Category Archives: Georgia vasectomy reversal.

Georgia’s Leader in vasectomies and vasectomy Reversals

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Questions?

Call Lisa Campbell 770-535-0000 ext. 112

McHugh Vasectomy in Pictures Video-Over 1000 views!

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

We offer all inclusive self-pay pricing and an “absolutely no pain” conscious sedation option for vasectomies.

McHugh Vasectomy Reversal

Questions? We’ve got the answers!

Browse our site…particularly reversal cost, success rates and the various blog posts. Then arrange for a free consultation for additional information by using the contact form or by calling our office. Dr. McHugh will give you a call an afternoon that suits you.

Let us know how we can help!

Vasectomy Reversal? A patient journey.

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This a drawing done for me by a urological professor in Italy. I had asked him to draw his interpretation of pregnancy after a reversal.

  • It all starts with the decision to begin the journey that is a vasectomy reversal.
  • The procedure is not coveredĀ  by insurance.
  • Success can’t be guaranteed.
  • Once the procedure is performed, it takes the testicles about three months to begin producing sperm again.
  • If pregnancy occurs, it is usually six to eighteen months after the procedure.
  • A lot of things have to come in to place and in many ways a pregnancy is “miracle.”

Many times I have said to the vasectomy reversal couple that you have to begin with the procedure to start the clock. Then live your life… as this is a “patient journey.”

The McHugh “NO” Vasectomy

What is tenderness on one side or the other after a vasectomy?

This is a common question and maybe more common for me than other urologists. Why?

I make one mid-line opening using the no scalpel instrument. This is done at the peno-scrotal junction (upper aspect of the scrotum in the middle.) Through this opening the right side vas deferens is brought to the surface and the vasectomy is performed. This vas then returns to the right. Same thing is done on the left. (Many urologists make two openings, one on each side.)

What can be confusing to the patient is that days or weeks later he notes the mid-opening that is healed, but he feels a small knot on the left or right. What is going on? Something must be wrong.

The knot is where the body has begun the healing process. This varies from left to right, so that one patient may feel something on the right another the left. Because the opening is in the middle the assumption is that the swelling should be in the middle.

Now you know why it is left or right. The middle is where we access the left and right vas deferens but then it returns to its normal location and the healing process then begins.

If it is a small area and minimal discomfort, then this is the normal healing process and no need to call your doctor.

We offer vasectomy conscious sedation, fair all inclusive pricing for self pay patients and accept most all insurances. Call us when you’re ready to consider a vasectomy. We’ve done thousands.

What are the chances of a vasectomy failure?

vasectomy resized

Before the vasectomy patient can be released by the urologist to have unprotected sex, there must be two consecutive semen specimens with no sperm. It takes about 25 ejaculations to achieve this. We customarily give two specimen containers at the time of the vasectomy and recommend dropping off the specimens at approximately six and eight weeks. Dr. McHugh personally examines all of the specimens with a microscope.

After the initial clearance to proceed with unprotected sex, the chances of the the vasectomy “growing back together” is 1/2000.

In the diagram above you can see why. When Dr. McHugh performs a vasectomy a section of the vas is removed (red), both ends are cauterized (green) and then an absorbable suture (yellow) is placed on both ends as well.

The diagram above also answers another very common question about vasectomies: Does it affect the patient’s sex life?

The answer there is no. As you see, the only thing “tied off” is the vas deferens and this is where the sperm travels. Testosterone, which is responsible for the male’s sex drive, is produced in the testicle, but leaves the testicle in the blood stream not the vas deferens.

So there is a vas deferens between where the sperm exits and how the testosterone exits the testicle!

Microscopic vasectomy reversal-Top three FAQs.

Is a reversal like having had a vasectomy? No, a vasectomy takes about 15 minutes and a reversal usually around two hours.

If I was very fertile before my vasectomy, will I have better results with a reversal? No, however it won’t hurt. Often times the success rates are related to the interval between the vasectomy and the reversal. I.e.- a vasectomy done two years ago has better odds than one done five years ago. (As a rule-sometimes other factors can play a role such as the experience of the surgeon and having a sperm granuloma.)

Is it covered by insurance? No, most reversal urologists will off a price package that will cover everything from the facility, staff, supplies, anesthesia and surgeon fees. At Northeast Georgia Urological Associates, we own the surgery center and this dramatically allows our pricing to be more competitive than most. (The facility fee such as having to pay a hospital for surgery time, is usually the biggest portion of the cost.)

Further questions, email us with the form below. A phone consultation is free for vasectomy reversals. Dr. McHugh does them most every day between five and six.

Will the Vasectomy Reversal procedure be like my Vasectomy?

A vasectomy takes about 15 minutes and I do them through a single “size of a grain of rice” opening.

A reversal, in my hands, takes about two hours and more commonly uses two incisions (3/4 inch on each side of the upper scrotum over the course of the vas deferens) and requires an operating microscope and microscopic suture.

I tell patients that it is a minor procedure, minimal blood loss or other complications, but it does take two hours to do. Bruising and some scrotal swelling is more common and there is a longer recovery period.

So…to the question…same structure (the vas deferens) different procedure.

Vasectomy/ Vas Reversal: Who to choose?

Google search: Most experienced doctor to do vasectomy in Gainesville, Ga.