A vasectomy or dividing the tubes that transport sperm from the testicles to the prostate fluid is one of the most common forms of contraception in the United States. There are over 500,000 vasectomies performed each year making it the most common surgical procedure in men.
I perform the no-scalpel, no needle vasectomy that is done through a small, one-quarter inch incision in the scrotum. The procedure takes approximately ten minutes and is done in the office. Most men experience little or no pain during the procedure. For men who are concerned about the pain during the procedure, we can provide you with nitrous oxide which provides mild sedation and can reduce the anxiety associated with the procedure. The nitrous oxide is delivered through a mask placed over the nose and mouth and takes about 60 seconds to take effect. There are no after-effects from the use of the nitrous oxide and men can walk out of the office and even drive a car home after the procedure.
Men are not considered sterile right after the procedure and are advised to use contraception for at least 15 ejaculations. The men then bring in a sample of semen after the 15th ejaculation and if no sperm is seen, the man is considered sterile.
Bottom Line: Vasectomy is one of the most effective procedures for permanent sterilization. Men can have the procedure using nitrous oxide to reduce the discomfort and the anxiety associated with the procedure.