Posts Tagged ‘contraception’

At Last a Reversible Vasectomy At the Touch of a Button

January 15, 2016

Clemens Bimek is a German inventor of a device to control the sperm flow through a flipping switch.

The device is implanted through surgery and attached to the vas deferens. The device is equipped with a valve which is closed and opened as desired through the skin on the scrotum.

If the valve is in the off position sperm cells are prevented from reaching the seminal fluid. This allows ejaculation no sperm is present in the seminal fluid.

The procedure basically works as a vasectomy. But in comparison with a vasectomy which is only reversible through microscopic surgery the new device makes it reversible with a flip of the switch.

Screen Shot 2016-01-15 at 1.23.19 PM

I believe that clinical trials in humans are underway. Until now the only men who tested the device is the inventor.

At the present the inventor is satisfied with his device so he plans to implant it to 25 men during a clinical trial this year and if everything goes well the device will hopefully get on the market by 2018.

As new information becomes available on this device, I will post a blog on what I find out.

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FAQs on Vasectomy

June 27, 2015

Many men want the opportunity to plan the number of children they have – and many women want to finally be able to share the responsibility of contraception with their partner.
So as we mark Men’s Health Month, an awareness campaign on why the snip is not really the snip and why a little more conversation can mean a lot more action. It’s time to get informed.
1. Will vasectomy make me impotent?
A lot of men worry that a vasectomy will lead to a reduction in sexual performance or desire – not surprising really when in some cultures they use the same word for vasectomy and castration! But it can actually improve your sex life because of the peace-of-mind it brings. Having a vasectomy is liberating – imagine never having to worry about unwanted pregnancies again. Instead of frantically rummaging through the bathroom cabinet for a condom, hoping that the mood won’t pass, you can do it whenever you like!
2. What will happen when I ejaculate?
Having a vasectomy does not affect your hormones, ejaculation or orgasm. There’s no noticeable change in what your semen looks like, what it smells like, even what it tastes like. You will still have erections and produce the same amount of semen. The only difference is that the semen won’t contain sperm, as instead of travelling out of your penis, they will be naturally reabsorbed by the body.
3. Does it involve a lengthy operation?
Vasectomies only take 10-15 minutes. The same time as your morning shower or a coffee break from work and unlike the former means you and your partner never have to worry about contraception or unintended pregnancy again.
4. Should I be scared of going under the knife?
It may be known as the snip but at Marie Stopes UK we use a no-scalpel technique. A fast-acting anaesthetic is given before the procedure to numb the area and the sperm-carrying tubes (vas deferens) are sealed using heat. There are no hormones and nothing to insert, no stitches are needed. The procedure is also thought to be less painful and less likely to cause complications than a conventional vasectomy. A form of sedation is also available at some of our centres and can be requested at the time of booking.
5. Will it take ages to recover?
The recovery involves little more than a few days of guilt-free rest and relaxation. You can start having sex as soon it feels comfortable to do so and should be fit to return to work and after a couple of days unless you have a very physically demanding job. If you are uncomfortable, a regular painkiller such as Tylenol or Ibuprofen should do the trick and since you have got your feet up thanks to doctor’s orders, why not book one in to coincide with some good TV? Olympics 2016 anyone?
6. What is the failure rate?
Vasectomy is more than 99% effective. Out of 2,000 men who are sterilized, only one will get a woman pregnant during the rest of his lifetime. However it takes a number of weeks to clear the tubes of sperm after the treatment, so you will need to use another method of contraception until you have been given the all clear. I ask you to ejaculate 15 times and then bring in a specimen for me to exam under the microscope.

7. How risky is it?
Vasectomy is a very common and safe procedure. It is always worth arming yourself with all the facts, but ultimately vasectomy is the safest permanent contraception method on earth. The potential complications are much rarer than for a woman getting her tubes tied and most men experience no problems whatsoever.
8. Can I reverse my vasectomy if I change my mind?
The decision to opt for a vasectomy remains a highly personal one in which the potential risks and benefits must be considered, including the possibility that you may change your mind. Vasectomy reversal is possible but success is not guaranteed and depends largely on how long ago it was done so it is much better to consider it a permanent procedure.

Bottom Line: A vasectomy is the most effective method of permanent contraception. The no-scalpel, no-needle technique is associated with less pain and discomfort, less blood loss, and a quicker return to normal activities than the conventional scalpel plus incision technique.

No-Scalpel, No-Needle Vasectomy-The Prime Cut

December 8, 2014

Most practices are impacted at the end of the year by the rush of patients who have met their deductibles. In Urology, aside from patients wanting to get stones busted (Lithotripsy), scrotal issues addressed, and an occasional prostate; by far and away, the number of vasectomies that are done in December is at least 4-5 times the number that our offices perform during any of the other months. The following is intended for any questions that you may have regarding vasectomy and is based on more than 5,000 vasectomies I have performed over 30 years of urologic practice.

Vasectomy Facts

1. Average time for the procedure is 6-8 minutes.

2. Patients are not given any narcotics as Aleve or Advil are sufficient for any discomfort. Less than 1 in 100 patients require a narcotic prescription.

3. Patients are offered the option of Valium 20 mg. to take prior to the procedure with instructions to have a driver.

4. 95% of the men who come in for a vasectomy consult go on to have the procedure.

5. The biggest fear is of someone they do not know holding sharp instruments and working on their scrotum while they are awake. Because of proper education, including an article given to all patients prior to have the procedure, men need not worry about the vasectomy impacting their sexual function.

6. The sperm make up only 5% of the ejaculatory volume so no noticeable change in the semen volume.

7. Rarely men will be seen following the procedure for some discomfort and typically, it is related to some inflammation or small hematoma and Tylenol or Advil are more than adequate.

8. Because of the way the procedure is performed, it is very rare to see a scrotal hematoma, which can occur and creates a small swelling of the scrotum. This occurs most often in men who do not heed the advice of going home, lying down and keeping ice on the incision.

10. Occasionally, a question is asked regarding sperm banking and this can be done in a facility in one of the infertility clinics in the area.

11. Vasectomy reversal is a formal surgical procedure that can take anywhere from 1-1/2 to 2 hours to perform. Through a scrotal incision, the testicle and spermatic cords are brought into the surgical field. The ends of the vas identified, freshened up and scar tissue removed and an operating microscope is used to perform a surgical closure using typically anywhere from 7-0 to 9-0 permanent suture. Success rates for vasectomy reversal is approximately 75% within the first 10 years and drops to about 30% after 10 years.

Anatomy

The vas deferens is a small tube approximately 3 mm (1\8 inch) in diameter that carries sperm from the testicle up into the body where it unites with the seminal vesicles and stores the sperm until ejaculation when the semen is deposited in the vagina in order to fertilize an egg and start the process of conception.

No Scalpel Procedure

Following anesthetizing the skin in the mid-section of the scrotum with a device that deposits the anesthetic without the use of a needle. Then a single puncture is made about 1\4 of inch in length in the middle of the scrotum. Each vas is occluded with very small titanium clip. No sutures or stitches are required. The patient lies on the table for a few minutes and then goes home and lays flat in bed for a few hours using ice over the scrotum for 45 minutes out of every hour until going to sleep.

Office visits

A vasectomy consultation is always performed before the procedure for a number of reasons:

1. To explain the procedure to the patient.

2. To allay fears, address misconceptions, and put the patient at ease.

3. To ensure anatomically that there are no problems with performing the vasectomy which include an extremely large patient with small scrotum, prior evidence of infection, and to screen for extremely anxious patients who probably would not tolerate the procedure being performed in the office under local anesthesia.

4. Pre-procedure instructions are given including the need to shave all the hair on the scrotum preferably the night before.

5. Men are given a prescription for Valium, which they should take 30-45 minutes before the procedure. If the man takes the Valium pill, then he will need a ride home as he should not drive a car after using Valium.

6. Post-procedure instructions are given including the need to go home and stay off his feet and keep ice on for two days. Sexual intercourse can begin typically 3-4 days post- procedure. Additionally the men are instructed to return for a follow-up visit. It takes approximately 15 ejaculations to clear all sperm from the portion of the vas above the legation of the vas.

6. Typically, a man makes a follow-up appointment at 6-8 weeks although the record is one week, but he wasn’t married! They are also informed of the 1 in 1500 chance of reconnection of the vas.

Summary

The majority of men have the procedure performed on Thursday or Friday, spend the weekend resting with ice, return to work on Monday and are back to regular activity including intercourse by Wednesday or Thursday of the following week.

Bottom Line: Having done more than 5,000 vasectomies, I can think of very few men who would not be willing to undergo the procedure again or recommend it to a friend. Certainly, in comparison to tubal ligation, which requires general anesthetic, it is a much simpler, less costly and less painful form of sterilization.
Don’t hesitate to give me a call if you have any questions about vasectomy or go to my website to view a video on vasectomy: http://neilbaum.com/videos/vasectomy

March Madness, Manhood, and Vasectomy

March 29, 2013

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What does March Madness and vasectomy have in common?  You probably answered very little.  However, many men who opt for a vasectomy as a permanent form of contraception are making the decision to have their “prime cut” this week or next week so they can watch the Sweet Sixteen and Final Four while recovering from the 15 minute procedure that can be easily done in the doctor’s office without a scalpel or without a needle.

 

Many male basketball fans may be looking for the perfect excuse to lounge in front of the television all week.  Many urologists, including myself, have the perfect solution: Get a vasectomy.

 

There are practices that offer a “3-Point Shot” plan – one vasectomy, one free pizza, and one weekend excuse to watch college basketball.

 

It is common for many men schedule the procedure on a Thursday or Friday so they can have the weekend to relax.  While the NCAA tournament lasts longer than the recovery period for a vasectomy, which is usually 2-3 days, this is a good excuse for basketball aficionados to catch a few games while enjoying uninterrupted viewing of basketball games.

 

So if you want to have a few days to watch the games without interruption, give your urologist a call and arrange an appointment.  For more information, go to my website, www.neilbaum, and watch a video about the procedure and how it can be done without pain or discomfort.

The Prime Cut-A Vasectomy For When You Are Done Having Kids

May 28, 2011

Though their circumstances vary widely, millions of men have asked themselves two questions: Do I have all the kids I want and can afford? If so, should I get a vasectomy?

Men have one successful option when they want to permanently turn off their baby-creating machine – a vasectomy. A doctor, usually a urologist, cuts and seals off the two tubes that allow sperm to travel from the testicles to vagina and ultimately to combine with an egg and produce a baby.

At the present time only 6% of couples wishing to have a sterilization procedure select a vasectomy.

Reasons that men choose to have the procedure include wanting to avoid difficult pregnancies if their partner has had previous problems during pregnancy, or if the partner had problems using hormonal contraception. Many men are now feeling that a vasectomy is their chance to contribute. 

There are nearly 400,000 vasectomies performed each year in the United States.  The procedure can now be accomplished without an incision and even without a needle to inject the local anesthetic.  The procedure takes 15 minutes and most men can resume all activities, including sexual intimacy, in 2-3 days after the procedure.

For more information, please go to my webiste, www.neilbaum.com or http://www.neilbaum.com/the-vasectomy-procedure.html for an article and a video on the subject.  

OH MY GOSH!!!!!!!! (once again!)

May 14, 2010

I opened the paper

And who do I see?

None other than

The King of Pee.

Peas and Pizza–

Just about the best

And the SI* swimsuit edition

Would put the patient

UP for the test!

As he entertains himself

With SI (and his new plot in life)

He will have to give thought

Of how to appease his wife.

Oh Doctor Whiz

You`ve done it again:

Microwaves and vasectomies

Show you`re the KING PIN!!!!!

*Sports Illustrated

Contributed by the Wiz’s dear friend  Eugenia Lind