Now there is no longer any connection between the testes where sperm is produced and the urethra, where it once exited the body. The clips remain in place, closing and permanently sealing the cut tube ends. ![]() After placing permanent clips on the tube in two places, the doctor removes a small piece of tube between the clips. Then the doctor pulls out the vas deferens, the tube that delivers sperm out of the testes and to the ejaculatory duct. The doctor starts by making a small opening in the scrotum. That's usually because of anatomical issues or previous surgeries complicating the procedure-or the personal preference of the patient to go to sleep. Only 2% of vasectomy patients get them in a hospital under anesthesia. For the duration of the 15- to 20-minute procedure, most men are wide awake in a medical office. Most vasectomies are straightforward, with 98% of them performed in an outpatient clinic. Frozen storage is a viable option, and some patients have even successfully frozen their own sperm. They also ask about freezing their sperm first in case they want biological children in the future. They tell me they are concerned about getting a woman pregnant when abortion care isn't as available as it was before. Most of our clinic's new vasectomy patients are young or single men. One Kansas City doctor said that he had a 900% increase in vasectomy inquiries in just the four days after the decision. Other urologists have rising numbers, too. ![]() It's the first such increase I've seen in my 15-year career. ![]() I'm also seeing about 30% more online queries about vasectomies. Jackson decision came down, we're now fully booked at 30 vasectomies scheduled each month through next year. We used to perform about 20-25 vasectomies a month in our Miami clinic. It's too early for official numbers, but as a urologist and microsurgeon specializing in vasectomies, I can report that more new patients are coming to see me.
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