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Coagulation and Fascial Interposition: Minimizing The Risk of Failure

The chance of vasectomy failure is greatly decreased by performing coagulation during division of the vas deferens.

Then using a small hand held, battery powered thermal coagulation device, the vas deferens is opened with thermal dissection.

The tip of the coagulating device is then introduced into the upper (prostatic end) and the inside of the upper vas deferens is lightly coagulated. This technique results in accelerated closure of the upper end and decreases the risk of vasectomy failure.

Once the upper end has been coagulated the vas deferens is dividing with the thermal device at the point of initial entry.

This step creates a division in the vas deferens: upper and lower ends. The upper end is also called the prostatic end. The lower end is also called the testicular end. The two ends will soon be separated so reconnection is more difficult.

Performing light coagulation to the inside of the upper vas deferens minimizes the risk of a reconnection of the two ends.
Additionally separating the two divided ends with facial tissue provides one additional barrier to minimize the risk of reconnection and vasectomy failure.

Next Series: Covering Upper Vas Deferens and Performing Open Ended Technique

What Our Patients Are Saying

"Dr. Monteith prepared me mentally for the pre, during and post procedure journey. He also provided me with all the tools necessary for a comfortable recovery. I'm definitely confident in this Dr's work, and especially glad at how little pain I experienced throughout the process. It would be worth it to visit Dr. Monteith no matter what state you have to travel from, I drove from Virginia."

- J.R.

"Very comforting and knowledgeable experience not only was the staff pleasant so was the atmosphere! I drove 3 hours so i did my research. I was impressed with the information, visuals, and on hand knowledge about what the procedure was all about. I felt like an expert after i left! Not to mention the 45 min in and out time. I will be recommending this to all my colleagues thank you!"

- J.W.

"Dr Monteith, and his staff, were all very professional about my decision to have a vastectomy. They informed me of the risks, the surgery procedure, and the post-surgery care. The procedure itself was relatively painless. I would rate this as a 2/10. I highly recommend Dr Monteith; he even sent me a text message after the surgery to give me a personal update on my procedure. The procedure was quick."

- S.E.

"If you're in the market for a Vasectomy you need to give Dr. Monteith a serious look. Just compare the information on his website to the information you'll get from other options around the triangle. It's hard to get solid answers on cost, procedure and expectations up front from other offices but His Choice plays no games and has great informative well designed website. Dr. Monteith makes it easy!"

- J.P.

"Excellent care. I visited Dr. Monteith for a single visit appointment on a Friday. Very clean, comfortable office. Pleasant staff. The procedure was quick and I went back to work for a little while. The only pain I experienced was soreness beginning about 4 hours post procedure, lasting for 24 hours, then subsiding rapidly. I was fine by Monday. The office checked on me twice, no problems. I would recommend Dr. Monteith to anyone.

- M.D.

Ask Us A Question!

Your questions about our services will be answered directly and promptly by our staff or Dr. Monteith. We will not respond to general medical questions or if you are a patient of another practice and are contacting us because you are not getting answers from your physician.

If you have been a patient at our center and have specific questions about your medical care you should contact the staff directly at (919) 977-5060.

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