1. Southwest Urology - Vasectomy, Prostate, Kidneys, Impotence, Infertility Clevela Although complications are rare with vasectomies, any surgical procedure, no inflammation or 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.

2. Digital Urology Journal: Vasectomy This is important in order to minimize the chance of post surgical complications. to bring 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.

3. Vasectomy - Urologychannel vasectomy is a common form of surgical male contraception. Although intended as a permanent form of male sterilization, vasectomy reversal is sometimes possible at a later date. vasectomy. Overview. Preparation. Procedure. Postoperative. Sterility. complications. Reversal. Find a Urologist Overactive Bladder. Pediatric urology. Peyronie's Disease. Prostate Cancer http://www.urologychannel.com/vasectomy/index.shtml

Home Search SiteMap Ask the Dr. ... Medical Store advertisement VASECTOMY Overview Preparation Procedure Postoperative ... Find a Urologist CONDITIONS Adrenal Cancer Bladder Cancer Bladder Control Problems BPH/Enlarged Prostate Emergencies Erectile Dysfunction Female Sexual Dysfunction Hematuria Incontinence Interstitial Cystitis Kidney Cancer ... Testosterone Deficiency Upper Tract Tumors Urethral Cancer Urinary Tract Infection Varicocele Vasectomy RESOURCES urologychannelMD Anatomy Clinical Trials Education ... What Is a Urologist? Videos ABOUT US Healthcommunities.com Pressroom Testimonials print this ... email this Overview Vasectomy is a minor surgical procedure to cut and close off the tubes ( vas deferens ) that deliver sperm from the testes; it is usually performed as a means of contraception. The procedure typically takes about 30 minutes and usually causes few complications and no change in sexual function. About 500,000 vasectomies are performed annually in the United States. A vasectomy is less invasive than a tubal ligation (i.e., the procedure used to prevent a woman’s eggs from reaching the uterus) and more easily reversed. An increasing number of couples choose it as a means of permanent birth control. Male Reproductive System To understand a vasectomy, it is helpful to understand the male reproductive system and how it functions. The testicles, or

4. Vasectomy - Urology - DrRajMD.com About Dr. Raj. MD. Our urology Centers. Patient Information to this problem is a repeat vasectomy. Possible complications. Although complications are rare with vasectomies, any 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.

5. Why Vasectomy Is Risky? Some Men Suffer Some Pretty Severe Side Effects After Un Again from Campbells urology vasectomy results in violation of the bloodtestis barrier The pain resulting from post-vasectomy complications can be so great, explains http://www.skfriends.com/is-vasectomy-risky.htm

Diagrams Source: http://dontfixit.org/references.htm Click on images to enlarge (Don't get the wrong idea) Friday May 11 08:56 PM EDT Why Vasectomy Is Risky? Some men suffer some pretty severe side effects after undergoing the operation. Aired Thursday, May 10, 2001 at 11 p.m. By CBS 2 News Special Assignment reporter Linda Alvarez bringing to light some of the risks of vasectomy. Alvarez met Rob Morrison, an active guy who's raced dirt bikes competitively and won a number of championships. When Rob and his wife Jodie decided that they were done having kids, he decided to have a vasectomy. "I'd say within 3 to 4 months, I started feeling these things, these symptoms which I hadn't experienced prior to my vasectomy," he told Special Assignment. Allergic reactions, aches in his joints and pain in his testicles caused him constant discomfort. "I've got pain now that I didn't have before; I've got these allergic types of symptoms that I didn't have before and they're telling us it's a safe and simple operation they do on 500,000 guys a year," Morrison said. It wasn't until after he found a book on the Internet that Morrison discovered he may have been suffering from post vasectomy pain syndrome.

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

7. If It Works, Don't Fix It! Vasectomy Information Home Page of the potential effects and complications of vasectomy so they can appropriately counsel Again from Campbells urology vasectomy results in violation of the bloodtestis http://www.dontfixit.org/

Kevin's highly-anticipated book is finally available! Click here to order your copy on-line! 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'

8. Vasectomy: References 24. Choe, JM, Kirkemo AK, Questionnairebased outcomes study of nononcological post-vasectomy complications., Journal of urology, 155, 1284-86, April, 1996. http://dontfixit.org/references.htm

Home Forum Newsletter Mailing List ... Humor References Diagrams Click on image to enlarge (no pun intended!) Click on image to enlarge Medical and Other References-dontfixit.org 1. Ahmed I, Rasheed S, White C, Shaikh NA, The incidence of post-vasectomy chronic testicular pain and the role of nerve stripping (denervation) of the spermatic cord in its management., British Journal of Urology, 79: 2, 269-70, February, 1997. 2. Aitken H, Kumarakuru S, Orr R, Reid O, Bennett NK, McDonald SW, Effects of long-term vasectomy on seminiferous tubules in the guinea pig., Clinical Anatomy, 12, 250-263, 1999. 3. Alderman PM, Complications in a series of 1224 vasectomies, Journal of Family Practice, 33: 6, 579-84, December, 1991. 4. Alexander NJ, Possible mechanisms of vasectomy-exacerbated atherosclerosis., Australian Journal of Biological Sciences, 35: 5, 469-79, 1982. 5. Alexander NJ, Schmidt SS, Free MJ, Danilchik MV, Hill WT, Sperm antibodies after vasectomy with fulguration., Journal of Urology, 115: 1, 77-8, January, 1976. 6. Anderson RA, Sharpe RM, Regulation of inhibin production in the human male and its clinical applications., International Journal of Andrology, 23: 3, 136-44, June, 2000.

9. Morristown Urology Associates - New Jersey - Vasectomy Morristown urology Associates, the site for the practice of Drs. Chaikin, Israel, Saypol, Sutariea, Seaman, and Clement in Morristown, New Jersey. Risks and complications. Pre and PostOperative http://morristownurology.net/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.

10. Published Physician Abstracts On Vasectomy and with proper patient selection, vasectomy complications may be reduced using the no scalpel vasectomy technique. British Journal of urology, Volume 79, 269270. http://www.vasclip.com/Webpage.asp?MID=881705

11. Feature Topic Urology - Vasectomies NIH quickly by themselves. The newer method also produces less pain and fewer 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.

12. Urology Vasectomy -- East Texas Medical Center Regional Healthcare System Some possible complications are still controversial within the medical community. For instance, researchers are trying to determine if vasectomy leads to a http://www.etmc.org/page.php?pageID=883

13. Entrez PubMed Questionnairebased outcomes study of nononcological post-vasectomy complications. Choe JM, Kirkemo AK. Department of urology, Henry Ford Hospital, Detroit http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8

14. Entrez PubMed Trial of ibuprofen to prevent postvasectomy complications. Manson AL. Department of urology, Naval Hospital, Great Lakes, Illinois. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3

15. Urology Surgery - Surgical Procedures complications are uncommon. vasectomy Reversal. A urology surgeon performs vasectomy reversal when a man has had a vasectomy, and now wants to have children. http://www.nationalsurgery.com/FCSC/procedures-urology.php

Cosmetic Plastic Surgery Cardiology ENT - Computer Assisted Sinus Surgery ... Surgery Cost Urology Procedures at False Creek Surgical Centre: Vasectomy Vasectomy Reversal What is a Vasectomy? Vasectomy is a safe, simple and effective birth control method. A vasectomy is a minor surgical procedure used for male contraception. It is one of the most popular forms of contraception worldwide (as many as 30 million men), and is regarded as safe, simple and highly effective. A vasectomy is performed by cutting the vas deferens (the small tube that carries sperm from the testicles and mixes with prostatic fluid to become semen). Although the patient may continue to have sexual intercourse and climax as before, the semen does not contain sperm and a child cannot be fathered following a vasectomy. It is a popular means of birth control for couples that have decided that their family is complete. It is nearly 100 % effective and is intended to be permanent.

16. Michigan Urology Center No-Scalpel Vasectomy discussion of the procedure, potential complications, medical history at 6 and 12 weeks after the vasectomy. Michigan, 2nd floor, Reception area E – urology. http://www.med.umich.edu/urology/PatientInfo/PatInfoPages/NS-Vasectomy.htm

Michigan Urology Cente r MUC Home Clinical Programs ED and Male Sexula Health No-Scalpel Vasectomy A vasectomy is a form of permanent male sterilization. During the vasectomy, the doctor will make one opening in the scrotal sac, then cut and block the tubes (the vas deferens) that carry sperm from where they are made in the testicles to where they enter the semen. Following the vasectomy, these tubes are blocked. A vasectomy will not alter erectile function, testosterone level or urinary function. It is very important to recognize the permanent nature of this procedure. It is possible to reverse a vasectomy, but it is expensive and there is no guarantee that it will be successful. It is possible to cryopreserve sperm prior to a vasectomy; this service is offered at University of Michigan for interested men [link to gamete cryopreservation]. The vasectomy counseling appointment involves a discussion of the procedure, potential complications, medical history and a physical examination. You may resume having sex after two (2) days, if comfortable enough.

17. Michigan Urology Center Vasectomy Reversal can be arranged through the urology clinic at Costs Associated with vasectomy Reversal. evaluation and discussion of risks, benefits, potential complications. http://www.med.umich.edu/urology/PatientInfo/PatInfoPages/VasReversal.htm

Michigan Urology Cente r MUC Home Clinical Programs Male Infertility Program Dr. Dana Ohl Vasectomy Reversal While it is possible to reverse a vasectomy, the procedure is more complicated than having the vasectomy itself. This procedure can also be called a vasovasostomy or vasoepididymostomy depending on the specifics of the surgery. During the vasectomy, the doctor made one or two incisions in the scrotal sac, then cut and blocked the tubes (the vas deferens) that carry sperm from where they are made in the testicles to where they enter the semen. Following the vasectomy, these tubes are blocked. To reverse the vasectomy, two small openings are made in the scrotal sac and the blocked areas of the vas deferens are removed. Using an operating microscope and very fine suture material, the vas deferens are reconnected and sewn together on each side. The use of the operating microscope for the surgery allows a greater degree of accuracy, as the channels in the vas are quite small, slightly smaller than a period on a typewritten page. Dr. Dana Ohl

18. Re: Failed Vasectomy? Forum The urology Forum Topic Area urology General Posted by HFHS MD-JL on May 26 Sincerely yours; HFHS MD-JL * Keyword vasectomy; complications/fertility. http://www.medhelp.org/forums/urology/archive/639.html

Questions in The Urology Forum are currently being answered by by Kevin Pho, M.D., who is board certified in Internal Medicine. Dr. Pho has a private practice in Internal Medicine and is also affiliated with an academic medical center where he works in emergency and inpatient venues. 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.

19. Post Vasectomy Pain pain Topic Area Sexual Problem Forum The urology Forum Question I underwent an open ended vasectomy about 10 Here are the known complications for vasectomies http://www.medhelp.org/forums/Urology/messages/30727a.html

Questions in The Urology Forum are currently being answered by by Kevin Pho, M.D., who is board certified in Internal Medicine. Dr. Pho has a private practice in Internal Medicine and is also affiliated with an academic medical center where he works in emergency and inpatient venues. Subject: post vasectomy pain Topic Area: Sexual Problem Forum: The Urology Forum Question Posted By: alistair on Saturday, November 22, 2003 I underwent an open ended vasectomy about 10 months ago. After a few months I noticed pain in my right groin area when about to ejaculate. Since then this condition has worsened, despite a course of antibiotics prescribed by my urologist who thought it may be some infection. Now the pain will arise even when I simply get an erection, but not always. Indeed during one week I can have virtually pain free sex and then suddenly the next night I have a very sharp pain in the right groin area which makes it impossible to continue with the sex or even attempt ejaculation. The pain will then remain, though at a much lower level, for days. Anti-inflammatories help but certainly do not completely eradicate the pain. Any thoughts or suggestions? Answer Posted By: Forum-M.D.-KYP on Sunday, November 23, 2003

20. Vasectomy - UROLOGY ASSOCIATES OF NORTH TEXAS Tubal pregnancies have significant potential complications including death. Vasectomies appear to be more than 99 percent effective at preventing pregnancy. http://www.uant.com/vasectomy_jaderlund.html

Vasectomy By John Jaderlund M.D. Definition A vasectomy is a minor surgical procedure performed with the intention of causing permanent male sterilization. This is generally an in office procedure which takes about 10 -15 minutes of operative time. Vasectomy is the most common urologic procedure performed in the United States. Approximately 500,000 vasectomies are performed in the United States every year. A vasectomy does not change the patient's male hormone levels or desire for sex. Likewise, erectile function and quality of orgasm remain the same. The only difference is the absence of sperm in the semen which develops postoperatively. The sperm only comprise approximately 10 percent of the volume of the semen. Why have a Vasectomy Vasectomy should be considered a permanent form of sterilization. It is a completely elective operative procedure. It is not appropriate for patients who might consider starting a new family or having additional children in the future should their social situations change . The decision to have a vasectomy should be made only after careful consideration regarding the possibility of wanting to have additional children in the future. The decision to have a vasectomy should almost always be made after discussion with the patient's partner. The patient considering a vasectomy should also consider the risks and side effects of an unwanted pregnancy. While there are many other ways to prevent pregnancy, vasectomy is one of the most reliable ways to permanently prevent pregnancy. It requires less expense and is much safer than tubal ligation in women.

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