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His Choice Vasectomy: No Needle Anesthesia

Each vas deferens is positioned into place with a three (3) finger technique.

Proper three finger technique is critical to providing good anesthesia and decreasing the risk of complications. When properly performed, the 3 finger technique displaces the vas deferens towards the midline and the blood vessels towards the sides of the scrotum.

The vas deferens is then positioned underneath the midline of the scrotal skin and held firmly in place for the application of no-needle anesthesia.

The no-needle anesthetic is applied using a Madajet air injector system. The anesthetic used is a 50:50 mixture of lidocaine and bupivacaine. Lidocaine provides instant anesthesia and the bupivacaine extends the duration of anesthesia for up to six (6) hours.

Each vas deferens is anesthetized separately. Using the Madajet a puff of anesthetic is delivered directly into the skin and around the vas deferens which is being held immediately underneath the scrotal skin.

This allows the scrotal skin and vas deferens to be anesthetized together, quickly, and efficiently.

Usually two (2) to three (3) puffs of anesthetic are administered to provide complete anesthesia to each vas deferens. Once the right vas deferens is anesthetized the left vas deferens is anesthetized in a similar fashion.

Approximately 5% of men may need additional anesthesia. These are often men who have thick scrotal skin, thick connective tissue, or thick scar tissue from previous surgery or infection. If additional anesthesia needs to be administered it is often done with a small needle.

What does the air injection feel like?

The no-needle injector delivers a quick application of anesthetic. Anesthesia is instantaneous. The sensation one feels is often described like the sudden snap of a rubber band against the skin.

Next Series: Performing the No-scalpel Opening

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.

His Choice Vasectomy Raleigh
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