Urologic Briefs
Ask the Expert – Series #2 Vasectomy & Reversal

Is your Family Complete?

Dr. Robert Pugach discusses vasectomy and vasectomy reversal.

For birth control, a woman is more than twice as likely to undergo a sterilization surgery as compared to a man undergoing a vasectomy. A question can be posed: why is this the case when a female sterilization is a much more complicated and lengthy procedure then a minimally invasive, 15 minute vasectomy?

At Pacific Coast Urology we consider the No Needle No Scalpel Vasectomy one of our Centers of Excellence. It was developed in China in 1974 and I learned about this remarkable technique when I was teaching there many years ago. I have spent many years perfecting this technique and, with the advances in needle free jet technology for anesthesia, I am able to do the procedure in my office in 15 minutes, with NO needle, NO scalpel, and NO pain!

There is no need for a woman to undergo a surgical procedure when:

• A vasectomy is safe and effective male sterilization procedure.
• A vasectomy is an office procedure that typically takes 15 minutes to complete.
• A vasectomy is associated with minimal discomfort and normal activities can be resumed quickly.

Men there is no need to worry as:

• A vasectomy does NOT decrease your sex drive
• A vasectomy does NOT change your ability to have an erection
• A vasectomy does NOT affect your male hormone levels

How is a Vasectomy Performed?
Simply stated, a vasectomy blocks the two tubes, called the vas deferens, through which sperm passes from the testicles to the prostate. You will typically be in and out of our office in no more than 30 minutes from start to finish! Our patients typically watch a flat screen television mounted on the ceiling during the procedure. It’s over so quickly that most men don’t have a chance to finish watching their favorite program! View Video Explanation

Can A Vasectomy Be Reversed?
Yes, it can but while a No Needle No Scalpel Vasectomy is an in-office procedure, a vasectomy reversal is a complex surgical procedure that can take up to 4 hours to perform. It is an extremely delicate procedure requiring great surgical skill. Learn more.

Why Select an Expert?
Urologists do more vasectomies than all other medical specialties combined. Yes, you can have it done by a general surgeon or family practice doctor but studies show superior outcomes when a procedure is done by a doctor who has a lot of experience. I’m proud to be certified by the Vasectomy Quality Council (VQC) as their mission is to set vasectomy quality care standards and to provide patient satisfaction data to men who are considering a vasectomy procedure.

Need more information? Read FAQs View Patient Videos.