Category Archives: Atlanta vasectomy

No scalpel vasectomy overview.

Thank you for your interest in our practice regarding a no scalpel vasectomy.  Dr. McHugh is Georgia’s most experienced board certified urologist performing both vasectomies and microscopic vasectomy reversals.

Although vasectomies can be performed most any day of the week, our most common day is Friday. Scheduling a vasectomy is usually not a problem, as Friday is reserved all most exclusively for performing vasectomies.  Dr. McHugh performs  between 20-30 vasectomy a month and has done thousands during his career.

We accept most insurances and your cost is based on the allowable for your particular plan. We will assist in you estimating that amount before the procedure.

Our all-inclusive price for self pay patients is $950.00. (Consultation and the procedure.) For self pay  patients preferring conscious sedation in our on site accredited surgery center, the all inclusive fee is $1300.00. This is facilitated by a certified anesthesiologist and is included in the fee.

For patients who prefer conscious sedation, this is available on Thursdays. We have a certified anesthesiologist, an accredited surgery center and can assure you a safe, pain free and anxiety free experience.

Here are a few informative links to review:

Vasectomy eBook by Dr. McHugh

After the Vasectomy bullet points

A Vasectomy in pictures-YouTube  (Over 4000 views on YouTube!)

A Vasectomy in pictures-Website.

Website Vasectomy Page

A member of our team will be reaching out to you to answer any questions you may have and to schedule, if you like, a vasectomy consultation.

Thank you! We look forward to participating in your care.

John McHugh

Brett Lee
Brett Lee
2022-11-12
Dr. McHugh and his team were very professional, efficient, friendly, and they made the procedure as comfortable as possible. I’d highly recommend going here for your procedure!
David Seymour
David Seymour
2022-11-12
Dr. McHugh and his nurse were absolutely awesome. I have no pain and I would recommend him to anyone. They explain every move in detail.
Jody Wilson
Jody Wilson
2022-11-11
Dr. McHugh and the staff are the absolute best! I was nervous about the procedure and elected for anesthesia. Everything, from the time I arrived, was prepped, and discharged was seamless and painless! And, you can tell the staff really do care and go out of their way to make this a very pleasant experience. If you are hesitant about moving forward, don’t wait and give the office a call. You won’t regret it.
Eric Moreno
Eric Moreno
2022-11-08
Had the surgery done on the 2nd and everything is good so far. I went in to see Dr McHugh for a vasectomy, of course a little nervous about the procedure. He explained everything in detail and even during the procedure, he made sure I was comfortable which made the experience great for me. Was in and out probably only took 30min the most. It's been 6 days now and I've not had to take any pain medicines well even right after the procedure didn’t take any, just icing the area what did it. They definitely know what they are doing if you’re looking to have this done.
Susan Bagley
Susan Bagley
2022-11-08
He is a wonderful urologist!! He listens to you, is very thorough and is a great doctor!!
Jason Ball
Jason Ball
2022-11-07
I had a great experience with Dr John McHugh during my vasectomy procedure. He was very informative on the whole process and made me feel very relaxed and at ease during the procedure. He made sure with any slight discomfort he’d stop and add more pain medication. Overall I experienced almost no pain and the surgery was over before I knew it. I would highly recommend him if you are looking to have a vasectomy.
Michael Windhorst
Michael Windhorst
2022-11-05
I recently had a procedure performed at the office of Dr. John McHugh and I would like to take this time to say that the care I received from start to finish was delivered with exceptional care. Becky got me ready for surgery, starting my IV while talking with me like we were neighbors. Jen Hayes took the time to answer my questions regarding receiving anesthesia and me having severe sleep apnea. She assured me she had all the tools at her disposal to keep me breathing steadily throughout the operation. Jessica was very patient and friendly while helping me to navigate through my post operative haze into full wakeful consciousness. Managing nurse, Daphne, oversees a staff that represent the highest standards of their profession. I knew I was in the best hands with Dr. McHugh, but it was very reassuring to find that he comes with the best team as well! Thank you all! Mike Windhorst
Chris Yardley
Chris Yardley
2022-11-05
John Amon
John Amon
2022-11-05
Great staff, answered all questions and explained in detail. Walked thru procedure step by step and made sure I was comfortable the entire time.
B A Mysterious Whale: S.W. Biddulph
B A Mysterious Whale: S.W. Biddulph
2022-10-29
I cannot say enough about how wonderful this entire staff is. And Dr. John was absolutely awesome. He put on some great music of my choice and the procedure was over before I even knew it. I stayed awake and just opted for a local anesthetic, and it was virtually painless. I highly recommend this doctor and the staff for a vasectomy.

Review - 1 - Social Post

Vasectomy bruising-A concern?

A common question after a vasectomy and as well microscopic vasectomy reversals is “What is the significance of skin bruising around the vasectomy site?” More importantly to the patient inquiring about this is, “Is anything wrong or does anything need to be done?”

Continue reading Vasectomy bruising-A concern?

No scalpel vasectomy overview, informational links and FAQ.

Thank you for your interest in our practice regarding a no scalpel vasectomy.  Dr. McHugh is Georgia’s most experienced board certified urologist performing both vasectomies and microscopic vasectomy reversals.

Although a vasectomy can be performed most any day of the week, our most common day is Friday. Scheduling a vasectomy is usually not a problem, as Friday is reserved all most exclusively for performing vasectomies.  Dr. McHugh performs  between 20-30 vasectomy a month and has done thousands during his career.

We accept most insurances and your cost is based on the allowable for your particular plan. We will assist in you estimating that amount before the procedure.

Our all-inclusive price for self pay patients is $950.00. (Consultation and the procedure.) For self pay  patients preferring conscious sedation in our on site accredited surgery center, the all inclusive fee is $1300.00. This is done with a board certified anesthesiologist.

For patients who may prefer some level of anesthesia we offer affordable anesthesia which is matched to the level of anxiety.  No I.V. nitrous is recommended for patients that have some anxiousness but don’t feel they have to be asleep. Conscious sedation is recommended for patients with significant anxiety about having a vasectomy. The anesthesia option is  available on Thursdays. We have certified anesthesia, an accredited surgery center and can assure you a safe, pain free and anxiety free experience.  The level of anxiety and the anesthesia chosen is determined by consultation with each patient. Our goal is to offer anesthesia that targeted to you. Our fee for this service is billed directly to the patient and priced to encourage the patient who feels he needs it can have it at reasonable cost. 

Here are a few informative links to review:

Vasectomy eBook by Dr. McHugh

After the Vasectomy bullet points

A Vasectomy in pictures-YouTube  (Over 4000 views on YouTube!)

A Vasectomy in pictures-Website.

Website Vasectomy Page

Affordable anesthesia matched to your level of anxiety.

A member of our team will be reaching out to you to answer any questions you may have and to schedule, if you like, a vasectomy consultation.

Thank you! We look forward to participating in your care.

John McHugh

Brett Lee
Brett Lee
2022-11-12
Dr. McHugh and his team were very professional, efficient, friendly, and they made the procedure as comfortable as possible. I’d highly recommend going here for your procedure!
David Seymour
David Seymour
2022-11-12
Dr. McHugh and his nurse were absolutely awesome. I have no pain and I would recommend him to anyone. They explain every move in detail.
Jody Wilson
Jody Wilson
2022-11-11
Dr. McHugh and the staff are the absolute best! I was nervous about the procedure and elected for anesthesia. Everything, from the time I arrived, was prepped, and discharged was seamless and painless! And, you can tell the staff really do care and go out of their way to make this a very pleasant experience. If you are hesitant about moving forward, don’t wait and give the office a call. You won’t regret it.
Eric Moreno
Eric Moreno
2022-11-08
Had the surgery done on the 2nd and everything is good so far. I went in to see Dr McHugh for a vasectomy, of course a little nervous about the procedure. He explained everything in detail and even during the procedure, he made sure I was comfortable which made the experience great for me. Was in and out probably only took 30min the most. It's been 6 days now and I've not had to take any pain medicines well even right after the procedure didn’t take any, just icing the area what did it. They definitely know what they are doing if you’re looking to have this done.
Susan Bagley
Susan Bagley
2022-11-08
He is a wonderful urologist!! He listens to you, is very thorough and is a great doctor!!
Jason Ball
Jason Ball
2022-11-07
I had a great experience with Dr John McHugh during my vasectomy procedure. He was very informative on the whole process and made me feel very relaxed and at ease during the procedure. He made sure with any slight discomfort he’d stop and add more pain medication. Overall I experienced almost no pain and the surgery was over before I knew it. I would highly recommend him if you are looking to have a vasectomy.
Michael Windhorst
Michael Windhorst
2022-11-05
I recently had a procedure performed at the office of Dr. John McHugh and I would like to take this time to say that the care I received from start to finish was delivered with exceptional care. Becky got me ready for surgery, starting my IV while talking with me like we were neighbors. Jen Hayes took the time to answer my questions regarding receiving anesthesia and me having severe sleep apnea. She assured me she had all the tools at her disposal to keep me breathing steadily throughout the operation. Jessica was very patient and friendly while helping me to navigate through my post operative haze into full wakeful consciousness. Managing nurse, Daphne, oversees a staff that represent the highest standards of their profession. I knew I was in the best hands with Dr. McHugh, but it was very reassuring to find that he comes with the best team as well! Thank you all! Mike Windhorst
Chris Yardley
Chris Yardley
2022-11-05
John Amon
John Amon
2022-11-05
Great staff, answered all questions and explained in detail. Walked thru procedure step by step and made sure I was comfortable the entire time.
B A Mysterious Whale: S.W. Biddulph
B A Mysterious Whale: S.W. Biddulph
2022-10-29
I cannot say enough about how wonderful this entire staff is. And Dr. John was absolutely awesome. He put on some great music of my choice and the procedure was over before I even knew it. I stayed awake and just opted for a local anesthetic, and it was virtually painless. I highly recommend this doctor and the staff for a vasectomy.

Review - 1 - Social Post

Brightest Vasectomy in the sky?

Most casual observers will think of the North Star as the brightest star, in fact it is Sirius. (The North Star is known for its dependable location in the sky, not its brightness.)

According to Greek mythology, Sirius was the dog of the hunter Orion, and the ancient Romans placed the star in the constellation Canis Major (Latin for “Greater Dog”). The Romans thus referred to the sweltering period when the rising of the sun and Sirius converged as the “dies caniculares” or “days of the dog star.”

By the 1500s, the English world began to call the same summertime point on the astronomical calendar as the “dog days.”

Check out our free eBook on: Everything you’d want to know about “the brightest” no scalpel vasectomy in Georgia.

Dr. McHugh is Georgia’s most experienced no scalpel and microscopic vasectomy reversal urologist. 

Common vasectomy question: Where does the sperm go?

This was a post done at our practice website that addresses a very common question. Click here.

Now you know!!!

After the Vasectomy Bullet Points

You have had your vasectomy…here are some “after the procedure” instructions and a heads up on potential issues that are peculiar to  having a vasectomy.

  • The small opening at the midline of the upper strotum does not have a suture and will close on its own.  A thin film of Neosporin ointment daily is recommended. Any spotting/oozing is usually corrected with pressure to the incision site for 30 minutes.
  • You can shower the day after the procedure, but don’t let water hit the procedure site directly.
  • Ice to the scrotum after the procedure helps with swelling and with discomfort. (Lidocaine is used at the opening and along the course of the vas tubes so there is anesthesia for an hour or so after the procedure.)
  • You’ll be given something for pain, this is to be used in an “as needed fashion.” If you don’t have pain, don’t take it or use Advil or Aleve. Taking a half a pill is acceptable.
  • Try to be off your feet with the scrotum elevated strictly for the first 24 hours and then as much as possible for the next two days. Most patient who have the procedure on a Thursday or Friday take it easy over the weekend and return to work on Monday. If you have a strenuous job, you may want to gradually get back into your routine.
  • For the first week after the vasectomy, compression underwear to stabilize the scrotum and elevation of the scrotum with a rolled sheet when sitting can reduce any swelling.
  • No sexual activity for one week.
  • No unprotected sexual activity until we have evaluated two negative specimens. It takes approximately 25 ejaculations to clear the tube beyond the vasectomy site. (A couple can achieve pregnancy if there is unprotected sexual activity before the sperm has completely cleared.) We recommend evaluation of specimens as a rule at 6-8 weeks.  It is not about the time since the vasectomy, it is about the number of ejaculations.
  • Even though the opening is in the middle of the upper scrotum, the vasectomy sites are on the left and right underneath the skin. Discomfort, bruising or asymmetrical swelling is not uncommon, but should slowly improve over several days.
  • Each patient is given two specimen containers after the procedure and there are several options regarding checking the post-vasectomy specimen.  Dr. McHugh examines semen specimens with a microscope at no expense. (The best days for dropping off the specimen is Monday, Wednesday and Friday-but it best to call to be sure he is available to examine.) For out of town patients, specimens can be taken to a local hospital for a “post vasectomy” semen analysis (we can fax an order) or use online test kits such as spermcheck.com.
  • It is not unusual, maybe 5-10% of specimens, will have a rare sperm. This just means that more time/ejaculations are necessary to completely clear all of the sperm. We will require two consecutive completely negative evaluations.
  • There are no special instructions about the specimen. If you obtain the specimen in the morning and drop off later in the day, this is not a problem. We are not doing a formal count, only the presence of absence of sperm. We will call you back with the results that day.

Concerns you may have after the procedure-How to contact us.

  • If any issues arise that you have questions about, feel free to contact us using the form below.
  • We will be happy to speak to you (770) 535-0000 or if you feel it is necessary, we will arrange for an examination  in the office at no expense to you.
  • Our email: ngurology@gmail.com (Dr. McHugh replies on weekends!)
  • You also can utilize our text to email option. (You text your comment/concern and it comes immediately to our email.  We check our email numerous times a day and on weekends.)  The response comes back to you as a text. Here’s the number: 770-376-5616

Thank you for allowing us to participate in your care.

Vasectomy and Lewis and Clark-Today in history.

The Lewis and Clark expedition took 2 years, 4 months and ten days, but it should not take you that long to figure out where you should have your vasectomy or microscopic vasectomy done.

Board certified anesthesia, board certified urologist, practice owned accredited urological surgery center and over 30 years of experience are all good reasons help you “Discover” your urologist.

No scalpel vasectomy:  Dr. McHugh’s eBook on vasectomies-Everything you’d want to know.

Microscopic Vasectomy Reversal: Common questions Dr. McHugh addresses in his complimentary reversal phone conversations.

Let us help you on your “Journey!”

Let’s get started!

Instructions after the Vasectomy Reversal

Bullet points/instructions for the post vasectomy reversal operative period:

  • You can shower but for the first two to three days, don’t let water hit the operative site directly.
  • A thin layer of Neosporin over the suture sites daily is recommended.
  • A formal dressing is not required but one 4×4 gauze between underwear and the sutures may be more comfortable.
  • The sutures dissolve-but not all at the same time. Some separation of the skin in areas is not uncommon and resolves.
  • The feeling of a “lump” under the skin above either testicle is not uncommon, this is where the body is reacting to the surgical procedure. (It is not uncommon to have this on one side but not the other.)
  • Compression underwear for three weeks. (This is preferred to the traditional “jock strap.”)
  • No sexual activity for three weeks. Slowly returning to your normal exercise at that time can resume as well.
  • The more you can be off your feet the first week following the procedure the less swelling you will have. Some bruising of the skin around the suture sites is common.
  • Patients can walk and even drive if necessary after 5 days if wearing compression underwear and being careful. Again, the more you are off your feet the better.
  • The testicles begin producing normal sperm again in 4-6 months, depending on the length of time from the vasectomy. (The longer the interval from the vasectomy, the slower return to sperm production.)
  • If you desire to have an evaluation of a semen specimen to check for the presence of sperm, one would wait until the 4-6 month period after the reversal. The presence of sperm is a very good sign, however it is not unusual for a longer interval is required for the return of sperm.  A specimen can be given to our office and can be quickly evaluated for the presence of sperm. If a formal semen analysis is desired which provides an actual count of sperm, an order can be placed to your local hospital negating having to travel to Gainesville.
  • If pregnancy occurs, it is usually in the 6-18 month time frame.
  • If pregnancy occurs…we’d appreciate a picture.
  • Finally…we appreciate the opportunity to participate in your care.
Georgia’s most experienced No Scalpel Vasectomy and Microscopic Vasectomy Reversal urologist.  
770-535-0000

Vasectomies? We do a boatload of them!

Learn more: Vasectomy eBook by Dr. McHugh

Thanks for the vasectomy review!