“Pains” after a vasectomy…is it phantom?

Can be. Post surgical issues of testicular or scrotal procedures are complicated by the fact that the patient can see and feel the area of healing. In other words you can’t see or feel the area of healing of an appendectomy. In addition the testicles move around and this too keeps the fact that something has been done heavy on the mind of the male patient. So many times I’ll see  a patient after a vasectomy and they will tell me that one or both of their testicles are swollen. Commonly I examine them and everything is normal. I can only deduce that the post surgical changes  brought about by cutting the vas tube and sealing it has set in motion a chain of events that causes discomfort and is perceived by the patient as being “swollen.” 

From Vasectomy.com-Dr. McHugh opines.

Vasectomy Madness!

Call Kathy Burton at 770-535-0001 ext 113 to schedule a No Scalpel Vasectomy and have a great excuse to stay home and watch basketball. You can also schedule by using the form below or emailing Kathy-Kathy.burton@ngurology.com

Questions that vasectomy patients have asked and a doctor has answered.

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From Vasectomy.com’s page “Ask a Doctor.”

Do you have a question for our doctors? Fill in the form below and we’ll try to help.

March Madness and Vasectomy…fact or fiction?

March Madness and the Long Running Myth in Urology

By: Urology Care Foundation | Posted on: 23 Mar 2016

March Madness and the Long Running Myth in Urology

It’s no secret that this country loves March Madness, but is it true vasectomy appointments spike during this time of year? Do so many men opt for the procedure during March that urologists are flooded with requests? Do men want a reason to stay at home and watch these games that bad?

“Difficult to completely say if it’s a myth or not, but vasectomy appointments don’t go up during March Madness at my practice,” said Dr. Ajay Nangia. “I’ve been doing vasectomies for 16 years and it’s not like I’m suddenly getting inundated for requests on the Friday of March Madness.”

Dr. Nangia, who volunteers for the Urology Care Foundation, is an Associate Professor of Urology at the University of Kansas Medical Center. For the record, Kansas is home to some of the most loyal college basketball fans in America. The Kansas Jayhawks were a No. 1 seed in the 2016 tournament and they won it all in 2008.

Other popular sporting events rumored to cause a rise in vasectomy requests include the Olympics, World Cup and Masters (golf tournament). None of this has ever been proven in a study, according to Dr. Nangia.

“I don’t think anyone’s ever published a study on it,” Dr. Nangia said. “If there were to be a study, it shouldn’t be based on one practice.”

The American Urological Association (AUA) has never reported any data linking March Madness, or other sporting event, to an increased number of vasectomies performed. However, a report from CNN in 2014 quoted Dr. Ed Sabanegh, chairman of the Department of Urology at the Cleveland Clinic, as saying his practice performs about 50% more vasectomies in March.

Dr. Nangia thinks the idea that “vasectomy appointments skyrocket in March” might be an illusion. He explained that since many practices promote getting vasectomies in March (i.e., giving away free pizza coupons with appointments) it may simply just feel as though more men are undergoing the procedure in March. Until a study is done to find out if U.S. men line up in droves for a vasectomy during March Madness, we may never know for sure.

Learn more about vasectomy

However…if you do want to have your vasectomy during March Madness…we’ll happily we’ll make it happen! Contact us 24/7 and leave your number and we’ll call for an appointment.

The “skinny” on a Vasectomy

Vasectomy Quick Facts

Here is a helpful collection of interesting facts and points of information about vasectomy:

  • Each year, between 500,000 and 600,000 men select vasectomy as the permanent birth control method of choice in their family.
  • Vasectomy is considered nearly 100 percent effective, safe, and does not interfere with sexual pleasure.
  • The No-Scalpel Vasectomy (NSV) procedure was developed in the early 1970s in China by Dr. Li Shunqiang.
  • During the past few decades, over 15 million vasectomies have been performed around the world using the NSV technique.
  • No-scalpel vasectomy can be completed in about 15 – 20 minutes.
  • A vasectomy does not reduce a manís sexual drive, virility or his ability to have or enjoy sex.
  • About 85 percent of health care insurance programs include coverage for the vasectomy procedure, so there may be little or no cost to you.
  • Most vasectomy procedures are performed by urologists; medical doctors who are specialists in the male and female urinary tract and the male reproductive organs.
  • Sterilization for a man (vasectomy) is significantly less expensive than for a woman (tubal ligation), which may be as much as five times more costly. Learn more about vasectomy costs.
  • Many vasectomy procedures are performed on Thursdays or Fridays to allow for a weekend vasectomy recovery time – before returning to work the following week.

Leave your number and we’ll call you to set up a consultation!

Vasectomy follow up? Nearly one half of men never submit a post vasectomy semen specimen.



Patient Non-Compliance With Vasectomy Follow-Up

Urology – September 30, 2013 – Vol. 30 – No. 10

Nearly 50% of patients do not perform post-vasectomy requested semen analysis.

Article Reviewed: Compliance With Semen Analysis. Duplisea J, Whelan T: J Urol; 2013;189 (June): 2248-2251.

Background: Nearly half a million men undergo vasectomy in the United States each year. While this is generally a straightforward procedure, it is not 100% successful. Post-vasectomy semen analysis helps the physician confidently determine if the procedure was successful, but no consensus exists to guide post-vasectomy semen analysis routine; the 2012 AUA guidelines suggest a single negative sample performed 8 to 16 weeks post-procedure, and <100,000 sperm/mL (non-motile) is considered a success. Patient compliance with post-vasectomy semen analysis is low and few studies review the reasons for poor compliance.

Objective: To determine which men are more or less likely to comply with requested post-vasectomy semen analysis based on demographic data.

Design/Methods: The authors performed a retrospective review of 946 men undergoing vasectomy at a single institution/single surgeon performed between January 2002 and December 2009. For this particular surgeon, post-vasectomy semen analysis was requested for 2 samples 16 weeks after vasectomy. The information was reiterated during vasectomy and written instructions were provided. The surgeon removed a piece of vas for pathologic analysis.

Results: The mean age of vasectomy patients was 33.6 years and they had a mean of 2.15 children before vasectomy. Over 80% of men were married and the complication rate was 3.4%. Complications were mostly hematoma and sperm granuloma. Vasectomy was repeated in 4 men, 3 of whom requested the repeat due to persistent non-motile sperm. Nearly 50% of men submitted no samples (48%) and 16% only submitted 1 sample. Men who were noncompliant tended to be aged <34 years, had ≥3 children, and did not have complications. Based on further logistic regression analysis, only an increased number of children was predictive of noncompliance.

Conclusions: Men with more children, of younger age, and without complications tend to be less likely to submit a post-vasectomy semen analysis. While the best protocol for post-procedure evaluation remains to be determined, increasing compliance is in the best interest of the physician.

Reviewer’s Comments: The most recent AUA guidelines do not suggest that pathologic analysis is necessary during a vasectomy, making post-vasectomy semen analysis the determinant of success. Unfortunately, as nearly all urologists experience, the majority of patients are not compliant with post-vasectomy semen analysis. The authors requested 2 post-vasectomy semen analysis samples and this was only completed by 36% of patients. Based on the guidelines, only 1 patient truly required a repeat procedure. Even with low failure rates, vasectomy remains a frequently litigated urologic procedure and physicians want to ensure success. As much as can be reiterated to the patient, obtaining a single semen analysis at least 8 weeks post-procedure should be the goal of all physicians performing vasectomy.(Reviewer–Gregory Lowe, MD).


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