Hey what do you mean, a vasectomy without a scalpel? Don’t you need to open the skin? Well yes, but here’s how it works.
All vasectomies work by interrupting the two vas deferens (the tubes carrying the sperm) just above the testicles, as in the picture to the right.
Using the old-fashioned (with scalpel) vasectomy, the skin of the scrotum is cut open and a one inch incision is made, and then the tissue is dissected (cut away) to find the vas deferens.
When No-scalpel vasectomy is done, the vas deferens is brought to the surface, just below the skin. A special “ring forcep” is used to hold the vas in place under the skin. Then, a pointed forcep is used to puncture the skin, then open the skin by pushing tissue to the sides. It causes much less bleeding and tissue damage then using a scalpel to open the skin and underlying tissue. The vas is then exposed just under the skin. It is brought out of the skin and cut.
Instead of using a needle and syringe to inject numbing medication, No-needle anesthesia uses a specialized instrument to create a high power spray over the skin and vas to anesthetize (numb) the area. If additional anesthetic is needed after this initial spray, it may be injected, but there’s no pain with that, since the area is already partially numbed.
This is an important part of your considerations. Here are the details.
Our charge is $885 payable at the time of the procedure. This covers both the procedure and the pre-procedure consultation. For the post-procedure semen analysis, a home semen analysis test kit is recommended, which is $60 from Amazon. So, you do not need a visit for that follow up and there is no charge from Pro Vasectomy.
If you have insurance, you likely have a deductible, and here’s how it works:
When you come in for the procedure, we will give you paperwork to submit to your insurance so that the insurance company”allowed charge” is applied to your deductible. This is usually $450 for vasectomy and $120 for a consultation or $570 in total. So, you’ll pay a total of $885 and $570 will be applied to your out of network deductible. If you have already spent your deductible (or your deductible is less than $570), then you can submit the paperwork to insurance to request reimbursement.
We do not make any promises that your insurance will work this way. You can try to verify this with your insurance, but it’s often difficult.
Sorry, we’re not able to accept Medicaid since it does not allow this arrangement.
Day of procedure: Following the procedure, take it very easy on the couch, bed or recliner. Relax! Take acetaminophen or ibuprofen for pain.
Day following the procedure: You may walk and drive as much as you like, but no sports, yard work, swimming, or heavy lifting. If your job is sedentary (office work or supervisor), you may return to work.
Second day following the procedure: You may return to to more strenuous work and exercise. When the discomfort is resolved, you can return to normal activity and exercise. This is generally within 3-4 days.
Use your compression briefs full time for the first 2 days and for the first week if you’re doing strenuous exercise.
Resume sex when you’re pain free.
Showering: It’s OK to shower anytime, but don’t soak in water (bath, pool, hot tub) for the first 2 days.
Dr. Tonozzi has been a practicing family physician for 25 years and doing vasectomies all of that time. He has an active practice treating patients of all ages and all sorts of medical problems, but he has special interest in providing vasectomy. He is performing more than 20 vasectomies per month, more than any other physician in Western Colorado.
In his spare time you’ll find him enjoying time with his family in the outdoors, biking, skiing or running rivers.