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.

Vasectomy in Minneapolis

With so many options available in terms of birth control for women, many men in Minnesota inquire regarding the availability of other options for male birth control excluding the usual abstinence, condoms, withdrawal before ejaculation, and vasectomy. We would predict that with the fast development of modern medical science in 21th century, just as women do, men will soon be able to simply take a pill to control the release of their sperm.

There are actually much medical research being done in this field; such a market has a high demand. A number of research groups across the globe have tried different alternatives to male birth control. These include injected plugs, heat methods, pharmaceuticals, hormonal therapy, and obstruction of the vas deferens. Despite promising developments, these treatments are experimental , and not approved by FDA. Reversible inhibition of sperm under guidance (RISUG) got more attention recently; phase III clinical trials are underway in India. RISUG works by injecting the polymer into the vas deferens, the polymer prevents the sperm from fertilizing an egg.

Many people in Minneapolis and St Paul areas are still misinformed about vasectomy; it is not as painful and inconveniencing as one may believe. Modern developments in vasectomy have reached a point where a vasectomy can be done in a doctor’s office in less than 20 minutes, using only local anesthesia. The procedure is incredibly simple and pain free- it involves making a small incision in the scrotum, where the vas deferens are severed and prevented from joining back together. Discomfort afterwards is minimal and patients can quickly return to their everyday lives. The patient who gets a “no-scalpel” vasectomy typically feel no change in libido, as vasectomies cause no physical change in sensation, testosterone levels, blood flow to the penis, amount of semen, or satisfaction of an orgasm. The only difference is that the semen has no sperm in it.

Simply put, no scalpel vasectomy is a safe, simple, and convenient method of male birth control with few drawbacks.

Anti-vasectomy Bills in Some States, not in Minnesota

In a ploy to get people to take a serious look at the right for a woman to make decisions about her own body, an anti-vasectomy bill was introduced by state representative Yasmin Neal in the early February 2012. She is quoted as saying, “If we legislate women’s bodies, it’s only fair that we legislate men’s,” said Neal, who said she wanted to Write a bill that would generate emotion and conversation the way anti-abortion bills do. “There are too many problems in the state. Why are you under the skirts of women? I’m sure there are other places to be.”
This bill was written in response to a new anti-abortion bill that was introduced in Georgia that contained a prison sentence of 1-10 years for abortions done after 20 weeks of pregnancy. It is currently illegal for abortions to be performed after 20 weeks unless the life or health of the mother will be in jeopardy.

Many people feel that this bill is making light of a very serious topic and are disappointed in the approach of using an anti-vasectomy bill to make a political statement. Even Representative Neal admits that she has no problems with men getting vasectomies. Whether you agree with them or not, you have to admit this is a pretty clever way to make a point. She is definitely getting the attention that she wanted. It is not likely however that this bill will get any serious debate. Other states are also following suit with the same tactic. In the late February, 2012, Rep. Stacey Newman, D-St. Louis, also filed a bill that would prevent men from vasectomies unless needed to avert serious injury or death. We didn’t hear any anti-vasectomy bills in Minnesota.

Vasectomy in Minneapolis

With so many options available in terms of birth control for women, many men in Minnesota inquire regarding the availability of other options for male birth control excluding the usual abstinence, condoms, withdrawal before ejaculation, and vasectomy. I would predict that with the fast development of modern medical science in 21th century, just as women do, men will soon be able to simply take a pill to control the release of their sperm.

There are actually much medical research being done in this field; such a market has a high demand. A number of research groups across the globe have tried different alternatives to male birth control. These include injected plugs, heat methods, pharmaceuticals, hormonal therapy, and obstruction of the vas deferens. Despite promising developments, these treatments are experimental , and not approved by FDA , and not worth any potential risks.

Many people in Minneapolis and St Paul areas are still misinformed about vasectomy; it is not as painful and inconveniencing as one may believe. Modern developments in vasectomy have reached a point where a vasectomy can be done in a doctor’s office in less than 20 minutes, using only local anesthesia. The procedure is incredibly simple and pain free- it involves making a small incision in the scrotum, where the vas deferens are severed and prevented from joining back together. Discomfort afterwards is minimal and patients can quickly return to their everyday lives. The patient who gets a “No Scalpel” vasectomy typically feel no change in libido, as vasectomies cause no physical change in sensation, testosterone levels, blood flow to the penis, amount of semen, or satisfaction of an orgasm. The only difference is that the semen has no sperm in it.

Simply put, no scalpel vasectomy is a safe, simple, and convenient method of male birth control with few drawbacks.

Vasectomy and Sexual Heath | Minneapolis

Many men in Minnesota worry about how a vasectomy will affect their sex drive. Will I be able to have an erection, or ejaculate? How will it affect being able to have an orgasm? Will I still have a sex drive? The good news is that there is no relationship between a vasectomy and sex drive because there are no physiological changes that take place during a vasectomy, and the testicles and adrenal glands continue to manufacture testosterone hormone. Testosterone also controls masculinity that is why the sex drive and masculinity are not affected by the surgery, either. It will not interfere with the blood vessels or the nerves that are responsible for having an erection and ejaculation.  Men after vasectomy in Minneapolis and St Paul areas will still have the same ability to maintain an erection and reach the orgasm.  The color and consistency of the semen after vasectomy are not changed since the semen mainly comes from the prostrate and seminal vesicles which are not affected by the vasectomy.

It takes a few months of testing to determine that there are no more sperm present in the semen. Once that is established couples do not have to worry about using another method of birth control.  It has been reported by both men and women that their sex life improved after a vasectomy, most of the vasectomy patients in One Stop Medical Center reported similar results. There is no more anxiety over an unplanned pregnancy and the sex drive has not decreased.

Besides the initial mild swelling and aching right after no scalpel vasectomy, most men recover very quickly and return to work in a few days. Very few men in Minnesota may experience occasional mild aching in their testicles during sexual intercourse within a few months of vasectomy.

What a vasectomy does is prevent the sperm from being able to fertilize an egg. A man will no longer be able to father a child. Since a vasectomy is more of a permanent form of sterilization, it should be seriously and thoroughly discussed between husband and wife and medical professionals in the initial counseling, and all concerns such as; lowered sex drive, any pain related to the surgery, and reversibility, should be addressed.

March Madness is upon us and it brings Vasectomy Madness in Minnesota

NCAA Basketball tournament time seems to be a very popular time for vasectomies. Some clinics in the nation report a 50% increase in vasectomies at that time. Men in Minnesota can do two things at once; recover from their vasectomy and catch some great basketball action. The recovery time for a no-scalpel vasectomy is usually a day or two of rest and using ice packs. What a great way to watch some guilt free basketball knowing that the “to do” list will need to wait. If March is the month you are looking at getting your procedure done, you may want to set up your appointment early.

It just may become a trend in vasectomies in Minneapolis and St Paul areas. 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. Dr. Steven Shu, of One Stop Medical Center in Edina, MN said that so far he has not noticed a trend with vasectomies in Minnesota and the NCAA Basketball tournament. Maybe that is something that he will use for advertising down the road for his vasectomy procedures.

 

Vasectomy Techniques | Minneapolis & St Paul

There are quite a few vasectomy techniques to choose from – traditional vasectomy, no-scalpel vasectomy, laser vasectomy and clip vasectomy. Below is a rundown of how each vasectomy method is performed in Minneapolis and St Paul areas.

Traditional

The traditional vasectomy is a small surgical procedure performed in a surgical center or doctor’s office that typically takes about 30 minutes to complete. Using a scalpel, your doctor makes 1-2 small incisions in the skin of the scrotum to access each testicle’s vas deferens tubes. The tubes are then lifted, cut, and tied or cauterized. The cut tubes are placed back into the scrotal sac before each incision is stitched up, and the sutures are removed in a week. Patients who undergo a traditional vasectomy typically experience more pain and swelling and longer recovery time due to more trauma, bleeding and sutures. Fewer surgeons learn the traditional vasectomy technique nowadays.

Laser

Most of the steps involved for a laser vasectomy are the same as those of a traditional vasectomy. Incisions must first be made in the scrotal skin so that your doctor can access the vas deferens tubes. After the tubes are lifted, a laser is usually used to cut the tubes or stop any bleeding, or a smaller laser wire is used to coagulate the lining of the vas tubes. However, because a laser is not actually needed, there is no significant advantage to using one for a vasectomy. The name “laser vasectomy” is used more for marketing purposes than for actual procedure benefits. Most vasectomies are usually performed with a battery-operated disposable eye cautery.

Clip

The vas clip idea is not new. The use of clips, or permanent staple-like devices, was expected to shorten a vasectomy’s overall procedure time without actually cutting the tubes. These clips cost the patients extra money, typically a few hundred dollars for titanium clips. Studies have also reported that the Vasclip is less effective than the no-scalpel vasectomy for reducing sperm count. To date, there is insufficient evidence showing that the Vasclip is better than a standard vasectomy or offers any known advantages compared to no-scalpel vasectomy techniques. Some insurance companies consider this procedure to be investigational and will not pay for it.

No-Scalpel

Developed in China in the 1970s, the no-scalpel technique is a minimally invasive procedure that does not require a large skin cut or sutures. In the past few decades, it has become increasingly popular around the world, as it is considered a more gentle vasectomy technique that minimizes bruising and discomfort. Other advantages include less noticeable scars and quicker recovery time.

While a scalpel is not used for this method, an opening must still be made in order to access the vas deferens tubes. Under local anesthesia, your doctor uses a specially designed sharp hemostat to penetrate the skin. After he locates and holds the tubes using a small ring clamp, he uses same hemostat to separate the tissue layers and pull the tubes out; the tubes are cut and cauterized a battery-operated disposable eye cautery, and a tiny metal clip is applied to each vas fascia to separate the ends and improve the effectiveness. After placing the tubes back into the scrotal sac, your doctor usually allows the openings to close on their own since the incisions are significantly smaller than those of a traditional vasectomy procedure.

One Stop Medical Clinic in Edina and Shoreview specializes in the office procedure offering the minimally invasive no scalpel vasectomy. Dr. Shu has performed hundreds of no scalpel vasectomy without any complications. Please call our office at 952-922-2151 to have the initial consultation to answer all your questions.

 

Vasectomy History Part 4 | Minneapolis

This is the final part of the long and interesting history of the Vasectomy. The first non-scalpel vasectomy was not performed until 1985 in the United States by Dr. Mark Goldstein at the New York Presbyterian Hospital Cornell Medical Center. He was a member of the international team, sponsored by the Association of Voluntary Surgical Contraception that went to China to learn the procedure. The procedure was then introduced to other countries by the other team members.

In 1999 the no-needle vasectomy is introduced after 6 years of preparation. A spray jet injector was used for the local anesthesia. This technique was developed by Dr. Charles L. Wilson of Seattle, WA in consultation with the late Dr. Ralph Adam who was the inventor of the MadaJet device used in this technique. The local anesthesia given with 30 gauge needle is almost painless in the good hands, mild pain while given anesthesia is actually caused by the acidic lidocaine, but the application of Madajet does reduce the anxiety in the needle phobia patients.

A Study is published in China in 2003 about the long term effects of vasectomy on benign enlargement of the prostrate. (BPH) The study concludes that vasectomy reduces the incidence rate of BPH significantly.

Robotic vasectomy reversal is first performed on rats in 2004. A study was done using a new microsurgical robot that had FDA approval in 2000. It was used to perform two types of reversal procedures on rats. The robot does not have the shaking hands that humans do. The initial results were that the robotic group had less obstruction or blockage than the group where humans performed the procedure. The incidence of granulomas was also much lower in the robotic groups.

A 2005 publication of research into the “no needle” technique of using a high pressure injector to administer anesthetic shows results of less discomfort to patients and is much faster acting than needle administered anesthetic.

The Vasclip which was FDA approved in 2003, has its first independent study into the effectiveness and short term complications of the device published in2006. In 2007 the Vasclip website went dead. It was found that it was not easier to reverse this procedure than a regular vasectomy. Many men got the Vasclip thinking that it would be easier to reverse when they wanted to have children again. In many cases it did more damage to the vas deferens.

Dr. Shu has performed no scalpel vasectomy for 15 years. He invented two-finger technique in facilitating the local anesthesia and holding the vas during the surgery. In 2008, Dr. Steven Shu opened his own clinic, One Stop Medical Center in Edina and Shoreview, MN which is focused on in-office procedures including no-scalpel vasectomy. In 2009 Dr. Steven Shu also adds the “no needle” vasectomy. The clinic has been doing many more vasectomies every year after the procedure-oriented clinic gained more reputation and became the number one vasectomy clinic in Minnesota. Dr. Shu is an assistant professor in the University of Minnesota medical school, teaching no scalpel vasectomy and other office procedures in the Smiley’s Clinic. You can read more about it at www.EZvasectomy.com.

 

Non-Scalpel Vasectomy

What is a Vasectomy?

A vasectomy is a surgical procedure that closes off the vas deferens in the scrotum, effectively sealing off the tubes that carry sperm from the testicles out. Known casually as ‘tube tying,’ a vasectomy is intended to render a man sterile.

What’s a Non-Scalpel Vasectomy?

A non-scalpel, or non-needle non-scalpel vasectomy, is a type of vasectomy procedure where there is virtually no intensive surgery involved. Anesthesia is administered by a jet spray, without any needle puncture. A single needle is inserted into the scrotum, but the vas deferens are pulled through that hole and all surgical interaction takes place outside of the scrotum. No scalpel is necessary. The process is reversible, but with no guarantee. While the vasectomy itself is typically nearly 100% effective, the reversal process is only 60%.

Benefits of a Non-Scalpel Vasectomy

Non-scalpel vasectomies are simple procedures. Because it requires no scalpel and only a small puncture, the wound will heal quickly and naturally. No incision is made, and there is no unsightly scarring. There is a much lower chance of infection. Additionally, the procedure heals easily, meaning a patient can get back to work within a few days and can resume sexual activity after two weeks. The entire process will usually take under an hour, including paperwork. The vasectomy will not affect a patient’s sexual enjoyment negatively. There is virtually no risk of complications or cancer as a result of the procedure.

Potential Risks

While complications are rare, some may occur. Possible complications include bleeding that appears like bruising, infection, chronic ache or temporary acute pain, psychological sexual difficulties, or sperm granulomas. All of these can be treated in some form or another should they occur.

Psychological issues can be addressed before and after the procedure. Men have an understandable fear of genital surgery. Doctors are capable of answering any question the patient may have. The procedure is nearly 100% effective with virtually no risk of complications, and within a month the man will be back to peak performance in every way. After three months testing is required to ensure sterility.

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