Vasectomy in Baltimore, Maryland (MD)

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 Karen Boyle, MD

Dr. Karen Elizabeth Boyle graduated from Harvard with Honors and then attended Albany Medical College, where she graduated again with Honors and Distinction in Research. She completed her general surgery and urological surgery training at The Johns Hopkins Hospital, The Brady Urological Institute.

Dr. Boyle then completed the prestigious fellowship in reproductive medicine and microsurgery at Baylor College of Medicine, and then returned to The Johns Hopkins Hospital where she served as Assistant Professor of Urology, Obstetrics and Gynecology and Director of Reproductive Medicine and Surgery. While at Hopkins, Dr. Boyle was active in research and teaching, and established and grew a dominant practice of male infertility, sexuality and aesthetics.

Her commitment to providing personal, compassionate, comprehensive care to her patients combined with her diagnostic and surgical excellence has resulted in her being a much sought after solution for patients and practioners alike. It is this commitment to excellence in the patient care experience which prompted Dr. Boyle to establish her current practice as Director of Reproductive Medicine and Surgery, Sexuality and Aesthetics at Chesapeake Urology Associates.

Dr. Boyle specializes in male infertility, and offers state-of-the-art evaluation and treatment of the infertile male. Dr. Boyle works closely with all reproductive endocrinology practices located in the D.C./Baltimore metropolitan area as well as nationally, providing expert care for the male partner. She is the Director of Male Fertility at Shady Grove Fertility Reproductive Science Center, the nation's leading institution of reproductive medicine and boosts the top pregnancy outcomes nationally.

As an experienced microsurgeon, she specializes in vasectomy, microsurgical vasectomy reversal, microsurgical varicocele repair, and all sperm harvesting techniques including microdissection testicular sperm extraction, as well as electroejaculation and penile vibratory stimulation. Dr. Boyle is among a select few microsurgeons nationally who can perform the technically challenging epididymovasostomy and microdissection testicular sperm extraction.

As a leader in the area of reproductive and sexual health, Dr. Boyle recognizes how important it is to address all issues related to the well-being and happiness of her patients.

She is committed to surpassing patient expectations and providing exceptional patient care, achieving the results each patient desires and deserves. As an innovator in the evaluation and treatment of sexual health and aesthetics, Dr. Boyle provides a comprehensive approach to the care of each patient.

Dr. Boyle regularly lectures on male infertility, vasectomy reversal, and sexuality. She is extensively published in her areas of expertise and is actively involved in The American Urologic Association, The American Society of Reproductive Medicine, The Society of Male Reproduction and Urology, The Society for the Study of Male Reproduction, The Sexual Medicine Society of North America, The International Society for The Study of Women's Sexual Health and The American Academy of Cosmetic Surgery.

Her contributions to the field of fertility, microsurgery and sexual health have been featured in many media outlets such as Men's Health, Women's Health, Fertility Today, Radius, Playboy, ABC television documentary Hopkins,"The View" with Barbara Walters, "Healthy Life" with Dr. Tim Johnson and ABC News.

Special Area of Interest

Microsurgical vasectomy reversal, male infertility, male and female sexual dysfunction

Hospital Affiliations

Greater Baltimore Medical Center
The Johns Hopkins Hospital
Shady Grove Adventist Hospital

Featured Specialist for Vasectomy in Baltimore, MD

Karen Boyle, MD

Urologist

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6535 North Charles Street
Suite 640
Baltimore, MD 21204

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