The procedure is performed under local anesthesia in our office. The discomfort is usually no more than for the vasectomy itself, though some patients may experience some back fatigue after lying supine for four hours.
Each vas is repaired in turn through a single midline scrotal incision about half an inch in length. Antibiotic pills, prescribed by our office, are given before the procedure, and the risk of infection is low. To allow for drainage and minimize the risk of swelling, a small drain is left around the vas overnight and is usually removed when the patient returns to our office the next day.