A vasectomy is a permanent and effective means for preventing pregnancy. A vasectomy is a minor surgical procedure that cuts the vas deferens, the tube that brings sperm from the testes, where it is made, to the penis during ejaculation.  This is a permanent form of birth control for men.  Vasectomies can be reversible; however, it is not advisable to have one if you think you may change your mind at a later date.

A time-tested, safe procedure

men's pelvic health bucketWhile many methods of contraception are available, vasectomy is a time tested and very safe procedure. Understandably, some men are apprehensive about a vasectomy because it involves such a delicate area of the body. You can rest assured that Chesapeake Urology’s surgeons utilize their extensive experience in reproductive microsurgery and minimally invasive surgical techniques to perform your vasectomy with great precision. 

Most men are relieved to discover that a vasectomy actually causes very little pain or discomfort after the procedure and recovery is typically quick. And, a vasectomy will not affect a man’s libido, ejaculation, sexual pleasure, or erections.


How It Works 

A vasectomy works by cutting the vas deferens, the tubes that carry sperm from the testes to the penis. This prevents the sperm from exiting the penis during ejaculation. After a vasectomy, your body will continue to produce sperm, but they will die and be re-absorbed. A vasectomy will not noticeably affect the seminal fluid; your ejaculate will still look and feel the same. A vasectomy also will not affect your testosterone (male hormone) levels or your ability to have an erection.

Vasectomy _diagram (1)

Author: K.D. Schroeder;
graphic name.svg from Wikimedia Commons; License: CC-BY-SA 3.0


The procedure – step-by-step

Vasectomy is an outpatient procedure typically performed under local anesthesia in one of Chesapeake Urology’s state-of-the-art Summit Ambulatory Surgery Centers. You might feel a bit apprehensive before your procedure so understanding what will take place before you arrive can help alleviate some of your anxiety. 

  • First, a local anesthetic is administered, which results in a pain-free procedure.

  • Your surgeon will make a small opening in the scrotum. The sperm duct, called the vas deferens, is exposed through the opening. A 1-centimeter segment on either side of each testicle is then removed.

  • The ends of the vas deferens are then cauterized and sealed with titanium clips and placed back inside the scrotum.

  • A small dissolvable stitch is placed to close the hole in the scrotum. The procedure usually takes less than 20 minutes.

  • Patients typically return to work in two days, and an icepack placed gently on the scrotum is recommended to reduce any pain or swelling following the procedure. If you do have any discomfort, acetaminophen can be taken.


Scheduling a Vasectomy at Chesapeake Urology

When you and your partner are ready to schedule the vasectomy, the first step is the consultation with one of Chesapeake Urology's physicians. At this first appointment, your urologist will discuss the procedure, what you can expect as well as provide information about recovery and follow-up. Following this initial consulation, you will then schedule the second appointment for the vasectomy.  The procedure is performed in one of our Summit Ambulatory Surgery Centers, unless insurance or medical reasons indicate that the vasectomy needs to be performed in the hospital.

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“No scalpel” vasectomy

The skilled surgeons at Chesapeake Urology are experienced in performing what is known as a “no scalpel” vasectomy. Rather than using a scalpel to make an incision in the scrotum, your doctor will use a special instrument to puncture the skin, which is then stretched to make an opening for the vasectomy to be performed. Your doctor will discuss all of the options for performing the minimally invasive procedure with you at your first appointment.


What Women Need to Know about Vasectomy


Advantages of a vasectomy

  • A safe, effective and permanent method of birth control

  • 99.85% effective as a birth control method

  • A vasectomy will not interfere with your sex drive, ability to have erections, sensation of orgasm, or ability to ejaculate.



Can A Vasectomy Be Reversed?

Yes. A vasectomy can be reversed in a procedure appropriately called a vasectomy reversal. Sometimes, life circumstances change and years after having a vasectomy, some men wish to be able to conceive a child naturally with their partner. 

The good news for couples is that Chesapeake Urology’s Vasectomy Reversal Center of America is one of the country’s leading vasectomy reversal centers, offering success rates of more than 90% to couples who wish to conceive naturally. Our fellowship-trained microsurgeons have a combined 30 years of experience in performing the delicate microsurgical procedure and have helped countless couples realize their dream of having a baby five, 10 and even 30 years after a man’s vasectomy. 

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