Vasectomy Specialists

What is a vasectomy?

A vasectomy is a procedure that makes a man permanently unable to get a woman pregnant. In most cases, vasectomy is performed in a Doctor's office setting under local anesthetic. At Washington Urology and Urogynecology Associates, PLLC the procedure is performed in the surgical center for added safety. Depending on procedure type, one or two incisions are made in the scrotum. Then the vas deferens are separated from the spermatic cord, pulled through the incision, cut, and the ends closed.

  • Performed by Board Certified Urologists
  • Performed safely in an Ambulatory Surgery Center
  • Sedation can be given at no extra charge
  • No scalpel – no needle - speedy recovery
  • Flexible appointment times
  • Cost effective


Frequently Asked Questions

How is a vasectomy done?

The operation takes about half an hour. You'll be awake during the procedure. Your doctor will give you a local anesthetic to numb your scrotum. At Washington Urology and Urogynecology Associates, PLLC, you may also request sedation to lessen anxiety.

After you're numb, your doctor will make a small opening on one side of your scrotum and pull out part of the vas deferens on that side. You may feel some tugging and pulling. A small section of the vas deferens is removed. The ends of the vas deferens will be sealed by searing them shut with heat, or by using another method. Your doctor will then do the same thing on the other side.

At Washington Urology Associates, our vasectomy operations are performed in our Accredited and Licensed Ambulatory Surgery Center, with Board Certified Urologists and Registered Nurses. Our vasectomy and vasectomy reversal clinic serves patients from throughout the Seattle area, with patients utilizing our services from as far south as Olympia and Tacoma and as far north as Everett and Snohomish.

What will it cost to get a vasectomy?

Fortunately the vasectomy procedure is covered by most major medical insurance. Your actual out-of-pocket costs may vary depending on your individual insurance. We have more information on vasectomy cost here.

What is no-scalpel vasectomy?

The no-scalpel vasectomy involves making a very small puncture (a hole) in the scrotum instead of an incision. The puncture is so small that it heals without stitches.

How effective is vasectomy in preventing pregnancy?

Vasectomy may be the safest, most effective kind of birth control. Only about 15 out of 10,000 couples get pregnant the first year after a vasectomy. This compares to approximately a 0.5% failure rate for female sterilization. The FDA puts the failure rates for condoms at 11%.

Is a vasectomy right for me and can it be reversed?

A vasectomy should be considered permanent. It's not a good choice if you want a method of birth control that can be turned on or off as required. The men who are most likely to gain from vasectomy are men in couples where both partners agree they have all the children they want, and both do not want to use (or are unable to use) other methods of contraception. Men in couples where either partner is unsure if they want children (or not) in the future. Yes, a vasectomy can be reversed, however, the vasectomy reversal procedure is not covered by insurance and is a more complex operation than a vasectomy. The reversal success rate is very high with a 75% pregnancy rate.

How should I prepare for the operation?

On the day of the operation, bring a jockstrap (an athletic supporter) with you and make sure your genital area is clean. Your doctor will probably give you instructions on how to clean the area before you come in. Your doctor may suggest you bring someone to drive you home after the procedure.

What can I expect after the operation?

Right after the operation, your doctor will have you lie down for a couple of hours with an ice pack placed on your scrotum. Recovery usually takes a few days. The general advice is to wear supportive underwear, keep the area iced (especially in the first few days) and to rest and take things easy for a few days. If you have a physical job, then please make sure you explain this to the doctor when you have your consultation, and take their advice.

Is it okay to take medicine?

Don't take aspirin, ibuprofen (brand names: Advil, Motrin, Nuprin), ketoprofen (brand name: Orudis) or naproxen (brand name: Aleve) for 2 weeks before or after the operation. All of these can thin your blood and cause bleeding. Try acetaminophen (brand name: Tylenol) to relieve pain.

When can I go back to work?

If you have a non-physical job, expect to return to work after a couple of days. If you do heavy physical labor, talk with your doctor about when you can go back to work.

Will the vasectomy work right away?

No. You'll need to ejaculate as many as 15 to 20 times before the sperm will be cleared from both the vas deferens. For that reason, keep using birth control. The majority of men are able to start having unprotected intercourse after 3 months. Some men will take longer due to a variety of factors. If you are taking longer than this to clear - don't be concerned – it is not as unusual as you think!

What are the risks of a vasectomy?

The most common post surgery after effects are bruising, swelling, discomfort, post procedure infections and scrotal hematoma. These complications are routine, and usually easy to resolve.

Call your doctor if you notice any of the signs box below:

  • A fever
  • Swelling that will not go down or keeps getting worse
  • You have trouble urinating
  • You have bleeding that doesn't stop even after you've pinched the site between 2 guaze pads for 10 minutes
  • You can feel a lump forming in your scrotum

What happens to the sperm after the vasectomy?

Once sperm can't get through the vas deferens, your testicles will begin making fewer sperm. Your body will absorb the sperm that are made.

Will having a vasectomy affect my sex life?

After you have healed from the vasectomy, your sex life should not change at all. You will still ejaculate almost the same amount of semen as you did before, and you won't notice a change in your sex drive.

Call our office day or night at 425-454-8016 (Bellevue), if you have any of these symptoms.