Frequently Asked Questions


What are the benefits of No-Needle, No-Scalpel Vasectomy?

  • Less discomfort.             
  • Ten times fewer complications than conventional (scalpel) technique.              
  • No sutures needed.              
  • Spray anesthetic is virtually painless.             
  • 40 to 50% quicker recovery than conventional vasectomy. 

What is different about a No-Needle, No-Scalpel Vasectomy?

  • The difference is in the way the doctor gains access to the vas deferens.  In a conventional vasectomy, after the scrotum has been numbed with a local anesthetic, the doctor makes one or two small cuts in the skin and lifts out each tube in turn, cutting and blocking them so the sperm cannot reach the semen. Then the doctor stitches the cuts closed.  
  • In a No-Scalpel Vasectomy, the doctor feels for the vas deferens under the skin and holds them in place.  Instead of making two incisions, the doctor uses a spray anesthetic and makes one tiny puncture with a special instrument. The vas deferens is then blocked using the same methods as conventional vasectomy.  There is very little bleeding with the no-scalpel technique. No stitches are needed to close the tiny opening, which heals quickly, with no scar. 

Is No-Scalpel Vasectomy safe?

Vasectomy in general is safe and simple.  Vasectomy is an operation, and all surgery has some risks, such as bleeding, bruising, and infection.  However, serious problems are very rare.  

Is No-Scalpel Vasectomy painful?

Our goal is to make your procedure as painless as possible.  Since we use a spray anesthetic technique, the No-scalpel vasectomy is an almost painless procedure. Once the  anesthetic has been sprayed in to the skin, you should feel no pain.  Some men feel a brief "tugging" sensation as the vas deferens is manipulated during the procedure.  Most men tell that the procedure was far easier than they were expecting.  

Will it hurt after No-Scalpel Vasectomy?

After a vasectomy, you may be a little sore for a few days.  Generally, two day's rest is enough time for recovery before men can return to work and most normal, non-strenuous physical activity.  Most men only require Tylenol or Advil for a few days.  Exercise and sex can usually be resumed 7 days after the procedure.   The discomfort is usually less with the no-scalpel technique because there is less injury to the tissues. Your doctor or nurse will provide you with complete instructions about what to do after vasectomy.    

How long will a No-Scalpel Vasectomy take?

On average, it only takes 12 minutes to perform No-Scalpel Vasectomy.  Our vasectomies are done right in the doctor's office.   With our "single visit" vasectomy consultation and procedure, your clinic visit will be less than one hour.

How can I be sure I need a vasectomy?

You must be absolutely sure that you don't want to father a child under any circumstances.  Then, talk to your partner.  It's a good idea to make the decision together.  Consider other kinds of  birth control.  It might help to talk to a friend or relative who has had a vasectomy.   A vasectomy might not be right for you if you are very  young, your current relationship is not stable, you are having the  vasectomy just to please your partner, you are under a lot of stress, or you are counting on being able to reverse the procedure later.    

Will a vasectomy change me sexually?

The only thing that will change is that you will  not be able to make your partner pregnant. Your body will continue to produce testosterone.  You will have the same amount of semen.  Vasectomy won't change your beard, muscles, sex drive, erections, or climax.  Some men say that without the worry of accidental pregnancy and the bother of other birth control methods, sex is more relaxed and enjoyable than before.  

How will vasectomy affect me?

Vasectomy only interrupts the vas deferens that  carries sperm from the testes to where they are added to your semen.  99% of the semen is produced in the prostate, and this remains unchanged.  A vasectomy does not alter a man's sensation of orgasm and pleasure. Your penis and  your testes are not altered in any way. The procedure has no impact on the man's ability to perform sexually, nor does it affect the balance of male hormones or sex drive. Your body still produces semen, and erections and ejaculations occur normally.  As before, the body naturally absorbs unused sperm.  A man will not feel any different physically from the way he felt before. 

Will I be sterile right away?

No.  After a vasectomy, there are always some active sperm left in your system.  It takes about 30 ejaculations to clear them.  You and your partner should use some other form of birth control until your semen is free of sperm.  We will check  your semen three months after vasectomy.  This is an important step that is included at no additional cost.


Can I discontinue other birth control methods right away?

No!  Sperm can remain in the vas deferens above the operation site for months after vasectomy. You will not be considered sterile until a post-vasectomy semen analysis at three months shows no sperm in your ejaculate. Until then, you must continue to use other birth control methods to prevent pregnancy.  This 3 month semen analysis is free of charge in our clinic.

How soon can I go back to work?

You should not do heavy physical labor for at least 48 hours after your vasectomy. If your job doesn't involve this  kind of work, you can go back sooner.  Many men have their vasectomies on Friday so they can take it easy over the weekend and go back to work on Monday.  

When can I start having sex again?

Sex can usually be resumed 7 days after the  procedure, but remember to use some other kind of birth control until the doctor says you are sterile. 

Are there potential complications associated with vasectomy?

 All  contraceptive methods carry some risks as well as benefits.  Vasectomy is a very low risk procedure, but complications are possible.

  • Bleeding (hematoma) and infection are the most common (although rare) complications of vasectomy. These occur in less than 0.4% of men undergoing a No-Scalpel Vasectomy. The no-scalpel method we describe is associated with a much lower rate of bleeding because the blood vessels are pushed aside rather than cut. 
  • Failure of the procedure.   Vasectomy is 99.9% effective with Dr. Mootha's technique.  Even when the procedure is performed perfectly, recanalization can occur, sperm finding their way across the blocked ends of the vas deferens.  Although this is very rare (one in 1000 men), it can occur months or even years later.  This  demonstrates the necessity of performing semen analysis at three months post-vasectomy to verify that the semen contains no sperm.  Recanalization usually occurs in the first 2-3 months after vasectomy  (incidence 1/1000), but has been known, in extremely rare cases, to  occur even years later (incidence 1/4500). 
  • Sperm granuloma, a small and sometimes painful lump, about the size of a pea, may form as a result of  sperm leaking from the cut vas deferens.  The lump is from focal inflammation not dangerous.  It is almost always resolved by the body in time.  Scrotal support and mild pain relievers are usually all that are required to alleviate the  symptoms, although the doctor may suggest other treatments. 
  • Congestion, a sense of fullness or pressure caused by sperm in the testes, epididymis, and lower vas deferens, may cause discomfort some 2 to 12 weeks after vasectomy.  Like granuloma, congestion is not serious and usually resolves itself in  time.