Vasectomy in Las Vegas, Nevada
More than 500,000 men undergo a vasectomy each year in the United States, making it the most commonly performed male birth control procedure. Our team of expert urologists specialize in no-scalpel vasectomy procedures at our offices throughout Las Vegas. Our team has performed thousands of successful procedures, so you can feel confident that your vasectomy will be safe and effective. Call or request an appointment to schedule your vasectomy today.
What is a Vasectomy?
A vasectomy is a form of birth control for men. The procedure involves cutting the the vas deferens which are the tubes that carry sperm. When the tube is cut, there is no way for sperm to be released from the penis. This procedure is considered a permanent form of birth control, but it is possible to have a reversal surgery should the patient change their mind in the future.
What are the benefits of a Vasectomy?
It is recommended that men only get a vasectomy when they are certain that they no longer wish to have children. It is the preferred choice for many couples because:
- The use of male birth control (condoms) or female birth control (pills, IUDs, etc.) is no longer needed.
- The procedure is almost 100 percent certain to prevent pregnancy.
- It is much less expensive than female sterilization.
In most cases, a vasectomy will be performed in-office and is considered an outpatient procedure. Full-anesthesia is not required, only a local anesthetic is necessary. There are two ways to complete this procedure.
During a vasectomy at Las Vegas Urology, your scrotum will be cleaned and possibly shaved to allow easy access to the vas deferens. The surgeon will use a scalpel to create two small incisions on either side of the scrotum. The surgeon will remove a small section of the vas deferens. The tubes are tied, or cauterized so that they are closed and can no longer transport sperm.
The No-Scalpel vasectomy is an in-office procedure that takes about 20 minutes. First, if requested, your urologist applies a topical numbing cream to your skin at the treatment area or supplies an oral sedative. You can also expect a local injection with a numbing agent to make your procedure as comfortable and painless as possible. The physician then gently punctures your scrotum with a needle through very small holes to access to your vas deferens. The vas deferens is then carefully cut and each of the ends are sealed. A no-scalpel vasectomy does not use incisions and no stitches are needed for this form of surgery.
Recovery After the Procedure
Immediately following a vasectomy, there will be bruising and swelling, but those symptoms should subside after a few days. Apply ice packs every few hours to help control these symptoms. Wear tight-fitting underwear so that the scrotum is provided extra support.
Get plenty of bed rest during the first week. Most men resume light work 2-3 days after the procedure and most resume full activities in about one week. Avoid bathing for about 48 hours because this will allow the incisions to heal faster and prevent infection. Take the antibiotics that your doctor provides.
What is the success rate?
A vasectomy is considered to be 99.8% effective. A vasectomy is more effective than all other forms of birth control including female tubal ligation -a more expensive procedure that is usually performed at the hospital under general anesthesia.
Can You Have Sex After a Vasectomy?
You can engage in sexual activities as soon as you feel comfortable, which will probably take anywhere from three to seven days. Keep in mind, you may not be sterile right away. Ejaculate may still contain sperm and may continue to for several months after the procedure so it’s important to continue using backup forms of birth control, like condoms (for you) or the pill (for her), for several months. After a few months, your urologist will check sperm levels to confirm that it is declining until it reaches zero.
The vasectomy will not affect your sex drive, erections, performance and orgasms. In addition, hormone levels remain unchanged. Occasionally, men feel a slight pressure in their testicles when aroused, but eventually, that feeling will go away. Sperm generally makes up less than 5% of the ejaculate volume, so the ejaculation itself should not be noticeably different after a vasectomy.
It is important for patients to share all relevant information with their urologist, as these may influence the result of the vasectomy. For example, be sure to communicate any known allergies or effects caused by common medications or topical anesthetics. It is also critical to address and questions or concerns during this preliminary stage so that patients can be well informed and educated about their procedure.
Exact instructions will be given prior to arriving at Las Vegas Urology for your vasectomy. While these guidelines may vary, they generally include:
- Avoiding blood thinners, anti-inflammatories, or aspirin in the few days leading up to the procedure
- Eat a small, nutritious meal before the vasectomy to prevent lightheadedness or nausea that can occur after fasting for several hours
- Wearing an athletic supporter or tightfitting undergarments to support the treatment area after the vasectomy
- Shower before surgery to ensure the site is appropriately cleaned before the procedure
- You may also be asked to shave the genitals yourself, or this may be done in the office before the vasectomy begins
- Arrange to have a friend or family member help to care for you after the procedure is complete
Depending upon your specialist’s chosen approach, a vasectomy may be performed using various specialized techniques. While traditional surgery to complete a vasectomy is still a highly effective option, many urologists now offer minimally invasive options for men who wish to complete this procedure.
No matter what method is selected, the process remains relatively the same. To begin, the patient will be numbed so that they are comfortable throughout the entire treatment, at which point a small incision will be made so that the La Vegas Urology spacialist has access to the patient’s vas deferens. The vas deferens are two tubes responsible for carrying a man’s semen from the testicles to create semen. Without the vas deferens, sperm have no way to exit the body and fertilize a woman’s egg, meaning that pregnancy is not possible.
After the vas deferens are cut and quickly sealed using highly focused heat at the ends of each tube, the procedure is essentially complete. A stitch or two may be made to close the treatment site, though the incision is usually so small that it can be left to heal on its own.
Recovery from a vasectomy, especially one that is performed using minimally invasive techniques, is quite minimal. Patients should expect some soreness and swelling in the first 24-48 hours after their vasectomy, though this should dissipate quickly so long as they rest and limit their activities as much as possible during this period.
Most men are able to return to work and other everyday responsibilities within 2-3 days following their vasectomy, though it is advised to avoid any heavy lifting or other strenuous activity until you receive proper clearance from Las Vegas Urology.
The most common side effects after a vasectomy are mild pain, bruising, bleeding, and swelling. Of course it is still possible for more severe issues to occur, though they are incredibly rare. These include:
- Chronic pain
- Failure to prevent pregnancy
- Granuloma (inflammation caused by leaking sperm)
- Spermatocele formation (a small cyst of the upper testicle region)
- Hydrocele (a fluid-filled sac of tissue that grows within the scrotum)
Individuals at risk for more serious complications include those who have suffered testicular cancer or testicular disease, though even in these outlying groups rarely encounter serious side effects caused by a vasectomy. Be sure to discuss your own individual risk factors with las Vegas Urology to determine if a vasectomy is a safe option for you.
No. A vasectomy has absolutely no proven effect on a man’s sex drive, sexual functions, or pleasure during sex. There are many common myths surrounding this particular question, though all evidence clearly shows that the only difference a man should notice after a vasectomy compared to his life before is that he is no longer able to father children.
Please be very aware that the results of a vasectomy are not immediate. Las Vegas Urology will need to test the patient’s sperm in the weeks following a vasectomy to determine if the procedure was in fact successful at preventing the production and transfer of sperm through the vas deferens. During this time, men are instructed not to engage in unprotected sex, as this could lead to a potential pregnancy.
A vasectomy is more than 99% effective. Of the few cases in which a pregnancy does occur after a vasectomy, a majority are within the first year after the procedure is performed.
There is a procedure for that as well! A vasectomy reversal may be offered to men who have previously undergone a vasectomy and later wish to conceive a child.
It is of course advised for patients to carefully consider this possibility before they complete a vasectomy, as vasectomy reversal procedures are not guaranteed to be effective. Men may also consider storing their sperm in a sperm bank prior to a vasectomy as a sort of safeguard to this potential situation.