Vasectomy Surgery Overview

About 500,000 men have a vasectomy each year.
Two common worries about vasectomy are that it will reduce a man's sex hormone levels or take away his ability to have sex. These myths have no biological basis. For most men vasectomy frees them from worries of unwanted pregnancies and the hassles of other forms of birth control.

Vasectomy Procedure

- Special

*Additional fees for anesthesia and operating room.

Sex is just as good if your penis is circumcised

In the Silverlake Virgil Surgical Center We accept the following payment:

  • Cash
  • Credit Cards
  • Insurance

Out of town Patients came from anywhere in the world predominant our patients for Vasectomy procedure came from California. [For more info click here]

Vasectomy is an easy surgical procedure 30 minutes. It's quick and you can go home right after. A vasectomy is an operation for a man, so that their partner can't get pregnant.

Vasectomy Surgery Overview

Vasectomy is a permanent male contraception or sterilization. The small tubes in the scrotum that carry sperm are cut or blocked off, so sperm can’t leave the body and cause pregnancy.

Two common worries about vasectomy are that it will reduce a man's sex hormone levels or take away his ability to have sex.

Vasectomy procedure takes about 20 to 30 minutes and can be done in an office or in surgical center.

Vasectomy does not affect sex life. It does not decrease your sex drive because it does not affect the production of the male hormone testosterone. It also does not affect your ability to get an erection or ejaculate semen. It does not interfere with the blood vessels or nerves that are required for having erection or ejaculation; it does not cause impotence or ability to maintain an erection. Because the sperm make up a very small amount of the semen, you will not notice a difference in the amount of semen you ejaculate. There is no negative relationship between vasectomy and sex drive.

Sex after Vasectomy: No Difference?

After a vasectomy, you will:
  • No change in sex drive
  • No change in climax sensation
  • No change in the testes or scrotum
  • No change in erection

Having a vasectomy will not affect your masculinity. Testicular and adrenal glands will continue to make testosterone (the hormone that controls masculinity).
Nothing changes physiologically in the body after a vasectomy. The color and consistency of ejaculate/semen will not change either. This is because approximately 95% of semen is created in the prostrate and seminal vesicles- both of which are not affected by a vasectomy. Having a vasectomy may in fact enhance a man’s libido since he and his partner no longer will need to worry about an unwanted pregnancy.
Sperm is created in the testicles of a man. The sperm passes through two tubes that are called vasa deferentia and mixes with seminal fluids to form semen. Getting a vasectomy prevents each vas deferens from allowing the sperm to enter the seminal fluid. It blocks, seals or cuts each vas deferens tube, keeping sperm out of the semen. The sperm is absorbed into the body instead of being ejaculated. By preventing the sperm from exiting the body, they cannot fertilize an egg. Without fertilization, pregnancy is not possible.


The main benefits of the procedure are that it is safe, convenient, simple and it lasts a life time. It is a onetime procedure that does not require maintenance like female birth control or the patch. It does not affect hormones, sexuality, ejaculation, any organs or glands and the ability to stay erect. It can be quite expensive but charges are often covered by medical insurance.

What happens During a vasectomy?

  • The surgery area is numbed by injecting a local anesthetic into the skin of the scrotum with a small needle
  • A small incision is made in the upper part of the scrotum once the surgery area is numb.
  • The tube that carries the semen from the testicle is located
  • The doctor withdraws part of the vas deferens through the incision
  • The vas deferens is cut where it has been pulled out of the scrotum.
  • The vas deferens is sealed by tying it, using heat (cauterizing), surgical clips or a combination of methods. Then the doctor returns the ends of the vas deferens into the scrotum.
  • The incision at the surgery area is closed. Stitches or glue may be used, while in some cases, the wound may be left to close on its own over time.
During a no-scalpel vasectomy, the doctor makes a tiny puncture (hole) to reach both vas deferens tubes- the skin of the scrotum isn’t cut with a scalpel. The tubes are then tied off, cauterized or blocked. The small puncture heals quickly. Stitches are not needed and there’s no scarring. The procedure takes about 30 minutes.
Vasectomy by Urology Consultants?
It is common to have some mild discomfort, swelling and bruising of the scrotum for a few days after the vasectomy. Vasectomy is an effective form of birth control but it won’t protect you and your partner from sexually transmitted infections, such as Chlamydia or HIV/AIDS. For that reason, you should use other forms of protection such as condoms if you are at risk of acquiring a STI. The recovery time for scalpel and no-scalpel techniques is the same. Both types are equally effective at sterilization. It is very uncommon for a vasectomy to stop working. It is important to take care of yourself after the procedure.
When is it Safe to Have Unprotected Sex?
You can start having sex again about a few days to a week after the procedure. Some people wait longer. If having sex is uncomfortable, wait a few more days. Just remember that that the vasectomy won’t prevent pregnancy right away. Until then, another method of contraception should be used. Ask the doctor about pain relief, avoid heavy lifting, exercise or sexual intercourse for 7-10 days. You can have sex after 2 days if it is comfortable but remember you still need contraception. In 5% of men, the semen may still contain some sperm (usually few in number and not active) for months, so it is advisable to have a semen sample checked and to use other forms of birth control until it is confirmed by microscopic examination that the semen is sperm-free.
Permanent Procedure
Vasectomies are almost 100% effective at preventing pregnancy. A vasectomy is done to prevent fertility in males. Men with vasectomies have a very small chance (nearly zero) chance of successfully impregnating a woman.
Vasectomy is the most effective permanent form of contraception available to men. In nearly every way that vasectomy can be compared to tubal litigation, it has a more positive outlook.

Insurance Guidelines

Are the costs of Vasectomy Procedure operation covered by Insurance?
We accept a variety of insurance carriers and plans. You may submit information regarding your insurance carrier to our Patient/Insurance coordinator department. Our staff without cost to you will verify your insurance coverage and determine if your insurance covers the procedure.

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The Week Before Your Procedure

Starting seven days before the procedure, you must entirely avoid taking any aspirin, NSAIDs, fish oil, or other anti-inflammatory medication. These thin the blood somewhat and increase the risk of bleeding. You can still take other pain relief medication like Tylenol.

You must entirely avoid aspirin and non-steroidal anti-inflammatory drugs such as Ibuprofen, Motrin, Aleve, Advil, Naproxen, Diclofenac, and others because they may thin the blood and cause unnecessary bleeding.

Tylenol (acetaminophen) is acceptable because it does not impact your risk of bleeding during and after surgery. Don’t take aspirin and the other anti-inflammatories for your own safety.

The doctor may not perform your procedure if you have taken these drugs recently. If you have a medical requirement to do so, please discuss with Dr. prior to your appointment.

Real Written Testimonials From Patients

My circumcision

Thank you for the great experience. I was very afraid before surgery. I wanted to done circumcision for many years but everywhere I called all wanted so much money and to do procedure under local anesthesia.
You done it my circumcision under full anesthesia and I slept throughout entire procedure and was absolutely no pain. Procedure was much easier than I would ever imagine.
Again many thanks to doctor and to wonderful staff and I wish I can find better words to express my gratitude. My advice to anyone go for circumcision and stop punishing yourself.

Circumcision 7-5-19

Experience was great. I didn’t feel a thing. I would recommend this to anyone. Thank you all.
Eddie Diaz

Adult Circumcision

My experience was amazing, waking up to Sandra’s beautiful face and she was nice. The procedure was amazing as well. I was more than happy to choose this place and would recommend to anyone of my customers or co-workers. Everyone here is very hospitable and caring.
Daryl Micou


My experience I recommend anybody to this clinic. It was a great job from Doctor
Douglas O. Hernandez


The surgery that’s great. No pain. Nothing. Very professional circumcision.
Nery Rivera


Good stuff. Thank you. I needed this done.
Thank you.
Miguel Loewe


Good stuff. Thank you. I needed this done.
Thank you.
Miguel Loewe


I had a smooth experience today. It was painless and the nurses. Maria made me feel comfortable. Overall 5/5 stars.
Thank you. Jovanni Hernandez


I Gabriel Castaneda has a success it on and it as a good experience. No problems at all.
Thanks doctor.

Joel Konu – Circumcision

My experience with Doctor Tanendaum was amazing.Caring professional staff from the front desk/nurses/anesthetic etc.Dr. Tanendaum himself cared about the patient as a whole heart it Easy medical procedure. Interested in my as with my history, my reasons from the procedure, my recovery.I was impressed Dr. Tanendaum is also available for any type of emergencies afterwards if need it.Overall 5 stars out of 5.
Thank you.