High Quality, Safe, And Tailored Patient Care
Vasectomies - Bellevue, Nebraska
How effective is a vasectomy?
Almost 100% effective at preventing pregnancies if the appropriate after-care instructions are followed.
How safe is a vasectomy?
Very. There are a few complications, the most important one being a failure (aka still being fertile after the procedure). This is why we require you to provide a follow-up sample at 3 months (and 20 ejaculations to clear out the tubes) and use a backup method of pregnancy prevention before that point. Your doctor will talk to you about the risks and benefits of the procedure at your consult visit.
Can a vasectomy be reversed?
For your purposes, you should consider the answer to be no. While there are doctors who offer vasectomy reversals, they are not guaranteed to work. If you are unsure about your choice, you should not go forward with the procedure. Your physician can talk to you more about other options for pregnancy prevention at the consult visit.
What to expect:
A vasectomy is a one-day outpatient procedure that does not require an overnight stay and has a short recovery time. You will be asked to come in for a consult visit to go over any questions you may have and to review your medical history, as well as to make sure that a vasectomy is a right choice for your pregnancy prevention needs.
You will then make a follow-up visit (if you are paying for the procedure through Medicare, this will have to be 30 days after your initial visit because of a federal law requiring this time between signed consent and the procedure itself) to undergo the procedure.
On the day of the procedure, you can expect to be at the clinic for a few hours, including wait time and recovery. The procedure itself is short, most taking much less than an hour, though your anatomy may vary.
You will be asked to take it easy for 2 days and to wait a week before re-starting sexual activity and any strenuous activity (lifting > 15 lbs) to prevent complications such as bleeding or soreness.
You will not need a follow-up visit, but you will need to provide a sample after 20 ejaculations and 3 months after the procedure to ensure success. Use a backup method for pregnancy prevention in the meantime.
- No medication (“local anesthetic”): if you are unable to have a driver, or if you have other reasons that you cannot have sedation, we do offer local anesthetic, where we will numb the area. You can drive yourself to and from the procedure.
- Oral sedation:You will need to have a driver if you choose this option. This will not increase your cost for the procedure. You will take one-two pills of triazolam (a benzodiazepine) about 30 minutes before your procedure. This will not put you ‘completely under’ but will help to relax you and you may sleep through the procedure. It may have lasting effects of drowsiness throughout the day but should wear off in a few hours.
- Recovery time: 15 minutes
- IV sedation: You will need to have a driver if you choose this option. This will increase your cost for the procedure; check the front office for prices. You may choose this option on top of oral sedation. You would have an IV line put in and you would have your medications given immediately before starting the procedure. You will not be ‘completely under’ but you will be given a pain medication (fentanyl) and a sedative (versed) to help you relax and you should not remember the procedure. The benefit of IV sedation is an ability to fine-tune your sedation levels throughout the procedure, so that you are not fully awake for the procedure at any time. You will likely have ongoing effects from the sedation for the rest of the day and should not plan to work, drive or provide childcare for the rest of the day.
- Recovery time: 45 minutes