fbpx shadow

Every year, about half a million men in the United Sates undergo a vasectomy.

In contrast, around 1 million tubal ligations are performed in the U.S. 7% of all married couples use vasectomy as a choice for contraception.

When undergoing a vasectomy, most men fear the needle used to administer anesthesia in the scrotum, and this fear often deters them from pursuing the procedure.

New Approach to Vasectomy

There is another approach that men can consider – the No Needle/No Scalpel Vasectomy. With this approach,  a new method of anesthetic for vasectomy is the Madajet hypospray. This method uses a spring loaded device that sprays lidocaine anesthetic at a high pressure. Lidocaine spray penetrates the skin and numbs the underlying vas deferens. The anesthetic takes effect within seconds.

Patients typically describe the sensation as a mild snap, almost like a rubber band against the skin. Thereafter, a small opening is made in the skin using a no scalpel method. 99% of cases can then be done through one incision only.  No needle and no scalpel vasectomy takes about 10 minutes to do.

What happens after you get it done?

The recovery is quick and the return to normal routine is sooner than the conventional method.  Patients tolerate the procedure well.  After the procedure, patients are encouraged to have at least 35 ejaculations. This allows the sperm to be washed out of the vas deferens. A semen test is then done to ensure that no sperm are seen under the microscope.

I have performed thousands of vasectomies using the No needle/No scalpel vasectomy method with excellent results.


  • Using no needle no scalpel method there is excellent patient satisfaction.
  • The procedure is short, uses less anesthetic.
  • The return to work is quicker
  • Reduces the fear in men of the vasectomy procedure with a needle.
  • Procedure is safe, effective, simple and very well tolerated.

Nearly 500,000 vasectomies are performed every year in the U.S., and most of the recipients end up as satisfied customers. Here are some common questions about vasectomy Des Moines received by your urologist, Dr. Fawad Zafar.

Does the procedure include surgery on the testicles?

No, the vasectomy is performed on the vas deferens, which is a small tube that carries sperm and is located away from the testicle.

Will my body change, i.e., my voice, demeanor, or sex drive?

A vasectomy Des Moines does not alter testosterone production from the testicle, nor does it affect sexual performance in any way. In most cases, neither the patient nor their partner is able to tell it has been done.

How will I know if the vasectomy was successful?

Because it can take a few months to “clean out the pipes” after the vasectomy, patients must continue to use other forms of birth control until they’ve had a semen analysis to prove there are no longer any sperm present.

What happens to the sperm?

They remain inside the testicles.

Can a vasectomy lead to testicular cancer?

Large studies have indicated that there is no increased risk for prostate cancer, testicular cancer, or any other health effects as the result of having a vasectomy.

Can the vasectomy be reversed?

Yes, it involves a rather complex surgery that is not always successful. But there are always sperm present inside the testicle so in vitro fertilization techniques are possible.

Will I be awake during the vasectomy?

That depends on your urologist Des Moines. Some perform the procedure while the patient is awake by injecting a local anesthesia into the scrotum. Others prefer to offer patients a light sedation medicine so they don’t feel anything during the procedure, which typically takes only about 15 minutes.

How long will my recover time be?

Discomfort after a vasectomy is typically minor. Most men will need to take it easy for a few days, apply ice packs to the scrotum and take an ibuprofen every 6 hours.

If you’re considering a vasectomy Des Moines residents should contact our office to schedule a consultation.  We’re here to answer any other questions you may have.





Copyright 2019 Fawad Zafar MD. | Vasectomy Des Moines, IA | Urinary incontinence Des Moines | Prostate Cancer Treatment Des Moines | Sitemap | Lakeview Center for Urology

Privacy Policy: Lakeview Center for Urology does not share users' data with any third party. All user data is kept private.