physical exam is carried out by your VasCenter affiliate urologist.
The testicles are palpated (felt) to make sure they are normal.
The vas deferens is also palpated to make sure that there
is a vas on each side. In rare cases, the vas deferens can
be absent on one side.
Each patient's anatomy is different. Some scrotums are loose
and the vas is easily palpated. In other patients, the scrotum
is tight and the spermatic cord thick, making it difficult
to palpate the vas. Probably 95% of patients have favorable
anatomy and can have vasectomy performed in an office setting
under local anesthesia only.
Occasionally, if the anatomy is unfavorable, making the vas
difficult to palpate or if the patient is too uncomfortable
or too queasy with manipulation of the vas, we will recommend
that the vasectomy be performed under local anesthesia plus
sedation. In some cases, an anesthetist may be present to
provide deep sedation. If the patient receives any type of
sedation, whether it be oral sedation or IV sedation, he should
arrange to have someone drive him home after vasectomy.