Vasectomy

Vasectomy at Northwest Urology

A vasectomy is a safe, effective, and permanent form of male contraception, offering a simple outpatient solution for men who no longer wish to have children. The procedure works by blocking sperm from reaching the semen, preventing fertilization without affecting a man’s ability to ejaculate or experience sexual pleasure. At Northwest Urology, we specialize in performing vasectomies with the highest level of precision, ensuring quick recovery and minimal discomfort.

Each year, approximately 500,000 men in the U.S. choose vasectomy as their preferred form of birth control. Many report feeling a greater sense of freedom in their intimate relationships, knowing they no longer need to worry about unplanned pregnancies.

Vasectomy is a quick, outpatient procedure that typically takes less than 30 minutes. The procedure involves:

  1. Local Anesthesia – The scrotal area is numbed to prevent discomfort.
  2. Blocking the Vas Deferens – The tubes (vas deferens) that transport sperm are cut and sealed.
  3.  Closure – Small incisions are closed with stitches or left to heal naturally.

Following the procedure, sperm can no longer mix with semen, but men will still produce the same amount of seminal fluid, experience normal orgasms, and maintain the same level of sexual function.

Most men recover quickly and experience little to no complications. After the procedure:

  • Return to work within two to three days.
  • Resume normal exercise in seven days.
  • Start having sex again after seven days.
  • Bruising and swelling should subside within two weeks.

Note: It takes time for all remaining sperm to clear from the reproductive system. Until a semen analysis confirms sterility, other forms of birth control should be used.

While vasectomies are generally safe, some men may experience mild side effects, such as:

  • Pain or tenderness in the scrotum.
  • Swelling or bruising at the surgical site.
  • Minor bleeding or internal bruising.
  • Temporary congestion in the epididymis or lower vas deferens.

Rare Complications:

  • Infection at the surgical site, which may cause increased swelling and pain.
  • Sperm Granuloma, an inflammatory reaction to sperm leakage.
  • Epididymitis or Orchitis, inflammation of the testicle or epididymis.
  • Hematoma, excess swelling resulting from bleeding within the scrotum.
  • Post-vasectomy pain syndrome, or prolonged pain or sensitivity within the testicles following vasectomy
  • Failure of the vasectomy, the severed vas deferens heals itself back together

To aid recovery and minimize discomfort, we recommend:

  • Pain medication such as acetaminophen (Tylenol).
  • Ice packs on the scrotum for the first 48 hours.
  • Antibiotics if prescribed for infection prevention.
  • Adherence to post-vasectomy activity restrictions 48-72 hours after the procedure

When to Contact Your Doctor:

  • If you develop a fever (over 100.4 F).
  • If you notice signs of infection, such as painful red skin around the incision or draining of pus from the incision site.
  • If pain or swelling worsens significantly.

While vasectomy is considered permanent, vasectomy reversal is possible for men who later decide to have children. However, success rates vary based on how much time has passed since the original procedure, ranging from 40-90%.

Our Commitment to Vasectomy Care

At Northwest Urology, we provide expert vasectomy care with a focus on patient comfort and long-term success. With state-of-the-art techniques and a streamlined recovery process, we help men take control of their reproductive health with confidence.
If you’re considering a vasectomy, contact Northwest Urology today to schedule a consultation.

This content is provided for informational purposes only. For a professional diagnosis or medical advice, please consult a healthcare provider.

Meet Our Providers

James Bresee, MD
SW Portland / St. Vincent Hospital
Adult Urology, General Urology, High Intensity Focused Ultrasound, Male Fertility & Sexual Dysfunction, Rezūm™, Sedation Services, SpaceOAR™, Vasectomy
Sasha Druskin, MD
NW Portland / Slabtown
Adult Urology, Aquablation®, General Urology, Male Fertility & Sexual Dysfunction, Sedation Services, SpaceOAR™, UroLift® System, Urologic Oncology, Vasectomy
John Gunselman, DO
NW Portland / Slabtown
Adult Urology, Aquablation®, General Urology, Male Fertility & Sexual Dysfunction, Sedation Services, SpaceOAR™, Urologic Oncology, Vasectomy
Daniel Janoff, MD
SW Portland / St. Vincent Hospital
Adult Urology, Barrigel™, General Urology, Male Fertility & Sexual Dysfunction, Sedation Services, SpaceOAR™, UroLift® System, Urologic Oncology, Vasectomy, Vasectomy Reversal/Vasovasostomy
Stanley A. Myers, MD
SW Portland / St. Vincent Hospital
Adult Urology, General Urology, High Intensity Focused Ultrasound, Male Fertility & Sexual Dysfunction, UroLift® System, Urologic Oncology, Vasectomy, Vasectomy Reversal/Vasovasostomy
Brian S. Shaffer, MD
SW Portland / St. Vincent Hospital
Adult Urology, General Urology, Male Fertility & Sexual Dysfunction, Sedation Services, SpaceOAR™, UroLift® System, Urologic Oncology, Vasectomy, Vasectomy Reversal/Vasovasostomy
Sara Spettel, MD
SW Portland / St. Vincent Hospital
Adult Urology, General Urology, Male Fertility & Sexual Dysfunction, Rezūm™, Sedation Services, SpaceOAR™, Urologic Oncology, Vasectomy
James Tycast, MD, FACS
Tualatin
Adult Urology, General Urology, Male Fertility & Sexual Dysfunction, Sedation Services, UroLift® System, Urologic Oncology
Eli Thompson, MD
NW Portland / Slabtown
Adult Urology, Aquablation®, General Urology, Male Fertility & Sexual Dysfunction, Sedation Services, SpaceOAR™, UroLift® System, Urologic Oncology, Vasectomy, Vasectomy Reversal/Vasovasostomy
William Simpson, PA-C
NW Portland / Slabtown
Adult Urology, General Urology, Male Fertility & Sexual Dysfunction, Sedation Services, Urologic Oncology
Kevin Brandt, PA-C
SW Portland / St. Vincent Hospital
Adult Urology, General Urology, Male Fertility & Sexual Dysfunction, Urologic Oncology