Sugar Hill, Georgia No Scalpel Vasectomy | John McHugh M.D.

 

Sugar Hill, Ga No Scalpel Vasectomy Offered with Affordable and Targeted Vasectomy Anesthesia.

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Be sure to check out Dr. McHugh’s eBook, “Everything you’d want to know about a vasectomy…but your wife forgot to ask.” Click here-this is a great starting point in your vasectomy decision making journey!

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Sugar Hill, Ga No Scalpel Vasectomy: A vasectomy is a common surgical procedure performed in our office for men looking for permanent birth control. In this procedure, a portion of the duct that carries sperm is removed. Every year more than one-half million men in the United States have this minor surgery. Vasectomy is safe, highly effective, and has no impact on erection or sexual performance. A scalpel free vasectomy is not very different from a routine vasectomy. In a scalpel-free vasectomy, the skin is opened using a razor-sharp clamp rather than a surgical blade. A length of each sperm duct is still removed, but the incisions are even smaller. A “Vasectomy in Pictures” performed by Dr. McHugh.

Is there pain with having a vasectomy? 

There doesn’t have to be. Our facility is an accredited ambulatory surgery center, and as a result we can offer several options for anesthesia. We call it “affordable and targeted vasectomy anesthesia.” This means we match the level of anesthesia to the level of the patient’s level of anxiety, in other words you can have it “your way.” Watch the video below for an overview of targeted vasectomy anesthesia and then Dr. McHugh will discuss it with you further at the time of your vasectomy consultation.

 

The Male Reproductive System

Sperm are produced in the testicles. Sperm ducts then carry the sperm to mix with fluids from the seminal vesicle and the prostate to form semen. The semen passes through the urethra and is ejaculated during sexual intercourse (Figure 1).  A vasectomy prevents sperm from mixing with semen by blocking both sperm ducts. Sperm continue to be produced in the testicles. The sperm, however, make it only as far as the new point of blockage in the sperm duct. At this point, the sperm is reabsorbed. As a result, there are no sperm in the semen that is ejaculated at the time of intercourse.

How will my vasectomy affect me?

The prostate and seminal vesicles continue to produce fluids that are ejaculated. In fact, the amount of fluid ejaculated decreases only about 5% after a vasectomy. In terms of sexual performance, vasectomy has no negative effects and as a result the erection and male hormone levels remain the same.

What are the benefits of a vasectomy?

The prostate and seminal vesicles continue to produce fluids that are ejaculated. In fact, the amount of fluid ejaculated decreases only about 5% after a vasectomy. In terms of sexual performance, vasectomy has no negative effects—erection and male hormone levels remain the same.

Are there any complications?

There are no known long-term complications after a vasectomy. About 60%-70% of men develop anti-sperm antibodies in their blood, which is a harmless allergy to your own sperm. There is no evidence that these antibodies have a major effect on other organ systems.

How should I prepare for a  vasectomy?

A vasectomy is usually performed in our office or in our surgery center on an outpatient basis. Since you will receive a local anesthetic and most likely some medication to help you relax, we will require that you arrange to have someone drive you home afterward. You may also be asked to bring an athletic supporter with you.

How long does it take?

Figure 2 Incision site for vasectomyA vasectomy only takes about 15-30 minutes. First, a local anesthetic will be applied to your scrotal area. You may also be given a mild sedative to help you relax. Then either one or two small incisions (cuts) are made in the scrotum (Figure 2). These incisions are so small that stitches may not be needed. If stitches are used, they will dissolve by themselves.

Location of the sperm duct and its appearance afterAfter making the incisions, the doctor will cut the sperm ducts, removing about one-half inch to one inch of each duct. This is done to reduce the possibility of the sperm ducts rejoining (Figure 3).

 

How will I feel after the procedure?

The most common side effects of vasectomy are minor bleeding (enough to stain the bandage), some discomfort, and mild swelling in the area of the incision.  These are not unusual and should stop within 72 hours.  Occasionally, the skin of the scrotum and base of the penis turn black and blue. This lasts only a few days, and will disappear without treatment.

The most commonly reported complication is mild discomfort in the testicles that usually improves with medication, warm soaks, and by elevating the scrotum. Infrequently, a patient may experience pain around the testicles up to 20 years after the vasectomy. This is a harmless reaction and usually responds to heat and medication.

Very rarely, a small blood vessel may enter the scrotum and form a clot. A small clot will probably dissolve after time, but a large one can be painful and usually requires reopening of the scrotum for drainage. This procedure will require hospitalization and usually a general anesthetic.

Will I miss any days at work?

Most men return to work after 2 days. Some men choose to recuperate over a weekend so they don’t miss any work. Your doctor will tell you to avoid strenuous exercise or heavy lifting for the first 3 days after your vasectomy.

Is the procedure always successful?

Semen is sperm-free in almost all men following a vasectomy. Of every 1000 men who have a vasectomy, less than 2 continue to have sperm in their semen. It is very rare for the sperm ducts not to seal completely. In the event that they do not, you may need a second vasectomy.

When will I be able to return to sexual activity?

You should postpone sexual activity for 72 hours. Because sperm can survive for 6 months or more, you will be asked to bring two specimens of ejaculate for examination under a microscope to your follow-up visit. Unprotected intercourse should not take place until sterility is assured, so continue to use some form of birth control. We suggest a minimum of 3 to 4 months with a minimum of 20 ejaculations before the first semen analysis six-weeks following your procedure. We also recommend that a second analysis eight-weeks following your procedure to indicate the absence of sperm before you resume unprotected intercourse.

Will masculinity be affected?

No. Vasectomy is not the same thing as castration, and sterility does not mean impotence. The hormones that affect masculinity  (growth of facial hair, having a deep voice, sex drive) are still made in the testicles after a vasectomy. These hormones will continue to flow throughout the body in the bloodstream.

Want to see step by step pictures from a vasectomy that Dr. McHugh performed? Not everybody does…but if you do the video below outlines the entire process. 

Vasectomy Reversal-What if I change my mind?

A vasectomy should be considered to be a permanent procedure. It is not for men who plan to have children in the future. However, with the death of a child or spouse, or in the case of divorce, it may be possible to reverse this procedure. However, the reversal may fail due to persistent blockages in the sperm ducts.
We do perform vasectomy reversals most every week in our surgical facility.  If interested in a microscopic vasectomy reversal, Dr. McHugh is one of the most experienced reversal urologists in Georgia. Call 770-535-0000 or email: jmchugh@gavasectomyreversal.com to schedule your free reversal consultation and please visit Dr. McHugh’s reversal website Gavasectomyreversal.com

Vasectomy Reversal Best of Georgia

From Amino, Inc.

We rank doctors nationwide by the number of vasectomy patients they treated from 2014–2018. We give Dr. McHugh a badge if we have enough data to determine that he is among the top-ranked doctors for vasectomy, meaning he sees a lot of vasectomy patients compared to other doctors.

Dr. McHugh has performed over 700 no scalpel vasectomies and microscopic vasectomy reversals since January 2021!

Considering a No Scalpel Vasectomy? Let’s get started. We respond promptly to contact form inquires!

no scalpel vasectomy testimonial

Thank you!

Top notch facility, staff, and doctor. Everything went smoothly and the staff and doctor made me feel comfortable from start to finish. Highly recommended!

A.V.-Microscopic Vasectomy Reversal

Contact us for no needle vasectomy or microscopic vasectomy reversal.

Two interesting things about having a vasectomy. — Georgia Vasectomy/Vasectomy Reversal-John McHugh M.D.

First interesting thing: Getting an infection is uncommon. Most urologists do not place a suture in the small opening necessary for doing the procedure and this may be protective. Second interesting thing: If there is a sperm granuloma or some swelling or tenderness under the scrotal skin, it usually resolves on its own and…is…

via Two interesting things about having a vasectomy. — Georgia Vasectomy/Vasectomy Reversal-John McHugh M.D.

Vasectomy message boards…are they helpful? Well…yes and no.

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Online themes focus on relaying personal experience or to obtain information on expectations after vasectomy.

I was told by a lawn management consultant that the soccer field I was trying to improve was of the “Heinz 57” variety. In other words a mixture of many types of grass and weeds. Decision making in medicine, and having a vasectomy and who will do it,  is often the result of the accumulation of a hodgepodge of information.

I have told my prostate caner patients for years to learn from the internet, friends, family, books and yes…wait for it…your doctor to arrive at a decision about your medical care that is best for you. Getting a vasectomy is no different. So…take what you get from others, all others, with a proverbial grain of salt!  J.M.

Background: Patients are increasingly utilizing the internet to gain knowledge and information about disease states and treatments.

Objective: To identify common themes and usages of online message boards focused on vasectomy.

Design: Review of online content from patients.

Methods: Using the search term “vasectomy,” internet discussion boards were identified. The 3 discussion boards with the most posts were selected for investigation. An iterative and structured analysis process was undertaken to determine common themes.

Results: 129 posts from the 3 message boards were examined. The 2 most common topics were changes in sexual function after vasectomy and pain after vasectomy. Changes in sexual function included a variety of concerns including unexpected genital or sexual issues arising after vasectomy. Declines in sexual drive, erection quality, and orgasmic or ejaculatory changes were described. Posts relating to pain around vasectomy discussed concerns related to a “normal” amount of postprocedural pain or how to manage pain after vasectomy. Other topics included planning for postvasectomy care, potential issues after vasectomy, and feelings about a vasectomy. Overall, online content roughly divided into 2 uses – sharing personal experiences regarding vasectomy and to get information about what to expect, and how to manage issues that may arise after vasectomy. Medical provider input was not seen, and while some factual content was identified, personal opinion was more common.

Conclusions: Internet message boards on vasectomy focus on information exchange and personal experience. Factual content is limited, and medical provider input is uncommon.

Reviewer’s Comments: This is an interesting study that analyzes how men use the internet to discuss vasectomy. I am generally positive on patients using the internet to gain a functional knowledge of medical conditions if they are open to additional education during our visit. The use here of patients being able to relate to other men either before or after their vasectomy is a benefit as this personal type of interaction is not part of the usual patient-physician interaction. Online message board content is of course subject to the patients who decide to post and may be skewed by patients with poor outcomes. The aforesaid findings can potentially help providers counsel patients on expectations after vasectomy.(Reviewer–Charles Welliver, MD).

Article Reviewed: A Thematic Analysis of Online Discussion Boards for Vasectomy. Samplaski MK: Urology; 2018;111 (January): 32-38.

Did you know? Dr. McHugh is in Top 5% of urologists performing vasectomies in the U.S.

From Amino, Inc.

How does Amino determine Dr. McHugh’s vasectomy experience?

To give you an overview of Dr. McHugh’s practice experience, we show you how his practice compares to other doctors nationwide.

To determine Dr. McHugh’s experience treating vasectomy patients, we use our database of over 9 billion doctor-patient interactions. In our database, we look at every doctor who is a family practitioner, urologist, or surgeon, because these are the specialties that our data shows are most likely to treat vasectomy patients.

From this group of doctors, we rank doctors nationwide by the number of vasectomy patients they treated from 2014–2018. We give Dr. McHugh a badge if we have enough data to determine that he is among the top-ranked doctors for vasectomy, meaning he sees a lot of vasectomy patients compared to other doctors.

For vasectomy, Dr. McHugh has a top 5% badge, because he treated more vasectomy patients than 95% of similar doctors nationwide for 2014–2018.

We determine which of Dr. McHugh’s patients receive vasectomy by looking at the medical billing codes that appear on the electronic health insurance claims from their interactions with Dr. McHugh. Because there are tens of thousands of unique medical billing codes used to describe different types of health care interactions, Amino groups billing codes that describe similar health conditions or services into a single category that we display on our website with a user-friendly name (e.g. “diabetes”, “asthma”, “knee replacement”).

We count each distinct patient only once for any given reason for visit, but the same patient may be counted toward multiple reasons for visit if Dr. McHugh treated that patient for multiple reasons.

Know someone considering a vasectomy? A 101 Vasectomy primer of “A vasectomy through pictures!”

The pictures are graphic and show actual pictures of a vasectomy.

Scheduling a vasectomy is easy. We make a point to make your experience comfortable and hopefully pleasant. Using the contact form a consultation can be made 24-7 or one can call 770-535-0001 ext 113 and Kathy Burton will streamline the process. Do you have a burning question about having a vasectomy? You also can ask us questions by utilizing the contact form below or visiting Vasectomy.com. Dr. McHugh answers vasectomy questions from all over the U.S.

 

 

 

 

 

 

 

 

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.