Vasectomy Procedure – What to Expect?

The Vasectomy procedure is pretty simple. The procedure itself probably takes between 10 and 20 minutes.  Preparation is minimal and recovery is quick.

Preparing for a No-Scalpel Vasectomy

Please keep in mind the following items in preparation for your Vasectomy procedure. Dr. Fisch will review all of these with you so that you are clear and confident that you will be ready for your procedure.

  • Don’t take any aspirin-containing or Ibuprofen medication for ten days before the procedure.
  • Don’t use any powder or deodorant in the genital area on the day of your procedure.
  • Arrange to have someone drive you home.
  • Plan to do nothing but recline at home on the evening of the vasectomy.

The Day of your Procedure

To ensure the highest level of care, cleanliness and support, Dr. Fisch performs all vasectomies at the Manhattan Surgery Center, a premier ambulatory surgical center on Manhattan’s West Side.

After your arrival, Dr. Fisch will review the entire procedure with you. Dr. Fisch always explains the entire procedure and gains your consent himself; this process is never delegated to anyone else. Dr. Fisch also performs the entire procedure. You will also speak to the anesthesiologist, who will provide sedation to ensure an anxiety-free and pain-free experience.

When the preparation for the procedure is complete, you will receive sedation. Then a small puncture will be made in the scrotum, with no incision required. Dr. Fisch will locate the vas deferens, the two tubes that carry semen from your testicles (see Figure 1A). He will bring part of each vas deferens through the puncture, cut it, and then cauterize and clip the ends of each vas deferens (See Figure 1B). Finally, he will gently return the vas deferens to the inside of the scrotum.

penis testicles vasectomy before          penis testicles vasectomy after

At this point, the surgery is over. There’s no need for stitches or glue, as the puncture is so tiny it heals on its own. Eliminating incisions and stitches drastically reduces the amount of pain experienced in the later stages of recovery.

Recovery from Vasectomy

After the procedure, you will remain in the recovery room for a short time until the sedation wears off. Dr. Fisch will examine you to make sure that you are able to leave. You will need to have someone who can accompany you home. You will leave with Dr. Fisch's direct cell phone number.

Following the surgery, Dr. Fisch recommends the administration of ice packs to the scrotum for the remainder of the day. Patients should rest for three days and avoid strenuous activity or exercise for about 10 days. If you have questions, you can call Dr. Fisch directly on his cellphone.