During
a vasectomy, the tubes that move sperm from the testicles and out the urethra
are cut and then tied or sealed in such a way that sperm is unable to enter the
ejaculate and result in fertilization of the female egg. A traditional
vasectomy is effective at achieving this end goal: sterilization. However,
because it requires a needle, the approach can cause pain and, for those who
have a fear of needles, distress.
As
a way to allay these concerns and to provide for a more comfortable, pain-free
experience, the no-needle vasectomy was introduced. But in order to go into
this approach, one must first understand how a traditional vasectomy is
performed.
During
a traditional vasectomy, a needle is used to numb the scrotum with a local
anesthetic. Two tiny incisions—one on each side of the scrotum—are then made
with a scalpel, as to allow the surgeon to pull each vas deferens tube to the
surface so that it can be isolated and separated from the scrotal tissue. Once
the tubes are secluded from the scrotum, they are sealed off using sutures or
are burned using electrical cautery.
The
same techniques used to occlude the vas deferens are used with a no-needle vasectomy,
but there is an exception. Instead of using a needle to inject anesthesia, a
jet-injection tool is utilized. Known as a hypospray injector, the numbing
instrument uses a small explosion of compressed air to force medication deep
enough into the scrotal tissue to permit a nearly pain-free surgery.
Whether
a traditional vasectomy or no-needle vasectomy, both are brief outpatient
procedures that often take less than 30 minutes to completely perform. Since
neither vasectomy is complicated, only requires a few tiny incisions and uses standard
surgical instruments, a hospital stay is not necessary. The patient will only
need a short recovery period (typically less than an hour) in the physician’s
office or clinic before being sent home to rest.
About Bruce R. Gilbert, M.D., Ph.D.
Dr. Gilbert is the Director of Reproductive and Sexual Medicine at the Smith Institute for Urology of the North Shore LIJ Health System. He is also an Associate Clinical Professor of Urology and Reproductive Medicine at Cornell University Medical College. Dr. Gilbert has authored over 100 publications and is recognized as an expert in Male Fertility and Urologic Ultrasound. He is passionate about Urologic education and has organized training programs in microsurgery and urologic ultrasound as well as lectured locally, nationally and internationally. He is Chairman of the AUA's National Urologic Ultrasound Faculty and a member of the AUA's Urologic Diagnostic and Therapeutic Imaging Committee.
Dr. Gilbert completed his medical degree in 1983 at Cornell University Medical College and Urology Residency at the New York Hospital Cornell Medical Center. Prior to that he completed a Doctorate (Ph.D.) at the New York Medical College followed by postdoctoral work in Renal Physiology supported by the New York Heart Association in the Department of Physiology at Cornell University Medical College.
Dr. Gilbert's private practice for the past 22 years has specialized in male reproductive and sexual medicine and surgery including male prosthetic surgery. He is an experienced microsurgeon having performed over a 1000 microsurgical procedures including vasectomy reversals, microsurgical varicocele ligation and microsurgical testicular sperm retrieval. He is also was one of the first Urologists in the region to perform the No-Needle, No-Scalpel vasectomy. Dr. Gilbert is the Medical and Laboratory Director of New York Cryo, one of the few long term reproductive tissue banks for sperm, oocytes and embryos in the region. He has also gained national prominence for his use of Holistic approaches for the treatment of chronic Urologic problems.
Dr. Gilbert is certified by the American Board of Urology and the American Board of Medical Acupuncture. He is a fellow of both the American College of Surgeons and The American Academy of Medical Acupuncture. He serves as a reviewer for many Urological, Reproductive Medicine and Complementary Medicine Journals.
Featured Specialist for No Needle Vasectomy in Lake Success, NY
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