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Putting Patients First

Welcome to Fifth Avenue Urology, the practice of Dr. Yaniv M. Larish. We are located in Manhattan, in New York City’s beautiful Upper East Side. We offer the most advanced state of the art diagnosis and treatment for all problems of the male and female urological and reproductive systems.

Dr. Larish served as the former chief resident of Urology at Lenox Hill Hospital. Drs. Larish is focused on providing exceptional, detail oriented, unrushed, and compassionate urological care to men and women of all ages. At Fifth Avenue Urology, we view the ability to practice medicine as a privilege, not a right. They treat their patients with respect, professionalism and compassion.

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Yaniv M. Larish, M.D.

dr-yaniv-larish-fifth-avenue-urology2Dr. Larish is a urologist and surgeon treating women and men with a variety of urological conditions. His expertise is in treating complex kidney stones, enlarged prostates (BPH), incontinence, erectile dysfunction, infertility, and urological oncology (prostate, bladder, kidney, and adrenal cancers). He is an expert in general urology and is often consulted for second opinions.

Dr. Larish’s dedication to patients and their families drives his belief in prompt evaluation and care. He treats all his patients like family. As such, same day appointments are available for urgent issues and house calls can be made in select cases.

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Category Archives: Vasectomy

Vasectomies and Vasectomy Reversals

How do vasectomies and vasectomy reversals work? A vasectomy is a surgical procedure that prevents males from getting their partner pregnant. After this surgery, the sperms won’t mix with the semen. This indicates that the body will produce sperms, but it won’t leave the male body. By eliminating sperms from semen, men can prevent pregnancy. However, the person getting vasectomy will still have ejaculation and orgasm.

Vasectomies and Vasectomy Reversals
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Vasectomy is a less invasive treatment that takes about 30 minutes. Since it’s not an invasive treatment, a professional urologist will perform the treatment in the office. After the surgery, you can leave for home and even drive your car. The doctor may refer to this procedure as male sterilization. But, your friend might call it getting snipped or the snip.

Conventional Vasectomy

To perform the procedure, the urologist makes tiny cuts on the scrotum and takes out two tubes. These tubes are vas deferens and they supply sperms to the penis from testicles. Each testicle contains one vas deferens. The doctor cuts the tube, leaving a short gap in between. The doctor will cut vas deferens in a single cut. Sometimes, a second cut is also required. They might stitch both ends to ensure that sperms don’t reach the other end. The stitch might dissolve with time, while both ends of the tube stay adjoined.

No-Scalpel Vasectomy

While performing no-scalpel vasectomy, the doctor feels vas deferens from the scrotum’s skin and holds it with a clamp. The clamp keeps the vas deferens in place during the procedure. Then the urologist will make a tiny hole on the skin to expose the tube. They’ll grab the tube and pull them out. They will lift each tube and cut. Then they seal the tube through stitching or searing.

Effectiveness of Vasectomy

Vasectomy is an effective treatment with an almost 100% success rate. However, in rare cases, the tubes rejoin and sperms mix with semen. This happens when both ends of the tube meet again. Although it is a rare case, in this condition you will get back your fertility.

Also, soon after vasectomy, the sperms leave the body for a while. That’s why the doctor will ask you to visit for follow-up tests and evaluation. During this time, you should avoid having sex. Once the doctor confirms that there are zero percent sperms in the semen, you can have sex without worrying about getting your partner pregnant.

Vasectomy Reversal

Sometimes, people regret getting a vasectomy and want to have babies. They have an option for vasectomy reversal. During this procedure, the doctor reconnects vas deferens allowing the sperms to mix with the semen and ejaculate from the body.

However, in rare conditions, the tube joins with epididymis. When this happens, joining the tub won’t help. So, the doctor separates the vas from the epididymis under a microscope. After successfully removing the tube, they connect them.

After vasectomy removal, you have to visit the doctor for follow-up. During this time, the doctor will ensure sperm production. Normally, when people take 10 to 15 years to get vasectomy reversal, they lose the ability for sperm production.

You can undergo vasectomy reversal for many reasons. This includes a change of heart, remarriage, or perhaps your spouse wants to have a baby.

Vasectomies and Vasectomy Reversals Urologist

Treatment of Vasectomy Reversal

Urologists perform reversal in a come-go-basis. This means that it’s not an invasive treatment. It is an outpatient treatment, performed in a doctor’s office. You will stay awake throughout the vasectomy reversal. However, when the doctor uses a surgical microscope, they will inject anesthesia. The urologist and anesthesiologist will collaborate to make the surgery successful.

Microsurgery is an effective surgery and requires a professional urologist to perform. They’ll use a high-powered microscope to separate the small tubes. Vas deferens tubes are tiny, especially when connected with the epididymis, it is hard to operate. Furthermore, the stitches are thinner than the hair and eyelashes.

Once you are asleep, the urologist will identify the exact spot of the tube and make tiny cuts on the scrotum. Since the tubes are stitched they will cut vas deferens from edges. That way they get rid of the stitches. As a result, the tubes will wide open. The urologist will take vassal fluid samples from the tube end coming from the testis. That way, they can confirm whether you are producing sperm or not.

Once they assure that you can produce sperm, they will join both ends of the vas deferens and stitch. On the other hand, if your fluid won’t contain sperm, they will perform another surgery to treat sperm production.

Vasectomies and Vasectomy Reversals: Conclusion

Do you want to undergo vasectomy or vasectomy reversal in New York? If yes, then you should consult Fifth Avenue Urology. Our expert urologist Dr. Yaniv Larish has many years experience treating all urological conditions in men and women.

Schedule a consultation today

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
212-675-3186

How Does the Vasectomy Procedure Work?

A doctor may recommend the vasectomy procedure when you decide that you’re not looking to have children anymore. In this procedure, the urologist will block sperm cells from mixing with semen. Consequently, a vasectomy results in an ejaculation that is free of sperms to avoid pregnancy. You may also undergo treatment for various health diseases, such as scrotal skin infection, swelling in the penis, testicles, or sperm duct. A common misconception is that once you get a vasectomy, you can’t have orgasms, but this is not true. This procedure does not affect your ability to ejaculate and have sex either.

vasectomy procedure nyc
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A vasectomy is a routine procedure for a professional doctor. It will only take about 30 minutes to complete the procedure. The doctor will perform the surgery in their office and you can go home once you are done. You can also refer to this treatment as male sterilization, getting snipped, or the snip. You can consult with Dr. Yaniv Larish, a renowned urologist in NYC, by contacting Fifth Avenue Urology.

Effectiveness of Vasectomies

Vasectomy is almost 100% effective but, only in rare conditions, the vas deferens tubes can rejoin, which reinstates your ability to cause a pregnancy. After the reattachment of the tube, you will ejaculate the sperm along with semen.

Once you undergo treatment, you have to visit the doctor for follow-up tests. The urologist will analyze your semen to check if you are still ejaculating sperms or not. It is okay to ejaculate sperm soon after the treatment, but if it persists, you have to go through the procedure again.

How Does the Vasectomy Procedure Works?

Men ejaculate millions of sperm in each ejaculation. These sperms fuse with the egg cell, causing pregnancy. Testicles produce these sperm cells and mix with the semen through vas deferens. Vas deferens are a pair of tubes stretching from testicles to the penis.

Semen without sperms cannot cause pregnancy. Therefore, urologists cut the vas deferens tube, so the sperm does not mix with the semen and leave the body. After vasectomy, the sperms stay in the testicles. It may take up to three months for your body to completely prevent ejaculating the sperms. Nevertheless, the production and ejaculation would be the same. The only difference is that it won’t include any sperm. You won’t feel any difference between ejaculating and having an orgasm after the procedure.

Before the Procedure

When you visit the doctor for the first time, they will perform a physical examination and review your medical history. If you take any medication that might disrupt the procedure, they will ask you to avoid taking it for a while. You need to be honest with your doctor while talking about the medication you take as this may affect the results of your treatment. The urologist will ask you to avoid some medication one week before the vasectomy. Here are some medications you should avoid before the procedure:

  • Warfarin, clopidogrel, or other blood thinners
  • Anti-inflammatory drugs including aspirin

Follow these tips for the day of the vasectomy:

  • Wear comfortable clothes
  • Arrange your ride for reaching home after the surgery.
  • Shower before you leave the home for vasectomy
  • Follow medications as recommended by the doctor. You may also need mild sedatives before the process.

Urologist for vasectomy procedure
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You may only require local anesthesia for the procedure because the treatment is less invasive and only requires a tiny incision. The urologist will numb only the area. Also, they might give you medication for relaxation.

Three Different Vasectomy Methods

The urologist will use one of these three procedures for the treatment:

1.     Conventional Approach

The conventional method of vasectomy includes a tiny incision on each scrotum. This will disclose the vas deferens from the opening. The urologist will then cut the tube and stitch the ends of the tube. They might also cut a tiny piece of the tube. Then, your doctor will place the vas deferens back in the scrotum and close the incision with stitches.

2.     No-scalpel Vasectomy

The doctor will locate and clamp the vas deferens on the scrotal skin. They will punch a hole in the skin using a special device. Then, they will pull out the tube from the hole. That way, they can easily cut and seal the vas deferens from both ends. After this, the doctor will place back the tube. In this method, the holes on the scrotum will heal naturally. The urologist will not stitch the holes themselves.

3.     Vas Clip Vasectomy

In this procedure, the urologists can use any of the above methods to expose the vas deferens. However, they will use special clips on the tube, blocking the sperm flow.

Vasectomy Procedure: Conclusion

Contact Fifth Avenue Urology and make an appointment with Dr. Yaniv Larish. Schedule a convenient and confidential consultation and to learn about the vasectomy procedure.

FIFTH AVENUE UROLOGY
4 East 76th Street
New York, NY 10021
212-675-3186

All About Vasectomies

Do you know about vasectomies? Vasectomies are minor surgeries that block the sperm from mixing into the semen that the males ejaculate through the penis. Even after a vasectomy, semen is still present in the ejaculation but cannot get a woman pregnant because the sperms are not present.

About Vasectomies
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The testes will still make the sperm, but the body will be responsible for absorbing them. It is a viable contraception method that requires consideration and appropriate planning beforehand.

What You Should Know Before Having a Vasectomy

Sperm are reproductive cells that male reproductive glands, testicles produce. Sperms carry vital DNA information that combines with a female’s eggs to form an embryo. Testicles are present in the scrotum, which is at the base of the penis.

Sperm stays in the epididymis, which is a coiled tube-like cell structure. Once ready for use, epididymis releases the sperm to pass through a long tube, vas deferens (vas), which connects to the ejaculatory duct. These long tubes connect with both the testicles and their epididymis near the groin area.

During ejaculation, seminal fluid releases from each seminal vesicle to mix with the sperm. This forms the semen that passes through the penis to enter a female’s reproductive region.

So, what is a vasectomy? It is a medical procedure that restricts the above natural process to prevent pregnancy and improve contraception.

About Vasectomies: The Procedure

It can take place in your urologist’s office, a hospital, or a surgery center. By working with your urologist, you may decide the need for sedation (sleep during the procedure). Sedation quite often occurs at a hospital or surgery center under the discretion of a professional urologist.

Following that, you may have to sign a permission report to ensure that you allow your urologist to perform the procedure while remaining sedated. Keep in mind that some states require compliance with certain health and medical laws of consent.

At the beginning of the procedure, you will have your scrotal area shaved and washed (antiseptic solutions). Local anesthesia will block any sharp pain during the procedure.

No-Scalpel Vasectomy

The no-scalpel vasectomy is quite straightforward in the procedure. It involves the urologist identifying the vas that is under your skin. Using a clamp, the professional will then hold the nerve in place while making a minor incision to spread and gently pull it out. From then on, the urologist will precisely make cuts, perform ligation, and place the nerve back at its place.

Conventional Vasectomy

Conventional vasectomies are also common among males. It involves making one or two incisions on the scrotum area that connects with the vas deferens. The urologist will cut the vas deferens from one side and remove a part of the nerve. This leaves a short gap in which the urologist may either place a tissue to cover the gap or tie the ends of the vas.

The same occurs on the other vas deferens, generally through the same incision or another. In the end, the urologist will close the scrotal skin area using dissolvable stitches.

All About Vasectomies

Post-Vasectomy

As a standard procedure, your doctor will provide you with clear and easy-to-understand instructions to care for your health. Further, one of the main things you need to do is avoid sex for the time your doctor suggests. Normally, it is for 3-7 days and includes other aerobic exercises as well.

While some men can return to their normal routine with specific cautions, others may take up to a week to heal completely. Wearing a support undergarment can help, such as jockstraps. Your doctor may also advise you to place ice packs on the swollen area of the scrotum to reduce pain.

Bear in mind that vasectomy does not yield results right away, and you may still get a female pregnant. This is because there may be sperm present in the ejaculatory duct. Hence, it is advisable to let all the sperm clear from the duct before engaging in sexual intercourse. However, if you engage in such activities, it is best to use birth control and additional contraception such as condoms and vaginal caps.

How Does a Vasectomy Work?

Sperms are microscopic cells that join with female eggs. These cells take time to clear when the vasectomy procedure ends. In fact, the sperm remains in the ejaculatory duct and the vas deferens that carry them to the long tube.

Vasectomy hinders the carriage of semen from the male reproductive organs to the penis for ejaculation. By cutting and tying the vas deferens, the sperm remain in the epididymis, and only seminal fluid discharges from the penis into a female’s vagina. Normally, within a three-month period, your semen might not contain any sperm, making the contraception effective and the vasectomy successful.

All About Vasectomies: Conclusion

If you and your partner agree to get a vasectomy to enjoy sex without the risk of getting pregnant, you should get in touch with the top urologists at Fifth Avenue Urology.

Call 212-675-3186 to schedule an appointment.

 

Reference Links

https://www.webmd.com/sex/birth-control/vasectomy-overview
https://www.urologyhealth.org/urology-a-z/v/vasectomy
https://my.clevelandclinic.org/health/treatments/4423-vasectomy-sterilization
https://www.healthline.com/health/birth-control-vasectomy#takeaway

Urology: Vasectomy

Are vasectomy and urology related? Due to the great medical advancements, contraceptive measures are now widely accessible and easy for people. Most people like to opt for temporary measures such as condoms and birth control pills. Unlike most contraception, a vasectomy is a permanent surgical method that prevents pregnancy.

Vasectomy

In a vasectomy, a person goes through a minor operation. After the procedure, you become unable to get your partner pregnant because of the few surgically induced changes inside your body. With a vasectomy, you can successfully block your semen from exiting your body when you ejaculate. As a result, pregnancy becomes impossible despite orgasms and ejaculation.

Urology Vasectomy Info
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Furthermore, the procedure itself is a routine operation that usually does not last more than 30 minutes. Another name for this procedure is male sterilization. Doctors use two methods to perform a vasectomy. The first and most common one is the conventional vasectomy, and the second is the no-scalpel vasectomy.

The Procedural Workings

The male testicles are the organs that produce sperm cells. Sperm cells are responsible for reproduction since they start the fertilization process inside a female’s ovaries. Thus, sperm leaves the testicles and enters into the penis in time of ejaculation. Moreover, the sperm collects in a coiled tube called the epididymis. This coiled tube joins the ejaculatory duct with the help of a long tube; the medical term for this tube is vas deferens or vas. Therefore, vasectomy is a surgical procedure that has to do with the operation of the vas deferens.

Vas deferens travel from the scrotum to the inguinal canal area, and then to the pelvis, joining the seminal vesicle. In an overview, the vas deferens forms the ejaculatory duct. During the ejaculation process, the sperm flows to the seminal vesicles and infuses with semen before exiting out from the penis. The sperms infusion with semen makes it capable of fertilization. Therefore, a vasectomy aims to surgically cut the vas deferens to prevent the flow of the sperm. By doing so, you can orgasm without having to worry about ejaculation or accidental pregnancy.

Types of Vasectomies

Doctors use two different methods when performing a vasectomy. The first encompasses the conventional method, while the other includes the no-scalpel vasectomy.

Conventional Vasectomy

In this operation, the doctor performs the surgery by making small incisions in your scrotum so that they can access the internal tubes or Vas deferens. Once the vas deferens are visible, the doctors cut them so that there is a gap between them. The doctor then ties the two ends of the separated tube with stitches to block the entrance and exit of sperm cells. After stitching the vas deferens, the doctor closes the scrotum incisions using dissolving stitches and makes you completely incapable of impregnating your partner.

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No-Scalpel Vasectomy

This follows the same procedural protocols, except the doctor does not make any incisions using a scalpel. Instead, the doctor gets a feel for the vas deferens tube by external examination of the scrotum. As soon as the doctor determines the location of the tubes, they use a clamp to keep them in place. The following procedure allows doctors to make small holes on the surface of your scrotum. The doctors then stretch the holes so that they can pull the vas deferens out, cut it, and seal it using stitches or sears. In comparison to conventional vasectomy, this procedure is minimally invasive; however, it is more or less the same.

Benefits of Vasectomy

In terms of efficacy, vasectomies are the most reliable measures of birth control, amongst others. Moreover, male sterilization is much more inexpensive than female sterilization. Not only is it cheaper, but the surgical procedure is less time-consuming and includes minimal risks and no complications. Furthermore, vasectomy has no lasting effects on your testosterone. This means you do not have to worry about any decreases in your sex drive or sexual performance.

Recovery

The recovery period after a vasectomy does not usually last too long. Doctors usually advise a day’s rest after the procedure. However, you should avoid any activities that put a strain on your groin for at least a week. This is because the stitches are still in recovery mode, and injury or excessive stress can cause damage and complications. In case of swelling, you can always use the help of ice packs. Some people even resort to wearing a jockstrap for support.

Before you can indulge in sexual activity, you need to make sure that your semen is free of any sperm. For this reason, you will have to go through at least ten ejaculations and get your semen tested for traces of sperm. If your semen contains a few sperm cells, you need to take the test again.

Urology: Vasectomy Conclusion

A vasectomy is a safe and simple surgical contraceptive measure. It rids you of the worries of accidental impregnations and temporary contraception. However, you must seek a good urologist, like Doctor Yaniv Larish from Fifth Avenue Urology. Contact us for a safe, secure, and professional procedure.

Call to schedule an appointment 212-675-3186 or visit our main website.

Do Urologists Perform Vasectomies?

Vasectomy is a common treatment for men if they don’t want their partners to get pregnant. However, many who want to get vasectomies are not sure which doctor to see. If you are wondering whether urologists do vasectomies or not, well, the answer is yes, they do.

You may already know that urologists diagnose and treat diseases related to male and female urinary tract systems. They also specialize in conditions related to male reproductive organs. Thus, they also perform vasectomies.

Do Urologists Perform Vasectomies?

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This post focuses on why people get vasectomies done, and if it has any benefits. Continue reading as we’ll cover everything you need to know related to vasectomies.

What Is A Vasectomy?

The testicles produce sperms and other male hormones in men. The epididymis holds the sperm, and when you ejaculate, it sends sperm to the Vas deferens. From here, the sperm travels to the prostate, mixing with semen and vesicles, eventually flowing out of the penis.

A vasectomy is a minor surgery that creates a blockage by splitting the tubes carrying the sperm. It prevents the sperm from reaching the semen. Hence, when you ejaculate, the semen won’t have any sperm in it. Do you know nearly 50, 000 men get a vasectomy for birth control? Vasectomy is probably the best method to prevent pregnancy.

How Do Urologist Treat Patients?

Urologists normally perform vasectomies in their office but in some cases in a surgery center or a hospital. The urologist will first decide with the patient whether they need sedation or not to put them to sleep before the procedure. Patients who are nervous during the procedure may need sedation, and the urologist may also recommend sedation based on the patient’s anatomy.

Patients must sign a form in which they agree to the procedure to undergo. Some states have laws that require a patient to sign a form depending on their consent.

When the patient enters the procedure room, the urologist first cleans the scrotal area. Shaving and washing the scrotal area with an antiseptic solution is essential. Urologists will use anesthesia to numb the area; however, you will be able to feel the touch, tension, and movement during the procedure. This anesthesia will prevent the patient from feeling any sharp pain. In cases where you feel any pain, you should immediately inform your urologist.

There are two types of vasectomies that you may undergo –a conventional vasectomy and no-scalpel vasectomy. Read along to understand the difference between the two.

Conventional Vasectomy

Conventional vasectomy consists of one or two cuts made in the scrotums’ skin for reaching the vas deferens. During the process, the urologist cuts a tiny piece from the vas deferens, creating a short gap between the two ends to be left.

Next, the urologist sears the ends of the vas deferens and ties the cuts with a suture. Your doctor may repeat the procedure for other vas deferens as well. However, the urologist may do so using the same cut or by making a new one. As the final step, the urologist will stitch the cuts on the scrotum or leave to heal on its own.

No-Scalpel Vasectomy

In a no-scalpel vasectomy procedure, the urologist tries to identify the vas deferens in the skin of the scrotum and holds it in place using a clamp. After this, the scrotum skin needs another cut, which results in the easy pull the Vas deferens out with precision and care.

Once pulled out, it is cut, tied, or sometimes seared and returned to its original position.

Does It Have Any Risks

Once the surgery is complete, there is a risk of encountering bleeding in the scrotum. An indication of this bleeding or abnormality, once the vasectomy is complete, is if the scrotum has enlarged or if you feel pain. You must notify your urologist about this as soon as possible, as there is a possibility that an infection might have developed.

Another risk is known as a post-vasectomy syndrome. This is a balanced pain that you might feel post-vasectomy; it can be quite unpleasant and unbearable at times. Urologists don’t have a good reason for this condition to occur once the vasectomy is complete. However, they know how to treat it well before it worsens.

Urologists will prescribe anti-swelling meds for the swelling or other medicines to relieve you from the pain. In some cases, urologists will advise reversing the vasectomy to get rid of the pain. However, this does not always solve the problem.

Furthermore, vasectomy also has some benefits. For instance, men who undergo vasectomies are not in that much danger of developing heart diseases, prostate and testicular cancer, and other health-related issues.

Do Urologists Perform Vasectomies? Conclusion

Urologists do perform vasectomies and follow the right procedure to ensure the safety of the patient. If you are looking for the best urologist to get any urologic diseases treated or a vasectomy, call us at Fifth Avenue Urology today or visit our website for scheduling an appointment.

What Is a Vasectomy and A Vasectomy Reversal?

A vasectomy is an operation for men that ensures their partners will not get pregnant. The procedure can take place in the urologist’s office without putting you to sleep. The purpose of this treatment is to stop sperms from leaving the testicles. As a result, it prevents your partner from getting pregnant.

Vasectomy

vasectomy-info-top-urologists-nyc-01Under normal circumstances, the epididymis holds sperm and other male hormones after the testicles make them. When you ejaculate, the epididymis sends sperm to the Vas deferens that carries the sperm to the prostate where it mixes with the seminal fluid and vesicles, and then flows out of the penis. A vasectomy, in the most basic of terms, splits the tubes that carry the sperm from the testes to the prostate. Vasectomy can happen in two different ways, and your urologist can get either one.

Conventional Vasectomy

In a conventional vasectomy, your urologist will make one or two small cuts on the skin of your scrotum to access the vas deferens. Once they reach the vas deferens, they will then cut a small piece from your Vas Deferens, which will leave a small gap between the two ends. The gap ensures that the Vas Deferens is not able to heal over time and cannot send the sperm to the prostate. Further measures to ensure proper sterilization include your urologist searing the cuts and then tying the cut ends with sutures. Your urologist may repeat these steps for other Vas deferens and then close the scrotal cuts with stitches.

Non-Conventional Vasectomy

In the non-conventional Vasectomy, or the no-scalpel-vasectomy, the urologist skips the scalpel and instead takes a very different approach to the procedure. In this procedure, your urologist will feel for the Vas Deferens and hold them in place with a small clamp. After holding them in place, your urologist will make a tiny hole in the skin of your scrotum and stretch it to gently pull out the Vas Deferens. Once they pull out the Vas Deferens, they will cut, sear, and stitch, and put them back in place.

The Effectiveness of a Vasectomy

A vasectomy is a 100% effective, and ensures that there is no sperm when you ejaculate. Although in some cases, men were able to make their partners pregnant after a vasectomy. These cases are very rare and often the fault of the urologist.

Vasectomy Reversal

vasectomy-reversal-info-top-urologists-nyc-02A vasectomy reversal, as the name implies, is when a person gets a reversal of their vasectomy for any reason they see fit. Now, unlike a vasectomy, this is a little more complicated, and you will always be unconscious during the procedure. There are two methods of reversing a vasectomy, both of which are simple on paper but quite difficult in practice.

Vavosectamy

A vavosectamy is a process where your urologist reconnects the vas deferens separated previously. They undo the sutures of the vasectomy, and then reconnect the Vas deferens and stitch them together. Now, this is quite the delicate process, so it takes them a little longer.

Vasoepididymostomy

Vasoepididymostomy is the recommended treatment when a vavosectamy isn’t possible for any reason. So, instead of joining the Vas Deferens together, they attach the Vas Deferens to the small organs called epididymis. Epididymis holds your sperm. Connecting Vas Deferens to epididymis allows the process to start all over again.

Conclusion

Vasectomy is quite a common treatment today. If you are looking to get this treatment or to reverse vasectomy, call us at Fifth Avenue Urology today.

How Does the Vasectomy Procedure Work?

info-about-vasectomies-04We at Fifth Avenue Urology have several years of experience in providing urological care to individuals of all age groups. As highly experienced urologists, we offer various urological services including but not limited to vasectomy, prostate cancer, and erectile dysfunction treatments. Our medical specialists, Drs. Michael S. Brodherson, Leonard Glickman, and Yaniv M. Larish are well versed in performing the vasectomy procedure.

Before we perform a vasectomy on a patient, we take an undertaking from him that he doesn’t wish to become a father henceforth. We carry out the surgery in the operation theater or the office using local anesthesia or under sedation. Our urologists take all the necessary steps to ensure that the vasectomy is fully effective, maintaining a near 100% successful track record.

How does it work?

We recommend vasectomy to all men who have decided not to become a father in the future. At the same time, we suggest the surgical procedure to males looking for an efficient and secure birth control option. We can assure you that the surgery proves effective in checking pregnancy in nearly ten out of ten cases.

Our specialists conduct the operation as an outpatient process, and the risks of side effects or problems are almost zero. Once we complete the surgery, we can guarantee that the patient will never have to use a condom or any other contraceptive device or method before having sex.

What are the Steps in a vasectomy procedure?

The vasectomy procedure is usually complete in 15-30 minutes. To carry out the procedure, our urologists take the following steps:

  • We first inject a local anesthetic in an area around the scrotum for numbing the region
  • After the area becomes numb, we make two tiny incisions on either side of the scrotum
  • After that, we identify the tube (vas deferens) which transfers the semen from the testicles to your penis
  • Next, we pull out a section of the vas deferens via the incisions
  • Subsequently, we sever that section of the tube that we’ve withdrawn
  • We tie up the vas deference (for capping it) using the cauterization (heat) technique
  • Finally, we seal the incisions on the scrotum by suturing (stitch) or gluing. Sometimes, we leave the slits open to enable the incisions to heal and close on their own

vasectomy-procedure-info-urology-nyc-03From time to time, we resort to the non-scalpel vasectomy, where we make only one small puncture in the scrotal sac. This technique does away with the need to stitch the wound. The patient will experience a degree of pain, swelling, and contusion after the surgery.

Nevertheless, the pain will go away within 4-5 days, and the swelling will improve as well. We advise all our vasectomy patients to contact immediately if they notice any indication of infection on the operated area. The usual infection signs include bleeding, swelling, acute pain, and a body temperature is exceeding 38˚C (100.4F).

We give instructions to the patient on what to do and what not to if and when he notices a sign of infection. We recommend patients not to indulge in sexual intercourse for about a week following the vasectomy.

Conclusion

Our urologists make it clear to those undergoing vasectomy that the surgery will not offer immediate immunity against pregnancy. In the meantime, patients can use other birth control options for staying out of harm’s way until we conduct a semen analysis 2-3 months after the procedure.

You can get in touch with us for scheduling a vasectomy operation with the most acclaimed urologists in NYC.

212-675-3186

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References

  1. https://www.mayoclinic.org/tests-procedures/vasectomy/about/pac-20384580
  2. https://www.webmd.com/sex/birth-control/vasectomy-overview#1

Who Should Get a Vasectomy?

A vasectomy is a very common procedure, which around 500,000 men in the US choose every year. It is a minor surgical procedure performed under local anesthetic, with a short recovery time and very few potential complications. Long term, a vasectomy is the most reliable form of birth control there is (excluding sexual abstinence), and the cost of the procedure can end up being significantly less than the accumulated cost of other forms of birth control over time.

If you have been considering a vasectomy, here we look at what you can expect, and whether it is the right thing for your situation:

Who Are the Best Candidates for Vasectomy?

A vasectomy should be viewed as a permanent form of birth control. While it is possible to have a vasectomy reversed if you change your mind later on, this can be both complicated and costly, so you should consider other methods of birth control if you think you are likely to want to be able to get a woman pregnant in the future.

Vasectomies also offer no protection against STIs, so are not as good an option as condoms if this is a concern for you.

The best candidates therefore are men in long term relationships who have decided with their partners that they don’t want any risk of future pregnancy. Men of all different ages make this choice, and these include men who already have children and men who don’t want children at all.

When Is a Vasectomy the Best Choice of Birth Control?

There are several things that make a vasectomy a better option for couples who don’t want to worry about pregnancy than other forms of birth control.

Firstly, if you are looking for permanent birth control, a vasectomy is less invasive, less costly, and has a far shorter recovery time than a tubal ligation for a woman. Additional, it can be reversed, though as we’ve said, you should not go into your vasectomy seeing it as a temporary option.

A vasectomy is also far more convenient and also reliable than things like birth control pills, injections and implants, and offers obvious benefits to those who prefer not to use condoms.

Do bear in mind, however, that it takes around three months for the vasectomy to properly take effect, due to residual sperm that can still make it into the semen for this time. While you can start having sex again after your procedure as soon as you feel comfortable (usually within a week), you need to continue using another form of birth control for this period.

If you think a vasectomy is the right choice for you and your partner, then there is no reason not to go ahead! Book an appointment right away at 212-675-3186, and we can talk through the procedure in more detail and get you ready for permanent, hassle free birth control.

What Exactly Is A Vasectomy, and What Are Your Options?

A vasectomy is a permanent method of birth control, or sterilization, for men. It is a surgical procedure during which the tubes that runs from the testicular epididymis to the seminal vesicle are cut and tied, or sealed, so that sperm will not enter the ejaculate that is released during orgasm. The vas deferens are the tubes that run from the testicles through the scrotum to the seminal vesicle. Sperm is formed in the testicles and stored in the epididymis where they mature. During ejaculation, sperm flow from the epididymis and are transported through the vas deferens, to the seminal vesicle, where the fluid is diluted before ejaculation.

Although there is a possibility of reversible, it is not always successful, and it is both costly and complex to perform, so if you decide to have a vasectomy, you should think of it as a permanent operation. You should consider the psychological and emotional consequences. Many top urologists recommend that men undergoing a vasectomy preserve some of their sperm through freezing.

vasectomy doctor nyc p02A vasectomy itself is not a difficult procedure, and is usually performed in a doctor’s office or clinic. There are several methods, and all methods involve sealing at least one side of each vas deferens tube. An experienced urologist, like Dr. Melman, will be able to determine the best treatment option in consultation with each individual patient.

Traditionally, when performing a vasectomy, the urologist will numb the scrotum with a local anesthetic, and make two small incisions on either side, which will allow the urologist to access each vas deferens, which are then cut, separated, and sealed on at least one side by either suturing, electro cauterization, or clamping.

vasectomy doctor nyc no scalpel vasectomy p03A variation, known as the “no-scalpel” vasectomy or “keyhole” vasectomy, is performed by puncturing the scrotal sac with a sharp hemostat. This results in quicker healing and a smaller chance of infection, as the incision is much smaller.

No-needle vasectomies allow urologists to apply anesthesia painlessly without a needle with a jet-injection device, which forces the anesthetic into the scrotal tissue. This type of anesthesia was devised for men who have a fear of needles. The rest of the procedure is the same, after the scrotum is anesthetized.

An open-ended vasectomy is named because the testicular end of the vas deferens is not sealed, and this sometimes decreases any long-term testicular pain that occasionally results from increased pressure back into the epididymis.

One cause of vasectomy failure is recanalization of the vas deferens. In order to prevent this surgical failure, a method known as fascial interposition was created. Fascia is fibrous tissue that surrounds the vas deferens. In fascial interposition, one end, the prostatic end, of the vas deferens is positioned outside of this fibrous sheath of tissue, decreasing the risk of vasectomy failure.

If you are considering a vasectomy as a method of permanent birth control, you should arrange a consultation with Dr. Melman, one of the top urologists in the United States. He sees patients by appointment in his New York City office. Contact Dr. Melman today to discuss a vasectomy.

What is a vasectomy and who should consider having one?

A vasectomy is a simple, safe, 15 minute procedure done under local anesthesia in the doctor’s office that can prevent unwanted pregnancies and the problems associated with pregnancy. I had a sign in my office that said, “If you had a vasectomy you never have to say, “I’m sorry.” Thousands of vasectomies later it’s still true. No more condoms. No more pills. No worries.

Vasectomy anatomy:

best urologist for vasectomy nyc Anatomy picture 01best urologist for vasectomy nyc Anatomy picture 02best urologist for vasectomy nyc Anatomy picture 03

(Click pictures to enlarge) The vas deferentia are tubes that arise from each testis and travel up to the back of the prostate and enter into the prostate along with fluid from the seminal vesicles. That fluid along with secretions from the prostate is called semen. When you “come”, that is, have an orgasm, that is the fluid is ejaculated. Only 1% of the total volume of semen is actually sperm. So after a vasectomy you do not see or feel a difference in your semen volume.

A vasectomy is the snipping and removal of a one inch piece of the vas deferens with interruption of the tubes that carry sperm from their production site in the testes, and to the outside (the outside is your partner’s inside).

You have a vasectomy because you, not your wife, but you, no longer want to father additional children.

The operation is permanent so if you are not absolutely certain that you do not want to father children again don’t do it. I will be writing another blog in the future about vasectomy reversal.

If you are considering banking you semen, “just in case,” don’t have a vasectomy.

But if you have decided that more children are not what you want it is a great operation and you should do it. There is no downside to the operation.

The other function of the testis is to produce the male hormone testosterone. That hormone enters the body through the blood vessels that drain the testes, not through the vas deferens. The bottom line: there is no effect of male hormone production after vasectomy.

Vasectomy, what you have to consider? A few points:

  • In New York State, by law, there is a mandatory one month waiting period from the time you are counseled and sign your consent, to when you can have the procedure. For other states check with your urologist.
  • We are really doing a “partial vasectomy”. The vas deferens is about 2 feet long and we are removing an inch, so it’s ‘partial’, not ‘complete’. For this reason, it takes about 13 ejaculations to rid the vas deferens of remaining sperm. You should not consider yourself infertile until your semen is checked under a microscope to look for remaining sperm. If the sample shows no sperm, you are given the good to go sign.
  • You can return to work the next day after vasectomy surgery.

Frequently asked questions about vasectomy:

  • Is there a lot of pain after vasectomy?

After vasectomy surgery there tends to be an ache in the groin for a few days until the wounds heal as the testes pull down on the vasectomy site.

  • Are there possible complications of vasectomy?

All surgeries can have complications of bleeding and infection, but the chance of that happening is only a few percent, but not 0%, so it is possible. If that problem occurs it takes a few weeks longer to feel 100%, but the complication does not affect the vasectomy results, and you will still be sterile.

  • Does sex feel any different after vasectomy?

Sex feels exactly the same physically after vasectomy. Mentally, sex can actually be more enjoyable because you no longer have to worry whether the condom will break or your wife or girlfriend did not take precautions.

“No-scalpel vasectomy” or “Incisionless vasectomy”

Some doctors claim and market that they do incision-less vasectomy surgery. That is not possible. The vas deferens lies under the skin and although the incision is only a ¼ of an inch, you need to open the skin to reach the vas deferens. The opening is closed with one or two stitches that dissolve so they do not have to be removed. 

So, if you are considering having a vasectomy procedure done, call to make an appointment with the most experienced urologist in NYC for vasectomies, Dr. Arnold Melman.