81. VasCenter - Vasectomies, Vasectomy Reversals, Physician Referrals & General Info vasectomy Vascenter provides information on vasectomy, vasectomy reversals, Links to other urology information sections will be provided. http://www.vascenter.com/

Vasectomy Vasectomy questions? VasCenter.com can provide you with all the information you need to make an educated decision about vasectomy. It is important that your vasectomy is performed by an experienced urologist. In some areas vasectomies are performed by family practitioners and general surgeons who don't have as much training in this surgical procedure and may not know how to take care of complications, should they arise. Our Find A Doctor service will help you locate a urologist in your area. The failure rate of birth control pill is up to 30 per 1000. The failure rate of tubal ligation is up to 4 per 1000. The failure rate of vasectomy is only 1 to 3 per 1000. The cost of birth control pill averages $30 per month. If you are paying for this out of pocket, that is significant, especially considering that vasectomy is usually covered by insurance. If it is not covered, paying out of pocket for vasectomy pays for itself in eighteen to twenty-one months. Vasectomy is a procedure that can be done in the office under local anesthesia, but tubal ligation requires the woman to be hospitalized and is done under general or spinal anesthesia, therefore it is much easier for the man to undergo vasectomy than it is for the woman to undergo tubal ligation.

82. Harry Fisch, MD ~ Professor of Clinical urology, Columbia University The purpose of the Patient s Guide to vasectomy Reversal is to familiarize men with the procedures http://www.cumc.columbia.edu/dept/urology/fisch/vasectomyreversal.htm

Home The Male Biological Clock Vasectomy Reversal Help for Patients ... CurriculumVitae Harry Fisch, M.D. Professor of Clinical Urology, Columbia University Columbia University Medical Center of New York Presbyterian Hospital 944 Park Ave at 81st Street, New York, NY 10028 Phone: (212) 879-0800 Fax: 212.988.1634 The Patient's Guide to Vasectomy Reversal The Patient's Guide to Vasectomy Reversal has been written to assist men who want to restore their fertility through vasectomy reversal surgery. In practice, I have treated many individuals who have successfully undergone vasectomy reversal surgery and while each case is unique, I have found similar questions and concerns. The purpose of the Patient's Guide to Vasectomy Reversal is to familiarize men with the procedures that are involved, from the initial examination through surgery and the post-operative period, to help lessen the apprehension that can accompany the decision process. This guide is designed in a simple question and answer format to address particular concerns, as well as to expand on other issues that also need to be understood before proceeding with a vasectomy reversal.

83. Vasectomy The urology Team believes that vasectomy should be considered to be a In general, vasectomy is a very safe procedure with very low risk or complication. http://www.intra-focus.com/urology/7B18247D-65BE-CC3C-158C788FFE275EFE.htm

A Permanent Decision Anatomy Evaluation / Consultation Risk ... Vasectomy Reversal A Permanent Decision About 1,000,000 men get a vasectomy a year. A vasectomy is a simple, safe, easy, and inexpensive method of birth control when compared with oral contraceptives and a tubal ligation. The Urology Team believes that vasectomy should be considered to be a permanent procedure. There are reversal procedures , but they are not 100% successful. In addition, these reversal procedures are generally not covered by any insurance and can be quite expensive. Ask yourself whether you would want more children if you separated from your partner, if your partner died or if one of your children died. A man can bank (i.e. freeze) his sperm before his vasectomy is performed but it is expensive and most men do not do so. Anatomy A vasectomy is an outpatient procedure that can be done in the office in greater than 95% of the cases when the anatomy is favorable. On occasion, individuals with certain medical problems or a history of previous scrotal surgery may require vasectomy under a general anesthetic in an outpatient setting. The sperm are produced on the inside of the testicles in specialized rows of cells. The sperm maturation cycle is about 90 days. This means that the sperm that are produced today will not be ready for ejaculation for about 3 months. Once the sperm are mature, they pass out of the testicle through the epididymis, which becomes the vas deferens, which subsequently carries the sperm up into the base of the

84. Information On Semen Analysis (September 1998) Efficacy and complications associated with vasectomies in two Clinical Aspects of vasectomies performed in the US in 1995. urology. http://physicians.vasclip.com/Webpage.asp?MID=315894

85. Urology Of Virginia Although rare, complication after vasectomy can occur. Be sure to contact your doctor if any of the following problems or concerns arise. http://www.urologyofva.com/services/vasectomy information.htm

Patient Information for Vasectomy Is Vasectomy Right for You? Vasectomy is a simple, safe and effective method of birth control. Approximately one-half million men in the United States undergo this surgical procedure each year. A vasectomy should be considered irreversible , thus you and your partner must be sure you don’t want any more children. You should discuss possible circumstances that might change your mind such as divorce and remarriage. A vasectomy is a permanent decision so you should have no doubts about these issues. The Effects of a Vasectomy This operation prevents sperm from traveling from the testes to the penis. The rest of your reproductive system remains unchanged. The testes will continue to produce sperm, but they die and are absorbed by your body. Semen continues to be produced by the prostate and the seminal vesicles, and will not look or feel different. Your male hormone level, sex drive, and ability to have an erection remain unchanged after this procedure. The Before, During, and After A Vasectomy A vasectomy is an outpatient procedure that is usually done in a doctor’s office, clinic, or hospital.

86. Michigan Urological Clinic | Male Urology Services General urology Services. vasectomy vasectomy is the most common form of male sterilization in use today. It s a safe procedure that results in effective, http://www.michiganurological.com/malevasectomy.html

Vasectomy On arrival at the doctor's office, we will discuss with you the techniques and expectations of a vasectomy. Any questions you might have will be answered at that time. You'll be given a mild sedative to help you relax before the procedure and a local anesthetic will be used during the procedure. No special skin preparation or shaving is necessary. Bring tight fitting underpants to wear home. In the procedure, double surgical clips are placed on each end of the Vas Deferens with a segment of the Vas Deferens removed and the ends scarred shut. This procedure is performed on each side through one small mid-line incision. Before Vasectomy Normal male reproductive system Vasectomy Site Anatomic relationship of normal male reproductive system to vasectomy site What to do after a Vasectomy What not to do after a Vasectomy Michigan Urological Clinic Site Map

87. Vasectomy Information On MedicineNet.com vasectomy procedure includes how a vasectomy is done, sex issues, side effects, The newer method also causes less pain and fewer complications than http://www.medicinenet.com/vasectomy/article.htm

document.writeln(''); About Us MedicineNet Home Men's Health Home Page > Vasectomy search help Printer-Friendly Format FREE Newsletters Email to a Friend ... Next Vasectomy What is vasectomy? How common is vasectomy? How is vasectomy done? How does vasectomy compare with female sterilization? ... Vasectomy At A Glance What is vasectomy? Vasectomy is a simple operation designed to make a man sterile, or unable to biologically father a child. Vasectomy involves blocking the tubes through which sperm pass into the semen. Sperm are produced in a man's testis and stored in an adjacent structure known as the epididymis. During sexual climax, the sperm move from the epididymis through a tube called the vas deferens and mix with other components of semen to form the fluid that is ejaculated (ejaculate). All vasectomy techniques involve cutting or otherwise blocking both the left and right vas deferens, so that the man's ejaculate will no longer contain sperm, and he will not be able to make a woman pregnant. How common is vasectomy?

88. Vasectomy vasectomy is a surgical procedure that sterilizes males by stopping the flow of sperm from You should have no complications if you follow your doctor’s http://www.hmc.psu.edu/healthinfo/uz/vasectomy.htm

89. Stanford Hospital And Clinics - Stanford University Medical Center - Urology Car The urology Clinic at Stanford provides high quality prostate cancer This approach reduces the likelihood of treatment failure and complications. http://www.stanfordhospital.com/clinicsmedServices/clinics/urology/urologyClinic

Print-friendly View Urologists Genitourinary and Prostate Cancer Program Laparoscopic and Minimally Invasive Surgery / Endourology Urology Clinic ... Prostate Cancer: Prevention, Diagnosis and Treatment Options Urology Care / Prostate Cancer Treatment Location: Boswell Building 300 Pasteur Drive Stanford, CA View a map Room/Suite: Mailing Address: 300 Pasteur Drive Stanford, CA 94305 Contact Phone: Urologic Oncology : Female Urology and Center for NeuroUrology: Infertility/Impotence, Laparoscopic and General Urology: Fax Number: Days and Hours: Monday-Friday  8:00 am - 4:30 pm The Stanford University Urology Clinic provides general urologic care for the local population and serves as a secondary and tertiary referral center for adult patients with a wide range of complex urologic problems. Our staff is committed to preserving patient dignity and providing the highest quality care and comfort. Urologic Oncology/Genitourinary Cancer Program The Genitourinary Cancer Program focuses on the investigation and management of cancers of the prostate, bladder, kidney, testis and genitalia. Emphasis is placed on finding cancer treatment that offers the greatest efficacy with the fewest complications and is based on a multidisciplinary approach which combines clinical expertise from Urology, Radiation Oncology and Medical Oncology in the office, operating room and laboratory. Treatment plans are customized to meet individual patient needs, and when appropriate, patients are invited to participate in studies to investigate the newest treatments as well as large-scale clinical trials for more established treatments.

90. His And Her Health: Vasectomy Reversal Can Be Highly Successful He also serves as Chief of urology at Century City Hospital, Using the noscalpel technique, the complication rate for vasectomy has gone down to 0.4 http://www.hisandherhealth.com/articles/Vasectomy_Reversal_Can_Be_Highly_Success

- Advertisement - Fertility Sexual Dysfunction Help for Sexual Partners Incontinence, Urgency ... Prostate Cancer space words without commas OR AND help E-mail the Doctor Chat with the Doctor Medical Videos ... Consultants - advertisement - by Philip Werthman, M.D. Dr. Werthman is a board certified urologist, fellowship-trained andrologist and Director of the Center for Male Reproductive Medicine in Century City, Los Angeles. He also serves as Chief of Urology at Century City Hospital, Assistant Clinical Professor of Urology at The University of Southern California School of Medicine. Vasectomy Reversal Can Be Highly Successful Approximately 500,000 men request vasectomies each year and it is recognized that five percent of them will change their minds, usually due to remarriage, death of a child or improved circumstances allowing for more children. Over the past 20 years, the surgical technique of vasovasostomy provided excellent results, permitting a man to re-establish his fertility. The surgery is performed as an outpatient, with well over 95 percent success for those men who have sperm at the time of surgery. For those couples experiencing infertility due to a man's vasectomy, there are the alternatives to TDI (therapeutic donor insemination) or IVF/ICSI (in-vitro fertilization with intracytoplasmic sperm injection). Restoration of a man's fertility by reconnecting the tubes at the site of the previous vasectomy appears to provide couples with the most optimal and least expensive option for a family.

91. Southern Medical Journal - UserLogin Bennett AH. vasectomy without complication. urology 1976; 7 184185. Medline Link CrossRef Context Link. 28. Schmidt SS, Minckler TM. http://www.smajournalonline.com/pt/re/smj/fulltext.00007611-200401000-00015.htm

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92. Vasectomies vasectomy is a very low risk procedure, but complications are possible. · Though rare, bleeding (hematoma) and infections are the most common complications http://www.azurology.com/vasectomies.htm

Your browser does not support script Vasectomy Vasectomy is one of the safest and most effective methods of permanent birth control. It is much safer and less expensive than the other most common contraceptive surgery, tubal ligation. For these reasons, some 500,000 men in North America choose vasectomy each year. Conventional vasectomy blocks the vas deferens, preventing sperm from being added to man’s ejaculation fluid (semen). A local anesthetic is given, and one or two incisions are made in the scrotum with a scalpel. The two vas deferens are exposed, cut, and blocked. The incisions are then closed with sutures. No-Scalpel Vasectomy A safer, less invasive procedure, the No-Scalpel Vasectomy (NSV) reduces vasectomy’s already low complication rate. Developed in China in 1974, it differs from conventional vasectomy in how anesthesia is given and in how the two vas deferens (vasi) are reached. Worldwide, more than 15 million men have had the procedure. Reproduced with permission www.ameditech.com

93. CSG: Health Education Documents/Vasectomy And Vasectomy Reversal urology Vascular / Interventional Radiology vasectomy and vasectomy Reversal. Acrobat Icon The printer friendly version is available to you using the http://www.ctsurgical.com/Education/vasc.stm

Specialties Connecticut Vascular Institute Colorectal Surgery General Surgery ... Education CSG Tools Printer Friendly Version Schedule an Appointment Physician Finder Health Education Sheet Vasectomy and Vasectomy Reversal The printer friendly version is available to you using the Adobe Acrobat plug-in. Please click here if you don't have this plug-in. What are vasectomy and vasectomy reversal? How is sperm produced and delivered? How common are vasectomy and vasovasectomy? How is vasectomy performed? ... For additional information What are vasectomy and vasectomy reversal? Vasectomy is a minor surgical procedure to block the delivery of a man's sperm to his semen, thereby making him sterile, or incapable of fathering children. Briefly, it involves two small incisions in the man's scrotum to gain access to the vas deferens (thin, coiled tubes that transport sperm), cutting them to create an interruption and sealing the two separated ends. Vasectomy is a simple, fast procedure performed on an outpatient or day-surgery basis with a success rate of more than 99 percent and very low rates of complications. The outstanding advantage of vasectomy as a technique of contraception is that it is permanent. With more than 500,000 vasectomies performed in the United States each year, this technique of male sterilization is the third most popular method of contraception (or preventing pregnancy) for married couples, after female sterilization and birth control pills.

94. Vasectomy Who Gets a vasectomy? Characteristics of Men Receiving Vasectomies In the United of vasectomies performed in the United States in 1995, urology, 1998, http://www.menstuff.org/issues/byissue/vasectomy.html

Vasectomy Who Gets a Vasectomy? Characteristics of Men Receiving Vasectomies In the United States Context Methods Results ... References Characteristics of Men Receiving Vasectomies In the United States Context: Even though vasectomy is a popular method of contraception in the United States, there is limited information on the characteristics of men choosing vasectomy and why they decide to undergo the procedure. Methods: A nationwide, practice-based survey of 719 men receiving vasectomies was conducted between July 1998 and June 1999. Results: Low-income, minority and less educated men were underrepresented among vasectomy recipients. The majority of men were married or cohabiting (91%), non-Hispanic and white (87%), and educated beyond high school (81%). Only 7% of men had annual household incomes of less than $25,000, and fewer than 1% paid for the procedure using public funding; 81% of respondents paid through private insurance or a health maintenance organization. Half of men reported choosing vasectomy over a reversible method because it is the most secure means of preventing pregnancy, and 62% chose vasectomy over tubal ligation because the procedure is simpler and safer. Doctors and nurses were the most important sources of information about vasectomy (cited by 31% of respondents), followed by wives or partners (25%) and friends (23%). Conclusions: Despite the diversity of the U.S. population, vasectomy recipients are a homogeneous group. By identifying users of vasectomy and underserved groups, our findings should assist service providers and program managers in planning strategies to reduce the large difference in levels of vasectomy use among men of different races, ethnicities and income groups.

95. Varicocele Surgery Complications. Patient medical question and answer from The urology Forum. Varicocele surgery complications. Forum The urology Forum Topic Misc. http://www.medhelp.org/forums/Urology/messages/30295.html

Questions in the Urology Forum have been answered by Dr. Kevin Pho, (who is board certified in Internal Medicine) and by urologists from Henry Ford Health System. Varicocele surgery complications. Forum: The Urology Forum Topic: Misc. Subject: Varicocele surgery complications. From To Post Jason B. Hi, A year and a half ago I went to a urologist because I was having some pain and heaviness in my left testicle from a varicocele. He suggested I have surgery to repair the problem. This treatment did not work and the pain in the right and left testicle would always return if I tried to wear any constricting Thanks, Jason B. HFHS M.D.-TP Jason B. There are many medical conditions that can present as a mass in the scrotum. These include but are not limited to hernia, hydrocoele (an acummulation of fluid in the tissue layers that encircle the testicle), benign cyst, infection, varicoele, and the most feared testicular cancer. From your description of physical findings, it sounds like this mass may be a varicocoele. A varicoele is a dilation of the pampiniform plexus, which is made up of the veins that drain the testicle. Approximately 16% of adolescent boys have a varicocoele, with the same figure found in the normal adult population. Varicocoeles often occur on one side, and usually on the left. Straining, lifting, or standing may enlarge a varicocoele and cause pain. Fertility can be afftected by a varicocoele due to the elevated intrascrotal temperature that results from pooling of warmer blood in the dilated veins. Sometimes, a left varicocoele can be a sign of kidney cancer . This is because the kidney tumor may extend into the left renal vein and block venous return from the left pampiniform plexus.

96. Post Vasectomy Pain Forum The urology Forum Topic Sexual Problem Subject post vasectomy pain Post vasectomy Pain Syndrome A very rare complication of a persisting dull http://www.medhelp.org/forums/Urology/messages/30727.html

Questions in the Urology Forum have been answered by Dr. Kevin Pho, (who is board certified in Internal Medicine) and by urologists from Henry Ford Health System. post vasectomy pain Forum: The Urology Forum Topic: Sexual Problem Subject: post vasectomy pain From To Post alistair I underwent an open ended vasectomy about 10 months ago. After a few months I noticed pain in my right groin area when about to ejaculate. Since then this condition has worsened, despite a course of antibiotics prescribed by my urologist who thought it may be some infection. Now the pain will arise even when I simply get an erection, but not always. Indeed during one week I can have virtually pain free sex and then suddenly the next night I have a very sharp pain in the right groin area which makes it impossible to continue with the sex or even attempt ejaculation. The pain will then remain, though at a much lower level, for days. Anti-inflammatories help but certainly do not completely eradicate the pain. Any thoughts or suggestions? Forum-M.D.-KYP

97. Common Diseases Treated The Dept. of urology at the Washington Hospital Center is the area’s most vasectomy is a highly successful commonly performed procedure that produces http://www.whcenter.org/body.cfm?id=1928

98. BCMA > BC Medical Journal > Issues > BCMJ December 2001 Edition The Cornell University Reproductive urology web site (maleinfertility.org) is an Staphylococcus lugdunensis endocarditis A complication of vasectomy? http://www.bcma.org/public/bc_medical_journal/BCMJ/2001/december_2001/MaleContra

BC Medical Journal Volume 43, Number 10, December 2001, pages 560-566 See responses to this article Male contraception and no-scalpel vasectomy Many simple, safe, and effective contraceptive options are available to men; here is a review of the current options and future possibilities. Barry Rich, MD Dr Rich is a general practitioner in Surrey, Vancouver, and West Vancouver, with a practice limited to no-scalpel vasectomy and men’s sexual dysfunction. He is on staff at Surrey Memorial and Lions Gate Hospital, chairs the Men’s Health Committee of the BCMA Council on Health Promotion, and is a member of the Canadian Male Sexual Health Council. Contents Abstract Introduction Male contraceptive options Abstinence ... References Abstract A review of current options for male contraception, with a focus on no-scalpel vasectomy—its technique, benefits, risks, and possible complications. Important considerations for physicians who counsel men considering vasectomy, and future trends in male contraception currently under development.

99. Vasectomy Surgical Techniques In South And South East Asia | BMC Urology, Volume The objective of this study was to determine the surgical vasectomy techniques No data on complications were available but were said to be rare. http://bmc.ub.uni-potsdam.de/cgi-bin/show.pl?1471-2490-5-10

100. Effectiveness Of Vasectomy Using Cautery | BMC Urology, Volume 4 - Mirror @ Uni Four hundred men who chose vasectomy were enrolled and followed for 6 months. BMC urology 2004, 410 doi10.1186/14712490-4-10 http://bmc.ub.uni-potsdam.de/cgi-bin/show.pl?1471-2490-4-10

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