urology General Posted by HFHS MD-JL on May26 Sincerely yours; HFHS MD-JL * Keyword vasectomy; complications/fertility http://www.medhelp.org/forums/urology/archive/639.html

Advertisement Welcome to Med Help! Questions in The Urology Forum are being answered by doctors from Henry Ford Health System , consistently ranked one of the best hospitals in America. Subject: Re: Failed vasectomy? Forum: The Urology Forum Topic Area: Urology - General Posted by HFHS M.D.-JL on May 26, 1998 at 08:07:08: In Reply to: Failed vasectomy? posted by Diane on April 24, 1998 at 22:06:50: : Thanks for any insight you can provide. Dear Diane, Vasectomy failure is seen in 1 in 200 to 400 patients. It is due mostly to technical errors such as removal of <1 cm of vas. This may result in increased rates of spontaneous recanalization (seen in <1% of patients, usually within the first 3 months). Persistence of sperm may indicate too few ejaculations. It takes 74 days for sperm to grow, mature and be stored in the epididymis. It takes eight to ten ejaculations to clear sperm from the distal vas deferens. Postoperative semen analysis requires 2 samples without motile sperm for the surgery to be considered a success. If at 3 months, motile sperm are found, the operation is considered a failure and should be repeated. Let's say the vasectomy failed due to recanalization of the vas. Could there still be decreased fertility/infertility? Yes, and here is why.

18. Re: Testicle Pain Subject Re Testicle pain Forum The urology Forum Topic Area Testicular potentiallypredispose you to a greater likelihood of postvasectomy complications. http://www.medhelp.org/perl6/urology/archive/2760.html

Advertisement Welcome to Med Help! Questions in The Urology Forum are being answered by doctors from Henry Ford Health System , consistently ranked one of the best hospitals in America. Subject: Re: Testicle pain Forum: The Urology Forum Topic Area: Testicular Cancer Posted by HFHS M.D.-BE on January 13, 1999 at 17:21:57: In Reply to: Testicle pain posted by Vince Z on January 08, 1999 at 14:47:02: : I had a Vasectomy done on 12/11/98. According to my Doctor, I may have developed a post op infection on the left side and as a result Amoxicillan 500mg was prescribed. After 24 hrs of being on the med. i felt much better, however 2 weeks later I feel some discorfort still on the left side where the vas was cut and have noticed my left testicle is larger than the right. I have had a bout with Epididymitis in the past and Cipro cleared it up. I'm getting frustrated becuase I've talked to so many other men and they didn't have a problem post op. What is the normal healing process and how long will it take. Why only the left? Dear Vince

19. Vasectomy Reversal - Kevin P Khoudary MD - Urology - Patient Info anesthesia and can be associated with significant abdominal complications. Refera Friend vasectomy Reversal 1918 Randolph Road Cary urology, PA, Cary, NC. http://www.vasreverse.com/patientinfo.shtml

Vasovasotomy Vasoepididymostomy Ejaculatory duct obstruction Microsurgery ... Varicocele VASOVASOTOMY The vas deferens is the tube (duct) that carries sperm from the testicles to the urethra (tube in the penis). Vasectomy is the leading cause of infertility due to obstruction in the male reproductive ducts, but men may be born with or acquire obstruction later in life. The ultimate success of a reconstructive procedure achieving a pregnancy, is dependent on several factors: the age and fertility of the female partner, the age and previous fertility history of the male, the method of vasectomy (location and length of the segment removed), the surgeon's experience, the technique of reversal (including the use of optical magnification), the quality of the fluid seen coming from the vas deferens at the time of the operation, and length of time since the vasectomy was performed. In a large study of 1500 patients from multiple institutions, success correlates with the length of time since vasectomy. The longer the interval from vasectomy to reversal, the lower the success. LENGTH OF TIME SINCE VASECTOMY (YEARS) SPERM NOTED AFTER PREGNANCY (%) REVERSAL (%) Less than 3 years 3 to 8 years 9 to 14 years Greater than 15 years It is also very important to understand that the longer the time interval from vasectomy, the more likely that a more complex surgery will be required. This operation is called a vasoepididymostomy. At surgery it is determined if this procedure is necessary based on the quality of fluid (amount; color; viscosity; presence of sperm) that is noted during the operation. This is a procedure which connects the vas deferens to a very small tube in the epididymis. The epididymis is a structure on the back of the testicle containing the very small tubules which are involved in maturation of sperm.

20. Feature Topic Urology - Vasectomies NIH quickly by themselves. The newer method also produces less pain andfewer complications than conventional vasectomy. Postvasectomy. http://www.healthsquare.com/nihdata/uronih/vasect.htm

Information below provided courtesy of the: National Institute of Health Bethesda, MD 20892 List of Local Urologist Find other Specialists Lookup area Hospitals See Local Hospitals Ask our Editors Join a Forum HealthSquare is solely an informational resource and discussion forum. It is NOT intended to replace contact with a licensed healthcare professional. Facts About Vasectomy Safety Vasectomy Techniques Post-Vasectomy Disadvantages of Vasectomy Masculinity and Sexuality ... Additional Information on Vasectomy V asectomy is a simple operation designed to make a man sterile, or unable to father a child. It is used as a means of contraception in many parts of the world. A total of about 50 million men have had a vasectomya number that corresponds to roughly 5 percent of all married couples of reproductive age. In comparison, about 15 percent of couples rely on female sterilization for birth control. Approximately half a million vasectomies are performed in the United States each year. About one out of six men over age 35 has been vasectomized, the prevalence increasing along with education and income. Among married couples in this country, only female sterilization and oral contraception are relied upon more often for family planning.

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