Consultation Process

THE VASECTOMY CONSULTATION PROCESS
In Person at one of our two offices (Los Alamitos or Huntington Beach) OR

Online from the convenience of your home! 

At Pacific Coast Urology Medical Center your No Needle No Scalpel Vasectomy is performed by Dr. Robert Pugach, a urologist with specialized expertise in this procedure.  Approximately 5% of urologists in the United States have extensive experience with, and are trained in, the No Needle No Scalpel method.  Dr. Pugach’s experience stretches over 28 years of practice specializing in minimally invasive technology. Having done thousands of vasectomies, the No Needle No Scalpel method was the one he chose for himself when he had a vasectomy several years ago.

HERE IS THE PROCESS TO GET YOUR NO NEEDLE  NO SCALPEL VASECTOMY 

STEP 1:  SCHEDULING YOUR VASECTOMY CONSULTATION -IN PERSON OR ONLINE!

Your first experience at Pacific Coast Urology Medical Center begins with our courteous and knowledgeable professional staff.  We can explain the No Needle No Scalpel Vasectomy and our exclusive vasectomy guarantee procedure.  We’ll be happy to check your health insurance benefits for vasectomy coverage or explain our special cash price and answer your questions.

IN-PERSON VISIT

We have two convenient office locations in (Los Alamitos and Huntington Beach, CA) for your initial consultation with Dr. Robert Pugach.

VIRTUAL (ONLINE) CONSULTATION     NEW!

Dr. Robert Pugach is thrilled to be the first to offer this time-saving high tech solution to the typical office consultation required for a vasectomy.  Now, men can complete state mandated counseling without ever having to leave the comfort of their home.   For more information click here or to schedule your Online/Virtual Consultation, call Kim at 844-EASY VAS (844-327-9827) or Email us via our Contact Us Form!

STEP 2:  YOUR INITIAL CONSULTATION WITH DR. PUGACH  

Prior to undergoing your No Needle No Scalpel Vasectomy, an initial consultation with Dr. Pugach is required.  The State of California mandates that counseling be provided to all men considering a vasectomy.  (See “Forms” to read the State mandated form) During this visit, Dr. Robert Pugach will review your health history, conduct an examination and thoroughly explain the vasectomy procedure.  This is a good time to ask any specific questions that you may want the doctor to address for you.

After counseling is completed you’ll be able to sign the State mandated consent form right away. Then, there is a mandatory waiting period of 72 hours that cannot be waived for any reason.  The State consent form is valid for 180 days.

Your vasectomy can be scheduled immediately after your consultation visit.  While most patients prefer to have their vasectomy on a Friday, so they can return to work or play on Monday, we’re able to provide vasectomies on any day of the week.  In the fall, we also offer vasectomies on Saturdays because so many men want them done at that time.  After we schedule your appointment, we’ll give you an educational package with detailed information of your aftercare instructions.  Don’t worry – the instructions are short and simple to follow!

STEP 3:  NO NEEDLE NO SCALPEL VASECTOMY PROCEDURE DAY

Your vasectomy can be performed at our Los Alamitos or Beverly Hills offices – it’s your choice.  The anesthesia part involves a few sprays of a local anesthetic – the old needle and syringe are no longer used.  You’ll feel either nothing or a sensation that feels like a mild rubber band snap – nothing more.  The procedure itself takes no more than 10 – 15 minutes after that and, remember, we don’t use a scalpel!  Dr. Pugach makes a gentle 1/8” opening in the scrotum that will seal by itself. The stitches that cause pain after a traditional vasectomy are no longer used at Pacific Coast Urology Medical Center!  You’ll typically be in and out of our office in 30 minutes from start to finish!

STEP 4:  VASECTOMY AFTER CARE

You will leave the office with some gauze dressings and a scrotal supporter (jock strap). Dr. Pugach recommends that you take it easy for the first 24 hours after your No Needle No Scalpel vasectomy.  By resting you will recover faster as swelling is minimized.  Dr. Robert Pugach will send you home with specific after care instructions to aid in your healing process.

You’ll remove the gauze the next morning and then take a shower.  We suggest that you apply ice to  the tiny area where your No Needle No Scalpel Vasectomy was performed the day after your procedure.  We also recommend that you wear the scrotal supporter for a week to minimize a tugging sensation that some men may feel.  Normal activities can be resumed after 48 hours.  If you engage in bike riding, working out in a gym, etc. we suggest you hold off for one week.  Sexual activity can be resumed whenever you feel ready for it (usually 2-3 days after your procedure). (Read Step 5)

You can expect a follow up call on from one of our staff members after your vasectomy.  We want to know how you are doing and answer any additional questions you may have.  You can also call us at any time.

STEP 5:  FOLLOW UP VISIT AND SEMEN ANALYSES

So, once your procedure is done here are some words of CAUTION – This Is Important!

You must use some form of birth control until Dr. Pugach gives you the “green light” to not use protection.  It takes approximately 12 to 15 ejaculations before your semen analysis will show 0 sperm. Please be sure you return to Pacific Coast Urology Medical Center to have your semen samples checked to ensure a successful result. We don’t charge for this service and it’s done to give you peace of mind.

STEP 6: REMEMBER OUR 100% MONEY BACK GUARANTEE!

We guarantee a 100% refund if the No Needle No Scalpel Vasectomy does not result in a zero sperm count after Dr. Robert Pugach has confirmed a zero sperm count.  Dr. Robert Pugach will repeat the procedure at no charge or refund your money in full.  We believe that Pacific Coast Urology Medical Center is the only Vasectomy of Center of Excellence to offer this guarantee.

STEP 7: OUR FABULOUS REFERRAL PROGRAM

Do you have a friend or family member who needs a vasectomy?  For every patient referral you make we’ll give you a $50 gift card if he has his vasectomy at Pacific Coast Urology Medical Center!

STEP 8: STAYING IN TOUCH

Should you have any other urological needs or concerns we are here to help.  We offer a variety of ways to stay in touch!  From informational seminars, eNewsletters (Urologic Briefs) to periodic  eBlasts we can be your informational resource for all your urologic issues.  Be sure to give us your email address and let us know if your address and/or phone number changes.