Vasectomy

No-Scalpel, No-Needle Vasectomy

No-scalpel, no-needle vasectomy with Nitrous gas. We strive to make your vasectomy as painless as possible and get you back on your feet quickly. We are excited to offer this nearly painless solution!
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Less than 1% failure rate

No scalpel means less bleeding, risk of infection and pain

A single opening for the procedure

Nitrous Gas available to ease anxiety and discomfort

 Our Process
Vasectomies at The Urology Place are performed by expert Urologists with hundreds of procedures of experience. In the videos below, Dr. Naveen Kella explains the steps taken to ensure your vasectomy is as safe and painless as possible. The age-restricted video shows an actual vasectomy.

Dr. Naveen Kella

Founder and Experienced Vasectomy Doctor

 Dr. Naveen Kella is board certified in urology, with a fellowship in Urologic Oncology and robotic surgery. He is known for his experience in treating prostate cancer and has performed over 3,000 robotic prostate cancer surgeries. Literature notes the best surgeons usually have a superior experience. Dr. Kella is the most experienced robotic prostate surgeon in San Antonio and South Texas. In fact, he is one of the most experienced in the nation.

Our Approach

Vasectomy Procedure Explained

A vasectomy is a minor surgical procedure where a doctor disconnects the tubes (called the vas deferens) that carry a man’s sperm from his testicles to his ejaculatory ducts. A very common procedure, nearly one out of every six men over the age of 35 in the U.S. has had a vasectomy. The good news? You will not notice any changes in your orgasm as a result of a vasectomy procedure. Further, your ejaculate flow rate and volume remains the same. Your semen just no longer contains the sperm cells that allow for pregnancy. Although reversals are sometimes possible, a vasectomy is considered a permanent contraceptive procedure and is one of the safest and most effective contraceptive options. 

Your Comfort is Our Priority

We try to make our San Antonio vasectomy as painless as possible. Here is what we can do. Everything listed has been researched and we have seen less pain in our own experience. 


No scalpel

Single opening

No needle (available)

Nitrous gas (available)

Open ended vasectomy (ask)


To begin, we numb the area with lidocaine. We have our no-needle technique. In this situation, we use what’s called a MadaJet to actually spray in a local anesthetic without needles. We use a very tiny needle to minimize discomfort. In addition, for those wanting the least painful route Nitrous gas is avaliable. 

The Procedure

After extensive comfort measures are taken, a special instrument is used to make a tiny opening in your scrotum the size of this dash —. At The Urology Place, we specialize in performing your entire procedure through this single tiny opening. We then isolate your vas deferens. The no scalpel approach usually does not even need a stitch afterwards. The elasticity of the skin closes the opening naturally. 


Once we have located your first vas, we carefully cut it. We then use pinpoint heat cautery to seal off your vas deferens tube. Dr Kella uses an open ended procedure, meaning we only seal off the upper portion of the vas, leaving the lower half of the divided vas deferens open. Next, we do an “interposition” or put the ends of the vasa into separate compartments. Usually, we can locate your second vas deferens via the same tiny hole and repeat the procedure without any additional openings.

Pricing and Insurance Information

Most insurance plans cover the cost of a vasectomy. They typically require you to have one pre-procedure office visit and then a second appointment on a different day for the actual procedure. If you are committed to a vasectomy and don’t want to deal with your insurance rules, we have a convenient same day self pay option.


No Insurance?


If you are paying out of pocket for your vasectomy, we can provide you with both the consultation and the procedure on the same day for a prompt-pay price of $825. Insurance otherwise covers a vasectomy but you usually are required to have your consultation separate from the procedure. There is a $75 deposit required to secure an appointment for the procedure. This  deposit is NON-REFUNDABLE 2 business days before your appointment because we have dedicated our time slot to you and your procedure.  The deposit will still apply to the overall balance of the service. If you refund your deposit, there is a $5 fee to cover credit card charges and overhead.

Next Steps

Once your procedure is completed, you are not able to conduct sexual activity for one week afterwards. Rest, elevation and the use of an ice pack for 20 minutes on and off is recommened.  After three months and 25 ejaculations, you are required to complete an at home post vasectomy analysis to guarantee the procedure is successful and there are no active sperm present.

Order Post Vasectomy Kit
Concierge Executive Vasectomy
We offer after hours and weekend vasectomy for our patients through The Urology Place. We understand you may be extremely busy. The no scalpel, no needle vasectomy is done with Nitrous gas to give you as painless of a vasectomy as possible while getting you back on your feet fast. We offer the convenience of same day consult and procedure after hours or on Saturday. Contact us now for your concierge executive appointment. Let the staff know that you are interested in an after-hours or Saturday procedure.

Coming from Out of Town?

We have many patients come to our clinic from all over the nation. We are able to schedule you a same-day consultation and procedure for our self-pay price of $825 where you can be in and out of our office within about an hour.  If you would like to speak with the doctor before your procedure or are using insurance, we can set up a virtual consultation prior to your trip to San Antonio.
Learn More Here

We can complete your Vasectomy consultation and Procedure within an hour! Call us at (210) 617-3670 to schedule an appointment today!

Frequently Asked Questions

  • How do I prepare for a Vasectomy?

    Patients need to avoid bloodthinners up to 7 days prior to their procedure, trim the hair around the area with clippers only, razors increase risk for contamination and infection. Also, patients need to purchase and bring compression shorts to their appointment.

  • How will vasectomy affect my sexual function?

    99% of your ejaculate is preserved, with only the sperm removed. Your erection and orgasm should be the same. 


    You can have sex as early as one week after a vasectomy. You might see some blood in the ejaculate, but this is uncommon. You MUST use another form of birth control until you confirm there is no more sperm.

  • Do I need a separate appointment for consultation and the vasectomy?

    Most insurances require separate consultation prior to your vasectomy. Self pay patients who are confident in their decision to have a vasectomy can schedule the consult and procedure in the same visit. We will make every effort to respect your time and get as short of a wait as possible for your consultation.

  • Can I drive myself home after vasectomy?

    Yes. If you choose our option to have nitrous gas, you can still drive yourself home safely.

  • Can I freeze sperm just in case?

    This is done by cryopreservation. Fertility centers can do this for around $300 per year. Please contact a fertility center if you are interested. We generally do not encourage your decision for vasectomy if you want to cryopreserve.

  • Can I have my vasectomy with IV sedation or general anesthesia?

    IV sedation in the office costs $1000 for the sedation. We RARELY perform vasectomy in the operating room. 

  • Is the "no needle" "no scalpel" operation better?

    Dr Kella has extensively researched this commonly performed procedure.  Studies indicate this is the least invasive and most comfortable way to perform a vasectomy. Here is a comprehensive review regarding no scalpel vasectomy.

  • When can I have unprotected sex after vasectomy?

    Normally, we have you wait a few months and ejaculate 25-30 times during that time period. A test is done to confirm the absence of sperm.

  • What are the risks of a vasectomy?
    • <1% of vasectomies can fail, without warning.
    • <1% complain of ongoing pain. This is known as post vasectomy pain syndrome.
    • <1% develop a hematoma. This can be drained surgically or will just slowly resolve on its own.
    • You may see some blood in the ejaculate initially. This goes away quickly.
  • Is there such a thing as laser vasectomy?

    No-there is no such thing as a laser vasectomy. However, The Urology Place offers a minimally invasive approach with the no-scalpel technique. This modern technique provides a faster recovery time compared to the traditional vasectomy procedure. 

Contact Us for Vasectomy

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