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Vasectomy and VasClip® Alternative Vasectomy is a safe and common form of permanent birth control used for family planning. It is performed in the doctor's office under local anesthesia. By contrast, tubal ligation surgery on the female partner is a more expensive and more invasive procedure. Tubal ligation requires general anesthesia and it is only performed in a surgery center. A survey of doctors who perform vasectomy indicates that they most often choose vasectomy for themselves when their family is complete. It is estimated that more than 600,000 vasectomies are performed in the United States each year. In addition to serving patients seeking vasectomy reversal from Los Angeles to Atlanta, Dr. Buch also performs the following vasectomy procedures. It is always important to keep the vasectomy reversal price and procedure in mind when choosing to have a vasectomy. Traditional vasectomy involves a scalpel cut into the scrotum (sac that holds the testicles) after a local anesthetic has been used to "numb" the sac and the two vas deferens (sperm transport tubes). Each vas deferens tube is cut, a section is removed, and both sides of the cut vas are sealed with either sutures, cautery or metal clips. This interrupts the flow of sperm from the testicles into the ejaculate which is also called semen. The incisions are then closed with sutures. Open-end vasectomy is a variation on the traditional technique, in which the cut end of the vas on the testicle side is left open without sealing it shut. Some doctors feel that this creates a more reversible vasectomy, which could be important for those who think they may some day be concerned with vasectomy reversal success. No-Scalpel Vasectomy (NSV) was developed in China in the mid 1970's. The technique uses two special non-traumatic instruments to provide a quicker, safer and less tender procedure than the traditional vasectomy. It was first performed in the United States in the 1980's. Dr. Buch has used the NSV procedure since 1993, and he is an NSV patient himself. Advantages of NSV include: Faster healing Less tenderness Lower complication rate During the NSV, both vasa are accessed through a single small ¼" entry point into an area of the scrotum that has been "numbed" by local anesthesia. The tiny entry into the scrotum is created by one of two special NSV instruments. The second instrument gently secures the vasa, one at a time, in a spot that has also been "numbed". The vasa are then carefully interrupted, and the two ends are sealed with non-reactive metal clips. The small opening in the skin closes by itself due to natural muscle tone in the scrotum. Typically there is no need for a skin stitch. Vasclip® Alternative to vasectomy was approved by the FDA in April of 2003, and Dr. Buch performed the first Vasclip® procedure in the DFW Metroplex shortly thereafter. As of March 2004, Dr. Buch had already performed more than 30 successful Vasclip® procedures. It is our belief that this modification of the NSV procedure will soon become the procedure of choice for Urologists and patients who are currently using the standard NSV technique. The Vasclip® Alternative does not require cutting of the vasa, and involves less tissue manipulation and therefore less potential for complication than even the standard NSV procedure. You can find out more about the Vasclip® Alternative by visiting the website www.vasclip.com or by calling our office. Dr. Buch reports that his Vasclip®patients are noting a quicker recovery with even less discomfort than his standard NSV patients. We are now accepting the following health care plans: Aetna (all non-HMO), BCBS (PPO/POS), Cigna (PPO), Galaxy Health (PPO), PHCS (PPO), United HealthCare (all). Please contact your specific insurance plan for actual benefit coverages, i.e., co-pay, deductible and/or co-insurance amounts. Please call our office for further information, 972-612-7131.

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