Many people have trouble understanding:
- How can we offer single visit vasectomy appointments?
- How can we do a vasectomy without using a needle?
- How can we do a no scalpel vasectomy?
Unfortunately getting a vasectomy in today’s medical environment is challenging.
With the changing health care landscape it is difficult to find a vasectomy doctor who can offer you an appointment in a timely fashion. It is even more challenging to determine how much it will cost you because of the complexity of the health insurance industry and their clever ways of pushing more cost onto the patient.
Vasectomy is an important procedure for many men, couples, families, and even our community. At His Choice Charlotte vasectomy, we believe in keeping the vasectomy process simple. This is the main reason we offer single visit no needle, no scalpel vasectomy.
Single visit vasectomy
You may not know it from talking to your friends or looking for doctors to do your vasectomy…but a vasectomy procedure is a simple procedure to perform.
The procedure can easily be performed in a doctor’s office using local anesthesia.
The decision to have a vasectomy is a bigger deal than actually having the procedure.
Having a vasectomy signifies a big milestone in the lives of people because it signifies they are deciding to permanently preventing themselves from having more children…or permanently preventing themselves from having any children in their lives. Once patients have made that decision the rest is easy.
We offer single visit vasectomy for several reasons:
- The vasectomy procedures is a simple procedure.
- The risks of the procedure are very low.
- There are almost no long term risks (other than not being able to have children).
- Forcing patients to have unnecessary consultation visits makes the process of getting a vasectomy inefficient for everyone.
Simple procedure: Vasectomy can be completed in a doctor’s office with local anesthesia only.
Risks of procedure: The most common risks are pain and scrotal hematoma. Pain can easily be controlled with over the counter medications. Scrotal hematomas are not common. Most scrotal hematomas do not need treatment and most will resolve with the passage of time.
Long term risk: Despite a lot of misinformation circulating out there vasectomy does not increase the risk of prostate cancer. Vasectomy does not decrease testosterone. Most patients will not have a decrease in sexual satisfaction, orgasm or erection. In fact, many patients report improvement in these areas after vasectomy.
Mandatory consultations make everyone suffer more.
Required consultations to have a vasectomy result in doctor’s offices having to schedule a lot of appointments very far into the future. As a result of vasectomy anxiety and the complexity of life, many patients will not show up for scheduled vasectomy consultations and the ‘no show rate’ for these appointments can be as high as 50%. Many of these ‘no show patients’ will cause other patients to make consultations even further out.
Once the consultation is completed then the same inefficient cycle starts all over again when you have to make the second appointment for the actual vasectomy procedure. This is a lot of time to think about a procedure most patients are not absolutely thrilled to be having.
The consultation appointment is required by most practices because:
- They continue to be stuck in older ways of thinking
- They can charge for two appointments
- The consultation provides time to preauthorize your vasectomy with your health insurance for the procedure with your health insurance plan and determine what your out of pocket costs.
The most important decision to have a vasectomy is made in the privacy of a patient’s home. We cannot help you decide if you want more children or not…and, in fact, we should not be deciding that personal decisions for our patients.
We are here to tell you that having a vasectomy with His Choice Charlotte is a very safe procedure. The risks and side effects are low.
As long as you are confident in your decision then a single visit vasectomy can be a very reasonable option for most patients.
No needle vasectomy: No need to be a hero!
It is ideal to have some sort of anesthesia when having a vasectomy. No need to be a hero.
Vasectomy is a simple, preventative health care procedure that can be done in an office using local anesthesia. For the vast majority of patients, there is no need to have the procedure performed in an operating room.
Unfortunately, some specialist routinely perform their vasectomy procedures in an operating room setting and this will drastically increase the cost and make the procedure unaffordable.
Most vasectomy providers use a needle to administer local anesthetic into the skin and around the vas deferens. Needle anesthesia is the most common way to provide local anesthesia.
Almost all patients have dread and anxiety about a needle being inserted into their genitals. Unfortunately, if done incorrectly needle anesthesia may result in more pain at the start of the vasectomy. Doctors who use larger bore needles and administer the local anesthetic too fast may cause more discomfort for their patients
At His Choice Charlotte the vasectomy is performed in our office using a needle free technique.
The no-needle technique is accomplished by using a handheld spray applicator to provide local anesthesia at the start of the vasectomy procedure. This spray applicator is called a Mada Jet and is sometimes used to provide anesthesia for dental, dermatologic, and urologic procedures.
The spray applicator utilizes pressurized air to push local anesthetic directly into the skin and superficial tissues. This technique provides quick anesthesia and minimizes the risk of needle injury to blood vessels that can sometimes occur with needle-administered anesthesia.
At the start of the procedure, each vas deferens is positioned directly underneath the scrotal skin and anesthetized with a puff of anesthetic from the spray applicator. The anesthetic spray superficially spreads into the scrotal skin and across the vas deferens simultaneously and is dispersed over an area about the width of a dime.
This provides an almost instantaneous onset of anesthesia and anesthetizes only the area on the scrotal skin and the area around each vas deferens where the procedure will occur.
The doctors at His Choice Vasectomy Charlotte use a combination anesthetic (lidocaine and bupivacaine). The lidocaine begins working almost instantaneously but only lasts for about 60 minutes. The bupivacaine takes a little longer to start working but can provides longer pain relief for up to four hours.
This provides enough time for patients to take over the counter anti-inflammatory medications to provide a smooth transition in pain coverage after the vasectomy.
Scalpel Vasectomy Technique
There are two options when having have a vasectomy: traditional scalpel vasectomy and minimally invasive no scalpel procedure.
With scalpel vasectomy the doctor makes a small incision in the scrotal skin on each side of the scrotum. The skin incisions will need to be closed with sutures.
No Scalpel Vasectomy Technique
With no scalpel vasectomy a small spread opening is created in the center of the scrotal skin using an instrument specifically designed for minimally invasive vasectomy.
The no scalpel technique takes advantage of the natural elasticity of the skin.
A small opening is spread and the natural elasticity of the skin allows the skin edges to squeeze closed within 24 to 48 hours. Sutures are not required.
The techniques of scalpel and no scalpel specifically refer to how the skin openings are created in the scrotal skin. These techniques do not describe how the vas deferens tubes are blocked during vasectomy.
The way the doctor makes the skin opening directly influences the risk and complications of having a vasectomy.
The way the doctor divides the vas deferens tubes directly influences the risk of vasectomy failure.
The no scalpel scrotal skin opening technique has been consistently shown in medical studies to cause less pain during recovery. No scalpel vasectomy is safer with lower risks of infection and bleeding.
The doctors of His Choice Charlotte vasectomy exclusively perform the no scalpel vasectomy procedure.