Tag Archives: atlanta vasectomy

No scalpel vasectomy Buford, GA-Dr. John McHugh

For vasectomy, Dr. McHugh has a top 5% badge, because he treated more vasectomy patients than 95% of similar doctors nationwide.

– Amino.com, Inc. 

Dr. McHugh has performed several thousand vasectomies over his career in Northeast Georgia. We utilize the No Scalpel technique and whether we perform your procedure in our office with oral and local sedation or general anesthesia in our Surgery Center you can rest assured we will do everything we can to make your procedure pain free.

Buford, Ga No Scalpel Vasectomy: Affordable and Targeted Pain Free Vasectomy Anesthesia!

We match the anesthesia to your level of anxiousness.
vasectomy reversal testimonials
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Click for “McHugh Method” No Scalpel Vasectomy Ebook

No Scalpel Vasectomy Overview

vasecotmy

Buford, Ga No Scalpel Vasectomy: A vasectomy is a common surgical procedure performed in our office for men looking for permanent birth control. In this procedure, a portion of the duct that carries sperm is removed. Every year more than one-half million men in the United States have this minor surgery. Vasectomy is safe, highly effective, and has no impact on erection or sexual performance.  A scalpel free vasectomy is not very different from a routine vasectomy. In a scalpel-free vasectomy, the skin is opened using a razor-sharp clamp rather than a surgical blade. A length of each sperm duct is still removed, but the incision smaller.

a-vas-instrument

The No Scalpel Vasectomy Procedure Performed by Dr. McHugh Explained through Pictures in a YouTube Video!

youtube
vasectomy youtube video

The Male Reproductive System

Sperm are produced in the testicles. Sperm ducts then carry the sperm to mix with fluids from the seminal vesicle and the prostate to form semen. The semen passes through the urethra and is ejaculated during sexual intercourse (Figure 1).  A vasectomy prevents sperm from mixing with semen
by blocking both sperm ducts. Sperm continue to be produced in the testicles. The sperm, however, make it only as far as the new point of blockage in the sperm duct. At this point, the sperm is reabsorbed. As a result, there are no sperm in the semen that is ejaculated at the time of intercourse.

How will my vasectomy affect me?

The prostate and seminal vesicles continue to produce fluids that are ejaculated. In fact, the amount of fluid ejaculated decreases only about 5% after a vasectomy. In
terms of sexual performance, vasectomy has no negative effects—erection and male hormone levels remain the same.

What are the benefits of a vasectomy?

The prostate and seminal vesicles continue to produce fluids that are ejaculated. In fact, the amount of fluid ejaculated decreases only about 5% after a vasectomy. In
terms of sexual performance, vasectomy has no negative effects—erection and male hormone levels remain the same.

Are there any complications?

There are no known long-term complications after a vasectomy. About 60%-70% of men develop anti-sperm antibodies in their blood, which is a harmless allergy to your own sperm. There is no evidence that these antibodies have a major effect on other organ systems.

How should I prepare for a  vasectomy?

A vasectomy is usually performed in our office or in our surgery center on an outpatient basis. Since you will receive a local anesthetic and most likely some medication to help you relax, we will require that you arrange to have someone drive you home afterward. You may also be asked to bring an athletic supporter with you.

How long does it take?

Figure 2 Incision site for vasectomyA vasectomy only takes about 15-30 minutes. First, a local anesthetic will be applied to your scrotal area. You may also be given a mild sedative to help you relax. Then either one or two small incisions (cuts) are made in the scrotum (Figure 2). These incisions are so small that stitches may not be needed. If stitches are used, they will dissolve by themselves.

Location of the sperm duct and its appearance afterAfter making the incisions, the doctor will cut the sperm ducts, removing about one-half inch to one inch of each duct. This is done to reduce the possibility of the sperm ducts rejoining (Figure 3).

 

How will I feel after the procedure?

The most common side effects of vasectomy are minor bleeding (enough to stain the bandage), some discomfort, and mild swelling in the area of the incision.  These are not unusual and should stop within 72 hours.  Occasionally, the skin of the scrotum and base of the penis turn black and blue. This lasts only a few days, and will disappear without treatment.

The most commonly reported complication is mild discomfort in the testicles that usually improves with medication, warm soaks, and by elevating the scrotum. Infrequently, a patient may experience pain around the testicles up to 20 years after the vasectomy. This is a harmless reaction and usually responds to heat and medication.

Very rarely, a small blood vessel may enter the scrotum and form a clot. A small clot will probably dissolve after time, but a large one can be painful and usually requires reopening of the scrotum for drainage. This procedure will require hospitalization and usually a general anesthetic.

Will I miss any days at work?

Most men return to work after 2 days. Some men choose to recuperate over a weekend so they don’t miss any work. Your doctor will tell you to avoid strenuous exercise or heavy lifting for the first 3 days after your vasectomy.

Is the procedure always successful?

Semen is sperm-free in almost all men following a vasectomy. Of every 1000 men who have a vasectomy, less than 2 continue to have sperm in their semen. It is very rare for the sperm ducts not to seal completely. In the event that they do not, you may need a second vasectomy.

When will I be able to return to sexual activity?

You should postpone sexual activity for 72 hours. Because sperm can survive for 6 months or more, you will be asked to bring two specimens of ejaculate for examination under a microscope to your follow-up visit. Unprotected intercourse should not take place until sterility is assured, so continue to use some form of birth control. We suggest a minimum of 20 ejaculations before the first semen analysis six-weeks following your procedure. We also recommend that a second analysis eight-weeks following your procedure to assure the absence of sperm before you resume unprotected intercourse.

Will masculinity be affected?

No. Vasectomy is not the same thing as castration, and sterility does not mean impotence. The hormones that affect masculinity (eg, growth of facial hair, having a
deep voice, sex drive) are still made in the testicles after a vasectomy. These hormones will continue to flow throughout the body in the bloodstream.

Vasectomy Reversal-What if I change my mind?

A vasectomy should be considered to be a permanent procedure. It is not for men who plan to have children in the future. However, if a couple’s situation changes, it is possible to reverse this procedure.
We do perform vasectomy reversals in our surgical facility.  If interested in a microscopic vasectomy reversal, Dr. McHugh is one of the most experienced reversal urologists in Georgia. Call us at 770-535-0000 or use the contact form to schedule your free reversal consultation. Visit Dr. McHugh’s reversal website Gavasectomyreversal.com

warning vasectomy

“I was very pleased with the entire process. Dr. McHugh fully educated me on the vasectomy and then performed the procedure perfectly. He made the entire experience easy and painless.”

-W.W. Gainesvile, Ga.

Considering a vasectomy? You can ask a question here or schedule a consultation for a no scalpel vasectomy 24/7. We have fair self-pay pricing, options for patients with high deductibles, in office local anesthesia with oral pre-medication, and for the patient who prefers it Nitrous Gas or I.V. general anesthesia in our accredited ambulatory urological surgery center.

Vasectomy Contact Form: Try it, we will respond promptly…even on weekends!

Matt Babcock
Matt Babcock
2023-09-12
As someone who battles anxiety (especially around medical stuff), the idea of a vasectomy was unpleasant to say the least. At my initial consult, Dr. McHugh addressed my anxiety immediately and reassured me with a very clear picture of what to expect as well as options to ease my nerves on the day of the procedure. I ended up electing to receive nitrous (laughing gas) in addition to some anxiety medication to take prior to arriving. From the moment I walked in the door on the day of, the staff were beyond friendly, caring, and efficient. They even let me select music to listen to during the procedure. It was evident that Dr. McHugh and his staff genuinely cared about me and making the procedure as comfortable as possible according to my specific needs. It could not have been a better experience!
Bobby Tate
Bobby Tate
2023-09-10
Great experience with Dr.McHugh and staff perfectly orchestrated from initial consultation to procedure. Highly recommend.
Alex Torres
Alex Torres
2023-09-09
Staff and procedure went effortless
The Energy Hero
The Energy Hero
2023-09-05
The best doctor for vasectomy in the business! Dr McHugh and his team made this process comfortable from start to finish. They are very caring and professional. I would highly recommend this office when you decide to get the snip snip.
jamie carver
jamie carver
2023-09-05
Great experience from beginning to end.
Jason Sutton
Jason Sutton
2023-09-04
Amazing and professional staff. They provided a lot of information regarding the procedure and recovery. No surprises beforehand or afterwards. I would highly recommend to anyone looking for a vasectomy.
todd marcum
todd marcum
2023-08-31
Simply amazing, very professional ,friendly and sincere.The procedure was painless and very fast.Thank you for an awesome experience.
Cody Garrison
Cody Garrison
2023-08-28
Would definitely recommend to anyone needing a vasectomy or vasectomy reversal. Dr. McHugh and his staff are very professional and take the utmost care of their patients. After my surgery I was contacted twice by Dr. McHugh’s office just checking in on me. I am thankful for the opportunity to be able to have more children, and I look forward to sharing pictures of a successful vasectomy reversal.
Jason Walton
Jason Walton
2023-08-26
My experience was great, every step was quick and easy. The entire staff was very friendly and helpful, made the process much smoother. I would definitely recommend anyone considering a vasectomy to chose to go here.
Shawn Zagarella
Shawn Zagarella
2023-08-21
I give the whole experience a 10/10. Everything from start to finish was excellent, and the whole staff is comforting. I wouldn't recommend anyone else other than Dr. McHugh and his team.

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?

Thank you back!

“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!

 

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 Reversal-Does the type of vasectomy done matter?

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.

 

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!

Comprehensive Atlanta, Ga No Scalpel Vasectomy FAQ

Vasectomy.com Question: “What are the options for the no scalpel vasectomy?”

Ga No Scalpel Vasectomy: 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 does between 30-40 a month, hundreds a year and several thousand in his 30 year urological career in Northeast Georgia.

Overview of a No Scalpel Vasectomy At Northeast Georgia Urological Associates by John C. McHugh M.D.

  • Anesthesia (Absolutely no discomfort): we offer conscious sedation by a board certified anesthesiologist on Thursday. In this scenario, you’ll have an I.V., monitored and will sleep through the procedure safely with absolutely no discomfort. The medicine used by the anesthesiologist goes to work 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.
  • If you are self pay: Our fee is $950.00 and this is all inclusive and can be done on a Thursday or a Friday.
  • 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. 

Want more information on our process  about having a vasectomy with Dr. McHugh? Click here for his informative eBook “McHugh Method Vasectomy.”

“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.

More concerns or questions? Email us.

Matt Babcock
Matt Babcock
2023-09-12
As someone who battles anxiety (especially around medical stuff), the idea of a vasectomy was unpleasant to say the least. At my initial consult, Dr. McHugh addressed my anxiety immediately and reassured me with a very clear picture of what to expect as well as options to ease my nerves on the day of the procedure. I ended up electing to receive nitrous (laughing gas) in addition to some anxiety medication to take prior to arriving. From the moment I walked in the door on the day of, the staff were beyond friendly, caring, and efficient. They even let me select music to listen to during the procedure. It was evident that Dr. McHugh and his staff genuinely cared about me and making the procedure as comfortable as possible according to my specific needs. It could not have been a better experience!
Bobby Tate
Bobby Tate
2023-09-10
Great experience with Dr.McHugh and staff perfectly orchestrated from initial consultation to procedure. Highly recommend.
Alex Torres
Alex Torres
2023-09-09
Staff and procedure went effortless
The Energy Hero
The Energy Hero
2023-09-05
The best doctor for vasectomy in the business! Dr McHugh and his team made this process comfortable from start to finish. They are very caring and professional. I would highly recommend this office when you decide to get the snip snip.
jamie carver
jamie carver
2023-09-05
Great experience from beginning to end.
Jason Sutton
Jason Sutton
2023-09-04
Amazing and professional staff. They provided a lot of information regarding the procedure and recovery. No surprises beforehand or afterwards. I would highly recommend to anyone looking for a vasectomy.
todd marcum
todd marcum
2023-08-31
Simply amazing, very professional ,friendly and sincere.The procedure was painless and very fast.Thank you for an awesome experience.
Cody Garrison
Cody Garrison
2023-08-28
Would definitely recommend to anyone needing a vasectomy or vasectomy reversal. Dr. McHugh and his staff are very professional and take the utmost care of their patients. After my surgery I was contacted twice by Dr. McHugh’s office just checking in on me. I am thankful for the opportunity to be able to have more children, and I look forward to sharing pictures of a successful vasectomy reversal.
Jason Walton
Jason Walton
2023-08-26
My experience was great, every step was quick and easy. The entire staff was very friendly and helpful, made the process much smoother. I would definitely recommend anyone considering a vasectomy to chose to go here.
Shawn Zagarella
Shawn Zagarella
2023-08-21
I give the whole experience a 10/10. Everything from start to finish was excellent, and the whole staff is comforting. I wouldn't recommend anyone else other than Dr. McHugh and his team.
no scalpel vasectom

Georgia Vasectomy Reversal-Questions?

Common vasectomy reversal questions.