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No Scalpel Vasectomy

Contact Us for your Vasectomy Consultation

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.

We take our No Scalpel Vasectomy “Catering to Cowards” motto very seriously.

vasectomy anatomy

Click for “McHugh Method” No Scalpel Vasectomy Ebook

No Scalpel Vasectomy Overview


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.


The “No Needle” technique is an innovative way to deaden the area the vasectomy is done in a painless way. In consulting with men prior to a vasectomy their first question is invariably, “Will it hurt?” When a needle is used to anesthetize the area of the procedure not only is the needle puncturing the skin uncomfortable, but the irritative nature of lidocaine is as well. Using the Madajet technology, we are able to deaden the skin in a painless manner. Using the Madajet, the lidocaine is vaporized and sprayed into the area of the procedure and the tissues surrounding the vas in a painless way. Less volume of the lidocaine is used as well resulting in less distortion of the tissues through which the procedure is performed.

madajet injector

This technology was initially developed to administer vaccinations quickly and in a painless fashion and then was modified for the purpose of performing a vasectomy.

In keeping with our motto about performing vasectomies, the Madajet truely allows us to  “cater to cowards.”

Three applications of the Madajet device are placed into the vas on each side resulting in a painfree, no needle, less medicine used, and a less complicated vasectomy because of less fluid in the tissues surrounding the procedure.

Northeast Georgia Urological Assoc. is pleased to offer this new technology to our patients and our fellow male “cowards.”

Vasectomy 101- Everything you wanted to know about a vasectomy but were afraid to ask.

If you prefer to listen-A No Scalpel Vasectomy 101 podcast.

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

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 antisperm 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 I.V. general anesthesia in our accredited ambulatory urological surgery center.

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

Morgan Meeks
Morgan Meeks
I went in to see Dr McHugh for a vasectomy, of course a little nervous about the procedure and aftercare. But the level of professionalism with everyone at this office is something many other healthcare places should learn from. He explained everything in detail and even during the procedure and really made sure I was comfortable which is something that made it a much more easier experience for me. Was in and out in about 30min. It's been three days now and I've not had to take any pain medicines and was no where close to needing any, they definitely know what they are doing if your looking to have this done.
Matthew Hicks
Matthew Hicks
For someone who has a phobia of doctors , they made feel like part of their family. Was totally comfortable the entire time.
Donald Aiken
Donald Aiken
This was a very easy and painless procedure the Doctor and his assistant was so down to earth and made this an easy Vasectomey to do , I would invite all to get one done by this doctor with all his years of experience it showed.
Alex Carroll
Alex Carroll
The whole staff were wonderful to deal with. Dr. McHugh was great.
Alex Green
Alex Green
We went into this Vasectomy procedure not knowing a whole lot of how it worked just knowing we wanted it done. Dr McHugh met with us and walked us step by step through the process and gave us options that really helped meet our needs and budget. We came in for the new option of Nitrous Gas instead of going fully under anesthesia and it went off without a hitch, if you are not anxious about the procedure or just don’t really want to be put under this is an amazing option for you, saves time and money and it allows you to be semi conscious for the procedure so they can check in on you during it. Only took about 15 minutes and post op they give you very explicit instructions and as long as you follow them you will be good to go! No pain and no issues. I would highly recommend the expertise of Dr McHugh and his team there at the Urological/Vasectomy office.
Christopher Allison
Christopher Allison
Very happy with the service I received from Dr. McHugh. I was nervous going in but he made the whole process very easy and I was in and out in just over 30 minutes. Great doctor and a nice guy, you won't regret choosing Dr. McHugh.
Lawrence Hargrove
Lawrence Hargrove
Patrick Shelow
Patrick Shelow
Really can’t speak highly enough about Dr. McHugh’s office. The procedure was very fast and Dr. McHugh explained everything he was doing which brought ease to the entire procedure. I typically have to tell doctors that I need more lidocaine and they brush me off until they can see the original shots did not work. Dr. McHugh took what I said seriously and even stopped to add more through the procedure. Was very nice to be listened to and taken seriously. Recovery has been easy with relatively no pain at all. Something that so many folks dread should take comfort in knowing you’re in good hands by having your procedure preformed in this office.
Zack Helm
Zack Helm
I recently had a minor complication with a Vasectomy in Ohio and very little feedback from my doctor. I started googling my problem and found Dr. McHugh had graciously given feedback to folks who had the same problem I had across the county. I was so uncomfortable that I decided to give his office a call. His nurse Megan was extremely kind and offered me great advice. Dr. Mchugh even called personally and helped answer all my questions and looked at my test results. The Dr. gained no benefit from helping me at all and quite frankly could have ignored me. I'm so grateful I got to speak with him and would put my full confidence in him performing my vasectomy.
Erik B
Erik B
Dr. McHugh and staff were Above and Beyond my expectations, Vasectomy was quick and painless and recovery with the provided “Instructions for after your Vasectomy” worked out well, only experienced some minor soreness that went away after the 2nd day. Thank you.

Helping couples achieve the new addition to their lives with microscopic vasectomy reversal.

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