Vasectomy

Safe and Effective

A vasectomy is a long-term means of birth control that entails a minor in-office surgical procedure where the vas deferens is severed. The vas deferens is the tube that brings sperm from the testes, where it is made, to the penis during ejaculation.

Vasectomies can be reversible; however, it is not advisable to have one if you think you may change your mind later. Our physicians offer conventional vasectomy and no-scalpel vasectomy as in office procedures. Patients can go home immediately after the procedure, and after a few days of light activity, can resume a normal routine, including sexual activity. Vasectomy is often covered by insurance plans and is a very cost effective and convenient method of birth control when considering the ongoing costs of other methods. Click here for Pre Vasectomy Instructions.

Conventional vs. No-Scalpel Vasectomy

1. With a conventional vasectomy, a urologist makes one or two small incisions in the skin of the scrotum to access the vas deferens.
2. The vas deferens is cut and a small piece may be removed leaving a short gap between the two remaining ends.
3. The urologist ties or clips the severed ends to close them permanently.
4. The scrotal incisions may be closed with dissolvable stitches or allowed to close on its own.
5. The entire procedure is then repeated on the other side either through the same initial incision or through a second scrotal incision.

A more recent method of performing a vasectomy is called the No-Scalpel Vasectomy. The ultimate results are identical and most doctors don’t distinguish between the two, but the procedure steps are slightly different:

1. The urologist feels for the vas under the skin of the scrotum and holds it in place with a small clamp.
2. A special instrument is then used to make a tiny puncture in the skin and stretch the opening so the vas deferens can gently be lifted out,
3. The vas deferens is cut and the urologist ties or clips the severed ends to close them permanently.
4. No stitches are needed to close the punctures.

What to Expect After Your Vasectomy

• Patients must bring a driver with them, as patient is not allowed to drive home after the procedure.
• To minimize discomfort, your doctor may prescribe pain relievers, an ice pack and/or an athletic supporter.
• Contact your doctor if you experience fever, chills, increasing pain or significant swelling and bruising.
• Your doctor will give you instructions for resuming work and sexual activity, typically after three to four days. Try to remain off your feet for 24 hours.
• You must use other forms of birth control until your doctor assures you that your vasectomy is completely effective. This may take several months until all the sperm left in the upper part of the vas deferens are ejaculated.
• Vasectomies may be reversible, but you should not assume your procedure can be reversed. Talk with your doctor to learn more.
• Vasectomies will not change hormonal (testosterone) function, so it won’t affect your sex drive.

It is important to understand that a patient is not sterile immediately after a vasectomy and that it takes time to clear sperm from the semen after the procedure. At least 2 post-vasectomy semen analyses are required at 6-8 weeks post op and then again, a few weeks after to ensure the absence of sperm in the semen, and insure the success of the vasectomy. The patient should not assume that his vasectomy is effective until his semen analysis demonstrates the absence of sperm. Click here for Post Op Vasectomy Specimen Collection Instructions.

Vasectomy Cost

The cost of a vasectomy will vary depending on your insurance. Urology Centers of Alabama performs many vasectomies for men with and without health insurance.

With Insurance: The majority of health insurances cover an in-office vasectomy. To find out if yours does, call the 800 number on your insurance card, or contact our insurance and billing department. (Be sure to provide your policy number and group ID.)

Without Insurance: If you don’t have insurance, the vasectomy cost at Urology Centers of Alabama is $900. That includes the vasectomy, pathology and the follow-up semen check.

$100 Deposit: Whether you have insurance or not, you’ll need to pay a $100 deposit when you book the appointment. The deposit minimizes “no shows” and keeps appointments available for guys who are serious about having a vasectomy. After the procedure, the deposit will be applied toward your balance or refunded to you.

Click here to view the No Scalpel video.

Scheduling Your Vasectomy

Call us today at 205-930-0920 or complete the form below and a member of the UCA team will contact you.

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