About the Center for No-Scalpel Vasectomy

The Center for No-Scalpel Vasectomy, located in Red Bank and Freehold, New Jersey, is a state-of-the-art facility specializing in comfortable, safe and effective No-Scalpel vasectomy procedures. Our practice is recognized for providing quality care in a warm, friendly and personalized manner. We pride ourselves in being the practice many New York and New Jersey physicians choose for their own vasectomies. The Center was founded and is under the direction of Dr. Jeffrey I. Silverstein, a board-certified urologist trained in NYC. Dr. Silverstein has published articles and co-authored chapters in many peer-reviewed journals. He is presently Clinical Assistant Professor, Robert Wood Johnson Medical School, UMDNJ. Dr. Silverstein's commitment to excellence and attention to detail makes him an optimal choice to perform your procedure.

No-Scalpel Vasectomy

Vasectomy has become a popular form of contraception. It is one of the safest and most effective means of permanent birth control.

The No-Scalpel Vasectomy is an even safer and less invasive procedure than older methods of vasectomy.

Vasectomy is not painful. You may experience mild discomfort when the local anesthesia is applied. However, after it takes effect you should feel no pain. You may feel a mild tugging sensation.

Vasectomy simply interrupts the passage of sperm from the testis. The desire for sex, the ability to have erections, the pleasure sensations, and the ejaculations will be the same. The only difference is that the ejaculated fluid will not contain sperm.

Although there is a procedure to reverse a vasectomy (called a vasovasostomy), the procedure is expensive and not always successful. Therefore, vasectomy should be considered a permanent procedure. Before the decision is made to have a vasectomy, make sure that both you and your partner agree that you do not want any more children.

Pre-Vasectomy Consultation

Your initial consultation will provide you with the necessary information for you to make an informed decision, as well as allowing us to assess your eligibility for this procedure. A date for the procedure can be scheduled any time after this initial consultation.

Prior to the procedure you and your partner will be required to sign an informed consent stating that you understand vasectomy, its potential risks and that it is not guaranteed to result in permanent sterility. Bleeding and infection are the most common (although rare) complications of vasectomy. These occur in 3.1% of men undergoing a conventional vasectomy and less than 0.4% of men undergoing a No-Scalpel Vasectomy.

Vasectomy is not guaranteed to be 100% effective. "Recanalization," where sperm finds their way across the blocked ends of the vas, can occur. Although extremely rare (less than 0.2%), it can occur months or even years later. We minimize this risk by cutting, cauterizing, and tying or placing metallic clips at the vasal ends.

What to Do Before the No-Scalpel Vasectomy Procedure

1. Avoid aspirin and aspirin like compounds for two weeks prior to your vasectomy. Tylenol is O.K. to take.

2. Shave the scrotum (the sac) the night prior to the procedure.

3. Wear or bring brief type underwear ("tighty whities") at the time of the procedure.

4. If you have not already done so, sign the elective surgery informed consent form. Be sure to bring it with you on the day of your procedure and give it to office staff.

What to Do After the No-Scalpel Vasectomy Procedure

1. You will be able to drive yourself home after the procedure.

2. You should limit your activity for 24 hours after the procedure. An ice pack applied to the scrotum for a few hours after the procedure will ease any swelling.

3. You may shower the day following the procedure.

4. Extra strength Tylenol, Advil, or Motrin is usually all that is required for pain. You will receive a prescription for a strong pain reliever such as Tylenol with Codeine. As most people do not require this strong pain reliever, you may not want to fill this prescription until you see how you do with the extra strength Tylenol.

5. An antibiotic will be prescribed. Please fill and take this medication as directed.

6. You may resume light work tomorrow. Resume sports or heavy work in 4-5 days. Sexual intercourse may be resumed in 4 days. Contraception must be used!

7. Contraception must be used until the absence of sperm is confirmed by two consecutive semen analyses and 12 weeks have elapsed. It takes time for the sperm ducts to clear.

8. Your first semen analysis should be in approximately 6 weeks. The second specimen should be 6 weeks later. There is no charge for this service, and you do not need to make an appointment. However, please call the office on the day prior to you dropping off the specimen to be sure the doctor will be in to look at the specimen. You will drop the specimen off at our office and we will call you the following day with the result. If you are called and told there are a few dead sperm in your specimen it does not mean that the vasectomy has failed. However, additional specimens will be requested to monitor for clearing of the sperm.

9. Should you have any questions or concerns after the procedure please feel free to call, or if needed make an appointment to see the doctor.

Appointment Location

Vasectomy consultations and the actual vasectomy procedure is performed at our modern Freehold office, at 495 Iron Bridge Road, Suite 11, Freehold, New Jersey. [Driving directions]