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What a urologist wants men to know about vasectomies
What a urologist wants men to know about vasectomies

Yahoo

time14 hours ago

  • General
  • Yahoo

What a urologist wants men to know about vasectomies

EDITOR'S NOTE: Dr. Jamin Brahmbhatt is a urologist and robotic surgeon with Orlando Health and an assistant professor at the University of Central Florida's College of Medicine. As a urologist, I've performed countless vasectomies. They are my profession's bread and butter. When I'm not doing the procedure, I'm seeing men either alone or with their partners to discuss its safety, simplicity and effectiveness. Like many men, I've found myself contemplating whether it's time to get one, too. Maybe it's the recent US Supreme Court decisions on reproduction prompting more men to actively consider their role in birth control. Or perhaps it's part of a larger cultural shift toward shared family-planning responsibility. Then again, as a urologist who sees a growing number of men seeking vasectomy consultations, I'm more attuned to how common this conversation has become. An estimated 500,000 men in the US choose vasectomies as a form of contraception every year. And if you are like me and considering a vasectomy — or if you're just curious about this procedure as a form of birth control — here are the top things you should know. A vasectomy is typically a minor office-based procedure that requires minimal preparation. You can eat the day of the procedure, wear your T-shirt and shorts, and try to be relaxed. (If you choose to have the vasectomy done in an operating room, more preparation may be needed.) Once you're in the doctor's office, it takes 10 to 20 minutes to perform. After numbing the scrotal skin with a local anesthetic, the urologist makes a small opening in the skin, often so small that no stitches or scalpels are needed. From there, the doctor will find the vas deferens — the tube that carries sperm (made in the testicle) from a tightly coiled duct called the epididymis to the urethra prior to ejaculation. The vas deferens feels a bit like a piece of cooked spaghetti. The tube is brought out through the small opening, cut, sealed or blocked, preventing sperm from mixing with semen. The procedure is done on both sides, on both vas deferens, in a similar fashion. The cut ends are placed back into the scrotum, and the openings may be sealed with skin glue. Then you can go home and rest. Expect some soreness in the scrotum and surrounding areas. I advise patients to rest for one or two days, wear supportive underwear, and apply an ice pack to the scrotum for about 20 minutes every hour. For pain or discomfort, I suggest taking over-the-counter ibuprofen or acetaminophen if needed. Avoid heavy lifting or strenuous exercise for about one to two weeks, or however long your doctor recommends. Post-vasectomy complications are rare but possible and include minor bruising, swelling and temporary discomfort around the area where the procedure was done. Though uncommon, infections can occur and are typically resolved quickly with antibiotics if caught early. Around 1% to 2% of men can experience chronic post-vasectomy pain, which usually improves over time but in rare cases may persist and require further treatment. An important point to remember is that you won't be sterile immediately. It typically takes several weeks — and around 30 ejaculations — to clear out your remaining sperm. Your urologist will confirm your sterility with a semen analysis, which can be done at a lab or using new at-home testing kits. Until you're officially cleared, though, continue to use another form of contraception — it takes only one sperm to achieve pregnancy, so making sure you are sterile is vital. I've heard all the myths about vasectomies, so I want to share the answers to some of the most common questions men ask me during our consultations. Many men worry that after a vasectomy they will have lower testosterone levels, sex drive or sexual function. Not true. In fact, many couples report increased sexual activity and satisfaction after a vasectomy since they no longer have to worry about pregnancy. You will still have an ejaculate — almost the same volume and sensation — but now you'll be 'shooting blanks,' since your semen no longer contains sperm. Despite what you've heard, March Madness isn't the only good time for a vasectomy. Many men choose to recover while binge-watching football or even their favorite show. The truth is, you can safely book the procedure whenever it fits your schedule. Some men assume vasectomies are expensive or not covered by insurance, but most insurance plans fully or partially cover the procedure. Even if you're paying out-of-pocket, the cost is often less than $1,000, though prices can range from $500 to $3,000 depending on your location and whether you opt for anesthesia. It's worth shopping around, but always choose a qualified urologist who is board-certified and experienced in performing vasectomies — your safety is never worth compromising just to save a few dollars. But let's face it: Compared with the monthly cost of diapers alone (about $100 per month until your child is potty-trained), a vasectomy is a financial win. Though it's less common, I'm seeing more men without children choosing to get a vasectomy. Why? Often it's a firm lifestyle decision, because of concerns over passing certain genetic conditions, or simply being absolutely sure that fatherhood is not in their future. During our consultation, we openly discuss the motivations for making this decision, and I review the pros and cons. One big con is the permanent nature of the procedure. Yes, vasectomy reversals exist — and I do them myself for patients — but I don't advise undergoing a vasectomy assuming it's temporary. Reversal procedures are expensive and not always successful. If you're not sure whether you want children, pause and seriously reconsider the decision. Ultimately, it remains your personal choice. Men who need birth control can use condoms or avoid sex altogether. There is also research on male birth-control pills, injections and 'switches,' which could be a long time away from being offered to men. For women, there are birth-control pills, intrauterine devices (IUDs), implants, injections, patches, vaginal rings and tubal ligation. Each of these methods has its own pros, cons and effectiveness rates, so a detailed discussion with your health care provider and partner can help you make the best choice. Deciding on a vasectomy isn't easy. I should know, because I'm right there with you. My advice is don't rush it. Talk with your partner, ask your doctor all the questions you have during your consultation and think through what this means for your future. Whatever decision you make, though, make sure it feels right for you. Get inspired by a weekly roundup on living well, made simple. Sign up for CNN's Life, But Better newsletter for information and tools designed to improve your well-being.

Thinking about a vasectomy? What you need to know before and after
Thinking about a vasectomy? What you need to know before and after

CNN

time18 hours ago

  • Health
  • CNN

Thinking about a vasectomy? What you need to know before and after

EDITOR'S NOTE: Dr. Jamin Brahmbhatt is a urologist and robotic surgeon with Orlando Health and an assistant professor at the University of Central Florida's College of Medicine. As a urologist, I've performed countless vasectomies. They are my profession's bread and butter. When I'm not doing the procedure, I'm seeing men either alone or with their partners to discuss its safety, simplicity and effectiveness. Like many men, I've found myself contemplating whether it's time to get one, too. Maybe it's the recent US Supreme Court decisions on reproduction prompting more men to actively consider their role in birth control. Or perhaps it's part of a larger cultural shift toward shared family-planning responsibility. Then again, as a urologist who sees a growing number of men seeking vasectomy consultations, I'm more attuned to how common this conversation has become. An estimated 500,000 men in the US choose vasectomies as a form of contraception every year. And if you are like me and considering a vasectomy — or if you're just curious about this procedure as a form of birth control — here are the top things you should know. A vasectomy is typically a minor office-based procedure that requires minimal preparation. You can eat the day of the procedure, wear your T-shirt and shorts, and try to be relaxed. (If you choose to have the vasectomy done in an operating room, more preparation may be needed.) Once you're in the doctor's office, it takes 10 to 20 minutes to perform. After numbing the scrotal skin with a local anesthetic, the urologist makes a small opening in the skin, often so small that no stitches or scalpels are needed. From there, the doctor will find the vas deferens — the tube that carries sperm (made in the testicle) from a tightly coiled duct called the epididymis to the urethra prior to ejaculation. The vas deferens feels a bit like a piece of cooked spaghetti. The tube is brought out through the small opening, cut, sealed or blocked, preventing sperm from mixing with semen. The procedure is done on both sides, on both vas deferens, in a similar fashion. The cut ends are placed back into the scrotum, and the openings may be sealed with skin glue. Then you can go home and rest. Expect some soreness in the scrotum and surrounding areas. I advise patients to rest for one or two days, wear supportive underwear, and apply an ice pack to the scrotum for about 20 minutes every hour. For pain or discomfort, I suggest taking over-the-counter ibuprofen or acetaminophen if needed. Avoid heavy lifting or strenuous exercise for about one to two weeks, or however long your doctor recommends. Post-vasectomy complications are rare but possible and include minor bruising, swelling and temporary discomfort around the area where the procedure was done. Though uncommon, infections can occur and are typically resolved quickly with antibiotics if caught early. Around 1% to 2% of men can experience chronic post-vasectomy pain, which usually improves over time but in rare cases may persist and require further treatment. An important point to remember is that you won't be sterile immediately. It typically takes several weeks — and around 30 ejaculations — to clear out your remaining sperm. Your urologist will confirm your sterility with a semen analysis, which can be done at a lab or using new at-home testing kits. Until you're officially cleared, though, continue to use another form of contraception — it takes only one sperm to achieve pregnancy, so making sure you are sterile is vital. I've heard all the myths about vasectomies, so I want to share the answers to some of the most common questions men ask me during our consultations. Many men worry that after a vasectomy they will have lower testosterone levels, sex drive or sexual function. Not true. In fact, many couples report increased sexual activity and satisfaction after a vasectomy since they no longer have to worry about pregnancy. You will still have an ejaculate — almost the same volume and sensation — but now you'll be 'shooting blanks,' since your semen no longer contains sperm. Despite what you've heard, March Madness isn't the only good time for a vasectomy. Many men choose to recover while binge-watching football or even their favorite show. The truth is, you can safely book the procedure whenever it fits your schedule. Some men assume vasectomies are expensive or not covered by insurance, but most insurance plans fully or partially cover the procedure. Even if you're paying out-of-pocket, the cost is often less than $1,000, though prices can range from $500 to $3,000 depending on your location and whether you opt for anesthesia. It's worth shopping around, but always choose a qualified urologist who is board-certified and experienced in performing vasectomies — your safety is never worth compromising just to save a few dollars. But let's face it: Compared with the monthly cost of diapers alone (about $100 per month until your child is potty-trained), a vasectomy is a financial win. Though it's less common, I'm seeing more men without children choosing to get a vasectomy. Why? Often it's a firm lifestyle decision, because of concerns over passing certain genetic conditions, or simply being absolutely sure that fatherhood is not in their future. During our consultation, we openly discuss the motivations for making this decision, and I review the pros and cons. One big con is the permanent nature of the procedure. Yes, vasectomy reversals exist — and I do them myself for patients — but I don't advise undergoing a vasectomy assuming it's temporary. Reversal procedures are expensive and not always successful. If you're not sure whether you want children, pause and seriously reconsider the decision. Ultimately, it remains your personal choice. Men who need birth control can use condoms or avoid sex altogether. There is also research on male birth-control pills, injections and 'switches,' which could be a long time away from being offered to men. For women, there are birth-control pills, intrauterine devices (IUDs), implants, injections, patches, vaginal rings and tubal ligation. Each of these methods has its own pros, cons and effectiveness rates, so a detailed discussion with your health care provider and partner can help you make the best choice. Deciding on a vasectomy isn't easy. I should know, because I'm right there with you. My advice is don't rush it. Talk with your partner, ask your doctor all the questions you have during your consultation and think through what this means for your future. Whatever decision you make, though, make sure it feels right for you. Get inspired by a weekly roundup on living well, made simple. Sign up for CNN's Life, But Better newsletter for information and tools designed to improve your well-being.

Moped rider hospitalized after crashing, falling from overpass in Clearwater
Moped rider hospitalized after crashing, falling from overpass in Clearwater

Yahoo

time2 days ago

  • General
  • Yahoo

Moped rider hospitalized after crashing, falling from overpass in Clearwater

CLEARWATER, Fla. (WFLA) — A man was rushed to the hospital Friday after Clearwater authorities said he crashed his moped into a wall and was thrown off an overpass. Multiple 911 calls reporting the crash started pouring into dispatch around 6:21 p.m., according to a spokesperson for the City of Clearwater. DUI driver who killed Lake Placid teen drove 5x the legal limit Officials said the moped rider was heading south on U.S. 19, near Seville Boulevard, when he crashed into a retaining wall on the overpass. He was then thrown over the wall and landed on the access road below. First responders rushed the man to Orlando Health Bayfront Hospital as a trauma alert with potential life-threatening injuries. There was no further word on his condition. One southbound lane of U.S. 19 was closed while authorities investigated. One lane of the access road was also shut down. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

John Thrasher, former FSU president and Florida House speaker, dies at 81
John Thrasher, former FSU president and Florida House speaker, dies at 81

Miami Herald

time3 days ago

  • Health
  • Miami Herald

John Thrasher, former FSU president and Florida House speaker, dies at 81

John Thrasher, the former president of Florida State University and a longtime state lawmaker, died Friday morning, his family said in a statement. He was 81. Thrasher had been battling cancer before his death. 'The family would like to thank everyone for their well wishes, visits, and prayers during the last month and express their deep gratitude for the doctors and nurses who cared for him at Tallahassee Memorial Hospital, Moffitt Cancer Center, Orlando Health, and Cornerstone Hospice‚' Sarah Bascom, a spokesperson for Thrasher's family, said in a statement. Thrasher will be buried in a private ceremony in Orange Park, Florida, and there will be a public celebration at Florida State University's Ruby Diamond Hall on Aug. 19, according to the statement. Thrasher, a longtime Republican, led Florida State University as president for about six years before retiring in 2021. In Tallahassee, Thrasher served in the Florida House from 1992 to 2000, the last two years as House speaker. He also previously spent five years in the Florida Senate. Gov. Ron DeSantis said on social media that he was sad to learn of Thrasher's death, saying he 'served the state well.' 'John lived a remarkable life — and he made a big difference in the lives of so many in our state,' DeSantis said. This is a breaking news story and will be updated.

Rare bacterial infection strikes Florida man after Lake Dora Jet Ski injury
Rare bacterial infection strikes Florida man after Lake Dora Jet Ski injury

Yahoo

time3 days ago

  • General
  • Yahoo

Rare bacterial infection strikes Florida man after Lake Dora Jet Ski injury

The Brief A Tavares, Florida man contracted a rare, potentially deadly bacterial infection after cutting his leg in Lake Dora. Doctors identified the bacteria as Edwardsiella tarda, which entered through an open wound. He is recovering after six days in the hospital and is urging others to take lake injuries seriously. TAVARES, Fla. - A Tavares, Florida man is warning others after what began as a simple day on the water ended with a rare bacterial infection that nearly cost him his leg. What we know Bobby Henderson, a Tavares man, developed a rare and potentially deadly bacterial infection after cutting his leg while retrieving his Jet Ski from Lake Dora. The infection, identified as Edwardsiella tarda, entered through an open wound he sustained after slipping on algae at a boat ramp. Within 24 hours, he experienced severe symptoms including fever and intense pain, prompting an emergency hospital visit. Henderson was hospitalized for six days and required surgery to remove the infection. What we don't know It remains unclear why Edwardsiella tarda is present in some lake environments and not others, or how widespread it may be. Doctors at the hospital treating Henderson had never seen a case of this specific infection before, raising questions about whether it's underdiagnosed or genuinely rare. It is also unknown if Henderson had any underlying conditions that made him more susceptible. The backstory Henderson had taken his Jet Ski out on Lake Dora and was wrapping up his day when the watercraft drifted into tall grass. Attempting to retrieve it, he slipped on algae near the ramp and cut his shin on rocks beneath the surface. Initially dismissing the injury, he only sought help after symptoms worsened. Big picture view Experts say Edwardsiella tarda can be found in freshwater lakes, and while infections are rare, they can escalate quickly. The case underscores the hidden dangers of Florida's freshwater bodies and the importance of treating water-related injuries seriously. Dr. Daniel Egan of Orlando Health warns that bacteria like this can be fatal without prompt medical care, particularly if symptoms such as fever or spreading redness are ignored. Timeline Bobby Henderson says he was loading his Jet Ski at a Lake Dora boat ramp when he slipped on algae and gashed his shin on nearby rocks. Below is a timeline of his injury and infection: Day 1: Henderson slips and cuts his leg while retrieving Jet Ski. 24 hours later: He wakes with a fever and extreme leg pain. Following week: Hospitalized for six days, undergoes surgery. Post-hospitalization: Recovers and shares his story to raise awareness. What they're saying Bobby Henderson said he is grateful to be alive after sustaining an injury while loading his Jet Ski at a Lake Dora boat ramp, which led to an infection. "I would have lost my leg — probably my life, too," Henderson said. Doctors at Orlando Health later diagnosed Henderson with Edwardsiella tarda, a rare freshwater bacterium that can cause severe, sometimes fatal infections if left untreated. "This pain here was a pain like I've never had before," he said. "I've broken my femur, my arm, my hand, my foot — nothing like this. When the blood hit it, when you put your foot down, it brought tears to your eyes." Henderson was hospitalized for six days and underwent surgery to remove the bacteria from his leg. He says even medical staff were unfamiliar with the infection. "They were surprised by it. They had never had a single case of this in their hospital," he said. Dr. Daniel Egan, an infectious disease specialist with Orlando Health, said Edwardsiella tarda is rare but dangerous and can be found in freshwater lakes across Florida. The bacteria typically enter the body through open wounds. "This can be very fatallly, very quickly," Egan said. "It's more so just because of how aggressive and how fast the infection can move." Egan urges anyone who suffers a cut while swimming or wading in freshwater to leave the water immediately, clean the wound with soap and water, and monitor for symptoms such as fever or spreading redness. If symptoms appear, he said, seek medical attention right away. "It's not just a random infection," Egan said. Henderson said he feels fortunate to have caught the infection in time and hopes others can learn from his experience. STAY CONNECTED WITH FOX 35 ORLANDO: Download the FOX Local app for breaking news alerts, the latest news headlines Download the FOX 35 Storm Team Weather app for weather alerts & radar Sign up for FOX 35's daily newsletter for the latest morning headlines FOX Local:Stream FOX 35 newscasts, FOX 35 News+, Central Florida Eats on your smart TV The Source This story was written based on information shared by Bobby Henderson, who was diagnosed as having been infected by Edwardsiella tarda, a rare freshwater bacterium. FOX 35's Chancellor Winn also spoke with Dr. Daniel Egan, an infectious disease specialist with Orlando Health.

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