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Vasectomy 101 and Summa Health's Vas Madness [Podcast]

Posted February 01, 2023 by Kevin Spear, M.D.

Listen to this episode of the Healthy Vitals Podcast.

Dr. Kevin Spear leads a discussion on what you need to know about vasectomies, including the procedure itself and post-procedure care.


Featured Guest:

Kevin Spear, M.D.

Kevin Spear, M.D., is a physician with Summa Health Medical Group – Urology in Akron and Green and provides high-quality, compassionate care. He also practices at Summa Health Green Medical Center in Uniontown, Ohio. Dr. Spear earned his medical degree from the University of Toledo and completed his residency at Northeast Ohio Medical University. He completed his male infertility and reproductive medicine fellowship training at the University of Illinois. Dr. Spear is board certified by the American Board of Urology. He has special interests in male infertility and reproductive medicine. Dr. Spear welcomes new patients and offers same day/next day appointments. The Urology team sees patients in Green, Barberton, Stow Kent, Medina, Wadsworth and Akron.

Transcription:

Scott Webb: Did you know that March is the month when most men opt to get a vasectomy? Dr. Kevin Spear from Summa Health's Urology Department is here today to discuss vasectomies and a campaign Summa Health calls Vas Madness.

This is Healthy Vitals, the podcast from Summa Health. I'm Scott Webb. Doctor, thanks so much for your time. We've spoken before about urology-type issues, if you will. And today, we're going to focus on vasectomies. So as we get rolling here a little baseline, what is a vasectomy like? What's involved?

What is a vasectomy?


Dr. Kevin Spear: Well, vasectomy is cutting a segment out of the vas deferens, and that's the tube that carries the sperm out to the ejaculate. And it's a minor procedure. It's done in the office. It almost exclusively usually would take a half hour or less. And about 500,000 of those are done per year in the United States. So, it's a very, very common procedure and most men that had it feel that it went well and they're happy with it.

Scott Webb: Yeah. And we're going to talk about, you say, 500,000 and many of them happen to be during March Madness or Vas Madness, if you will. We're going to get to that later. So, maybe just take us through this. It sounds like a simpler procedure. Men pop in, they get it done, they're on their way. But maybe you can just sort of take us through the nuts and bolts. How does it work exactly?

How does a vasectomy work?


Dr. Kevin Spear: You'd always have a consult before, so a patient would have to see someone, maybe it could be virtually or in the office for a visit and review for a consultation, go over medical conditions, different things like that, and an exam, obviously if it's in the office. And then review, go over the procedure, expectations and risks and things like that. Then, you have the appointment for the vasectomy, which would be usually, for us, it's always a half hour appointment. And I have patients take a Tylenol and a ibuprofen before the procedure, say a couple hours before that. Usually, that helps if you take those before, then after. And also, we have them take a Valium, so they have a ride, they need a ride home.

And then, they have the procedure, it's local anesthesia, very, very teeny small incision. We do something called a no-scalpel vasectomy, and that's maybe somewhat of a gimmicky name, but it's a very tiny puncture hole to get the tube out. And then, go home, take it easy that day at least, ice 20 minutes on, 20 minutes off. The next day, you do it also. And no real heavy stuff for a couple of days. That's usually how it goes, basically.

Scott Webb: Yeah. So, generally when we think about post-procedure, if you will, what can guys expect other than having a good reason or excuse to kind of take it easy and watch basketball? What else can they expect?

What is the recovery like?


Dr. Kevin Spear: It does vary from, you know, patient to patient. But in general, it would be an ache and really handled well with ibuprofen and ice. And most people really are pretty fine. And what could happen is maybe we surely try to tone down people. Like, don't start doing something right away because you feel fine, because then you start doing some more activity and it really could ache. And then if it does, it's going to take a while to get better, it could take days. But for most people, I'd say at least 90%, if they just do it at home, mostly take it easy, take it easy the next day, they're pretty good to go. They could drive around the next day, would be feeling basically fine. And in a week, they could, you know, start really regular activities and working out and things like that. So, that's 90%.

As far as what could happen though that are, you know, problems and complications potentially are any procedure bleeding, infection. You get bleeding in the scrotum, is loose, it could get really big. And then the problem with that is sometimes, this would be extremely rare, you have to basically try to get rid of that, what's called a hematoma. Also, you can get pain at the site of vasectomy, that's about 1% to 2% of people. Then, they have some chronic discomfort where the vasectomy was or down to the testicle. Sometimes that requires another procedure to remove either that segment that really is bothersome at the vas site. It's called a vasal granuloma. That could hurt and we'd have to remove that. That would be a minor procedure. Super rarely would it be, you know, really something uncomfortable or infection that would be more significant. But most people, even if they have those things I said, would get better in, you know, a few days.

The other thing is first as followup with a vasectomy would be you got to get checked because there's sperm in there. So, we get a sample about three months later. You don't get it right away because there's sperm in the tract, get that checked. If it's clear, then you're good to go. Now as far as it not being clear or it "didn't work" or it failed, it'd be about one in 250 people. So, that's why we check because it's not a hundred percent. And then, extremely rare would be after a negative sample and you're cleared to go that there is possibility of failure years down the line. But that's extremely rare, one in 2000 or less. So, people don't have to come in here, and I'm being kind of funny, every month to get checked or something like that.

Scott Webb: Yeah. So, for most, not a lot of complications. For most, very effective. I think one of the questions that probably comes up, and I'll ask it for those who are listening is: Are vasectomies reversible?

Are vasectomies reversible?


Dr. Kevin Spear:
People that, you know, are coming in for a vasectomy, they should consider it permanent, but it is reversible. So, we do consult people on that, that they shouldn't think, you know, get this and then maybe in two years, "I'll just get it reversed." So, the vasectomy is, at least from my standpoint, pretty simple, it's quick as we described. But a reversal's much more involved. So, it's a long procedure. It's technical. You'd want someone trained in that. I did a special training, a fellowship in microscopic surgery and infertility in doing those reversals. But that takes three hours or more, and it's a very tedious procedure, but it's not a hundred percent effective. So, that's really kind of the thing why you shouldn't bank on that, that it's for sure going to be effective if I get it reversed. And part is it's just not a hundred percent that it's going to be open. And other issue is the length of time since the vasectomy, the longer the length of time since you had the vasectomy, the less chance it's going to work out. So, that's what people should realize.

There are some other advanced techniques or reproductive techniques where you can aspirate sperm and do in vitro fertilization, things like that. So, there are things you could do, but those are involved and could be very expensive.

Scott Webb:
Yeah, it is not like flipping a switch. You don't just turn it on and off. It's much more complicated to undo something like this, to reverse a vasectomy. And I think one of the other questions, folks would have, guys and couples may have, is: Are vasectomies covered by insurance?

Are vasectomies covered by insurance?


Dr. Kevin Spear:
Usually, yes, vast majority are. But I think people have to keep in mind and they would know when they either made an appointment or during or shortly after what is their deductible and their status with that. So in general, it's a covered service. So, I almost never get people saying, "Wow, this isn't covered." But deductibles usually apply. So, the issue with that is that people have to just be aware of it and it's very common that at the end of the year also is a time where we get a lot of vasectomies, so the reason being is the deductible. So, patients are saying, "The deductible, I used it, we should get in and get this done."

Scott Webb: Sure. Yeah. And, you know, the advice for everybody would be, you know, check with your own insurance, right? You know, Dr. Spear does his part to answer the broad questions. But check with your own insurance, make sure that it's covered or that you can afford it if it's not covered, whatever is involved.

Dr. Kevin Spear: Correct.

Scott Webb: And so, doctor, the kind of the headline for our podcast today was about Vas Madness. And you talked about, you know, for guys vasectomies are an opportunity to maybe take it easy for a little bit and certainly both men and women love to watch basketball in March Madness. But men, specifically, when we think about vasectomies, what is Summa Health's Vas Madness?

What is Summa Health's Vas Madness?


Dr. Kevin Spear:
Just as you outlined, March Madness is a big mainstream item that most people in the country know, especially men, and people take advantage of it for fun, usually over weekend. And so, it's just gotten bigger and bigger. I would assume this started in full force somewhere 10 years ago or more, but it seems to get bigger and bigger every year. So, it's a very, very, very common thing that in many big metropolitan areas for sure, you would see advertising even for this. And men plan around this and it's just a perfect match of you can watch basketball and you have your vasectomy, you have to take it easy. And like I said earlier, it's somewhat like a free pass to hang out for a couple of days and watch the basketball tournament and you have no distractions. Actually, I'll have groups of men, buddies, that say, "We're all going to go get our vasectomy, you know, this time and hang out." So, it's really a very, very popular thing. And even, you'll see it in the media.

Scott Webb: Yeah. I'm sure, and I'm sure you guys probably put the games on the TVs there in the office and then really make a thing out of it. And that's so funny to think of guys like scheduling this, "All right, we're all going to get our vasectomies and then we're going to sit around and eat junk food and watch basketball."

It's always great to have you on. There's a multitude of topics we can speak about and we've done a few of them and I'm sure we'll do more. But great to just learn more today about vasectomies, what's involved, recovery time. As we discussed here today, it seems to be a pretty easy "procedure." Usually not a lot of complications, just a little bit of downtime and a great reason or excuse to watch basketball. So, doctor, thanks so much for your time. You stay well.

Dr. Kevin Spear: All right. You take care.

Scott Webb: Call the Summa Health Urology Team at 330.374.1255 or visit summahealth.org/urology for a consult or to schedule your vasectomy. It may be more affordable than you think. And if you found this podcast to be helpful and informative, please share it on your social channels and be sure to check out the full podcast library for additional topics of interest. This is Healthy Vitals, a podcast from Summa Health. I'm Scott Webb. Stay well, and we'll talk again next time.

 


About the Author

Kevin A Spear, MD

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The thyroid gland has an important job to do in the body. It produces thyroid hormones that help regulate metabolism and the body’s overall temperature. Metabolism is a process that turns food into energy, which is vital to keeping all of our body systems working correctly. This small, but mighty gland impacts just about every area of the body, including heart function, digestive function, muscle control, mood and brain development.
 
The thyroid gland is a small,…

Urologic cancers 101: Be in the know so you can catch it early

Bladder cancer is the most common urologic cancer in both men and women. Each year, about 57,000 men and 18,000 women are diagnosed with the disease, according to the Centers for Disease Control and Prevention (CDC).

But, urologic cancers don’t only affect the bladder. They also can affect the kidneys, ureter (tubes that carry urine from the kidneys to the bladder), urethra, and specifically in men, the penis, prostate and testicles.

In fact, the CDC states prostate…

All About Sleep Apnea [Podcast]

Dr. James Bavis & Dr. Ketan Deoras explain sleep apnea as well as signs, symptoms, and what to expect.

Sports injuries of the knee: ACL and meniscus tears

You’ve seen it on the soccer field or basketball court: a player plants a foot, twists and goes down grabbing a knee. The problem is most likely tearing of the meniscus (cartilage) or ACL (anterior cruciate ligament). Both can be extremely painful and sideline an athlete for months of recovery.

A tear usually requires more intervention than a strain or sprain.

A knee strain is a stretch or partial tear of a tendon or muscle, while a sprain is a stretch or tear of a…

Breast Cancer: The Importance of Knowing Your Risk [Podcast]

Dr. Keristen Brantley & Dr. Victoria Van Fossen discuss Breast Cancer Prevention and Treatment.

Alzheimer’s Awareness: Symptoms, Stages, and Support [Podcast]

Amanda Harvan sheds light on the symptoms, stages and support of Alzheimer's.

Men’s Well-Being: All About Prostate Health [Podcast]

Dr. Kevin Spear discusses men's health and different risk factors and how to ensure optimal well-being.

The Latest Updates on COVID-19 [Podcast]

Dr. Thomas File shares the latest updates on COVID-19.

Can Obesity be Considered a Disease [Podcast]

Dr. Adrian Dan discusses obesity as a metabolic disease.

Breaking the Stigma of Mental Illness [Podcast]

Emily Hionides-Horner discusses 7 ways to overcome mental health stigma.

The Modern Guide to Heart Health [Podcast]

Dr. Peter Bittenbender shares his insight on the modern guide to heart health.

Tips on Maintaining Fitness and Physical Health During the Pandemic [Podcast]

Dr. Cipriani discusses tips on maintaining physician health during the pandemic.

Tips for Managing Anxiety [Podcast]

Dr. Leslie Zaynor discusses tips for managing anxiety.

5 health numbers you should know by heart

As we grow older, wrinkles, fine lines and gray hairs aren’t the only aging factors we need to be concerned about. The real health indicators we should be tracking can’t be found in any mirror — and they affect our heart and other vital organs. 

These are critical heart health numbers that should not be ignored and include blood pressure, resting heart rate, cholesterol, blood sugar and body mass index. Heart disease is the leading cause of death for…

Minimally Invasive Treatment for Benign Prostatic Hyperplasia for a Quick Recovery

Benign prostatic hyperplasia (BPH), otherwise known as prostate gland enlargement, is a common condition as men get older. An enlarged prostate can cause uncomfortable urinary symptoms as well as bladder, urinary tract or kidney problems.

In many men, the prostate continues to grow throughout life. This continued growth enlarges the prostate enough to cause BPH, which means they have urinary issues or their urine flow is significantly blocked.

The symptoms of BPH often vary,…

Alzheimer's Research Showing Promise for Future

Billions of dollars have been spent on researching Alzheimer’s, but it stubbornly continues to affect 1 in 10 Americans over the age of 65. While we are still waiting for a cure, there have been significant advances that have made an impact on the treatment of Alzheimer's and related diseases:

New treatments and positive trials on the horizon
Currently, the medications on the market for Alzheimer’s only relieve symptoms of the disease. None stop the progression.…

Should you get a wearable sleep tracker?

Deep, consistent, quality sleep can not only make you feel great during the day; it can also improve your health. Sleep can boost your mood, help you maintain a healthy body weight and help your heart and mind function at tip-top levels.

But, for some of us, a solid night's sleep may seem like a dream. Lack of sleep can affect our brain's ability to react properly; so much so, that our body’s overall health can be at risk.

Thinking about a vasectomy? 5 things to know

Perhaps you and your partner are thinking of a more permanent solution to birth control. If you’ve had the conversation of vasectomy versus tubal ligation - “getting your tubes tied” - you might be interested to learn that a vasectomy is a much easier procedure, is more effective at preventing pregnancy and has a much lower risk of side effects or complications. It’s also much cheaper; tubal ligation requires general anesthesia and surgery; a vasectomy only requires local anesthesia and an oral sedative.

The Gift of Heart Health

When you think of February, you may think of Valentine's Day, chocolate and flowers. February also marks American Heart Month, a great time to commit to a healthy lifestyle and make small changes that can lead to a lifetime of heart health. Heart disease is the leading cause of death for men and women in the United States. But the good news is it's also one of the most preventable.

Making heart-healthy choices, knowing your family health history and the risk factors for heart…

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