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Are Laser Vasectomies Safe?

When performed by an experienced doctor, vasectomies -- whatever the technique used -- are extremely safe.

By Sheldon Marks, MD
WebMD Answers to Questions

Question:

I've been thinking about getting a vasectomy, and my doctor mentioned a new laser technique. I was wondering about any possible complications or risk factors associated with laser vasectomies, as opposed to other methods?

Answer:

The concept of a vasectomy is pretty straightforward -- to interrupt the natural flow of sperm from the testicle to mix with fluid from the seminal vesicles and prostate to become semen. A vasectomy, no matter which technique is used, is still the safest form of permanent birth control. Be aware that nothing but abstinence is 100%, as a vasectomy can (in rare cases) hook back up on its own.

There are a multitude of varying techniques used to damage the vas deferens and block the flow of sperm. There really is no obvious advantage to any one over another, as long as the procedure is performed by an experienced doctor. The laser is just an expensive way to cauterize tissues. Even the no-scalpel technique which I use doesn't change how the vas deferens itself is damaged. Rather, it focuses on how the skin is opened. I would suggest that you find a skilled, experienced urologist to do your vasectomy and not worry about the specific nuances of the technique.

When a vasectomy is done in competent hands, complications are few and far between. I suggest that the damage to the vas be performed high up on the vas, far way from the testicle, as there are some experts who feel that this reduces the risk of pain and also increases the chances for success if you should ever choose to have the vasectomy surgically reversed.

To minimize the risk of infection, I suggest that my patients wash their scrotum daily for three days with an antiseptic soap to reduce the bacteria count on the skin (the infections men get are almost always from their own skin germs). To reduce your risk of bleeding, you must be off aspirin and all forms of blood thinners such as high-dose garlic, vitamin E, and fish oil tablets for 10 days and off ibuprofen and Aleve for three days.

It is important to follow your doctor's care afterward, using ice, a supporter 24/7 for one to two weeks, and avoiding sex or heavy activity for one week.

Sheldon Marks, MD, is a specialist in the diagnosis and treatment of prostate cancer.

The opinions expressed herein are the guest's alone and have not been reviewed by a WebMD physician. If you have a question about your health, you should consult your personal physician. This event is meant for informational purposes only.

Published July 26, 2004.

WebMD Answers to Questions

Reviewed by Michael W. Smith, MD