Why Vasectomy
Make the Cut. Change the game.
You’ve made the decision. You don’t want to have a baby. So of all the forms of birth control, why should you have a vasectomy?
- No surprises, take control.
No missed pills. No broken condom. No sleepless nights with an infant. You’ve made the decision, why leave it to chance? - Step up for her.
She’s carried the burden of birth control your whole relationship. It’s your turn.
Many women have negative effects from the hormones in birth control medications. Free her from the need to be on them. Permanent birth control procedures for women, such as tubal ligation, bring higher risk of complications and cost more money. Don’t make her go through that. - A simple decision that sticks.
One procedure: 30 minutes, in and out, with minimal pain.
One recovery: 2 days and you’re back in action.
One confirmation: 3 months after your procedure we confirm you’re shooting blanks. - Freedom without trade-off.
Nothing changes about Desire. Performance. Masculinity. Although you may find that both you and your partner relax and enjoy sex even more without the risk of pregnancy.
We can go on and on about the benefits of vasectomy…but we won’t.
You were smart enough to make it this far, we know you’ll make the right choice for you. If you’re ready to go, schedule with us now as soon as next week! And, if you want to talk about it, we’re available for consultations as well.
If you are looking for the best doctors offering the best vasectomy procedure then you found it.
All you have to do is educate yourself about vasectomy and schedule.
Don’t make it complicated!
During a His Choice vasectomy:
Needle NOT Required!
No Scalpel Used!
Only One Opening Is Made!
Takes Less Than 15 Minutes!
Sutures NOT Required!
Skin Opening Closed In 24 Hours!
His Choice Vasectomy is a minimally invasive vasectomy technique designed to get you back on your feet after 48 hours. Frozen peas and ice are not required after this vasectomy procedure!
A His Choice vasectomy is performed in less than 15 minutes without removing any of your body’s tissue. Your down time is minimal. Most patients can be back to normal activity (including sexual activity) after 48 hours.
You will have a quick recovery, low risk of complications, and the least amount of pain when compared to other vasectomy techniques.
A His Choice Vasectomy also provides you with one of the lowest failure rates when compared to other types of vasectomy. After you are cleared by the 3 month after vasectomy semen sample, your chance of having a vasectomy failure is less than 5 failures out of every 10,000 procedures completed.
Each section below expands to provide greater detail about His Choice Vasectomy.
How is vasectomy performed at His Choice?
His Choice Vasectomy is minimally invasive vasectomy performed through a single small, midline scrotal skin opening. The entire vasectomy is done without using a needle or a scalpel.
No needle. Local anesthesia is provided without using a needle. Instead of a needle, a small, hand held device sprays the local anesthetic through the skin.
No scalpel. Only one skin opening in the scrotum is required. A single opening (the size of a tic-tac candy) is made in the center of the scrotum using a device that spreads an opening in the skin. This technique takes advantage of the elasticity of the skin. This technique allows the natural elasticity of the skin to squeeze the opening closed within 24 hours of your procedure. Skins sutures are not required.
The vasectomy is extremely effective and has a low risk of failure. After successfully completing the three (3) month semen sample the chance of a late failure is less than 5 failures out of every 10,000 procedures.
The risk of vasectomy failure is low after a His Choice Vasectomy because of two important steps that happen after the vas deferens is divided.
Step 1. Coagulation
The upper end of the divided vas deferens is sealed with thermal coagulation (heat energy). This decreases the chance of a reconnection (vasectomy failure) if the tubes fall back into alignment.
Step 2. Fascial interposition
Healthy tissue (fascial interposition) is placed between the two divided ends to further decrease the chance of a reconnection (vasectomy failure).
The lower portion of the divided vas deferens is allowed to remain open rather than closed. This is considered an open ended vasectomy technique.
This type of vasectomy (coagulation, fascial interposition, and leaving the lower end open) has been demonstrated to have one of the lowest failure rates, a low rate of complications, and a quicker recovery.
A His Choice vasectomy can easily be performed in an office using local anesthesia in less than 15 minutes.
No tissue is removed or excised during our vasectomy. Our patients leave with the same stuff they brought when they walked into our office.
We make it easy. What more do you need to know about the safest and best form of permanent birth control?
How is a vasectomy done without a needle for anesthesia?
The no-needle vasectomy 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. This device is sometimes used to provide anesthesia for dental, dermatologic, and urologic procedures.
The spray applicator utilizes slightly pressurized air to push the local anesthetic directly into the skin and vas deferens. 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 skin in the center of the scrotum and anesthetized with a puff of anesthetic from the spray applicator. Most patients describe the sensation as if they got lightly ‘tapped’ on the skin with a small rubber band.
The anesthetic spray superficially spreads into the scrotal skin and directly into the vas deferens. The anesthesia covers about the same area as the width of a dime. This provides almost instantaneous onset of anesthesia and anesthetizes only the area on the scrotal skin and around each vas deferens where the vasectomy procedure will occur.
We use a combination of lidocaine and bupivacaine as our local anesthetic cocktail. The lidocaine works right away and lasts for one (1) hour. The bupivacaine takes longer to start working but provides longer pain relief for up to six (6) hours.
Most patients will not experience significant pain after the anesthetic wears off.
Vasectomy done without sticking a needle in your scrotum… how great is that? How much more do we need to do to make it easier?
How is vasectomy done without a scalpel?
The no-scalpel technique is accomplished by using a small pointy instrument called a no-scalpel dissector.
This instrument is inserted into the anesthetized skin and is used to spread a small opening in the scrotal skin. The skin is elastic. A small opening can be stretched and the skin will gradually squeeze closed after the procedure. Typically only one small opening is made in the center of the scrotum and this opening is usually no larger than a tic-tac candy.
The anesthetized vas deferens can easily be elevated through the small skin opening.
This area will usually heal closed within 24 hours and without the need for any sutures.
How is each vas deferens divided?
Each vas deferens is divided using a small hand held battery device called a thermal coagulator. Although this may sound intense, the thermal coagulator is powered by two AA batteries.
The coagulator quickly divides the vas deferens and seals any small blood vessels, which could contribute to bleeding. Portions of the vas deferens are not removed during a His Choice vasectomy procedure.
Minimal coagulation of the inside of the upper end of the vas is performed to accelerate closure of the upper part of the vas deferens. This step greatly minimizes the risk of vasectomy failure.
Coagulation is accomplished by inserting the tip of the thermal coagulator into the upper most portion of the vas deferens. The device is inserted into the opening of the upper vas deferens for about ¼ inch and heat energy (thermal coagulation) is briefly applied to the inside of the vas deferens.
Minimal coagulation is preferred over extensive coagulation to better accelerate closure, minimize extensive tissue damage and inflammation, and minimize the risk of vasectomy failure.
What is an open-ended vasectomy?
An open-ended vasectomy technique minimizes the immediate build-up of pressurized sperm and fluid in the lower end of the divided vas deferens. Increased pressure in the lower end of the divided vas deferens can cause disruption in the epididymis, more inflammation, and more discomfort during vasectomy recovery.
Most patients are concerned leaving the lower end open will allow sperm to spill into their scrotum for the rest of their lives. Many will ask if this is harmful?
You can be reassured the lower end will not remain open forever. The lower end will gradually heal closed over time. The key word is gradual.
It is this gradual healing that is most likely responsible for the improved recovery after His Choice vasectomy. Pressure does not accumulate in the lower end as quickly with an open end vasectomy as compared to a closed end vasectomy.
Open-ended vasectomy has been suggested to result in quicker recovery, less discomfort, and less inflammation in the epididymis than a closed-end vasectomy.
The open-ended vasectomy procedure has been suggested to result in a higher chance of sperm recovery success after vasectomy reversal because the epididymis undergoes less disruption and inflammation after the initial vasectomy procedure.
More information: Advantages of an open-ended vasectomy
What is fascial interposition?
Fascial interposition involves separating the divided ends of the upper and lower vas deferens by interposing healthy fascial tissue between the two divided ends. This technique minimizes the chance the divided ends can come into close contact and possibly reconnect.
The lower end is allowed to remain open and fascial interposition is effectively accomplished with small titanium clips. Using clips allows the procedure to be performed more quickly and with less risk of trauma and bleeding than can occur when using suture.
The titanium clips are small, non-reactive, and are difficult to feel after a vasectomy.
The titanium clips are about the size of a large grain of rice. The clips are not placed across the vas deferens. Instead they are placed in alignment and parallel to each vas deferens. Since the clips are smaller than the vas deferens they are much harder to feel externally.
The titanium clips and fascial interposition cause the divided ends of each vas deferens to remain separate long enough for the tubes to heal closed. This most likely happens within the first six (6) weeks after having a vasectomy procedure.
His Choice Vasectomy: A great vasectomy technique!
We specialize in minimally invasive vasectomy. We are one of few vasectomy providers who let you have a vasectomy during a single office visit. We cannot make having a vasectomy any easier for you than we already do!
With no needle, no scalpel, and a single skin opening you will be back on your feet in no time!
Frozen peas and ice will not be required.
