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Low Hanging Balls: Not Simply a Cosmetic Problem

“Why do I have old-man sagging balls?” is a question I am asked frequently, even by young men. A scrotum that hangs low can be a source of worry and embarrassment and even keep one from participating in sports or just enjoying a day at the beach. Many men regard low hanging balls as simply a cosmetic issue and seek help from a plastic surgeon.  In reality, the sagging scrotum is usually caused by a medical problem called a varicocele.

Causes of “Saggy Testicles”

You may wrongly attribute a low-hanging scrotum to the aging process. After all, everything sags as we grow older, right? The prankster Johnny Knoxville has made this painfully clear with his prosthetic “old man balls” antics. Certainly, he has a point, although exaggerated. Your scrotum can droop with age, but the problem is likely due to a varicocele. … MORE

post vasectomy pain

Needle Free, Scalpel Free Vasectomy: Post Vasectomy Pain is a Thing of the Past

A vasectomy is the most reliable method of male contraception, making the procedure invaluable to those couples who are done having children. Vasectomies are surer than female birth control pills at preventing pregnancies and are certainly much more dependable than condoms. So why do many men balk at the idea of having a vasectomy? There are several reasons, but one of the most frequently-heard is the thought of post vasectomy pain. … MORE

Couple hugging after vasectomy reversal

3 Critical Facts to Know About Vasectomy Reversal

Roughly half a million American men elect to undergo a vasectomy every year. The procedure is a good choice for the vast majority of those men. However, a few – about 5% – will eventually decide to have their vasectomy reversed either due to pain or more commonly because they now desire to father a child.

Not all urological surgeons perform vasectomy reversals, and it is natural to want more information before undertaking a vasectomy reversal. Having performed many vasectomy reversals over the years, I’ll share my knowledge with you here, including 3 critical facts: … MORE

getting a vasectomy

Getting a Vasectomy: 6 Ways to Convince Your Partner

If you and your partner have decided that you do not want to have children or are certain that you don’t want more children in the future, it’s probably time to discuss the option of getting a vasectomy. A vasectomy procedure remains the single best method of male contraception, and the surgery is certainly more reliable than both condoms and female birth control pills. Also, unlike IUDs, a vasectomy does not have to be renewed every five years. … MORE

Happy couple who got pregnant after a vasectomy reversal

Getting Pregnant after Vasectomy Reversal

Often times I’m asked about vasectomy reversal success rates, but of course, medical questions are rarely black and white. Let’s say the vasectomy reversal surgery goes smoothly and tests confirm that you have a positive return of sperm in your semen. By this criterion alone, your vasectomy reversal procedure was successful. But does this mean you will now be able to father children with your partner naturally? Will she become pregnant? … MORE

Adult male and adolescent facing variocele

Varicocele and Infertility: Adolescent and Adult Men

Many of my patients and their parents worry about the long term consequences when presented with a diagnosis of varicocele. A varicocele is a collection of swollen veins in the scrotum and often causes no readily apparent symptoms. However, there is unfortunately a strong link between varicoceles and male infertility, whether that is of an immediate concern or one further down the road. … MORE

Couple after vasectomy reversal

Dispelling Myths about Vasectomy Reversals

There’s a lot of misunderstanding and myths out there about vasectomy reversal. I’m led to believe that maybe it’s because reverse vasectomy is not a particularly common procedure, although 2%- 6% of men who have had a vasectomy eventually seek a reversal.  If you have the facts, you’ll see that vasectomy reversals are a very successful method of restoring fertility and allowing you to enjoy fatherhood. … MORE

Family sitting together on the porch of their home

Understanding the Vasectomy Procedure: Fact from Fiction

With between 300,000 to half a million vasectomies performed in the US each year, you would think this elective procedure would be well understood. Unfortunately, myths and downright misinformation about vasectomies still abound. While any competent urologic surgeon will review the procedure in detail – including the technique, recovery, risks, limitations, and benefits – with their patients prior to their vasectomy procedure, it can be very helpful to be familiar with the facts about vasectomy before you ever visit your surgeon.


Vasectomy Reversal Cost vs IVF - Pregnant Couple

Vasectomy Reversal Cost versus IVF

A vasectomy is intended to be a permanent fertility-limiting procedure in men. And while I tell my patients that they should consider a vasectomy as a permanent option, I know that doesn’t necessarily mean irreversible. And if the time does come when the vasectomy patient wants to father children, vasectomy reversal surgery may be a good option, especially given the cost of a vasectomy reversal compared to other options such as IVF.


effects of varicocele

The Effects of Varicocele: More Than a Feeling

Like many medical conditions, the effects of varicocele can range from mild to life-changing. Men and adolescent males that have a varicocele often wonder about the short and long term consequences, treatment, and if they should even bother visiting a physician or surgeon about the problem.