Are there disadvantages to using the no needle vasectomy approach?

My doctor gave me the choice of using the traditional needle anesthesia or the no needle delivery with a MadaJet. He said he usually advises patients to use the needle delivery because he can assure them there will be no discomfort during the procedure but cannot make the same promise with the no needle approach. He seemed to imply that I can either feel the pain upfront or later - you decide. I'm not sure what type of anesthesia to choose. What do you recommend?

ANSWERS FROM DOCTORS (1)


Answered by John C. McHugh, MD

It is six of one and half a dozen of the other. I use the Madajet personally and am very pleased, however it is true that at times it is not as effective as the direct application of the Lidocaine with a needle. More medicine is used when utilizing the needle and this may explain the increased certainty of anesthesia. In terms of the success or quality of the vasectomy itself, the type of anesthesia used is irrelevant. If the sight or thought of a needle causes anxiety, then the Madajet is certainly the better option.

Published on Jun 09, 2017

Answered by John C. McHugh, MD (View Profile)

It is six of one and half a dozen of the other. I use the Madajet personally and am very pleased, however it is true that at times it is not as effective as the direct application of the Lidocaine with a needle. More medicine is used when utilizing the needle and this may explain the increased certainty of anesthesia. In terms of the success or quality of the vasectomy itself, the type of anesthesia used is irrelevant. If the sight or thought of a needle causes anxiety, then the Madajet is certainly the better option.

Published on Jul 11, 2012


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