Feedback from Our Vasectomy Patients (1) | Minnesota

Here are the feedback from our vasectomy patients (1).

• I found I was worried over nothing. It was minimal discomfort and even that was completely gone after a week.

• The procedure was very quick (20 minutes from the moment that I was called in until the moment that I walked out). There was virtually no pain at all, and within 4 days I was completely back to normal. I would highly recommend this procedure and Dr. Shu to anyone looking to have a vasectomy.

• super easy procedure

• I am very pleased with the procedure! It was as easy as 1,2,3 .

• Everything was real good except having to wait 30 min. past the scheduled appointment before getting in for procedure.

• Very easy procedure. Thanks to the staff for calming my nerves.

• It’s hard to rate the procedure. I didn’t enjoy it.

• I have recommended the office to several friends.

• I would highly recommend this type of vasectomy. A quick procedure,with very little pain and a fast recovery.

• Any fears about pain, mishaps, or the procedure were unnecessary. The entire experience was far more easier than I had anticipated. I highly recommended your clinic for anyone considering a vesectomy. Thank you.

• This was as easy and painless as it could possibly be. I also saved a TON of money over going to my regular doctor’s office. I am very happy with my decision.

• I should have had this done 30 years ago

• I could not believe how painless it was. I was worried about it for no reason. It was over in less than five minutes once from the time I was set on the table to the time i was

Procedure Clinic Offers No-scalpel, No-needle, No-suture Vasectomy | Minnesota

Getting a vasectomy is an important decision in any man’s life and it is not a decision that should be taken lightly. Vasectomy is a safe and popular procedure of male contraception that is highly effective and a no scalpel vasectomy can be done in as little as ten minutes. Dr. Shu at Procedure Clinic uses state of the art technology and minimal invasive techniques and his years of experience for performing vasectomies and he has performed hundreds of such procedures in recent years. No scalpel vasectomy is a simple procedure that has a very low failure rate and quick recovery period as patients can resume work in as little as two days.

Things to Know About Vasectomy

One should gather ample information and learn the facts and concepts associated with vasectomy before undergoing the procedure. Here are some things you should know about vasectomy before choosing it as a form of contraception:

  • Vasectomy is performed as a permanent form of male contraception
  • No scalpel vasectomy is much less invasive and offers quick recovery
  • Vasectomy is ideal for men who are 100% sure they do not want more children
  • Vasectomies are nearly 100 percent effective and safe.
  • They don’t reduce a man’s sexual drive, virility, or ability to have or enjoy sex.
  • For more information on no scalpel vasectomy, please browse through

    Recovery from No Scalpel Vasectomy | Minnesota

    The recovery from no scalpel vasectomy can be uneventful if the patient reads and fully understands the post procedure instructions. You are encouraged to ask for clarification if you have any questions on the post vasectomy care. You are usually allowed to drive yourself home after surgery if you don’t need to take any sedatives, but you have to arrange for transportation if you will be sedated. The trauma from no scalpel vasectomy is so small that patients rarely need any sedation.

    The post-operative discomfort is quite mild after a no scalpel vasectomy. Local anesthesia given during the surgery will begin to wear off about an hour after the procedure. You may take Tylenol or Ibuprofen for pain control, but narcotics are rarely needed. Many patients who had no scalpel vasectomy in my clinic don’t take any pain medications. Pain and swelling can be minimized by elevating your legs, staying off your feet and applying ice packs to the scrotal area after surgery.

    Antibiotic ointment, gauze and an athletic supporter will be placed over the wound immediately following the vasectomy procedure. Continue to apply the antibiotic ointment daily until the skin puncture site is completely healed. The athletic supporter should be worn for at least 2 days.

    Once you return home after the vasectomy surgery, relax and rest. It is not practical to apply ice pack in the first day because you have high stack of gauze under the athletic supporter. You may apply the ice packs intermittently for the first 48 hours to reduce swelling in the scrotum after the gauze is removed. Overall, Applying ice packs are no longer critical for no-scalpel vasectomy since the trauma is so minimal.

    Patients in the Minneapolis and St. Paul areas often notice scrotal swelling in the first week following the surgery. The swelling often increases with activity, and may be relieved by wearing the athletic supporter and resting.

    You may shower and spend more time walking on the second day. Soaking in a warm bath is allowed once the incision has scabbed and can be soothed and beneficial to healing. Heavy lifting or vigorous physical activity should be avoided for 1 to 2 weeks.

    A small amount of bleeding is normal but active bleeding is not. Call the physician if you experience a significant amount of bleeding or swelling from the incision site or within the scrotum.

    Infection is very uncommon following the no scalpel vasectomy procedure in Minnesota. Contact your physician if you notice excessive redness, tenderness, warmth or drainage from your surgical site.

    Bruising over the scrotal skin is common following vasectomy. Call the physician if the scrotal sac is severely bruised and/or expanding in size.

    Some men develop a small, tender nodule where the vas was cut. These sperm granulomas can produce discomfort, but almost always resolve spontaneously. You can have the site re-examined if you are concerned.

    Semen examinations should be performed to document the success of the vasectomy. Another form of contraception (such as condoms) should be used until you have been notified by your physician that you have had one or two negative semen checks documented. During the first week after surgery, there should be no sex and/or ejaculation. It is important to note that the patient will not be considered sterile for several months after vasectomy. It is important to resume ejaculation because it takes up to 20 ejaculations for any remaining sperm to be released. A semen sample will be examined about 12 weeks or 20 ejaculations after surgery to determine if sperm is still present.

    Indications of No Scalpel Vasectomy in Minnesota

    Vasectomy is a popular permanent sterilization surgical procedure. No scalpel vasectomy in Minnesota is a minimally invasive office procedure that makes a man sterile (unable to get a woman pregnant). Vasectomy may be recommended for men who are 100% sure they do not want to get a woman pregnant in the future.

    A vasectomy is not recommended as a short-term form of birth control. A vasectomy reverse procedure is a much more complicated operation and very costly. So if the men in Minnesota are not sure about vasectomy, they should not do it.

    Vasectomy is indicated for men in Minnesota who:
    • Are in a stable relationship, and both partners agree that they do not want any more children. They do not want to use, or cannot use, other forms of birth control.
    • Are in a stable relationship, and their partner has health problems that would make pregnancy unsafe for her.
    • Are in a stable relationship, and one or both partners have genetic disorders that they do not want to risk passing on to their children.

    Vasectomy may not be a good choice for the men in Minneapolis and St Paul areas who:
    • Are in a relationship with someone who does not know whether or not they want children in the future.
    • Are in a unstable or stressful relationship.
    • Are thinking about having the operation just to please their partner.
    • Want to have children later by storing their sperm or by reversing their vasectomy.
    • Are young and still have many life changes ahead.
    • Are single when they want to have a vasectomy. This includes men who are divorced, widowed, or separated.
    • Do not want, or his partner does not want, to be bothered by having to use other forms of birth control during sexual activity.

    Vasectomy Cost in Minnesota

    Vasectomy costs are usually affordable and often covered under health insurance plans in Minnesota. Typically, vasectomy costs will be in the range of $700 to $1,000 in Minneapolis and St Paul areas, the suggested price range of a vasectomy includes your initial consultation, vasectomy procedure, and post semen analyses. The price can fluctuate based on where you live in Minnesota, the method of procedure, and other variables. Some clinics will include all of these in one price, while many may charge for each individually, so make sure to inquire about the price of consultation and post-op analysis when looking for potential doctors. In most cases, the cost is the same for the no scalpel vasectomy or a conventional vasectomy.

    Vasectomy costs may differ depending on where the procedure takes place. Getting one at a doctor’s office under local anesthesia is usually the cheapest, as hospitals or surgical centers, while still a valid option, may cost more due to anesthesia or facility fees. Dr. Shu performs the no scalpel vasectomy in the brand new surgical suite in Edina, and we don’t charge any anesthesia fee or facility fee. Our vasectomy charge covers the semen analysis. Vasectomy in men is significantly less expensive than tubal ligation in women, which may be as much as five times more costly. Generally, this is because tubal ligation is a more complex surgery, performed in a hospital or surgery center and requiring a general anesthesia. A vasectomy is simpler, safer office procedure.

    Most health insurance companies in Minnesota will cover vasectomy costs, but you should check it to make sure that your insurance company includes vasectomy benefits. If you do not have a health insurance plan, you may ask if the clinic may offer you a discount on your vasectomy cost. Our clinic usually offers a 20% discount for patients who pay in cash.

    Pre-operative Vasectomy consultation in Minnesota

    When men in Minnesota consider male sterilization, a preoperative interactive consultation is an important step in planning on vasectomy. Dr. Shu in One Stop Medical Center recommends that a preoperative consultation should be conducted in person, so the vasectomy consultation will be more effective.

    The minimum and necessary concepts that should be discussed in a preoperative vasectomy consultation include the following: (based on American Urological Association Guideline)

    vasectomy is intended to be a permanent form of contraception.

    vasectomy does not produce immediate sterility.

    • Following vasectomy, another form of contraception is required until vas occlusion is confirmed by post- vasectomy semen analysis (PVSA).

    • Even after vas occlusion is confirmed, vasectomy is not 100% reliable in preventing pregnancy.

    • The risk of pregnancy after vasectomy is approximately 1 in 2,000 for men who have post-vasectomy azoospermia or PVSA showing rare non-motile sperm (RNMS).

    • Repeat vasectomy is necessary in ≤1% of vasectomies, provided that a technique for vas occlusion known to have a low occlusive failure rate has been used.

    • Patients should refrain from ejaculation for approximately one week after vasectomy.

    • Options for fertility after vasectomy include vasectomy reversal and sperm retrieval with in vitro fertilization. These options are not always successful, and they may be expensive.

    • The rates of surgical complications such as symptomatic hematoma and infection are 1-2%. These rates vary with the surgeon’s experience and the criteria used to diagnose these conditions.

    • Chronic scrotal pain associated with negative impact on quality of life occurs after vasectomy in about 1-2% of men. Few of these men require additional surgery.

    • Other permanent and non-permanent alternatives to vasectomy are available.

    Summary of Birth control methods and failure rates |Minnesota

    Different types of birth control methods in Minnesota have large differences in effectiveness, but all birth control methods work the best if used correctly and every time you have sex. The vasectomy is one of the lowest failure rates among the birth control methods. The study showed the traditional vasectomy failure rate is 1-3 per 1000 cases; the failure rate would be less than 1 per 2000 in no scalpel vasectomy with the fascia clipping technique (fascia interposition).

    Failure rates can be calculated statistically under a “perfect-use” condition. A “perfect-use” rate is where any rules and steps of the method are rigorously followed, and (if applicable) the method is used at every act of sexual intercourse. Therefore, actual failure rates are higher than perfect-use rates for a variety of reasons, including wrong instructions, handling mistakes, and mistakes/non-compliance from end users.

    Birth control methods and failure rates (the number of pregnancies expected per 100 women)

    Sterilization surgery for women: Less than 1 pregnancy

    Sterilization implant for women: Less than 1 pregnancy

    Sterilization surgery for men (vasectomy): Less than 1 pregnancy

    Implantable rod: Less than 1 pregnancy

    Intrauterine device: Less than 1 pregnancy

    Shot/injection (Depo-Provera): Less than 1 pregnancy

    Oral contraceptives: 5 pregnancies

    Skin patch: 5 pregnancies

    Vaginal ring: 5 pregnancies

    Male condom 11-16 pregnancies

    Diaphragm with spermicide 15 pregnancies

    Sponge with spermicide 16-32 pregnancies

    Cervical cap with spermicide 17-23 pregnancies

    Female condom: 20 pregnancies

    Natural family planning (rhythm method): 25 pregnancies

    Spermicide alone: 30 pregnancies

    Emergency contraception: 1 pregnancy

    Importance to Follow Post Vasectomy Instructions in Minnesota

    Vasectomy is a minimally invasive sterilization procedure for male patients in Minnesota, in which the vas deferens tube leading from each testicle is cut and sealed, preventing sperm from becoming part of the seminal fluid that leaves the body at sexual climax. Without sperm in the semen after the vasectomy is done, a man impregnate his female partner.

    No scalpel vasectomy is the preferred method in male sterilization. The procedure is usually done in an office setting under the local anesthesia, and the procedure takes about 20 minutes. The semen analysis will confirm the effectiveness of a vasectomy in 3 months.

    The immediate risks of vasectomy are bleeding and infection, but these risks are generally very low for vasectomies. The risks are even lower in our no scalpel vasectomy.  We have performed almost 200 no scalpel vasectomies in Minneapolis/St Paul area in the past years, and there have been no cases of infection or large hematoma (bleeding).

    It is important to follow the post vasectomy instructions.

    • Discomfort should be mild, may take Tylenol or Ibuprofen as needed, normally strong pain relievers are not necessary. Get plenty of rest and stay off your feet. May use ice packs in the first few days.
    • You should wear a new scrotal support immediately after the vasectomy and for a few days afterward.
    • Contact your doctor immediately if you experience severe swelling or a growing mass related to bleeding, any sudden fever, chills, increasing pain, swelling or drainage, and lasting pain.
    • You should be able to take showers after a day or two. Do not take baths or submerge your body in water for a few days after surgery.
    • You should be able to return to work after three days. No strenuous activities or heavy lifting for 1-2 weeks.
    • It is recommended that you abstain from sex 1-2 weeks after the surgery. Keep in mind that until your doctor confirms that you are sterile, use an alternate form of birth control.

    Most Important Question to ask before Vasectomy in Minnesota

    The practice of vasectomy was pioneered in 1900s, but for many years the vasectomy procedure was used sparingly, especially after oral contraceptives were invented for women in the 1950s; many men were uncomfortable with the idea of elective surgery on their sexual organs. But today, vasectomy is becoming more frequent among men in Minnesota and the US, and men are more comfortable with the vasectomy procedure as education about vasectomies becomes more widely available online. Men realize that the idea that vasectomies will lower sex drive or libido is a myth; two vas deferens are cut in the vasectomy, preventing any sperm from exiting the body through the penis. All other functions of the testes are still intact. Even sperm is still produced, but it is absorbed by the body.

    The most popular vasectomy technique in the Minneapolis and St. Paul areas is no scalpel vasectomy, it requires work off for only 2- 3 days compared that of 1-2 weeks with traditional vasectomy, and it is also much less invasive and more affordable than tubal litigation on women.

    No scalpel vasectomy is an affordable, reliable form of male contraception that is more practical than other permanent alternatives in Minnesota. But men must know that sterilization is not immediate after vasectomy. Even after the vas deferens are cut, there is still sperm lingering in your system that can be present in semen. It will take several months before sterility is complete. You should use birth control until your physician determines you are completely sterile.

    Still, vasectomies are permanent, so it is important to be informed before you decide to get one. There is the most important question one must consider:

    Do I want any more children in the future? Vasectomies are more or less permanent. Once the procedure is done, it’s done. It is possible to have vasectomies reversed in Minnesota, but to do so is prohibitively expensive, unreliable, not to mention that sperm production will never be the same as it was before. Do not getting vasectomies if you are not absolutely sure that you want it, and do not assume you can reverse it.

    Biological implications After Vasectomy|Minneapolis & St Paul

    The patients who had the vasectomy in Minnesota often ask where the sperms go after vasectomy. Here is the explanation for biological implication after vasectomy.

    After a vasectomy, the path that sperm travels is interrupted because the vas tube running from testes to the penis is no longer connected. Sperm that is produced is broken down by the body. The epididymis’s membranes absorb the liquid created, while solids substances are further broken down by macrophages and absorbed into the bloodstream. With the increase of stagnant sperm, the membranes of the epididymis increase in size to absorb more liquid. The immune system increases the amount of macrophages to handle an increase of solid waste.

    The testes are still very much alive and functioning; a group of cells with the special function, called Leydig cells, continue to produce a class of androgen hormones, including testosterone, androstenedione and dehydroepiandrosterone (DHEA), which continue to be absorbed into blood. These functional cells in the testes are not affected by vasectomy. Leydig cells are named after the German anatomist Franz Leydig, who discovered them in 1850.

    Vasectomies are, for all intents and purposes, permanent. Reversal vasectomy in the Minneapolis and St Paul areas are costly, have a considerably lower success rate, and often do not restore the sperm count and/or motility to pre-vasectomy levels.

    Confirmed, properly performed vasectomies ensure life-long sterility with almost no chance of making a woman pregnant. No scalpel vasectomy in Minnesota is a simple, safe office procedure done under the local anesthesia. It does not, however, prevent the transmission of STDs.