Frequently Asked Questions about Vasectomies

Have questions about an upcoming vasectomy procedure?


Dr. Kostiner with TPMG Williamsburg Urology performs a low-cost, in-office vasectomy. We provide a stress-free environment for this minimally invasive, 20-minute procedure. To learn more about our vasectomy services, look at some of our frequently asked questions:

What is a vasectomy?

A vasectomy is an in-office surgical procedure that blocks the flow of sperm, preventing pregnancy. The simple surgery involves four steps: first, your surgeon will take out a small piece of the vas deferens (the tube carrying the sperm). Next, the surgeon will cauterize (burn a portion of the tube with a heated surgical instrument to prevent bleeding and infection) both ends of the tube and tie them off. Once tied, the surgeon will bury one tube in a layer of tissue to keep them separate.

Will the procedure hurt?

The procedure itself is relatively pain-free. The surgery is typically performed using local anesthesia and an anti-anxiety medication. Following the procedure, you might experience discomfort for two to five days and swelling that lasts up to a couple of weeks. If you experience pain that isn’t controlled with pain medication, reach out to your doctor to follow up.

How effective is a vasectomy?

Vasectomies are one of the most effective forms of birth control. This form of male birth control can prevent nearly 100 percent of pregnancies. While no method of birth control is foolproof, vasectomies are far more effective than many popular female birth control methods.

What are the risks/complications of a vasectomy?

As with any surgical procedure, a vasectomy does involve some risk. Some experience discomfort or hematoma (a collection of blood in the scrotum), but these side effects are not dangerous. There is also a very small chance of developing chronic pain, an extremely rare response. Contrary to popular speculation, a vasectomy procedure will not increase your risk of impotence or prostate cancer.

What will my recovery look like?

You will experience discomfort for 2-5 days and swelling that could last up to two weeks. We recommend patients do not engage in any strenuous activity for at least 48 hours following their procedure. Strenuous activities can include mowing the lawn, lifting heavy objects or children and exercise. Any high-intensity activity could cause additional swelling and lengthen your recovery period.

How can I prepare for my procedure?

Pay close attention to the guidance provided by your physician and refrain from consulting other sources, like friends or the internet. It’s a good idea to have a conversation with your partner before agreeing to the procedure, to ensure you are both in agreement. Make sure you have a ride to and from the procedure. The pain and anxiety medication will inhibit your ability to drive yourself home. We ask patients to shave the scrotum before the procedure and wear compression-type boxer briefs.

More info >

Will a vasectomy affect my sex life?

A vasectomy will have no impact on a male’s sexual performance or testosterone levels. You will still have erections and produce the same amount of semen as before; it just won’t contain any sperm that could lead to pregnancy.

Does insurance cover vasectomies?

ALL insurance plans cover a vasectomy. TPMG Williamsburg Urology accepts most insurances and performs a thorough benefits investigation with your insurance company. The office will contact patients prior to their scheduled vasectomy procedure to review benefits and estimated out-of-pocket cost. To learn more about our accepted insurances and co-payments, please contact our office to determine if your insurance is accepted.

Can a vasectomy be reversed?

Technically, a vasectomy can be reversed, however, the success rate for reversals range from 30 percent to 90 percent, depending on the type of procedure. We consider a vasectomy procedure a permanent option for those ready to stop having children.

Am I a good candidate for a vasectomy?

Are you ready to stop having children? If so, you might be a prime candidate. Some other common criteria that could make you a good candidate for vasectomy include:

  • Pregnancy is a medical risk to your partner.
  • You have concerns about passing on genetic disorders.

If you have questions about whether you might be a good candidate for a vasectomy, call our office to make an appointment to discuss your options with one our doctors at (757) 345-6223.

How can I make my appointment to schedule a vasectomy?

For those interested in TPMG Williamsburg Urology’s vasectomy services, please contact our office to schedule an appointment: (757) 345-6223

Geoffrey Kostiner

About Geoffrey B. Kostiner, MD

Geoffrey B. Kostiner, MD, is a board certified Urologist with TPMG Williamsburg Urology. Dr. Kostiner offers state-of-the-art vasectomy services for his patients at a competitive cost. This relatively painless, outpatient procedure is 99 percent effective at preventing pregnancy and has far fewer health risks than traditional female birth control. The 20-minute procedure is performed in the comfort of a TPMG office, minimizing facility costs associated with vasectomies performed in outpatient hospital settings. The relaxing environment and decreased expense attract patients across Virginia, from Richmond to Waynesboro seeking Dr. Kostiner for their vasectomy procedures

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