Vasectomy March Madness in Minnesota

National media reported the phenomena of vasectomy March Madness last year, and CNN gave a follow up report on this topic last week. What is Vasectomy March Madness? It is the phenomena that more men seek vasectomy during NCAA Basketball tournament time.

There is no national data to support the trend of vasectomy March Madness. Dr. Ed Sabanegh, chairman of the Department of Urology at the Cleveland Clinic told CNN that they performed 40 or 50 more vasectomies a month before and during the 68-team basketball tourney.

One Stop Medical Center in MN reported that we didn’t notice a trend with vasectomies in Minnesota during the NCAA Basketball tournament last year. We monitored it closely this year, and we did notice big jump in vasectomy procedures in the past few weeks although other factors may play a role, too, such as lowering price and the convenient one trip vasectomy service system.

Men can do two things at once; recover from their vasectomy and catch some great basketball action. It just may become a trend. Pick your favorite sport and time your procedure with the games you want to watch. It may be the World Series, The Super Bowl or the Stanley Cup playoffs that you want to watch with your wife’s approval during your recovery time.

New Study showed Recession Drove More Men to Have Vasectomy

According to a study presented at a meeting of the American Society for Reproductive Medicine on October 15, 2013, there was an increase in the rate of vasectomies performed each year from 2005 to 2012, which coincided with the recession starting in 2007. The increasing trend of vasectomies plateaued at the end of the recession in 2012. The researchers interviewed about 1,700 men who had a vasectomy consultation at a clinic in Wisconsin. About 1,450 of the men went through with the vasectomy procedure.

The studies showed that recession drove men to have a vasectomy earlier. Men who received vasectomy consultation in the years 2005-2008 had on average 3.1 children, a number that fell to 2.3 following the 2008 recession.

The study researcher Dr. Anand Shridharani, a practicing urologist in Milwaukee, thinks that the increase in vasectomy rates mirrors the decrease in average income, which could be taken as a measure of economic health. He believes the economy plays a role in trying to prevent having unintended children because of the economic burden of having a child. Another possible factor is that people may have become more educated about various options for contraception, including vasectomy.

More studies are needed in the future to prove the trend that the recession influences more Americans to decide against having another child with abortions and vasectomies.

Talking to Your Partner Before Vasectomy | Minnesota

The vasectomy procedure is considered permanent birth control ( male sterilization), and the decision to have it done should not be undertaken lightly. Although surgical techniques and technologies now exist in Minnesota that makes it possible to reverse a vasectomy, it will be more complicated and expensive. Moreover, insurance plans in Minneapolis & St Paul usually do not cover the cost of a vasectomy reversal. Other options such as vitro fertilization are even more expensive.

So before you decide if a no scalpel vasectomy is the right choice, you should talk to your partners. The conversation should cover several topics.

  • Why do you want it?
  • What are other birth control options?
  • Do you think your family is complete?
  • Do you want to have more children in the future?
  • Are there any problems in your marriage or sexual difficulties? (understand that a vasectomy will not solve these problems)
  • Any emotional or financial reasons? (wrong reasons)

The decision of a vasectomy based on the right reasons will avoid your regret and bring high satisfaction levels in emotional and sexual relationships with your partner.

No-Scalpel Vasectomy Techniques in Minnesota

No scalpel vasectomy is the preferred method in male sterilization in Minnesota. The procedure is usually done in an office setting under local anesthesia and the procedure takes about 10 minutes.

Many surgeons in the Minneapolis and St. Paul areas claim that they perform no scalpel vasectomy. It is true that they don’t use a scalpel at all during the vasectomy, but there are differences in actual surgical techniques. Some surgeons in Minnesota cut off the small segment of vas only; others cauterize the ends of vas after cutting off. A few surgeons like Dr. Shu also perform the fascia interposition on top of cutting off vas and intraluminal cauterization.

What is fascial interposition in no scalpel vasectomy?

The fascia is a fibrous protective sheath that surrounds the vas deferens. Fascial interposition is the positioning of the prostatic “distal” end of the vas deferens to the outside of the fascial sheath while leaving the testicular “proximal” end within the confines of the fascia.

Why does Dr. Shu perform the fascia interposition on top of cutting off vas and intraluminal cauterization?

The failure rate of traditional vasectomy without fascial interposition is about 1-3 per thousand. Recanalization of the vas deferens is the main cause of vasectomy failure. Fascial interposition helps to prevent this type of failure, increasing the overall success rate of the vasectomy. This method, when combined with intraluminal cautery, has been shown to decrease the failure rate of vasectomy procedures. The failure rate of no scalpel vasectomy with intraluminal cautery and fascial interposition is below 1 per 2000 cases.

More Benefits of Vasectomy than Tubal Ligation | Minnesota

Every couple in Minnesota whose family is complete may consider permanent birth control. The sterilization options include vasectomy, tubal ligation or tubal blocking. Both men and women should know and compare the differences, benefits and risks of these procedures. For most couples, vasectomy is often the safer, simpler and more affordable. There are ample medical and personal reasons why a couple might prefer vasectomy to tubal ligation or blocking. This blog may help you make a more informed decision.

Tubal ligation in Minnesota is usually laparoscopic procedure that involves hospitalization, general anesthesia and lengthier, more complicated surgery than a vasectomy. In comparison, no scalpel vasectomy is done under local anesthesia in the office, and it may be completed in less than 20 minutes with minimal trauma. no scalpel vasectomy has a very quick recovery and very low risk of complications. Tubal ligation requires much longer recovery time than vasectomy. Moreover, Women are more likely to have the immediate and long term complications related to a tubal ligation than men who have a vasectomy.

When it comes to cost, a simple office vasectomy is more than three to four times less expensive than a routine tubal ligation.

An advantage of tubal ligation is that it works immediately, but a vasectomy doesn’t give you instant result, it requires 15-20 ejaculations in the period of 2-3 months. So you have to use a backup method of contraception until you’re in the clear in semen analysis.

The Essure and Adiana devices, which are inserted into the Fallopian tubes, are new alternatives to traditional tubal ligation in Minnesota; it requires a confirmation in 3 months with an x-ray test called a hysterosalpingogram to ensure that they’re installed properly. Another form of birth control must be used in the first 3 months. These tubal blocking procedures are less invasive than tubal ligation, but failure rates are higher in tubal blocking procedures than tubal ligation and no scalpel vasectomy.

People in the Minneapolis and St Paul areas should discuss these issues with your physician in the initial consultations, however, when it comes to risks, benefits, cost, and effectiveness, no scalpel vasectomy is more often the best option of sterilization.

Beauty of No-Scalpel Vasectomy |Minneapolis & St Paul

Vasectomy is the surgical process of blocking the vas deferens (the tube that delivers the sperm from the testis to the penis) in order to prevent conception. It is the most popular form of male contraception in Minnesota and the United States. Each year, more than half million men worldwide choose to get a vasectomy. Since vasectomy simply interrupts the delivery of the sperm, it does not change hormonal function and sexual drive. Vasectomy has been proved to be free of known long term side effects, and is considered to be the safest and most reliable method of permanent male sterilization.

No Scalpel Vasectomy procedure was developed in the early 1970s in China. It is just as effective as traditional vasectomy. Almost 20 million No-Scalpel Vasectomies have been performed around the world. It has become more and more popular in the Minneapolis and St. Paul areas over the past decade, and no scalpel vasectomy becomes a minimal invasive office procedure.

As compared to conventional vasectomy, the beauty of no-scalpel vasectomy includes:

  • No incision with a scalpel–only a tiny puncture
  • Quicker procedure
  • Less Trauma
  • No stitches
  • Less discomfort
  • quicker recovery (2-3 days)
  • Less chance of complications

No Scalpel Vasectomy in Minnesota

No scalpel vasectomy is a minimal invasive surgical procedure that closes off the vas deferens in the scrotum, effectively sealing off the tubes that carry sperm from the testicles out. It usually is performed in the office under local anesthesia.

No scalpel vasectomy is considered a permanent form of male birth control. Before you consider a no scalpel vasectomy, you should be certain you don’t want to father a child in the future. Although it may be possible to reverse your vasectomy if you change your mind in the future, there’s no guarantee it will work. Vasectomy reversal surgery is more complicated than vasectomy itself, it can be expensive and is ineffective for many men in Minnesota.

A no scalpel vasectomy is a type of vasectomy procedure where there is virtually no big incision involved. For most men in the Minneapolis and St Paul areas, a no-scalpel vasectomy doesn’t cause any noticeable side effects, and serious complications are rare.

No scalpel vasectomy is a very safe office procedure with rare complications. Many men in Minnesota worry that a vasectomy could affect their sexual performance – but this fear is unfounded.

A preoperative interactive consultation on no scalpel vasectomy is an important step in planning on vasectomy in Minnesota. We recommend that a preoperative consultation should be conducted in person, so the vasectomy consultation will be more effective.

Before Surgery:

You should follow the pre-op instructions, you may need to

  • Stop taking aspirin or other blood thinners for 10 days before the procedure.
  • May take Ibuprofen 3-4 tabs 1 hour before No scalpel vasectomy
  • Trim the hair as short as possible in the front of scrotum with a scissor (do not shave)
  • Bring an athletic supporter on the day of the procedure.

After Surgery:

You are able to drive home by yourself after the surgery. The recovery after no-scalpel No scalpel vasectomy is quick, most patients go back to work in 3 days.

  • May take Tylenol or Ibuprofen as needed, May use ice packs.
  • Wear a new scrotal support for a few days.
  • Contact your doctor if experience severe swelling, bleeding, fever, and increasing pain.
  • May take showers in two day, and do not take baths for a few 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.
  • Use an alternate form of birth control until your doctor confirms that you are sterile.
  • Collect your specimen for semen analysis after 3 months.

History of Eugenics Movement with Vasectomy in Minnesota

Minnesota was one of 32 states that had bills permitting sterilization of insane and feeble minded individuals. The following information on eugenics movement in Minnesota is from the library in Minnesota Historical Society.

In the early 1920s, Charles Fremont Dight, a physician in Minneapolis, launched a crusade to bring the eugenics movement to Minnesota. He combined the moral philosophy of eugenics with socialism and espoused the idea that the state should administer reproduction of mentally handicapped individuals. His main lines of approach included eugenics education, changes in marriage laws, and the segregation and sterilization of what he called “defective” individuals.

Dight organized the Minnesota Eugenics Society in 1923 and began campaigning for a sterilization law. In 1925 the Minnesota legislature passed a law allowing the sterilization of the “feeble–minded” and insane who were resident in the state’s institutions. For the next several legislative sessions Dight fought unsuccessfully for expansion of the law to include sterilization of the “unfit” who lived outside of institutions.

Dight continued his legislative efforts as late as 1935. He spoke and wrote on the subject of eugenics, including over 300 letters to Minneapolis daily newspapers, a 1935 pamphlet on the History and Early Stages of the Organized Eugenics Movement for Human Betterment in Minnesota, and a 1936 book entitled Call for a New Social Order. In 1933 he sent a letter to Adolph Hitler and included with it one of his letters to the editor in which he commended Hitler’s work in Germany.

The Minnesota Eugenics Society became moribund by the early 1930s. Dight died on June 20, 1938, in Minneapolis. He left his estate to the University of Minnesota to found what became the Dight Institute for the promotion of Human Genetics.

History of Eugenics Movement with Vasectomy in America | Minnesota

Was there a eugenics movement in America? If you haven’t heard of eugenics it is the study or belief in the possibility of improving qualities of the human species or human population by discouraging reproduction by persons having genetic defects or presumed to have inheritable undesired traits (negative eugenics) or encouraging reproduction by persons presumed to have inheritable desirable traits (positive eugenics) Does this sound familiar?

Eugenics was a movement to improve the human species by controlling hereditary factors in mating. The eugenics movement began in the late 1800s in Britain. Francis Galton, an English scientist, coined the term in 1883 and founded the Eugenics Society of Great Britain in 1908. The American Eugenics Society was organized in 1926.

The origin of Eugenics in America started with Albert Ochsner, professor of surgery at the University of Illinois. In 1899 he published, Surgical Treatment of Habitual Criminals. His list of advantages of dealing with criminals using vasectomy was:

1. It would dispense with hereditary criminals from the father’s side.
2. Aside from being sterile the criminal is his normal self.
3. It would protect the community at large while not harming the criminal
4. The same treatment could reasonably be suggested for chronic inebriates, imbeciles, perverts and paupers.

Eugenics was accepted and procedures were carried out without any legal authority in the United Stated. The first state to introduce a compulsory sterilization bill was Michigan in 1897, and Indiana became the first state to enact sterilization legislation in 1907. In time 32 states had eugenics programs permitting sterilization of insane and feeble minded individuals and 12 states included sterilization of criminals. While California had the highest number of sterilizations, North Carolina’s eugenics program was the most aggressive of the those states. Over 60000 men were sterilized with vasectomy in the United States from 1909-1924. By the 1960’s, the eugenic sterilizations slowed to a trickle and eventually stopped as many state statues were overturned due to legal challenges.

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.