Frequently Asked Questions About Vasectomy and Vasectomy Quiz


1.  I want a vasectomy, but I’m concerned about sharp objects around my privates.  What are my choices?
A.  Sharp needles
B.  Painful injection
C.  No needle – instead a simple jet spray

2.  I don’t like the idea of cutting with a scalpel, and stitches.  What are my choices?
A. 2 large incisions with a scalpel
B.  Painful stitches
C.  No scalpel and no stitches

3.  I don’t have a lot of time to recover.  What are my choices?
A.  Pain for up to several weeks
B.  Minimal or no discomfort with a return to normal activities almost immediately

If you answered: 1.  C     2.  C    3.  B

Then you’ve chosen what most men want, the remarkable No Needle No Scalpel vasectomy at Pacific Coast Urology Medical Center.

 Call today to schedule your consultation: 1-888-735-4336  or Email via our Contact Us Form.

Frequently Asked Questions

Answers by Robert G. Pugach, MD

Do couples consider a vasectomy a viable form of birth control?

ANSWER: Yes, a vasectomy is considered as a viable and acceptable form of birth control for men and couples that have completed their family plans. About one out of six American men over the age of 35 has had a vasectomy.

Is a vasectomy considered a permanent form of birth control?

ANSWER: A vasectomy is a permanent type of birth control for a man. The decision to have a vasectomy is very important one and should only be made after careful thought. While a vasectomy can be reversed with microsurgery in many cases, a man should only have a vasectomy if he is certain that he does not want more children.

How is a No Needle No Scalpel Vasectomy different from a “regular” vasectomy and is it a painful procedure?

ANSWER: This is an excellent question as not all doctors and urologist use the No Needle No Scalpel Vasectomy technique. At Pacific Coast Urology Medical Center, I use the No Needle No Scalpel approach that does NOT involve a needle or a scalpel. Instead of feeling pain from a needle to inject a local anesthetic, the “No-Needle” technique is used. This latest innovation passes Novocain liquid with a “jet” injector so a sharp needle never penetrates a patient’s skin. It provides the maximum in patient comfort. The “No Scalpel” part of a less invasive than the older method. Instead of using a scalpel, a special instrument is used to make a single small skin opening through which I can perform the entire procedure! It heals faster and causes less discomfort.

Is vasectomy an outpatient procedure that doesn’t require hospitalization?

ANSWER: The vast majority of the No Needle No Scalpel Vasectomy procedures that I perform are done in my offices and take approximately 15 minutes. Rarely, because of a patient’s anatomy, the procedure needs to be done in an outpatient surgical center but no hospitalization is needed.

How soon can I have my vasectomy done?

ANSWER: In California, there is a mandatory waiting period after signing consent forms for sterilization. The minimum waiting period is 72 hours. After your consultation at Pacific Coast Urology Medical Center, we schedule a convenient date and time for your No Needle No Scalpel Vasectomy.

When can I resume activities?

ANSWER: The key to having a good post-vasectomy experience is to take it easy for the first 24 hours. This minimizes swelling and allows you to have a faster recovery. You will have some gauze dressings and a scrotal supporter on for about 24 hours. 1 day after that resume normal activities. While you may have a minor ache for a few more days, the No Needle No Scalpel technique results in an easy post vasectomy experience for almost everyone. In fact, we perform the majority of vasectomies on Fridays so that patients can take the weekend to recover and return to work on Monday.

When can I have sex after my vasectomy?

ANSWER: I advise my patients that they can engage in sexual activity as soon as any swelling has gone down and they are comfortable.  This typically is in 3 to 5 days. CAUTION: You must continue to use some form of birth control until you return to the office with your semen samples so we can determine that there are NO sperm present in the sample.

What are the complications of a vasectomy?

ANSWER: Complications from a vasectomy are rare. They include transient swelling of the scrotum.  Infections have been only 0.5% of patients undergoing the No Needle No Scalpel Vasectomy. Allergic reactions to Novocain can also occur.

Is it true that a vasectomy can negatively affect a man’s sex life?

ANSWER: A vasectomy does NOT interfere with erections. A vasectomy interrupts the passage of sperm during an orgasm, but hormone levels, blood flow and your ability to get erections are not changed. In fact, many couples experience an improvement in their sexual relations because there is no concern about pregnancy so there can be more spontaneity. Remember:

  • A vasectomy will NOT decrease your sex drive.
  • With a vasectomy you will still have an erection and ejaculate.

As soon as a man has a vasectomy is he is considered “sterile” and no longer able to father a child?

ANSWER: This is NOT true. One very important part of a vasectomy is to understand that you are not “sterile” immediately after the procedure. It takes approximately 10 weeks before all sperm are cleared from each vas deferens (roughly 15 – 20 ejaculations). At Pacific Coast Urology Medical Center, we will check your semen analyses in our office until there are two samples one month apart that show no sperm. Once that happens, you can be considered sterile and there is no need for further follow up visits. Until then, you should be sure to use appropriate protection to prevent a pregnancy.

Is it safer for a man to have a vasectomy or for a woman to have her tubes tied?

ANSWER: It’s safer for a man to have a vasectomy. A vasectomy is done through the scrotum and requires only a local anesthetic. With the No Needle No Scalpel Vasectomy technique there is no scalpel incision and no needle ever penetrates your skin. For women, a general anesthetic is typically required and the abdominal cavity must be entered.

How effective is a vasectomy in preventing pregnancy?

ANSWER: A vasectomy is an effective form of birth control and is considered a male sterilization procedure. The CDC estimates a probability of 11 failures per 1,000 procedures over 2 years, with half of the failures occurring in the first three months after the vasectomy. No failures occurred after 72 weeks. This is why it is so important to bring in your post – vasectomy semen samples to ensure that your vasectomy was a success.