Vasectomy in San Jose, California (CA)

For men who are done having children or are sure they do not want children, a vasectomy is a sterilization procedure that is nearly 100 percent effective. This makes it an efficient form of birth control.

During a vasectomy, the tubes that transport sperm from the testes 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, thus making the man sterile and unable to produce children.

This outpatient procedure is brief (typically less than 30 minutes) and is often performed by a urologist in a medical clinic or office setting. Hospital stay is not necessary since a vasectomy is an uncomplicated technique that only entails small incisions and routine surgical instruments—the patient is only required to stay in the physician’s office for a short recovery period (usually less than an hour) and is then sent home to rest.

With 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.

While there are several variations of this method, all end with the vas deferens tubes being occluded or sealed off. The most common and advantageous include: ·
         

  • No-needle vasectomy: The same techniques used in a traditional vasectomy to occlude the vas deferens are used here, 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.

  • No-scalpel vasectomy: Rather than a scalpel, the surgeon uses a special clamp that has extremely sharp tips to pierce the skin of the scrotum. The vas is then pulled and separated from the scrotal sac without having to cut the blood vessels or nerves adjacent to the scrotum. Once isolated, the vas is sealed off by way of sutures or electrical cautery.

Throughout these procedures, other techniques may be used, such as fascial interposition, in which tissue is placed between the cut ends of the vas deferens as a means of providing a barrier. The tissue is stitched into place and helps prevent procedure failure. It is often combined with intraluminal cautery, where one or both sides of the vas are electrically burned closed.

A vasectomy should be considered permanent and the male undergoing the procedure should be sure that he is done having children or does not want children in the future. The procedure can be undone by way of a vasectomy reversal, but it is more complicated and success is not guaranteed. 


About S. Shawn Gholami, MD

What is a Vasectomy?

Vasectomy is one of the most simple, safe, and effective methods of birth control. Over 500,000 vasectomies are performed each year in the United States. Vasectomy is a minor office procedure during which the small tubes carrying sperm from the testicles (vas deferens) are divided on each side of the scrotum. In order to decrease the risk that the tubes will re-connect, a small segment of the vas is usually removed and the ends are cauterized. Cutting these tubes does not affect the strength of erections, sexual desire, the size of the testicles, or a noticeable change in semen volume. The procedure takes roughly 10-20 minutes to perform and is done through a very small skin opening (2-3 mm) that is virtually invisible after it heals.
Vasectomy should be considered permanent and not a means of temporary birth control. However, vasectomy reversal is successful in up to 75% of men if undertaken in the first 10 years after the procedure is performed.

Dr. S. Shawn Gholami is an internationally recognized expert in the field of minimally invasive urology. He is one of the early pioneers in performing surgery using laser and robotics thereby minimizing risk and morbidity to his patients. Dr. Gholami has been training novice urologists and sharing his expertise worldwide since 2000. His passion for innovation and leadership is demonstrated in his work.

Dr. Gholami specializes in minimally invasive BPH prostate procedures, innovative treatment of erectile dysfunction, non-invasive treatment of sexual problems, non-scalpel vasectomies, cosmetic circumcision, and hormonal and testosterone replacement for men’s health.

Shahram S. Gholami, M.D., is one of the few physicians in California skilled in minimally invasive procedures that include “scar-less” techniques, lasers and laparoscopy. By being skilled in state-of-the-art techniques, Dr. Gholami offers his patients more choices for the treatment of urologic disease.

Featured Specialist for Vasectomy in San Jose, CA

S. Shawn Gholami, MD

Urologist

Call Now: (408) 883-3146
2460 Samaritan Drive
San Jose, CA 95124

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