Dr. McHugh is America’s most active urologist answering questions on Vasectomy.com. This site is an excellent resource both for the person who is considering having a vasectomy or who has had a vasectomy.
— Read on www.vasectomy.com/question
“Dr. McHugh is in the top 5% of physicians in the U.S. in seeing vasectomy patients 2014-2018.” -Amino.com, inc.
Scores of questions about having a vasectomy have been answered by Dr. McHugh over the years. He is one of America’s most active urologist participant in addressing vasectomy issues and concerns on Vasectomy.com. If you have a pre or post vasectomy question-you’ll probably see he has addressed it. If not, use the contact form below to and he’ll respond to your question by email.
Click here and then on “Q and A.”
If you are the type of patient who likes to see the steps and pictures of an actual procedure (not all patients do) then the following video highlights a vasectomy performed by Dr. McHugh. Your vasectomy will be very similar to the one seen on the video and as a rule takes 15 minutes or less and involves a small “grain of rice” opening that will not require a suture. Yes, it is minimally invasive, no scalpel no needle, and you have the option of in office local anesthesia or if you prefer we offer competitively priced I.V. general anesthesia in our accredited ambulatory surgery center.
Need more information-here’s a link to our vasectomy page on this site. Hope this helps you in your vasectomy decision making process. Click here!
Ready to take the next step? Contact us! Click here.
Congratulations and many thanks to a reversal couple for sending us the ultrasound of a successful vasectomy reversal. We’ve received many thank yous and notifications of successful reversals over the years but never an ultrasound. Thank you!
It might surprise you that not all successful vasectomy reversal couples let us know about a pregnancy or reversal birth. We, however, love to hear from our patients. This past week we received two “success” announcements on the same day. Both of the reversals had been done in 2018. Congratulations to the couples we know about…and the ones we don’t.
If you look closely you’ll see small blood vessels along the side of the severed vas deferens. Above the the suture (the vas deferens and the suture have been enlarged about ten times) you’ll note that the blood vessels have been blanched by having been fulgurated. Below the suture (looks like a small brown rope) the blood vessels are red. These blood vessels are tiny and sometimes not seen by the urologist and then after the vas deferens retract back into the scrotum-they ooze. Like a small oil leak, the blood continues to leak and accumulate until the surrounding tissues stop it. The result is a hematoma. Hematomas can vary in size depending on the size of the vessels and the amount of blood that leaks before the tamponade (pressue that stops bleeding) of the surrounding tissues stop it.
Hematomas are not an infection and are not dangerous but both the patient and the urologist wish that it doesn’t happen after a vasectomy. The problem is that they stay around for weeks because it takes time for the body to absorb it. For the most part it is preventable if the urologist is careful to completely occlude these vessels around the vas deferens.
When I do a vasectomy I remove a section and then fulgurate both sides of the vas deferens. This in the majority of cases will handle the small vessels along side the tubes but it doesn’t always. In addition to the above, I place a suture at the very base of of the vas deferens that is beyond where the vas has been dissected thus preventing inadvertent bleeding beyond where the vas has been fulgurated. (These are the red vessels you see near the clamps. The suture is placed and tied just beyond the clamp.)
So…when you talk to people about your upcoming vasectomy and they tell you that they had a lot of swelling of the scrotum that was black and blue…they had a hematoma and in most cases it could have been prevented. Some how attention to these pesky little vessels that travel along side the vas and cause hematomas…were not appropriately given the respect they deserve.
Did you know that if a surgeon needed to or inadvertently cut the testicular artery, that the vasal artery is sufficient enough to keep the testicles alive and viable?
This is why hematomas can be substantial and cause a significant post vasectomy issue.
“Respect thy vessels that accompany the vas deferens!”