The Urology Place No-Scalpel, No-Needle Vasectomy and More
Why no scalpel? The no scalpel approach results in less bleeding, infection and pain. It can be quicker. Click here for a comprehensive review. The technique takes time to learn and Dr Kella has been committed to bringing it to hundreds of patients at The Urology Place.
We use techniques approved by the American Urology Association to keep failure rates less than 1%. We offer an open ended technique to further reduce the risk of pain. Learn more here.
At The Urology Place, we want you to feel relaxed and get back on your feet as soon as possible. We have invested in a nitrous gas system that make the vasectomy as anxiety-free and PAINLESS as possible. Also, it is very safe. You can drive home afterwards. The nitrous is available for approximately $100. No one else in South Texas or Austin takes these steps to make your vasectomy as comfortable as possible.
What happens during the vasectomy procedure?
Keeping it Pain Free
To begin, we numb the area with lidocaine. With our no-needle technique, we use what’s called a MadaJet to actually spray on a local anesthetic. Sometimes, we may elect to use injected lidocaine. We use a very tiny needle to minimize discomfort. In addition, those wanting the least painful route should ask about nitrous gas. The process take a couple minutes and patients have been very happy with using the nitrous/oxygen mix.
Next, 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 gently move around your blood vessels and nerves to locate and then isolate your vas deferens, or “vas” for short. Some doctors cut across your blood vessels and nerves to speed up the procedure; we disagree with this technique. The no scalpel approach usually does not even need a stitch afterwards. The elasticity of the skin closes the opening naturally.
Sealing Off your Vasa
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.
What is a vasectomy?
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. This prevents his sperm from mixing with his semen during orgasm. 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. In fact, one out of every six men over the age of 35 in the U.S. has had a vasectomy.
Does insurance cover the cost of a vasectomy?
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.
How much does a vasectomy cost?
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 $750. 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. We keep the deposit if your do not cancel a week ahead of the appointment. This is because we have dedicated our time slot to you and your procedure.
Concierge Executive Vasectomy
We offer after hours and weekend vasectomy for our patients through Invita Clinic. 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 weekends. Our facility is modern and discreet. Contact us now for your concierge executive appointment.