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Tag Archives: vas reversal atlanta

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 101-Dr. John McHugh

no scalpel vasectomy

No Scalpel Vasectomy

Vasectomy 101-Dr. John McHugh (Informative…and humorous!) Click here.

Want more information?  Check out the resources on the Vasectomy Page of this site. Click here.

Affordable and Targeted Anesthesia That Matches Your Level of Anxiety.

 

If you are considering a vasectomy, we can make it easy. Just contact our office using the email form below or call 770-535-0000. We will do our best to make the process and the procedure…as “painless” as possible!

Mike McGinnis
Mike McGinnis
2023-03-18
I can’t say enough great things about this place! 100% make sure you choose the nitrous oxide to help. Truly painless and the nitrous oxide put me at a level of peace I had never felt before. Thanks for everything!
Michael Berliner
Michael Berliner
2023-02-16
If you’re looking for a vasectomy, look no further. There is a reason for all the five star reviews. Dr. McHugh and his team were as good as you could ask for. Very professional and took excellent care of me. 10/10 experience for something that has the potential to be very stressful.
Andrew Simmons
Andrew Simmons
2023-02-13
Highly recommend Dr. McHugh. He was very thorough on explaining the procedure. His team was also very transparent on my options of paying for the procedure and what they would be.
Seth Willoughby
Seth Willoughby
2023-02-06
Really glad I stumbled upon Dr.Mchugh. I have chosen him for my vasectomy.I 100% would recommend him to the highest degree for any of your urology needs.
Brianna Redding
Brianna Redding
2023-02-01
After 5 years of having a vasectomy. My husband and I wanted to give our daughter a sibling. We drove 2 hours to have Dr. McHugh and his team give us a chance at growing our family again. They were informative and the overall surgery was handled smoothly leaving us with high hopes. 7 months later and we were expecting our second daughter. We cannot thank the practice enough and highly recommend them.
JT Mc Dowell
JT Mc Dowell
2023-01-20
Dr was awesome, staff was all amazingly positive and easy going which made the entire experience a breeze. Even had Slipknot jamming in the room for me during the procedure which was so quick. 10/10 I would recommend anybody to them for their vasectomy needs.
Jordan Voss
Jordan Voss
2023-01-16
I had a great experience getting my reversal done here. The whole team was great and worked with me to make me feel as comfortable as possible. Dr. McHugh is very personable and is one of the most experienced doctors in the area so it was an easy choice. I would recommend to anyone who wants a vasectomy or reversal done.
Matt Dyer
Matt Dyer
2023-01-06
Dr. McHugh and his team were great, any questions that may be brought up he had an answer to. I would recommend Dr. McHugh to everyone.
Dylan McClellan
Dylan McClellan
2022-12-31
Dr. John McHugh and staff were so friendly and made the whole process super simple and smooth. I will be recommending all of my friends interested in a vasectomy to come straight to him and his team. Don’t hesitate to call them first
vasectomy testimonial

Myths about Vasectomy Reversal

The following is from a vasectomy reversal doctor in England. The process is similar to but not exactly the same as at Georgia Vasectomy Reversal, however it is informative and adds to the data base of the couple contemplating a vasectomy reversal.

Vasectomy reversal myths debunked

If you decide to undergo a vasectomy reversal, having accurate information at your fingertips will ensure you are as informed as possible. Here are some of the most popular myths associated with reversing a vasectomy.

If you’re too old, you can’t have a vasectomy reversal

The reality is, a vasectomy reversal can be performed at any age, so long as an individual is healthy enough to undergo the treatment.

A vasectomy reversal rarely works after 10 years

This is a popular misconception and is based on outdated studies. Modern techniques used today have increased the vasectomy reversal success rate even if the original vasectomy was performed years ago. Even after about 20 years, you still stand an 84% chance of success following a vasectomy reversal.

Anti-sperm antibodies cause infertility even after a vasectomy reversal

It is widely believed that anti-sperm antibodies attack healthy sperm following a reversal and can cause infertility. In actual fact, antibodies are present in the blood and not in sperm following a vasectomy reversal, so are normally not responsible for any fertility problems that may arise following the procedure.

IVF is a better option than vasectomy reversal

You will need to weigh up the pros and cons of choosing IVF or vasectomy reversal, but there are many benefits to choosing reversing a vasectomy over IVF. For starters, a vasectomy reversal is a quick, single procedure that has good success rates, enabling you to conceive a baby naturally. In contrast, IVF is a gruelling process that often requires several attempts to increase the chance of success. The cost of a vasectomy reversal is also much lower compared to IVF procedures. Bear in mind also that there is a greater chance of multiple pregnancies when opting for IVF, so if you are only hoping for one baby, a vasectomy reversal is easily a better option.

Vasectomy reversal successes are the same whoever you choose

This is not the case at all. Doctors and standards vary, so if you want to achieve the best results possible choose a surgeon who is specialised in vasectomy reversal and has extensive experience. Mr Harriss has many years of experience and is available to answer any questions that you may have.

 

Vasectomy reversal-Loupes vs. Microscope?

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Atlanta—If you’re going to perform a vasectomy reversal, use a microscope. Despite the additional time and cost involved, microsurgical vasovasostomy is superior to the loupe-assisted macroscopic technique, findings from a recent study from Korea confirm.
In the retrospective study from Bundang CHA Hospital in Sungnam, researchers found a 24% higher patency rate in patients who underwent microsurgical vasovasostomy using 9-0 nylon compared with those who underwent a loupe-assisted technique using 8-0 nylon. However, the improved patency rate of the microsurgical technique did come at the expense of a significantly longer operation time than that of the loupe-assisted approach. Read More…

Dr. McHugh uses a Zeiss operating microscope in our accredited ambulatory surgery center. Contact us for a free consultation.

Request an appointment 24/7-We’ll return your call the next business day.

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First Vasectomy in America? 1897

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Click on Image to Visit Northeast Georgia’s Vasectomy Page

Interesting Facts about a Vasectomy and Vasectomy Reversals

The First Microscopic Vasectomy Reversal?

Technical advances in vasectomy reversal mirror those in microsurgery over the past 100 years. As a discipline, microsurgery was first performed by Carl Nylen in Sweden for middle ear surgery in 1910, but grew most rapidly as a discipline in the 20th century stimulated by its success in microvascular reconstruction of war-injured soldiers.

The first microsurgical vasectomy reversal was performed by Earl Owen in 1971.

Why do you wait 3-4 months to check for sperm atfter a vasectomy reversal?

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  • The time from the vasectomy to the reversal is one of the most important factors in the reversal’s success.
  • The longer the interval the more effect of the vasectomy obstructing the natural course of things in the testicle has on sperm quality.
  • Determining how much negative effect has occurred as result of the vasectomy on the quality and quantity is variable and usually based on the time interval.
  • Assuming that because a vasectomy can potentially “shut down” production of normal sperm, the testicles, after a reversal, have to readjust and begin to produce sperm again.
  • The chart above shows the maturation of sperm in the testicle.
  • This process usually takes about three months.
  • So, if the testicles have stopped producing sperm and the obstruction of the vasectomy is corrected by the reversal, then it would take about three months for normal sperm to complete the maturation process and be seen in the ejaculate.
  • So this is why many reversal doctors tell their patients not to consider submitting a specimen for the presence of sperm after a reversal for at least 3-4 months.
  • It you submit a specimen at three months and there are no sperm, that is disappointing, but in many patients it may take up to a year for the testicles to resume their normal activity.
  • I have had patients with no sperm in the ejaculate at six months and achieved pregnancy at one year.

Overview of a Vasectomy Reversal

Adobe Voice Video of Beginning the Vasectomy Reversal Process

The first step is making the decision to have one and the next is scheduling a free consultation to learn all about the procedure and how factors specific to you affect the success rates.

770-535-0001 ext. 112 and we  will guide you through the process.

After a vasectomy reversal…What type of scrotal support?

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Well you might think this is an odd question. Well…it is probably the most commonly asked and the first question in the post-op area asked by the wife. Tighty whities or  boxer briefs are the most common “supports” mentioned as potentially being suitable for the post-reversal male.

The problem with the traditional “jock strap” and the above mentioned supports is that they just don’t add the compression and lack of movement of the testicles necessary to facilitate immobilizing the newly repaired vas deferens.

Nothing fits the bill better than a pair of athletic compression shorts as seen above. The male can begin wearing the day after the procedure and throughout the 3-4 week post-operative non sexual activity period necessary to allow the vasectomy reversal to heal appropriately.

Okay…you think this was an odd thing to spend a post on, but just wait…it will be on your mind as the first question after the surgery…that is after, ” When can we have sex?”

As a side note-this type of compression shorts are excellent for the post-vasectomy patient as well.

Microscopic Vasectomy Reversal-How big is a micron?

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So why is an operating microscope necessary for reversing a vasectomy?

Well…

The thickness of a strand of hair is 100 microns.

The outside thickness of the vas deferens is about 2 mm and the lumen of the vas (the part of the vas that is connected with the reversal procedure and the tube that sperm travels) averages about .56 mm.

The suture used used for the procedure is 70 -100 microns, i.e. the suture is about the diameter of the human hair.

So…12 or so sutures the size of hair is used to join a tube that is that is less than a millimeter in diameter.

1000 microns equals a millimeter.

Of note: The suture that is usually be used to close an incision after an abdominal procedure would be bigger than the tube in which sperm travels in the vas deferens.

Very small sutures must be used to connect very small openings if there is going to be enough room after connecting the tubes for sperm to travel in their quest to achieve pregnancy.

And now…you know the rest of the story-and why…size does matter.

Can you correct a vasectomy with a vasectomy reversal?

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Yes a vasectomy  can be reversed with a microscopic vasectomy reversal…but that really isn’t the issue. The real question is if a vasectomy is reversed what are the chances that it will be successful?

The answer is multifactorial and dependent on the age of the male and female, how long ago was the vasectomy done, the reproductive health of the female, the surgical reconnection of the vas deferens staying open after they are rejoined, and finally the quality of the semen produced after the reversal. All of these factors explain why the patency of the procedure (presence of sperm) and the pregnancy (it worked) of the procedure differ.

Yes you can send a boy to college but you can’t make him think

and yes you can lead a horse to water but you can’t make him drink.

Yes you can reverse a vasectomy but that don’t guarantee no baby

It’s about if it will result in success and that my friend is a big maybe!

Reversal Rates Based on the Time Since Vasectomy

Less than 3 years  Patency 97% Pregnancy 76%

3-8 years             Patency 88% Pregnancy 53%

9-14 years           Patency 79% Pregnancy 44%

Greater than 15 years Patency 71% Pregnancy 30%

Belker AM, et al. Results of 1,469 microsurgical vasectomy reversals by the Vasovasostomy Study Group. Journal of Urology 1991; 145(3):505-11.

Mike McGinnis
Mike McGinnis
2023-03-18
I can’t say enough great things about this place! 100% make sure you choose the nitrous oxide to help. Truly painless and the nitrous oxide put me at a level of peace I had never felt before. Thanks for everything!
Michael Berliner
Michael Berliner
2023-02-16
If you’re looking for a vasectomy, look no further. There is a reason for all the five star reviews. Dr. McHugh and his team were as good as you could ask for. Very professional and took excellent care of me. 10/10 experience for something that has the potential to be very stressful.
Andrew Simmons
Andrew Simmons
2023-02-13
Highly recommend Dr. McHugh. He was very thorough on explaining the procedure. His team was also very transparent on my options of paying for the procedure and what they would be.
Seth Willoughby
Seth Willoughby
2023-02-06
Really glad I stumbled upon Dr.Mchugh. I have chosen him for my vasectomy.I 100% would recommend him to the highest degree for any of your urology needs.
Brianna Redding
Brianna Redding
2023-02-01
After 5 years of having a vasectomy. My husband and I wanted to give our daughter a sibling. We drove 2 hours to have Dr. McHugh and his team give us a chance at growing our family again. They were informative and the overall surgery was handled smoothly leaving us with high hopes. 7 months later and we were expecting our second daughter. We cannot thank the practice enough and highly recommend them.
JT Mc Dowell
JT Mc Dowell
2023-01-20
Dr was awesome, staff was all amazingly positive and easy going which made the entire experience a breeze. Even had Slipknot jamming in the room for me during the procedure which was so quick. 10/10 I would recommend anybody to them for their vasectomy needs.
Jordan Voss
Jordan Voss
2023-01-16
I had a great experience getting my reversal done here. The whole team was great and worked with me to make me feel as comfortable as possible. Dr. McHugh is very personable and is one of the most experienced doctors in the area so it was an easy choice. I would recommend to anyone who wants a vasectomy or reversal done.
Matt Dyer
Matt Dyer
2023-01-06
Dr. McHugh and his team were great, any questions that may be brought up he had an answer to. I would recommend Dr. McHugh to everyone.
Dylan McClellan
Dylan McClellan
2022-12-31
Dr. John McHugh and staff were so friendly and made the whole process super simple and smooth. I will be recommending all of my friends interested in a vasectomy to come straight to him and his team. Don’t hesitate to call them first

Pretty in Pink

Another happy reversal result!

Dr. McHugh is the one you should see. We HIGHLY recommend him! Thank you so much again to him and all of his staff. INCREDIBLE!

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My husband asked questions ahead of time and from friends that previously had the procedure. He felt confident going in and completely comfortable during the procedure. Highly recommend them.

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Twice as Nice!

With time, prayers and of course a great surgeon we now have a healthy baby boy! Thank you!

We are happy to report that we are pregnant! Thank you to all of you who participated in our care, especially Dr. McHugh. We are so pleased and excited.

My wife and I are happy to announce that we are now expecting in March of 2020. This wouldn’t be possible without Dr. McHugh and his amazing staff! Thank y’all!

Thank you!

I had my vasectomy reversal in February 2018 and my wife got pregnant in May 2018, only 3 months later! The service and attention received before, during and after the procedure was excellent. The team was very warm and super easy to work with.

Fantastic bedside manner, office and surgical staff were top notch. This coming from a nurse of 12 years. I was never nervous or uncomfortable. (Microscopic Vasectomy Reversal)

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Stephen

Dr. McHugh is the best! Our family was also blessed by his surgical expertise.


Thanks for dropping by!

Reversal success story!

What a delightful surprise!

Success!

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Thank you Dr. McHugh and staff!

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Welcome…Ella Grace.

a vasectomy reversal success

After extensive research, we found that the technique performed by Dr. McHugh was the best fit for us. It was the least invasive, and offered the fastest recovery. Dr. McHugh & his team delivered a high caliber of service & comfort for me, & I am extremely thankful for his practice.

Naomi  was born just 12 months after having my surgery, & we couldn’t be happier with our newest addition! 

R.P.

 

Two for the price of one!

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Thank you!

Review - 3 - Social Post

“You were very professional!”

Thank you!

Even after a miscarriage, with time, prayers and of course a great surgeon we now have a healthy 7lbs 2oz  baby boy! Thank you.

Hannah M.

I appreciate everyone’s friendliness and kindness during the multiple office visits and surgery center procedure. Thank you for the good care you gave me!

P.H.

Blessing after ten year successful vasectomy reversal!

“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.”

Thank you back!

Dr. McHugh and his wonderful staff are without a doubt the best in the industry.

Happy result in Tennessee!

This is Shawn and Jayna Porter. We are writing to let you all know that surgery was a success and we’d like to send you all pictures of our new addition! Harper Quinn Porter.

We try to make it “fun!”

“Dr. McHugh is loads of fun. Really nice guy. Excellent staff. Easy, short, and (mostly) painless procedure. Great practice here.”  D.D.
Georgia Vasectomy/ Vasectomy Reversal -John Clay McHugh M.D.
Thank you so much for the positive feedback. Enjoyed comparing “Beatles Trivia!” I hope you do well. John McHugh
McHugh No Scalpel Vasectomy

Reversal success times two!

Reversal easier than the vasectomy? Thank you!

Vasectomy Reversal: 0 Sperm to 66 Million!

Thank you for the 5 Star Vasectomy Reviews.

“A beautiful gift from God”

Thankful for Dr. McHugh’s talent and the whole experience!

vasectomy reversal baby

Dr. McHugh is very thorough and answered any questions we had prior to surgery. His team was very kind and thorough post surgery as well, following up via phone and email to be sure my husband had the best recovery he could. Our chances for conceiving were less than 50% and we just had our daughter a month before the one year mark from surgery. Leanna T.     September  2022

 

Wonderful Addition!

Vasectomy Reversal

Thank you so much for my husband’s successful reversal that you performed in October 2021. We found out we were expecting in the beginning of January and our son was born on September 7th.

Jen and Kristafur

 

Our little Pumpkin!

Vasectomy reversal baby.

Dr. McHugh, my husband had his vasectomy reversed 10/7/21 and we had our sweet baby girl 9/29/22!! Here’s some pictures of our beautiful girl.   H.S.

Vasectomy reversal baby

Blessed vasectomy reversal success!

Vasectomy Reversal Baby

“Seven months after the vasectomy we were expecting our new daughter.  We cannot thank the practice enough and highly recommend them!”

Vasectomy Reversal baby

Helping families with a blessed addition with vasectomy reversal.

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