Vasectomy in Lake Success, New York (NY)

A vasectomy is a male sterilization procedure whereby the vas deferens (ducts that transport sperm into the ejaculate stream) are tied off, ensuring that sperm do not enter the ejaculate stream, making this one of the most effective forms of birth control for men. Your doctor can perform the traditional “scalpel” method of vasectomy, or may perform one of several alternative “non-scalpel” methods.

How is a Vasectomy Performed?

A traditional vasectomy is performed in your doctor’s office or in an outpatient treatment center, and can take up to 30 minutes. Following your vasectomy, you may experience pain for several days which can be alleviated by ice and over the counter acetaminophen and ibuprofen.After sanitizing and shaving the scrotal area, your urologist will administer a local anesthetic into the scrotum. A small incision is made with a scalpel on the side of the scrotum and then the vas deferens is pulled out and clamped. The section between the vas deferens is removed, and the tubes are tied off by sutures (stitches). The procedure is performed on both sides of the testes.

No Scalpel Options

In a “no-scalpel” vasectomy, the vas deferens is clamped through the scrotal sac and a sharp surgical tool is used to puncture the skin. The vas are stretched through the puncture sealed by suture or cauterization (burning the opening).As an additional step to your “no scalpel” vasectomy, your doctor may perform a facial interposition in which the fibrous layer of tissue (fascia) removed from the vas is sewn over the vas ending which is connected to the prostate gland. This provides an extra barrier to the sperm, and may make the vasectomy more fail-proof.

What is an Open Ended Vasectomy?

In both the “scalpel” vasectomy and the “no-scalpel” vasectomy, the vans deferens is sealed at the location where the it connects with the testicle. In an open-ended vasectomy, the vas is sealed at the end which leads to the prostate. Both methods of sealing the vas deferens are effective in stopping sperm from entering the male ejaculate, but some men have fewer complications from the “open-ended” procedure and find it less painful.

After Your Vasectomy

Men are not rendered completely sterile immediately following vasectomy. It may take up to several months to ensure that sperm are no longer present in the vas deferens. Your doctor will test your semen during several follow up visits to confirm that sperm are no longer present in the ejaculate.Talk to your urologist about which vasectomy procedure is right for you.


About Bruce R. Gilbert, M.D., Ph.D.

Dr. Bruce R. Gilbert is a Urologist who has been in Private Practice in Great Neck, Long Island, New York for the past 22 years. He specializes in complex microsurgical procedures for male fertility and male prosthetic surgery.  He also treats both men and women with sexual function concerns. Aiming to shape the minds of future physicians, Dr. Gilbert is Professor of Urology at the Hofstra North Shore LIJ Medical School and the Director of Reproductive and Sexual Medicine at the Smith Institute for Urology of the North Shore LIJ Health System.

Dr. Gilbert has authored over 100 publications and is recognized as an expert in Male Fertility and Urologic Ultrasound. He is passionate about Urologic education and has organized training programs in microsurgery and urologic ultrasound. In addition, he lectures locally, nationally and internationally on various urological topics. He is the Chairman of the AUA’s National Urologic Ultrasound Faculty and a member of the AUA’s Urologic Diagnostic and Therapeutic Imaging Committee.


Dr. Gilbert completed his medical degree in 1983 at Cornell University Medical College and Urology Residency at the New York Hospital Cornell Medical Center.  Prior to that he completed a Doctorate (Ph.D.) at the New York Medical College followed by postdoctoral work in Renal Physiology supported by the New York Heart Association in the Department of Physiology at Cornell University Medical College.

Dr. Gilbert’s private practice for the past 20 years has specialized in male reproductive and sexual medicine and surgery including male prosthetic surgery.  He is a highly experienced microsurgeon, having performed over 1000 microsurgical procedures including vasectomy reversals, microsurgical varicocele ligation and microsurgical testicular sperm retrieval. In addition, quite notably, he was also one of the first Urologists in the region to perform the no-needle, no-scalpel vasectomy. 

Dr. Gilbert also serves as the Medical and Laboratory Director of New York Cryo, one of the few long term reproductive tissue banks for sperm, oocytes and embryos in the region. Dr. Gilbert gained national prominence for his use of Holistic approaches for the treatment of chronic Urologic problems. A fellow of both the American College of Surgeons and the American Academy of Medical Acupuncture, Dr. Gilbert is certified by the American Board of Urology and the American Board of Medical Acupuncture. He serves as a reviewer for many Urological, Reproductive Medicine and Complementary Medicine Journals. At the top of his game, he has been selected as one of “America’s Top Physicians” and is listed in the “Guide to America’s Top Physicians” published by the Consumers’ Research Council of America, Washington, DC. 

Featured Specialist for Vasectomy in Lake Success, NY

Bruce R. Gilbert, M.D., Ph.D.

Call Now: (516) 342-7229
450 Lakeville Road
Suite M41
Lake Success, NY 11040

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