Vasectomy Procedure

Several points should be clearly understood about the procedure.

To understand how it works, knowledge of the anatomy and function of the testicles and prostate is necessary.

The sperm cells originate in the testicles, are collected in the epididymis, are transported through the vas deferens and are stored near the prostate gland. The prostate is a gland which makes prostatic fluid, which is the vehicle for the sperm cells. The prostatic fluid comprises 95% of the fluid of ejaculation. The sperm contributes only 5% of the volume or about 1 or 2 drops per day. If the vas deferens is cut and tied, the sperm cells accumulate in the epididymis, die and are absorbed by the body. The volume of the fluid from the penis at the time of ejaculation remains nearly the same.

An Effective Form of Birth Control

Vasectomy is a very satisfactory method of birth control for those who do not want to have more children. It is simple, effective, safe and inexpensive. The major potential drawback is that it should be regarded as permanent: only 50-60% can be successfully reversed with a second operation.

Vasectomy Season is Back

It is that time of year again when men around the world want to not only watch March Madness but take care of a surgery they have been discussing with their significant other. Why not do both and visit North Idaho Urology today to schedule your appointment? You will be in and out before the end of halftime! Contact NIU today for more information.

What to Know

The mechanisms for erection, ejaculation, and sexual sensation center about the penis and prostate and are not interfered with by vasectomy.

The testicles also make sex hormones. The hormone level stays the same after vasectomy. Therefore, there is nothing de-masculinizing or castrating about vasectomy and nothing that decreases sexual desire.

Very few complications have been encountered with the procedure. An occasional patient will experience minor swelling or infection, either of which can usually be treated quite simply.

The procedure is performed in the office. Local anesthetic is injected well above the testicle around the vas deferens. The first night and following day involve some pain for a few men and very little for others. Local tenderness decreases during the next week and may be noted occasionally for one month.


A slight chance of the vas deferens growing back together exists. This is a very rare event however and happens in less than 1% of men.

If you are considering a vasectomy, North Idaho Urology is committed to providing the best in vasectomy care. Our board certified urologists use innovative techniques to make your vasectomy appointment convenient and comfortable.

We offer vasectomies Monday-Friday in our Coeur d’Alene and Sandpoint offices. To read about vasectomy FAQs, click here.


It’s ok to Laugh About Your Vasectomy

North Idaho Urology offers Nitrous Oxide (laughing gas) for a more calm and comfortable vasectomy.


Barb S.
“I was passing through Idaho this summer and contracted a severe UTI requiring immediate attention for complicated reasons I won't go into. I called this office hoping by some miracle. They were wonderful, and got me in immediately.”
Randy M.
“OMG!!!! The Rezum procedure was performed in mid-November 2018. It's finally working! I've finally been able to sleep. Instead of getting up 5,6,7 times each night, for the past 3 nights, I've only been up once per night. Yippe Ki Yah!”
Jim B.
“Dr David Flores performed a prostate procedure on me this last week. The results are already amazing. Dr. Flores made me feel very comfortable with some very uncomfortable procedures. I highly recommend him!!!
Matthew F.
“Had a non scapel vasectomy by Dr. Ellison today. The whole process from checking in to the procedure itself was exceptional. Thank you so much for making it such a comfortable experience (as much as can be expected with a vasectomy)!”

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