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Location
9100 N. 2nd Street, Suite 201, Phoenix, AZ 85020
Hours
Mon - Fri 08:00AM - 5:00PM
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Phoenix Vasectomy

Vasectomy

A vasectomy is one of the safest and most effective methods of permanent birth control. It is much safer and less expensive than the other most common contraceptive surgery, tubal ligation. For these reasons, some 500,000 men in North America choose vasectomy each year

Vasectomy Surgeon in Phoenix, AZ: A Closer Look

Dr. James Fishman at Central Arizona Urologists would be happy to discuss a vasectomy procedure with you. He is the most experienced vasectomy surgeon in the Metro Phoenix area having performed well over 5000 vasectomy procedures in a career approaching 30 years. He was one of the first urologists nationwide to be instructed during his residency in performing the no-scalpel vasectomy procedure.

Dr. Fishman was verified by the Madajet company as the 1st urologist in Arizona to purchase and begin using the no-needle vasectomy technique. When you are ready, your vasectomy can be scheduled at his new office location on the campus of John C. Lincoln-Honor Health Hospital in Phoenix, Arizona". He will based on patient examination the suitability for a no needle- no scalpel vasectomy (NNNSV) procedure in office under local anesthesia. While the NNNSV procedure is preferred, occasionally a patient's scrotal and/or vas deferens anatomy will not allow a safe office procedure. Rarely will a patient be asked to undergo general anesthesia at a nearby surgical center to accomplish the vasectomy.

Male sterilization has the highest success rate for achieving sterility. This exceeds the tubal ligation technique for females.

What is the Best Type of Vasectomy for Me?

Conventional Vasectomy

A conventional vasectomy blocks the vas deferens, preventing sperm from being added to man’s ejaculation fluid (semen). A local anesthetic is given, and one or two incisions are made in the scrotum with a scalpel. The two vas deferens are exposed, cut, and blocked. The incisions are then closed with sutures.

No-Needle No-Scalpel Vasectomy

A safer, less invasive procedure, the No-Needle No-Scalpel Vasectomy reduces a vasectomy’s already low complication rate.

Developed in China in 1974, the no-scalpel technique differs in how the two vas deferens (vasi) are reached using instruments to make a single small scrotal opening and subsequent retrieval of the vasi.

More recently, the no-needle technique uses a jet injector instrument to transmit anesthesia through the skin using high pressure. Worldwide more than 15 million have had the procedure. Click here for a video highlight on this procedure.

What Can I Expect After a Vasectomy?

After surgery, the scrotal compartment may be sore for a few days. Pain medications will be provided. Icing to the scrotum (above the fabric of underwear) will be performed for a minimum of 24 hours. The first shower will occur 48 hours after the vasectomy. Generally, two or three day’s rest is enough recovery before men return to work. No-strenuous physical activity for the first week. Sex can be resumed 7 days after the procedure and will begin to eliminate the residual sperm. After 20 ejaculates a semen specimen will be checked by a laboratory to ensure zero(0) sperm count has been achieved. This is the desired endpoint called sterility.
Reproduced with permission www.ameditech.com
  • Less Discomfort
  • 10 times Fewer Complications
  • No needles, stitches, or sutures used
  • Quicker Revocery

A No-Needle No-Scalpel Vasectomy uses an advanced technique to anesthetize the scrotum more effectively. It requires no scalpel to enter through the skin. Instead, the physician avoids complex surgery by carefully isolating the vas deferens using the fingers of one hand. The vasa are then fixed just below the scrotal skin with an instrument designed to hold firmly without pinching.

A single small opening in the skin is made with pointed forceps. The vasa are then delivered through the skin, cut, and sealed in a conventional way. When the operation is complete, no sutures are needed to close the tiny opening.

Performing Vasectomy Procedures in the Phoenix Area

Central Arizona Urologists offers vasectomy procedures in Phoenix and all surrounding areas including Scottsdale, Chandler, Tucson, Glendale, Mesa, Tempe, and Gilbert. 

Vasectomy FAQ

How will a vasectomy affect me?
A vasectomy is NOT castration. A vasectomy only interrupts the tubes that carry sperm from the testes to where they are added to the semen. Your penis and testes are not altered. All hormonal and sexual functions are completely unaffected, so your voice, body hair, and interest in sex remain the same. Your body still produces semen, and erections and ejaculations occur normally. The only difference is that your semen will no longer contain sperm. As before, the body naturally absorbs unused sperm.
Can I discontinue other birth control methods right away?
No! Sperm can remain in the vas deferens and seminal vesicles above the operative site for weeks or even months after a vasectomy, You will not be considered sterile until two post-surgical semen tests have shown that no sperm remain. Until then, you must continue to use other birth control to prevent pregnancy.
Are there potential complications?
Yes. All contraceptive methods carry some risk as well as benefits. A vasectomy is a very low risk procedure, but complications are possible.

Though rare, bleeding (hematoma) and infections are the most common complications of a vasectomy. A no-scalpel vasectomy, the procedure performed by Central Arizona Urologists, reduces their likelihood because the blood vessels responsible for bleeding are less likely to be affected and because the opening in the scrotum is so small.

Another potential risk is failure. A vasectomy is not guaranteed to be 100% effective. Even when the operation is performed perfectly, it is possible in rare cases for sperm to find its way across the void between the two blocked ends of the vas deferens. This situation, called recanalization, is highly unusual but does occur.

This is another reason why samples must be taken from 6 to 10 weeks post-vasectomy to verify that your semen contains no sperm.

Recanalization usually occurs in the first 2-3 months after a vasectomy, but has been known in extremely rare cases to occur even years later.

Sperm granuloma, a hard, sometimes painful lump about the size of a pea may form as a result of sperm leaking from the cut vas deferens. The lump is not dangerous and is almost always resolved by the body in time. Scrotal support and mild pain relievers are usually all that are needed for symptoms, though I may suggest other treatment.

Congestion, a sense of pressure caused by sperm in the testes, epididymis, and lower vas deferens, and may cause discomfort some 2 to 12 weeks after a vasectomy. Like granuloma, congestion usually resolves itself in time.
Is vasectomy painful?
No. You may feel mild discomfort when the local anesthetic is given. After it takes effect, you should feel no pain, though some men feel a slight “tugging” sensation as the vasa are manipulated. After surgery, you may be a little sore for a few days. Generally, two or three day’s rest is recovery enough before men return to work and most normal, no-strenuous physical activity. Sex can usually be resumed 7 days after the procedure.
Does vasectomy pose long-term health risks?
No. Many studies have looked at the long-term health effects of a vasectomy. The evidence is reassuring, suggesting that no significant risks exist. Men who have a vasectomy are no more likely than other men to develop cancer, heart disease, or other health problems.

In 1993, a panel assembled by the National Institutes of Health, the Association for Voluntary Surgical Contraception, and the National Cancer Institute reaffirmed the conclusion of most medical experts that a vasectomy is a safe and effective means of permanent birth control. The panel advised that physicians continue to offer vasectomy and that all men, vasectomized or not, receive the same regular screening for prostate cancer and other illnesses.
Can vasectomy be reversed?
In many cases, the cut ends of the vas deferens can be surgically reattached. However, this operation, a vasovasostomy, is expensive and, for a variety of reasons, does not guarantee a return to fertility. A vasectomy should therefore be considered a permanent procedure. Before you choose to have a vasectomy, make sure that you and your partner do no want any more children. If you’re thinking about a reversal now, perhaps you should take more time to decide whether a vasectomy is right for you.
Is vasectomy 100% effective?
Sadly there is no 100% effective contraceptive, aside from abstinence. But the good news is that vasectomy is the BEST method for achieving contraception with greater than 99% effectiveness in skilled hands.
Is vasectomy effective immediately?
No! Sperm can remain in the vas deferens and seminal vesicles above the operative site for weeks or even months after a vasectomy, You will NOT be considered sterile until a post-surgical semen analysis after twenty(20) ejaculates confirms that no sperm remain. Until then, you must continue to use other birth control to prevent pregnancy.
Where does the needle go during a vasectomy?
Traditional anesthetic placed via a needle will target the fascial layer around the vas deferens where the nerves are located. Depending on the thickness of the man’s scrotum the depth of needle entry can vary. BETTER yet, is the use of the needleless jet-injector anesthetic method that will pass the anesthesia directly through the skin for a distance of about six(6) mm.
Do you still have sperm if you have a vasectomy?
Yes. As explained above, there will need to be an evacuation of those residual sperm that are DISTAL to the vasectomy cut. It will take roughly twenty(20) ejaculates to evacuate those sperm. On the other hand, PROXIMAL to the vasectomy cuts there will ALWAYS be sperm present in various stages of aging. The ability to perform a vasectomy reversal relies on the promise of residual sperm production being able to pass new sperm into the semen.
Are there any alternatives to getting a vasectomy?
Male contraception can alternatively occur via abstinence or condom usage. The female contraceptive methods are numerous.
If you are ready for a vasectomy, or for more information, then call 602-242-1556 for an appointment with Dr James Fishman at Central Arizona Urologists. His new office is located on the campus of John C Lincoln-Honor Health hospital in Phoenix, Arizona.

Click on the links below for more information and then print them out for your reference.

ENTIRE 7 page VASECTOMY PACKET TO DOWNLOAD AND COMPLETE >>
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