 Vasectomy is a safe and common form of permanent birth control used
for family planning. It is
performed in the doctor's office under local anesthesia. By
contrast, tubal ligation surgery on the
female partner is more expensive and more invasive procedure. Tubal
ligation requires general
anesthesia and it is only performed in a surgery center. A survey of
doctors who perform
vasectomy indicates that they most often choose vasectomy for
themselves when their family is
complete. It is estimated that more then 600,000 vasectomies are
performed in the United States
each year.
Traditional vasectomy involves a scalpel cut into the scrotum (sac
that holds the testicles) after a local anesthetic has been used to "numb" the sac and to numb the two
vas deferens (sperm transport tubes). Each vas deferens tube is cut, a section is
removed, and both sides of the cut vas are sealed with sutures, cautery or metal clips. This interrupts the
flow of sperm from the testicles into the ejaculation fluid which is called semen. The incisions are
then closed with sutures. Open-end vasectomy is a variation on the traditional technique, in
which the cut end of the vas
on the testicle side is left open without sealing it shut. Some
doctors feel that this creates a more
reversible vasectomy.
No-Scalpel Vasectomy (NSV) was developed in China in the mid 1970's.
This technique uses
two special non-traumatic instruments to provide a quicker, safer
and less tender procedure then
the traditional vasectomy. It was first performed in the United
States in the 1980's. Dr. Buch has
used the NSV procedures since 1993, and he is an NSV patient
himself. During the NSV, both
vasa are accessed through a single small 1/4" entry point into an area
of the scrotum that has been
"numbed" by local anesthesia. The tiny entry into the scrotum is
created by one of two special
NSV instruments. The second instrument gently secures the vasa, one
at a time, in a spot that has
been "numbed". The vasa are then carefully interrupted, and the two
ends are sealed with nonreactive
metal clips. The small opening in the skin closes by itself due to
natural muscle tone in
the scrotum. Typically, there is no need for a skin stitch.
Advantages of NSV include:
- Faster healing
- Less Tenderness
- Lower complication rate
Prior to scheduling your procedure, it is important for you to meet
with the doctor for
several reasons.
Dr. Buch will discuss vasectomy with you to determine which type of
procedure is best suited for
you. He will take a complete medical history to identify any
significant health issues. He will also
do a quick and gentle exam to be sure that there are no physical
factors that would complicate
your procedure. This visit also allows you the chance to be sure
that Dr. Buch is the right doctor
to perform your procedure.
Prior to the Procedure
- Do not take aspirin, ibuprofen, naproxyn or any medicine known to
thin your blood beginning at least 7 days prior to your procedure to minimize
blooding risk.
- Please trim or gently shave (dry razor with light touch is best)
the hair from the underside of the penis and from the front of scrotum.
- To reduce the risk of infection, thoroughly wash your scrotum and
groin areas the day before and the morning of the procedure.
- Two hours prior to the procedure take any prescribed medications
as directed.
- Wear clean supportive underwear (jockey style or bikini style
briefs) to the procedure.
Thank you for visiting Legacy Male Health Institute, P.A., a Texas based vasectomy reversal clinic offering
services in Dallas, Ft Worth, Plano, North Dallas, Irving & Las Colinas areas.
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