Vasectomy is a method of permanent contraception for men. Across the world, vasectomy is becoming more and more popular. Vasectomy is simple, permanent, and highly effective. Dr. John Curington is a board-certified Family Medicine physician who has done thousands of vasectomies over the years. He is currently working in the Vasectomy and Reversal Centers of Florida, traveling across the state to bring the gentle, “no needle, no scalpel vasectomy” to men who want better contraception.
Vasectomy is simply a process of accessing the vasa (the tubes that carry sperm from the testes), and dividing these tubes. Traditionally in the United States, the vas tubes were accessed by cutting into the scrotum with a scalpel. During the 1970s in China, Dr. Shunqiang Li developed a more gentle technique using a very fine tool to access the tubes through a tiny puncture. This no-scalpel technique has been shown to have fewer complications and most patients find the method to be surprisingly gentle. During residency, Dr. Curington learned a modified Li No-Scalpel technique, and then traveled around the world and studied abroad to improve his technique. Since then, Dr. Curington has continued working to optimize the procedure for his patients, including publishing scholarly articles on contraception and vasectomy and teaching other physicians.
Vasectomy in General
Vasectomy is a method of permanent contraception for men. The procedure involves blocking the tubes that carry sperm from the testicles. The traditional technique is to make an incision in the front of the scrotum, to pull the tubes up through the incision, and to cut the tubes. With the no-scalpel method, the physician makes a small puncture in the front of the scrotum and gently draws the vas tubes through the small puncture. Using the modern no-scalpel technique, there is much less chance of complications and the patient usually feels much more comfortable.
What do you do before your vasectomy?
The most important thing to do before your vasectomy is to be certain that you are ready for permanent contraception. Though you may hear about vasectomy reversals, the reversal procedure is not always successful. Before your vasectomy, you must be certain that you do not want to have children in the future.
You also should have some type of pre-vasectomy counseling. At the Vasectomy and Reversal Centers of Florida, patients can do their counseling online. A vasectomy is a voluntary procedure and we want to make sure you feel comfortable with what you are doing. Click here to review the online counseling video.
How do you prepare for a vasectomy?
Avoid aspirin and any other “blood-thinning” medications for a week before your procedure. Of course, if you take aspirin or an anticoagulant for treatment after a heart-attack, stroke, or other serious medical issue, discuss this with your primary care physician first.
Shave the front of the scrotum and base of the penis the day before your vasectomy. Having a “hair-free zone” makes the procedure much easier for the doctor.
Take a regular shower with soap on the morning of your procedure. Get a good lather going and rinse well. You don’t need to buy any special soap; normal bath soap is excellent.
Wear clean snug underwear to your appointment. At the Vasectomy and Reversal Centers of Florida, we’ll provide you with a cotton jockstrap also. You don’t need to buy your own jockstrap.
During your vasectomy
The surprise that most men get during a no-scalpel vasectomy is that the procedure is much more gentle than they expect. You will get to review the procedure with the physician, ask any questions you may have, and then have the procedure.
The actual procedure is usually fairly quick. Procedures run somewhere between ten minutes and thirty minutes, depending on your particular body shape, previous conditions, etc. You will let your pants and underwear fall down to your knees, then we will cover your “private parts” with a surgical drape. We also use a special antiseptic solution, so please let us know if you have any allergies to any skin-cleaning products. The doctor will do an examination of the scrotum and tubes and then give you a local anesthetic using a special “hypospray.” This modern anesthetic sprayer is able to deliver local anesthetic without using a needle. This is much more comfortable for the patient. In fact, most men are quite surprised at the gentleness of the no-needle vasectomy. After the local anesthetic is placed, you shouldn’t feel any pain at all. There is no need to rush the procedure and your comfort is very important. If you want, you can even listen to relaxing music. During the procedure itself, Dr. Curington will access the vas tubes through a tiny opening in the skin, then cauterize and cut the tubes. For extra security, the tubes are also tied or clipped apart to prevent them from accidentally rejoining in the future. After the procedure, the tiny orifice in the skin is so small that in the majority of cases, you won’t even need a bandaid. Most men are pleasantly surprised by the whole process and say they would recommend the procedure to their friends.
After Your Vasectomy
You will be given a set of detailed instructions after your vasectomy. The information below is to give you a general idea of the process.
After your vasectomy, the small puncture will be covered by a sterile gauze and you will snug up your athletic support (also known as “the jock strap”). You should plan to rest in a comfortable chair or couch for the rest of the day and restrain your activities to minimal movements. Most men have no complications at all, but definitely the more you move around on the first day, the more you will feel. A few bags of frozen peas are also helpful for comfort. You can apply these for about 5 to 10 minutes every hour.
The next day, you can take a shower and start to take walks. You should take the gauze pad off in the shower and replace it with a new sterile gauze pad when you are dry. Continuing to wear the athletic supporter over the gauze is helpful for most men.
Most patients can resume gentle work during the next few days. If you do heavy physical labor, however, you will do better if you take it easy for the next five days. Since you should avoid heavy or strenuous activity for the five days afterwards, you will need to make prior arrangements for light duties only with your employer.
You can resume sexual activities in a a couple of days, and in general it is good to “take it easy” after that for the first week.
After your vasectomy, you will be given a follow-up sheet with discharge instructions and Dr. Curington’s follow-up phone number. Call the number listed on your sheet for any questions regarding post-vasectomy care.
One of the most important parts of post-vasectomy care is the post-vasectomy semen check. Vasectomy is a highly-effective method of birth control, but a small channel in the healing tissue can reconnect the tubes in about one case per thousand. Usually, this is no problem; you would just have the vasectomy repeated to snip the tubes again. The problem would be if your tubes reconnected and you didn’t know it. So, make sure you follow your discharge instructions and bring a semen sample to the directed location for analysis. You should continue to consider yourself as “fertile” (i.e. able to father children) until you get the “non fertile” results back from your semen analysis.
Dr. John Curington is working at the Vasectomy and Reversal Centers of Florida, the revolutionary vasectomy practice founded by Dr. Douglas Stein. Dr. Curington has worked with Dr. Stein for many years doing volunteer work, and he formally joined Dr. Stein’s practice in 2016. Together they perform vasectomies in 15 different locations throughout Florida. To make an appointment, please see our website www.vasweb.com and follow the instructions.