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Only a few urologists in Georgia perform microscopic vasectomy reversals. Why is that?

It is very difficult to sew microscopic suture the size of a strand of hair to connect an opening the size of the “O” in God on a penny looking through a magnifying operating microscope. 12-15 sutures are placed on each side to complete the procedure.

It takes experience, patience, and having a “knack for it” to perform this procedure it in a time efficient and successful fashion.

The video shows the completion of one of 12-15 sutures necessary to complete one side.

Note the fluidity of completing the knot and the lack of  wasted motion. This takes years of experience.

At Northeast Georgia Urological Associates we perform on a regular basis (50 a year) reversals in our accredited surgery center. You can call, email or text to arrange a free in office or by phone consultation. We will respond promptly and look forward to speaking with you.

Prostate cancer detection-To MRI or Not to MRI…that is the question?

The MRI of the prostate conundrum…helpful or a hoax?

Prostate Diaries

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If you had clinically insignificant prostate cancer…would you want to know it?

If you knew it do you know exactly what that means?

Or do you think the doctor or radiologist telling you that can promise you that it won’t actually become, or already is, clinically significant?

Would you want a biopsy to “prove with tissue” the exact Gleason’s grade of this insignificant cancer?

Have you ever compared the cost of a standard prostate biopsy to the cost of a prostate MRI and a fusion biopsy together?

If the fusion biopsy and the pre biopsy MRI has a higher rate of finding clinically significant prostate cancer but is not good at finding the so called “insignificant prostate cancer” does this actually give you peace of mind?

Who started all of this anyway? Could it have been the same group that said the Psa was worthless and cost too much to…

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What is Gleason’s score? If you have been told you have prostate cancer and you don’t know…get a second opinion.

Know thy Gleason’s Score!

Prostate Diaries

453What is Gleason’s score?-Click Here

Here’s the thing…if you want to have your prostate removed because you’ve been told you’d be “done with it” that might not necessarily be true. If your cancer is Gleason’s 8 and you elect to remove the prostate there is still a significant chance you’ll still need radiation. Knowing this and that you may not be “done with it” would you consider having radiation from the get go? It would make a difference to me.

Here’s your homework…go to the Johns Hopkins website for prostate cancer and plug your numbers into the Partin table app. This will tell you the chance you’ll need radiation if you choose to have the prostate removed first.

Will this help in the decision making process? You bet your bottom dollar!

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When it comes to a vasectomy…”We cater to cowards.”

Our office made T-shirts a few years back with “We cater to cowards” on the front. They were a big hit, however it happened on more than one occasion that someone asked, “Aren’t you making fun of men? Aren’t you going to make them mad at you?” Well…here’s the dirty little secret…it is no secret that men don’t make good patients in general and they don’t make good vasectomy patient’s in particular. They are unabashedly honest about not liking the idea of “being cut on down there.” So… no it doesn’t embarrass them “a tall” and the more things we can do to make the process pleasant and yes, less painful, the better.

For our vasectomy patients we offer a wide array of options to neutralize this “pain concern issue.”

  • A pre-med prescription of a sedative and a pain pill one hour before the procedure
  • If done in the office we use the No-needle No-scalpel technique (This means one small incision the size of a piece of rice that does not require a suture).
  • We have a fan in the room moving air around and this helps any anxiety.  We play music in the room louder than normal as a distraction. These are small things but part of a bigger plan to decrease any nervousness the patient might be experiencing…without voicing it. That’s right, not every anxious male patient is going to tell you he is anxious or worried. He may not tell us…but we know.
  • For the patient who “doesn’t want to know nothing” and just fall asleep and then wake up and it’s done…we have an accredited surgery center where the vasectomy can be done under I.V. general anesthesia.  Easily 65% of our patients prefer this if they are not significantly affected by cost.
  • We have special pricing that is fair and matches up with what the expense would have been if they had insurance for patients who are self pay or have high deductibles.
  • We mention “fair” because often times non insurance self pay patients, at some practices, are asked to pay more than what an insurance would allow.  We don’t do that.
  • It doesn’t hurt, no pun intended, that we have done thousands of vasectomies over our thirty years in practice and  continue to perform 12-15 a month at both our office and our surgery center.

A recent testimonial from a vasectomy patient:

I was very pleased with the entire process. Dr. McHugh fully educated me on the vasectomy and then performed the procedure perfectly. He made the entire experience easy and painless.

W.W. Gainesville, GA – Oct 06, 2018
The above testimony demonstrates what we at Northeast Georgia Urological Associates hope to achieve with each vasectomy we perform!
Call or email to schedule your vasectomy consultation 24/7 using the form below.

Considering a vasectomy?

Concerned about a high deductible or being self-pay? How about concern about pain? Click here for video.

Call or email 24/7 to schedule consultation-we’ll make every effort to address your biggest concerns and …”get er done.”

Gettin neutered vs. gettin fixed-there’s a difference.

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Did you know?

  • When a male dog is neutered he is having his testicles removed.
  • Testosterone and sperm are produced in the testicles, however only sperm goes out through the vas deferns.
  • Although produced in the testicles, testosterone goes out into the body through the blood system.
  • So…a vasectomy, which severs and occludes the vas tubes, prevents sperm from being in the ejaculate and does not affect the testosterone level.
  • Tell that to your friends at work who, upon hearing that you are having a vasectomy, that no, you won’t be having a voice like a girl. Now you know why.
  • After a vasectomy you are infertile, not impotent.
  • Because the testosterone remains the same you have no change in your libido.
  • It takes about 30 ejaculations to clear the vas tube of sperm beyond the vasectomy site so you will be advised to use protection until the urologist confirms the absence of sperm by microscopic evaluation or a home kit called spermcheck.com which can be ordered online.

In case you have other questions…below is an informative and slightly humorous podcast by Dr. McHugh entitled Vasectomy 101 (Everything you wanted to know but were afraid to ask.)

Considering a vasectomy?  Contact us for a consultation. We have special pricing for patients with a high deductible as well as those who are self-pay.

Natural remedies for overactive bladder symptoms.

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Physicians are often accused of “throwing medicines at a problem” and there is truth in this. However, most doctors use medicines as an adjunct to complement measures a patient can take to help urinary issues. This article goes into things “the patient can do” to help the issue and make a medicine, if one chooses to take it, more effective or not necessary…at all.

From Medical News Today-This is a good starting point in the management of OAB symptoms.

Common questions about a vasectomy answered by Dr. McHugh on Vasectomy.com-? Persistent sperm.

My vasectomy failed. My doctor recommended another procedure with a larger incision under general anesthesia. Should I be concerned?

I had a vasectomy 6 months ago and have done 4 post sperm samples (following time lapse between samples and # of ejaculations). After the last, the doctor himself called to say there were still active sperm. He recommended another procedure with a larger incision, and this time under general anesthesia. It’s a well known hospital and experienced urologist. I already know this is fairly uncommon, but should I be concerned? If he didn’t cut the right thing, what did he cut?

I would not be concerned. Unfortunately, it happens that sperm persists or there is early re-canalization. The larger incision and anesthesia is just a precaution to be sure that everything is correctly identified, that you are comfortable, and that if more dissection is needed, he’ll be prepared. It is unusual for an experienced urologist to not identify the vas correctly as it has a definitive character on palpation.

Other Q and A on vasectomy.com