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:
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About Charles N. Witten, MD
Charles N. Witten M.D.
Dr. Witten received his B.A. in Biology from the University of Pennsylvania in Philadelphia, Pennsylvania in 1980. He subsequently completed his medical education at the University of Pittsburgh School of Medicine in 1984. He returned to Philadelphia to complete his General Surgical and Urological Surgery Residencies at the Hospital of the University of Pennsylvania from 1984 - 1990.
The University of Pennsylvania's Urological Surgery Residency is considered on of the top training programs in the country. He served as chief resident his final year. Dr. Witten joined Central Florida Urology Associates after completing his residency in 1990. He has been board-certified by The American Board of Urology since 1992. Dr. Witten has served on numerous hospital committees including chairmanships of surgical peer review and credentials committees.
He has served on the Education Committee for the Seminole County Medical Society. From 2002-2005, he served as Chairman of the Department of Urology at Florida. During his tenure, the hospital procured the DaVinci Robot to perform robotic-assisted laparoscopic surgery.Dr. Witten's particular areas of interest include prostate, bladder and renal cancers; urinary incontinence; erectile dysfunction with emphasis on penile implant surgery; male infertility; microscopic surgery including vasectomy reversal; DaVinci robotic radical prostatectomy; laparoscopic urological surgery, and management of Benign Prostatic Hyperplasia with minimally invasive techniques including microwave thermotherapy and green light laser Photo-vaporization (PVP) of the prostate.
Dr. Witten is an active member of The American Urological Society, The American Association of Clinical Urologist, The American Fertility Society, The Florida Urological Society and The Seminole County Medical Society. He is married with four children and resides in Lake Mary, Florida.
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