The Vasectomy Procedure

Our Austin urologists prepare you for what to expect when you have a vasectomy

A vasectomy is considered minor surgery, and it is usually performed in our Austin urology office. The purpose of a vasectomy is to permanently prevent a man from getting a woman pregnant. This is achieved by cutting the vas deferens, which are the tubes that carry sperm to the ejaculatory duct, where it mixes with semen. Cutting the vas deferens tubes simply prevents sperm from mixing with semen, so approximately two to three months after a vasectomy, when a man ejaculates, his semen will not contain any sperm.

The vasectomy procedure is done under local anesthesia, so you will be awake during the procedure. You may feel some pulling or tugging, but you will not experience pain—you will be numb. Most vasectomies take 20 to 30 minutes.

The conventional vasectomy procedure

During a conventional vasectomy, a urologist makes one or two small cuts in the skin of the scrotum. Our urologists cut each vas deferens, sometimes removing a small piece to leave a small gap between the two remaining ends. The ends of the vas deferens are tied or clipped, then cauterized to seal them. Finally, we close the small incisions with dissolvable stitches.

The no-scalpel vasectomy procedure

Our Austin urologists also offer the newer no-scalpel vasectomy. During this procedure, we feel for the vas deferens underneath the skin of the scrotum, and we hold it in place with a small clamp. We use a special instrument to make a very small puncture in the skin of the scrotum, and then stretch the opening, allowing us to gently lift the vas deferens out. We cut them, tie or cauterize them, and put them back in place in the scrotum.
The no-scalpel vasectomy has some benefits over the conventional vasectomy, including: a smaller opening in the skin of the scrotum, as well as less pain, bleeding and swelling.

What to expect on the day of surgery

Our urologists and staff will give you instructions before your surgery.

  • Do not take aspirin, ibuprofen (i.e., Motrin®, Advil®) or naproxen (i.e., Aleve) ) during the two weeks leading up to your surgery. You may use acetaminophen (i.e. Tylenol®) for pain before and after surgery.
  • We will instruct you on how to clean and wash the scrotal area on the day of surgery.

When you arrive at our Austin urology office, this is the usual procedure:

  • We will clean and, if necessary, shave the area of surgery (your scrotum) with an antiseptic cleaner.
  • We may give you medicine for anxiety either orally or intravenously (IV).
  • We will inject a local anesthetic into your scrotum.

After surgery, you will be able to go home—we recommend that you arrange to have a driver to take you home. Before you leave our office, we’ll provide you with detailed instructions for your recovery from vasectomy.

We know that having a vasectomy may make some patients nervous, but you can count on the experienced staff and physicians at Urology Austin to put you at ease before, during and after the vasectomy procedure. If you would like to discuss having a vasectomy, contact us.