Let your doctor know if you experience an increase in discomfort, so you can receive the right medication.

The inner concave portion of the surgical instrument as embodied in the subject invention has a central groove formed therein that extends longitudinally of the body portion. 1 and 2, the surgical instrument embodied in the present invention is illustrated and is generally indicated at 1 It is contemplated that the surgical instrument 10 will be employed in a bilateral vasectomy procedure, although it is understood that the instrument can be utilized for other surgical procedures as required. BACKGROUND OF THE INVENTION The present invention relates to a vasectomy procedure and instrument for use therewith and has application as a birth control procedure and device since the vas deferens carrying the male sperm is severed, wherein the patient is rendered incapable of producing conception.

The surgical instrument as embodied herein provides for elevating or lifting of the vas deferens from the underneath side during the vasectomy procedure rather than clamping from above wherein the surgeon is able to conveniently retain the vas in the elevated or lifted position free of obstruction.

Vasectomy procedure has no special complications or side effects, excepting sterilization.

It is a popular means of birth control for couples that have decided that their family is complete.

There are some variations on the procedure such as no-scalpel vasectomies, in which a sharp hemostat, rather than a scalpel, is used to puncture the scrotum. Another type of vasectomy which may reduce the risk of chronic pain is called an “open ended” vasectomy. We have a picture of a bilateral vasectomy immediately after the procedure, a midline incision vasectomy on days 1 and 4, and pictures of vasectomy scars 7 and 10 years after vasectomy.

Keep in mind that there will be slight variations in no-scalpel vasectomy procedures amongst different physicians.

It is usually performed in the doctor’s office in less than 30 minutes.

Locate a Vasectomy Doctor in Your Area Code - Enter your area code to locate vasectomy doctors near you.

A vasectomy is chosen by over 600,000 American men annually, and as many as 30 million men worldwide. AFTER YOUR VASECTOMY - A guide to the days and weeks that follow a vasectomy.

Discomfort following a vasectomy is usually mild, but expect to take time to rest and recuperate for a few days.

Many men begin to resume regular work activities after a few days of rest following the procedure. Although men considering vasectomies should not think of them as reversible, and most men and their spouses are satisfied with the operation, there is a procedure to reverse vasectomies using vasovasostomy .

The reversal procedures are frequently impermanent, with occlusion of the vas recurring two or more years after the operation.

There is evidence that men who have had a vasectomy may produce more abnormal sperm, which would explain why even a mechanically successful reversal does not always restore fertility.

Researchers reported in February 2007 that a survey of a small number of men with primary progressive aphasia, a rare speech disorder, found that more than twice as many as would be expected had undergone vasectomies. Animal and human data indicate that vasectomy does not increase atherosclerosis and that increases in circulating immune complexes after vasectomy are transient.

“Vasectomy reversal for the post-vasectomy pain syndrome: a clinical and histological evaluation”.

“Late failure of vasectomy after two documented analyses showing azoospermic semen”.

The higher rates of aneuploidy and diploidy in the sperms of men who have undergone vasectomy reversal may lead to a higher rate of birth defects.

Both parts about 5 minutes long.

Still another object is to provide a surgical instrument for use in a bilateral vasectomy that includes a handle and a head mounted thereon, the head having a generally arcuate configuration that enables the vas to be lifted from the underneath side out of the scrotum of the patient for the severing of the vas.

Open Vasectomy Some studies suggest that when the tube is cut the testicular end should be left open and that doing so may reduce the risk of post vasectomy pain.

Fascial Interposition Some NSV doctors carry out an additional step , that some studies suggest increases the success of the procedure, called fascial interposition.

Once the vas tubes have been brought out through the opening in the scrotum, some procedures involve just cutting and tying the ends of the tube.

The NSV procedure takes anywhere from 15 to 30 minutes, depending on your anatomy.

This figure is generally accepted as being accurate, and the figure most doctors will quote when asked for a reliability figure.

Although most vasectomy failures occurred relatively early , 2 pregnancies occurred more than a year after the vasectomy.

In the absence of paternity testing, it is not certain that pregnancies that occur to women whose husbands undergo vasectomy are associated with vasectomy failure.

Vasectomy failure occurs in 1-3% of cases when fulguration and surgical clips used to occlude vas deferens.

Although considered of secondary importance, good surgical technique subjectively measured by the minimal amount of accessory tissue attached to the excised vasa was also considered to aid in reducing the number of vasectomy failures. If it is assumed that the 1 excluded woman with a reported pregnancy indeed had a true failure and that it occurred at 6 months , then the cumulative probability of failure per 1,000 procedures would be 12 at 1 year after vasectomy and 11 at years 2, 3, and Among the 540 women at risk for pregnancy, the cumulative probability of failure per 1,000 procedures was 4 at 1 year after vasectomy and 13 at years 2, 3, and

Cases in which the estimated date of conception is after the date of vasectomy are considered true failures.

Contraceptive failure rates are the ones usually quoted - and what we are mostly interested in!

A successful vasectomy is extremely unlikely to cause a pregnancy, especially after repeated semen analyses confirming the absence of sperm before and after the supposed pregnancy.

Because failure of vasectomy may result in pregnancy, it is of utmost importance to follow closely instruction for determining sterility.

“Couples who are considering vasectomy should understand that it may take a long time to become effective and failures do occur,” says Dr.

Standard vasectomy procedures that fail usually show persistent motile or non-motile sperm in the ejaculate.

Oftentimes, at the time of vasectomy reversal, we don’t see any ligature remaining at the vasectomy site.

Tubal ligation is ten times more likely to result in an unplanned pregnancy than vasectomy.

Any man not having been cleared after the end of the study period is classed as an “Early failure”.

To calculate the cumulative probability of failure, the woman who reported a pregnancy at 1 year was not included because no information was available regarding her pregnancy.

Detailed methods of the CREST study have been reported elsewhere, 4 including the details of the vasectomy comparison cohort.

OBJECTIVE: To describe the pregnancy rates among women whose husbands underwent vasectomy.

The 3 women with preexisting pregnancies at the time of vasectomy were not included.

Jamieson DJ, Kaufman SC, Costello C, Hillis SD, Marchbanks PA, Peterson HB.

Six of the pregnancies that occurred within three months were presumably due to unprotected intercourse during the waiting period, as no sperm were found in our study.

Vasectomy is a commonly used, highly effective method for the control of fertility in the human male.

The standard incision method has been in use for many years, and the “no-scalpel vasectomy” was introduced by S.Q.

NSV is preferred over the conventional vasectomy as it has several advantages.

The success rate with the use of fascial interposition was significantly higher at 22 weeks after vasectomy than ligation and excision alone .

Regardless of the method, all patients need to be counseled about possible failure and the potential for re-canalization and pregnancy.

Sperm granuloma is found in up to 60% of vasectomized men at vasectomy reversal.

In a traditional vasectomy, the surgeon makes one or two incisions to gain access to the vas deferens; in the no-scalpel method, a small puncture in size is all that required.

Overall percentage of complications after NSV 4% versus 1% for conventional vasectomy.

The likelihood of recanalization increases when sperm granuloma is present at the vasectomy site.

Current studies did not confirm vasectomy to be associated with the increased risk of the development of atherosclerosis-related diseases, prostate or testicular cancer.

Reappearance of nonmotile sperm after azoospermia is rare and was found in 6-8% of patients after vasectomy.

Like a conventional vasectomy, local anesthetic is administered to allow the patient to be comfortable.

The no scalpel vasectomy , originally developed in China in 1974 and first introduced in the United States in 1984, is an innovative approach to exposing the vas deferens with fewer surgical complications and shortened operative time.

In the early 1970s a new procedure known as “No Scalpel Vasectomy” was developed in China by Dr.

Urologists and family practioners who perform conventional vasectomies have generally taken additional training to perform the no-scalpel procedure.

Is No-Scalpel Vasectomy painful?

Did you know that there are over 600,000 vasectomies and 60,000 vasectomy reversals performed annually in North America alone?

Once you have fully educated yourself about vasectomy and/or vasectomy reversal you will want to find a physician who can help you.

Urologists and family practitioners perform vasectomy procedures.

Risks & Complications - Learn about the general risks and possible complications associated with having a vasectomy procedure.

About half a million American men each year choose vasectomy for permanent birth control.

Find a local vasectomy doctor Contact him/her for an appointment and get answers to your important questions.

The following provides information on several popular techniques ‘ traditional vasectomy, no-needle and no-scalpel vasectomy, laser vasectomy and clip vasectomy.

Vasectomy is a simple and effective method for providing permanent contraception.

Sperm granulomas result from leakage of sperm at the testicular end of the vasectomy site.

If you are thinking about a reversal now, perhaps you should take more time to decide whether vasectomy is right for you.

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.

Vasectomy is simply an effective, inexpensive, easy-to-perform method of contraception.

The No-Scalpel Vasectomy uses an advanced technique to anesthetize the scrotum more effectively.

Over 500,000 men in North America choose vasectomy each year.

Huber D.: No-Scalpel Vasectomy: The transfer of a refined surgical technique from China to other countries.

Penile or scrotal infections should be diagnosed and treated prior to the vasectomy.

By 1985, an international team made of members from the World Health Organization and Access to Voluntary and Safe Contraception , formerly the Association for Voluntary Surgical Contraception, were visiting China to study alternative vasectomy procedures including NSV.

No-Scalpel Vasectomy is a simple, gentle and elegant office procedure that many studies show has significant advantages over conventional vasectomies.

Over 500,000 vasectomy procedures are performed each year in the United States.

Options available include vasovasostomy, reconnecting the vas at the vasectomy site and sperm harvesting from the epididymis or testicle combined with in-vitro fertilization.

The standard technique of performing a vasectomy required the doctor to make an incision in the scrotal skin, find the vas and separate it from the other structures in the spermatic cord.

The technique of no-scalpel vasectomy uses a special instrument to grasp the vas through the scrotal skin and hold it in place directly under the skin.

All vasectomies are not the same and all vasectomy doctors are not the same.

A vasectomy is less invasive than a tubal ligation and more easily reversed.

No-scalpel Vasectomy No-scalpel Vasectomy In the no-scalpel vasectomy, a surgical clamp is used to hold the vas deferens while a puncture incision is made with special forceps.

Vasectomy is the most popular form of permanent surgical birth control for men.

The stents haven’t been tested on humans, but initial studies with rabbits indicate that their use may lessen the possibility of sperm obstruction after vasectomy reversal.

After successful vasectomy reversal, sperm are present in your semen again and you may be able to get your partner pregnant.

The leading reason that men elect to have vasectomy reversal is to father a child after remarriage following divorce or death of a spouse. J Urol 1993: 1469-7

You can have tests to see whether you have sperm antibodies in your semen before and after vasectomy reversal.

One in ten men undergoing vasovasostomies and two out of five men having a vasoepididymostomy have no healthy sperm after surgery.

Patency, in terms of vasectomy reversal, means the return of sperm to the semen.

The piece does a pretty good job of exploring the personal, financial and social aspects of older men having kids via vasectomy reversal.

The vas can then be better visualized and the sutures can be precisely placed.

Dr Werthman has also developed a new anesthesia irrigation technique that allows patients to wake up and return home from the surgery completely pain-free.

In a 1997 study evaluating the cost analysis of delivering a child, vasectomy reversal was found to be four times less expensive than IVF for the same exact success rate .

Over 500,000 vasectomy procedures are performed each year in the United States.

While the length of time from vasectomy to reversal surgery correlates with success, no interval is considered too long to perform reversal surgery.

Current estimates are that about one percent of men who have undergone a vasectomy will eventually want reversal surgery.

Lack of sperm in the vas fluid usually indicates rupture and blockage o the epididymal tubules induced by the back pressure which forms after vasectomy.

The chances of vasectomy reversal success depend on how much time has passed between the vasectomy and the reversal.

The results of a vasectomy reversal are surgical patency, which means sperm in the semen, and pregnancy.

Unfortunately, cumulative pregnancy rates, as is routinely reported for vasectomy reversal, have not been reported for sperm harvesting with IVF. Journal of Urology 149 :1469-1471, 199

Our panel of vasectomy doctors and research experts provide answers to couples questions about vasectomy and reversals techniques and results, possible alternatives, risks and more.

This surgery is used when a vasovasostomy won’t work because sperm flow is blocked.

Fluid below the vasectomy site that is thick or pasty, or that contains no sperm or partial sperm, can be a sign that there is scar tissue blocking the flow of sperm.

For men who have undergone a vasectomy, sperm is obviously absent from the ejaculate.

In general, pain may be similar or slightly more severe than the pain experienced after the original vasectomy.

If, on the other hand, sperm were absent in the vas fluid, the patient likely required a vasoepididymostomy during the first procedure and will likely require a vasoepididymostomy if the reversal surgery is repeated.

At the beginning of the reversal surgery, the surgeon isolates and excises the scarred ends of the vas deferens.

The difficulty in testing for anti-sperm antibodies before reversal surgery is that only serum antibodies can be tested, which do not accurately predict the antibodies that may be found in the semen after the operation.

A disruption of the vas deferens farther away from the testicle will leave a long length of vas deferens and increase the chance of a successful reversal.

For a man who has no sperm in the ejaculate after reversal surgery, sperm for IVF/ICSI can be obtained through a minor surgical procedure which extracts sperm directly from the testicles and/or epididymis.

Rupture and obstruction of the epididymal tubule is caused by increased pressure in the vas deferens and epididymis below the level of the vasectomy site.

The procedure begins with the decision process decision process, evaluating the options and alternatives the options and alternatives, and getting educated about the techniques techniques.

Since the testicle continues to produce sperm after a vasectomy, the fluid in the vas should contain sperm.

Male sterilization doctors recognize that many men worry about complications and vasectomy results.

Does your vasectomy reversal doctor stand behind his advertised vasectomy reversal success rates by offering a Money Back Guarantee? Are nearly one half of your vasectomy reversal doctor’s cases repeat vasectomy reversals of other doctors’ failed reversals?

Does your vasectomy reversal doctor collaborate with several nationally recognized IVF programs to offer sperm retrieval and IVF-ICSI as an alternative to vasectomy reversal? Was your vasectomy reversal doctor one of the first specialists in the world to offer freezing of sperm as a back up plan at the time of vasectomy reversal?

Has your vasectomy reversal doctor specialized in Vasectomy Reversal and Male Infertility since 1985?

We offer information about Vasectomy Reversal doctors and services in your area - including doctor biographies, education, expertise and more.

Learn helpful hints on how to find vasectomy reversal doctors and decide on the right one for you.

Dr. Bastuba has “redone” many failed vasectomy reversals and successfully reversed previous vasectomy reversal re-do failures from other doctors who gave they patients no hope. Once you know that we are the right choice for your vasectomy reversal, call us at 972-612-713

Over 500,000 vasectomy procedures are performed each year in the United States. Vasectomy reversal procedures have increased over the years and, with this growth, comes a growing need to put misconceptions about vasectomy recovery efforts to rest. This is a free service to help you locate physicians nearby who have a special interest in vasectomy or vasectomy reversal procedures.

Our panel of vasectomy doctors and research experts provide answers to couples questions about vasectomy and reversals techniques and results, possible alternatives, risks and more.

Like all extremely specialized and technical procedures, the best results for vasectomy reversal are typically obtained by surgeons with extensive training in microsurgery and who perform many vasectomy reversals each year.

Read More.

Vasectomy reversal surgery is office-based, outpatient, utilizing IV sedation supplemented with local anesthesia, resulting in a procedure which is pain free.

Dr. Gatewood has performed vasectomy reversals on patients with vasectomies as old as 30 years with resulting pregnancies. Gatewood welcomes any questions regarding vasectomy reversals on his VASChat Vasectomy Reversal Message Board.

The age of the vasectomy is not a deterrent to having a successful vasectomy reversal. We offer patients an in-depth understanding of the procedures along with answers to the most commonly asked questions about vasectomy and vasectomy reversal. Information regarding vasectomy and vasectomy reversal Our goal is to provide patients with a comprehensive guide to vasectomy and vasectomy reversal. Vasectomy Reversal Vasectomy Reversal is the most cost-effective way to get pregnant after a vasectomy.

V asectomy reversal specialist, Dr. On average, the fellowship trained group performed 26 reversals yearly, the academic group 12 reversals yearly, and the community urologists performed 7 vasectomy reversals a year.

Dr. Schow is a board-certified urologist specializing in the evaluation and treatment of male infertility, as well as vasectomies and microsurgical vasectomy reversals.

Most of this concern is due to misinformation.

Most importantly, a couple has to choose the right doctor choose the right doctor to reverse the vasectomy who meets their need of comfort level to perform the microsurgery. Dr Bastuba has successfully reversed patients up to 40 years following vasectomy with pregnancy occurring as early as a few months post reversal.

It is safe and easily performed in the doctor’s office, usually in less than 20 minutes.