Posts Tagged ‘no-needle vasectomy’

FAQs on Vasectomy

July 12, 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.
This blog will discuss the most common questions that men and their partners often ask about vasectomy or permanent male contraception.
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 anesthetic 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: Vasectomy remains one of the safest and least expensive forms of contraception. The no-incision, no-needle procedure is almost painless with minimal risk of complications or post procedure pain and discomfort.

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Meet the New Orleans magician / urologist who offers a March Madness vasectomy special

March 19, 2015

This article appeared in USA Today Sports
By: NATE SCOTT March 18, 2015 2:19 pm ET

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Dr. Neil “The Whiz” Baum is a New Orleans urologist and part-time magician who, every year at the start of March Madness, offers a vasectomy special to local men. The deal is patients get a scalpel-free vasectomy, a pizza, a Sports Illustrated swimsuit issue, a frozen gel pack, and a bell, so that patients can sit on the couch and ring for someone to “bring them a fresh beer or whatever they need.”

Dr. Baum hopped on the phone with For The Win to discuss his special, its popularity, and his friendship with Chicago Bears running back Matt Forte.

FTW: So I remember when I lived down in New Orleans, I used to hear about your special on the radio, and my friends and I thought it was the funniest thing in the world. Is it still happening?

NB: Oh yes. I have to limit it to about ten a weekend. I could probably do more. I want to make sure I’m not exhausted so I can enjoy the games myself. I limit it to ten each weekend.

FTW: When did this start?

NB: This started about 3 or 4 years ago. [It actually began back in 2009.] I’ve tried to do it for Super Bowl weekend and I’ve tried to do NBA playoffs, but neither worked, and I can’t figure out why.

But Super Bowl weekend, there are too many parties. No one wants to be by themselves. And NBA, I just don’t think it’s as big.

FTW: It’s also a lot more spread out, the NBA playoffs. Where March Madness all happens right in a row, so it’s OK to sit on the couch for a day.

NB: Yep. March Madness. It works every year. The patients love it.

FTW: Am I remembering wrong? Didn’t you at one point give out a bag of frozen peas with this special?

NB: We give out a gel pack now. And it has my name on it. It lasts longer than the frozen peas.

FTW: Are you still doing magic shows as “The Whiz”?

NB: Oh yeah. Absolutely. It’s so cool that I can call up people and say “Oh hi, it’s the Whiz,” and everyone who knows me and has interacted with my magic knows it’s me and gets the double entendre with my name: urologist and a magician. And my license plate is “THE WHIZ.”

FTW: I remember seeing it around New Orleans.

NB: Oh yeah. I gave my daughter Lauren my car once, she was in high school, and she didn’t quite have the confidence she has today. And she would scream: “I don’t want a car that has THE WHIZ on the back!”

FTW: So, to change topics a bit, Matt Forte used to live in your house when he was finishing up his degree at Tulane, right?

NB: Yes, Matt. He lived here for four months after his rookie year. We used to play ping pong. If I lost, I had to do 25 push-ups, and if he lost, he had to do 50 push-ups. And I used to beat him badly, for so many months, his big arms are due to me. [Laughs] No, no. He used to beat me. And the thing with Matt is, you can’t trash talk him. He’s been around all that. You can’t get under his skin, ever.

Achieve Serenity During March Madness With A No-Scalpel, No-Needle Vasectomy

March 13, 2015

March Madness is on the horizon and what an ideal time to have your vasectomy. A few years ago I had a program that generated a lot of enthusiasm for having your vasectomy on one of the weekends of March Madness. (http://neilbaum.com/wp-content/uploads/2013/08/YOURology-Update-March15.pdf)

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 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, the perfect cut!
I am suggesting a “3-Point Shot” plan – one vasectomy, one free pizza, and one weekend excuse to watch college basketball.

It is common for many men to 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, call our office to schedule an appointment. For more information, go to my website, http://www.neilbaum, and watch a video about the procedure and how it can be performed without pain or discomfort.

No baby and no more tuitions: consider the no-scalpel, no-needle vasectomy.

Vasectomy Reversal After A Vasectomy

December 27, 2014

I am often asked if a vasectomy can be reversed. Most often a man divorces, has a new wife and they wish to have children in their new marriage. Can the vasectomy be reversed?

Normally, sperm – the male reproductive cells that fertilize a woman’s egg – are made in the testicle. Sperm travel away from the testicle through a tube called the vas deferens. There is one vas deferens for each testicle. The vas deferens connect with a reservoir where the sperm is held, ready to be leave the reservoir during sex. The sperm also mixes with secretions from the prostate gland that keep the sperm alive. When the sperm is ejaculated, it travels through another tube, the urethra, inside the penis and is deposited in the woman’s vagina at the cervix or the “gatekeeper” to the uterus.

A vasectomy cuts or blocks the vas deferens. Once the vas deferens is blocked, sperm cannot pass from the testicle to the reservoir where semen and secretions from the prostate gland are stored.

After a vasectomy, a man continues to have normal ejaculations of semen, but the ejaculate no longer contains sperm. This can only be discerned if the ejaculate is examined under a microscope.

In a traditional vasectomy, the surgeon uses a scalpel to make small incisions in the skin of the scrotum near the base of the penis to reach both vas deferens. (The scrotum is the fleshy sac that contains the testicles.) The vas deferens are cut or blocked to prevent sperm from traveling. The incisions in the scrotum are then closed with two or three small stitches.

In my practice, I perform the no-scalpel, no-needle vasectomy, which is less painful, has less bleeding and fewer complications. The surgeon makes one or two tine openings about the size of an eraser to access the vas deferens.

The puncture is widened slightly, then the surgeon cuts or blocks each vas deferens.

The puncture site can be covered with a tiny dressing. No stitches are needed.
A vasectomy is intended to produce permanent sterilization. Special microsurgery can reverse a vasectomy and restore fertility in some cases. Vasectomy reversal is a delicate, expensive procedure. And it is only successful in about 60 to 70 percent of cases.

The Contraception Conundrum-Vasectomy vs. Tubal Ligation

May 28, 2011

Every couple whose family is complete comes to a fork in the road and asks which partner is going to get either a vasectomy or a tubal ligation.  This blog will answer a few questions that may help you make a more informed decision.

First of all both procedures should be considered a permanent form of contraception or sterilization.  A vasectomy isn’t nearly as costly and invasive as the surgery to reverse it. And the odds that you’d be able to father a child again aren’t good enough to count it as a fall-back option down the road, Shih says.

What Could Go Wrong?

A report in a medical journal pointed out that women were 20 times more likely to have a serious problem related to a tubal ligation than men who select to have a vasectomy. In addition, men tend to recover more quickly from a vasectomy.  Most men can return to all activities, including sexual intimacy, 3-4 days after the procedure.   A tubal ligation requires a general anesthesia and incisions into her abdomen.  Both of these can result in significant complications.  However, if a woman is going to have her tubes tied during a planned C-section delivery, the added risk of the tubal is less of a concern.

A vasectomy can be done in the doctor’s office using a local anesthetic and usually takes less than 15 minutes.  The most common problems related to vasectomy include bruising, infection, and inflammation in the epididymis, a sperm-holding structure near the testicle. But each of these seems to occur in less than 5% of cases.  Now that the procedure is performed without an incision but through a tiny puncture wound and does not even require a needle to provide the local anesthesia,

If you’re looking for instant results, a tubal holds the edge: It works immediately. After a vasectomy, a man can still get a woman pregnant until lingering sperm are flushed from his plumbing which usually requires 15 ejaculations.  So it’s crucial for couples to use a backup method of contraception until your doctor says you’re in the clear. And men need to provide a semen sample after a vasectomy that is examined under a microscope to be absolutely certain that no sperm are present.

The Essure and Adiana devices, which are inserted into the Fallopian tubes, also require a checkup to ensure that they’re installed properly and the woman can’t get pregnant.  If you choose these options, be sure you’re going to do the follow-up work. During the first three months after insertion of the device, another form of birth control must be used.

If you’re thinking about your bank account, In terms of cost, a vasectomy is definitely more cost-effective. In general, a tubal costs about three times as much as vasectomy.

Bottom Line:  Most couples are happy when children are planned.  When the time comes to cut off  “reproduction production”, consider either a vasectomy or a tubal ligation.

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.