A vasectomy is a permanent male contraceptive procedure performed by urologists. It involves cutting or blocking the vas deferens, the tubes that carry sperm from the testicles to the urethra. 

This quick, 20-30-minute outpatient procedure is typically done under local anesthesia. Vasectomies are highly effective with a 99% success rate in preventing pregnancy. It doesn't affect sexual function, libido, or semen appearance. Recovery is usually quick with minimal discomfort.

While a vasectomy is permanent, a vasectomy reversal is another optional procedure for men who wish to reconnect the tubes that carry sperm into semen. 

Vasectomy reversal is an ideal option for men certain they don't want future children. Every year, approximately 500,000 men in the U.S. choose vasectomy, making it a common and trusted contraceptive method.

A vasectomy is a big decision. Men (and couples) may consider vasectomy as the best option if:

• You are certain you don't want any future children
• You want a highly effective, permanent form of birth control
• You prefer a one-time procedure over ongoing contraceptive methods
• You’re in a stable relationship and have discussed this option with your partner
• You have multiple sexual partners and wish to prevent pregnancy
• Your female partner wants to stop taking birth control while still preventing pregnancy 

Keep in mind, even with all the reasons to get a vasectomy, it will not protect against sexually transmitted infections or diseases (STIs).

At Z Urology, our experienced urologists perform two types of vasectomy procedures. We’ll walk you through each option to ensure your comfort and best outcomes depending on your situation.

• Conventional Vasectomy: Small incisions are made in the scrotum to access and cut the vas deferens.
• No-Scalpel Vasectomy: A minimally invasive technique using a small puncture instead of incisions.

Both procedures typically take 20-30 minutes and are performed under local anesthesia in our comfortable office setting. Patients requiring additional anesthesia may benefit from in-office nitrous oxide (laughing gas). 

The Z Urology team will guide you through every step of the process, ensuring your comfort and understanding throughout the treatment journey. We're here to provide personalized care, supporting you as we aim to achieve the best possible outcomes. 

Most patients experience a quick recovery after vasectomy. The aftercare process typically involves:

• 2-3 days of rest 
• Mild discomfort managed with over-the-counter pain medication
• Ice packs to reduce swelling
• Resuming normal activities within a week
• Sexual activity can typically resume after 7 days
• Additional testing to determine sperm count after surgery

It's important to note that vasectomy is not immediately effective. It can take 3 months to become completely sterile as the remaining sperm takes time to leave your body. In the meantime, use alternative birth control methods (like condoms) until your follow-up semen analysis confirms the absence of sperm. Zero sperm count usually occurs 3 months post-procedure.

Many men wonder if a vasectomy will lower their testosterone. Rest assured, vasectomy does not impact testosterone. Regular testosterone will still be produced and released from the testicles. 

After the procedure, you can expect:

• No change in sex drive or libido
• Normal erectile function
• Unchanged facial hair growth and voice depth
• Continued muscle mass maintenance

Remember, a vasectomy simply disconnects the tubes that carry sperm into your ejaculate. You’ll still maintain normal hormone production, erections, and ejaculation.