“You and your staff were wonderful! I love the relaxed and laid back atmosphere that y’all provided especially the Music! Definitely helped my anxiety. Thank you.”
Our procedure room is equipped with a Bose Bluetooth speaker synched with Amazon Prime Music, Pandora and Spotify. The music is an important part of making for as pleasant a vasectomy experience as possible. That Dr. McHugh performs 25-30 vasectomies a month and 50-60 vasectomy reversals a year, helps also!
After the vasectomy bullet points. | FAQ and What to expect after your procedure.
After the Vasectomy Bullet Points: Dr. McHugh is one of the Southeast’s most experienced no scalpel vasectomy and microscopic vasectomy reversals.
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.
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Kevin Restrepo
2026-05-11
Trustindex verifies that the original source of the review is Google.
Amazing experience. Quick, easy and painless. Did not even have to use nitrous oxide. Awake the whole time and the doc makes it such a smooth 9 min process.
Posted on
Basic Dad Email
2026-05-04
Trustindex verifies that the original source of the review is Google.
Great crew. Answered all my questions. Excellent customer service. Provided great follow-up and checking in post op. Glad this is only something you do once. So grateful for their expertise, kindness, and patience.
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Daniel Brown
2026-04-16
Trustindex verifies that the original source of the review is Google.
Dr. McHugh is a pro. He knows his craft well. Everyone at his office was so professional. Everything was straightforward with no hassle. The vasectomy surgery was a snap (pun intended). And actually almost no pain or complication. I had a hernia surgery two years ago that was so much worse. Didn't post pictures for obvious reasons.
Can't recommend him more.
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Casey Shoemate
2026-04-13
Trustindex verifies that the original source of the review is Google.
We are thankful we found Dr McHugh when we did to do my husband’s vasectomy reversal. He is a wonderful doctor and Nurse Lacey was such a blessing. It’s obvious Dr McHugh is experienced, loves his family, and wants to give other families their best chance.
I wish it wasn’t so hard to find a good doctor to help bring a life into the world and I feel sad for those who have had to go through what I have to find one.
Posted on
Stephen Ferrell
2026-04-12
Trustindex verifies that the original source of the review is Google.
Great staff! They make the experience as easy as possible!
Posted on
Garrick Richards
2026-04-10
Trustindex verifies that the original source of the review is Google.
Best medical experience I have had! The team is amazing and I can confirm why they are highly recommended!! Thanks Megan, Daphne and staff!! My wife is a practice administrator and she was seriously considering poaching some of y’all!! Lol!
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Joseph Tapley
2026-04-06
Trustindex verifies that the original source of the review is Google.
Excellent experience. Very nice people with great knowledge and concern for your needs. My recovery has been great with no issues. Thanks again team. 😎😎😎
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Jeff McHugh
2026-03-27
Trustindex verifies that the original source of the review is Google.
I cannot recommend Dr. McHugh and his team highly enough. From the moment I checked in to the moment I walked out the door, the entire process was seamless and professional.
The customer service was incredible; the administrative staff made the paperwork easy, and the nurses were absolutely fantastic—personable, reassuring, and clearly experts at what they do.
Dr. McHugh himself was phenomenal. He talked me through the steps, and the procedure was over in a surprisingly short amount of time. I felt zero stress throughout the visit. If you’re considering this procedure, this is the place to go. I’m extremely grateful for the top-tier care I received! -TM
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Jacob Born
2026-03-20
Trustindex verifies that the original source of the review is Google.
The experience was great. This was something I dreaded doing but these guys made the experience a breeze. I will recommend to anyone who will listen!
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Casey King
2026-03-16
Trustindex verifies that the original source of the review is Google.
Dr McHugh and his staff did an amazing job with me and my wife during my reversal. They treated us so well from the beginning to the end. We went to Dr. McHugh because he was the most experienced and happens to be 5 hours away. I’m day 4 right now and am doing well. I will update if the surgery was successful. If the Lord allows we may have another baby. Also, I love the fact that if I have questions I can ask the Dr himself or his lovely staff.
Vasectomies and Reversals Performed by Dr. McHugh Since 2020!
A common question asked is whether the reversal will be harder if clips were used or if the patient was told by the urologist “I took out a section and burned it.”
In the vast majority of cases this has no influence on the microscopic vasectomy procedure.
The procedure is harder if both sides of the vasectomy were done in the vas deferens closest to the testicle-the convoluted vas. This area is smaller in diameter and not straight (convoluted) and this makes the repair a little harder.
Whether clips or burned, there is not difference in how difficult the reversal will be. Having had clips makes the area of the vasectomy easier to locate.
The amount of vas tube removed is usually not an issue unless there is a very large segment removed and this is customarily not done.
Of note, if you have had two vasectomies done, this could be an issue. If you had a complication after the vasectomy, say a large hematoma or infection that had to resolve or be operated on, these may affect the repair. On all unusual issues, be sure to make the reversal doctor aware.
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.
McHugh No Scalpel Vasectomy | Affordable Painless Vasectomy
Atlanta Ga No Scalpel Vasectomy FAQ: Whether the concern about having a no scalpel vasectomy is pain, cost, convenience or safety…we have you covered! Check out the link below-“Everything you’d ever want to know about having a vasectomy” at Northeast Georgia Urological Associates.
Dr. McHugh performs between 30-40 No Scalpel Vasectomies a month, hundreds a year and several thousand in his 30 year urological career in Northeast Georgia.
Anesthesia (Absolutely no discomfort): we offer affordable nitrous and anesthesia and conscious sedation by a board certified anesthesiologist on Thursday. In this scenario, you will be monitored and will sleep through the procedure safely with absolutely no discomfort. Both methods used by the anesthesiologist are effective quickly and goes away out of your system quickly, so it is ideally suited for this type of procedure.
Local anesthesia with a pre-med (Usually Valium/Tordol as an oral premedication before the procedure and then local anesthesia with Lidocaine. This method is suited for the patient that has no fear of needles, no anxiety with medical procedures or passes out easily. This is a more streamlined method and is commonly done on Friday.
Insurance and Self Payment Options: Our office accepts most all insurances and we have relationships with them. This means that we accept what they allow. You may have a deductible and other particular specifics of your plan, but that is what we go by.
The Consultation: This is done with an in office visit which has the advantage of being able to perform an exam and assess options for anesthesia.
The procedure itself: All no scalpel vasectomies across America use a small hemostat to spread the skin (i.e. no scalpel), however whether after dividing the vas deferens tube the urologist uses cautery, clips or suture the success rate of 1/2000 is about the same. It becomes about the preference of the urologist.
Dr. Mchugh uses electrocautery (fulgurate or heat). We have learned over the years that many patients prefer not having the foreign body of the clip left in the scrotum. (See link above for the McHugh Method eBook on Vasectomy)
So the answer to the question is that there are several combinations of how the procedure is billed and options re: how it is performed. We do them all. We have done thousands of vasectomies over the years and perform hundreds a year.
“We know a thing or two about doing vasectomies, because we’ve done a vasectomy or two.”
Dr. McHugh is Georgia’s most experienced no scalpel vasectomy and microscopic vasectomy reversal urologist.
“The office staff was very nice and very informative to me and my wife. The doctor was very personable and made you feel comfortable. He explained everything he was doing and explained it before he did it. I would recommend him to anyone and you don’t find that in many doctors these days.” Z.S.
Trustindex verifies that the original source of the review is Google.
Amazing experience. Quick, easy and painless. Did not even have to use nitrous oxide. Awake the whole time and the doc makes it such a smooth 9 min process.
Posted on
Basic Dad Email
2026-05-04
Trustindex verifies that the original source of the review is Google.
Great crew. Answered all my questions. Excellent customer service. Provided great follow-up and checking in post op. Glad this is only something you do once. So grateful for their expertise, kindness, and patience.
Posted on
Daniel Brown
2026-04-16
Trustindex verifies that the original source of the review is Google.
Dr. McHugh is a pro. He knows his craft well. Everyone at his office was so professional. Everything was straightforward with no hassle. The vasectomy surgery was a snap (pun intended). And actually almost no pain or complication. I had a hernia surgery two years ago that was so much worse. Didn't post pictures for obvious reasons.
Can't recommend him more.
Posted on
Casey Shoemate
2026-04-13
Trustindex verifies that the original source of the review is Google.
We are thankful we found Dr McHugh when we did to do my husband’s vasectomy reversal. He is a wonderful doctor and Nurse Lacey was such a blessing. It’s obvious Dr McHugh is experienced, loves his family, and wants to give other families their best chance.
I wish it wasn’t so hard to find a good doctor to help bring a life into the world and I feel sad for those who have had to go through what I have to find one.
Posted on
Stephen Ferrell
2026-04-12
Trustindex verifies that the original source of the review is Google.
Great staff! They make the experience as easy as possible!
Posted on
Garrick Richards
2026-04-10
Trustindex verifies that the original source of the review is Google.
Best medical experience I have had! The team is amazing and I can confirm why they are highly recommended!! Thanks Megan, Daphne and staff!! My wife is a practice administrator and she was seriously considering poaching some of y’all!! Lol!
Posted on
Joseph Tapley
2026-04-06
Trustindex verifies that the original source of the review is Google.
Excellent experience. Very nice people with great knowledge and concern for your needs. My recovery has been great with no issues. Thanks again team. 😎😎😎
Posted on
Jeff McHugh
2026-03-27
Trustindex verifies that the original source of the review is Google.
I cannot recommend Dr. McHugh and his team highly enough. From the moment I checked in to the moment I walked out the door, the entire process was seamless and professional.
The customer service was incredible; the administrative staff made the paperwork easy, and the nurses were absolutely fantastic—personable, reassuring, and clearly experts at what they do.
Dr. McHugh himself was phenomenal. He talked me through the steps, and the procedure was over in a surprisingly short amount of time. I felt zero stress throughout the visit. If you’re considering this procedure, this is the place to go. I’m extremely grateful for the top-tier care I received! -TM
Posted on
Jacob Born
2026-03-20
Trustindex verifies that the original source of the review is Google.
The experience was great. This was something I dreaded doing but these guys made the experience a breeze. I will recommend to anyone who will listen!
Posted on
Casey King
2026-03-16
Trustindex verifies that the original source of the review is Google.
Dr McHugh and his staff did an amazing job with me and my wife during my reversal. They treated us so well from the beginning to the end. We went to Dr. McHugh because he was the most experienced and happens to be 5 hours away. I’m day 4 right now and am doing well. I will update if the surgery was successful. If the Lord allows we may have another baby. Also, I love the fact that if I have questions I can ask the Dr himself or his lovely staff.
Vasectomies and Vasectomy Reversals Performed by Dr. McHugh Since 2020!