Address: 660 H, 660 H Lanier Park Dr, Gainesville, GA 30501, USA
Phone: +17705350000
Sunday: Closed
Monday: 8:30AM–5PM
Tuesday: 8:30AM–5PM
Wednesday: 8:30AM–5PM
Thursday: 8:30AM–5PM
Friday: 8:30AM–5PM
Saturday: Closed
B A Mysterious Whale: S.W. Biddulph
I cannot say enough about how wonderful this entire staff is. And Dr. John was absolutely awesome. He put on some great music of my choice and the procedure was over before I even knew it. I stayed awake and just opted for a local anesthetic, and it was virtually painless. I highly recommend this doctor and the staff for a vasectomy.
Creek Hunt
Pam was a great help getting me set up for my procedure and she very good at her job.
Steven Cornett
Great experience. Dr. McHugh and his staff walked me through everything thoroughly. Great customer service. Would highly recommend.
Joshua Morang
For those who want the review short and sweet: I am three days post-op and everything and everyone in the practice was great and professional, I would highly recommend this practice to anyone and everyone in the area needing a vasectomy. For those who like a more detailed version: I scheduled a consult, had a sick child he day of and had to reschedule, then at the consult set up the procedure and had it completed all faster than door dash can bring me shrimp fried rice; okay slight exaggeration but from first call to all done it took about 2 weeks and, that was only because I cancelled the first visit. I dealt with 2-3 front office and nursing staff (I am lousy with names) and all were kind professional and very efficient both in expediting the interactions with insurance and scheduling and getting myself and others in and out and on with life at the appointments. Dr McHugh is very personable and professional. He made me comfortable to ask questions and, as I expected given the number of these he has done, knew most if not all the questions I would ask before I asked them so covered them in his initial briefing. The procedure itself was over quick than expected even after being told it only took about 15 minutes. My wife commented she didn't even get to close her eyes in the waiting room; we have an almost 3yo and an almost 3mo old, so she had been hoping to catch a nap during the procedure. Dr McHugh explained everything he was doing before he did it and it all went exactly as he said it would. The discomfort during the procedure, which was only during the initial administering of the local numbing, and the couple days following went exactly as described and I would definitely say the ice packs were more help than the pain meds as the pain really was only somewhat rough the first evening and then really only a 6 or 7. I would say I would return for any other procedures I need but, hopefully this is a one and done deal.
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Answer: The skill and experience of the surgeon, the interval between the vasectomy and the reversal and the presence of a sperm granuloma. Then of course that dirty little secret so important to every endeavor...a little luck.
It it feels big but is not red or actually large and increasing in size, then yes your issue will most probably improve with time. Patient's, particularly men after a vasectomy, "feel" as if there is swelling but on exam there is none. From what you have described, this appears to be in the realm of the normal healing process. If not, see your urologist.
The production in the testicles is decreased. The sperm in the tube going out and then to the area of the obstructed vasectomy site decomposes and breaks down over time. When I have done vasectomy reversals in patients years after a vasectomy, the most common finding is sperm parts of heads and tails at various stages of the decomposition process. I have answered hundreds of questions at vasectomy.com/vasectomy and this might be an additional resource for you.
No. This would suggest an inflammatory connection between the under surface of the skin and the vasectomy site. If this does not resolve with time or becomes red with a discharge, you should see your urologist.
No. The varicocele is in the area of the path of the vas deferens, however the vas is isolated away from the veins of the varicocele. Certainly there are more venous structures with a varicocele, but only the vas should be isolated and brought to above skin level to perform the vasectomy.
The natural healing process makes palpation or feeling of the vasectomy site unreliable. If there is concern about the vas "growing back" then the answer lies in having a semen analysis. The semen analysis will clarify the issue.
Yes. It is very important to remember, and I remind my patients after each vasectomy I perform, that sterility is based on the clearing of sperm not the length of time from the vasectomy. So after approximately 25 ejaculations, we recommend two negative specimens. I evaluate the specimen under a microscope and we don't give the "go ahead" until there are two consecutive negatives.
That is a reoccurring issue for all urologists. The chances are nil to none for pregnancy but possible. Studies have shown some residual sperm is normal after a vasectomy. I tell my patients this and that it is their decision. Otherwise I don’t completely clear unprotected sex until two negatives.
Not surprisingly, many men are very apprehensive about having a vasectomy. It is not uncommon for men to feel "faint" or momentarily pass out during a vasectomy. There are men with needle phobias. In all of these cases, having conscious sedation remedies these issues. At Northeast Georgia Urological Associates, we have a practice owned surgery center with comparable pricing to that of a vasectomy done in the office with local anesthesia. So, yes there are several reasons to have I.V. anesthesia, it varies from patient to patient and yes...we offer that option at a comparable price.
Most physicians who perform microscopic reversals offer all-inclusive pricing for the very reason that insurances don't cover reversals. In my practice, the in office or over the phone consultation is free whether you have your reversal with our practice or not.
Reversals are not covered by insurance, it takes as a rule over two hours to complete and requires an operating microscope and microscopic suture. In most cases, but not all, the price can be higher because of the need of anesthesia and either a surgery center or use of the hospital.
The testicles begin producing sperm again in 4-6 months. Pregnancy, if it occurs, usually happens between 6-18 months. It is a journey of patience in most cases.
It is not normal but not uncommon. Most patients have some degree of discomfort that goes away with time. Consider yourself Mr. Lucky.
The preference of the urologist varies, but most urologists (including yours truly) advise one week of abstinence after having had a vasectomy.
Across the board...the chances of recanalization is about 1/2000. You would (such as interposing tissue between the cut ends in addition to cutting, tying, and burning) the even lower the rate would go.
Zero. The reason is that the learning curve for this procedure (using an operating microscope and microscopic suture) is very steep. As only 6% of vasectomy patients ever consider a reversal, the numbers of potential patients is a small group. Then in addition, the procedure is not covered by insurance, so patients are very selective in who they choose to do the procedure. If the urologist has to use the hospital then this also adds to the cost of the procedure which is independent of the skill and experience of the surgeon. All of these factors contribute to the obstacles discouraging the practicing urologist from even beginning the process of offering a vasectomy reversal. At Northeast Georgia Urological Associates, Dr. McHugh has done hundreds of reversals and since we own our Ambulatory Surgery Center and Zeiss operating microscope, we can keep the all-inclusive pricing down to an affordable range.
Yes pregnancy is possible but unlikely. You should have a semen analysis because it is more about the number of ejaculations necessary to clear the vas deferens of sperm than the length of time from the vasectomy. Another option is to order the spermcheck.com kit to test.
Less than 1 %. In my practice, I have patients who say they "feel different" after a vasectomy but it is rare to have persistent pain requiring any action. I also perform vasectomy reversals and occasionally I'll perform one on patients who say they don't like how they feel, usually a pressure sensation, or because they feel that sex feels different. I don't feel this concern is enough to warrant not electing to have a vasectomy. I.E...the benefits outweigh the risks.
It doesn't hurt however success with a reversal is dependent of the skill of the surgeon and the length of time from the vasectomy and the performance of the reversal. The longer the interval the lower the success rates. Click on the website and navigate to "success rates."
The most common scenario is that it will go away with time. Less than 1% have persistent unacceptable discomfort and seek to do something else i.e. vasectomy reversal or other intervention. I would be patient, take Advil prn, and allow the "tincture of time" to work its magic.
The emergency room is an option, but I think I would advise seeing the urologist. It may be as simple as a course of antibiotics and other conservative measures. The urologist will be able to examine the area and determine what the issue is. You might research "sperm granuloma" and see if some the characteristics of this common post vasectomy issue align with what you are experiencing. I hope this helps.
Yes. Although the vas deferens does travel up the inguinal canal and is in the area of a hernia repair, it does not affect the performance of a vasectomy. If you have other questions you may find an eBook about vasectomies written by Dr. McHugh of help to you. Just use the link below. https://georgiavasectomyreversal.files.wordpress.com/2019/03/mchugh-method-vasectomy-1-1.pdf
This is actually a common question. The No Scalpel method has been around for a long time and its "claim to fame" really are the two instruments that are used. The make the procedure easier to perform and through a smaller opening. It does not cost more and does not take longer to perform.
Less than 3 years Patency 97% Pregnancy 76% 3-8 years Patency 88% Pregnancy 53% 9-14 years Patency 79% Pregancy 44% Greater than 15 years Patency 71% Pregancy 30% Belker AM, et al. Results of 1,469 microsurgical vasectomy reversals by the Vasovasostomy Study Group. Journal of Urology 1991; 145(3):505-11.
The length of time from the vasectomy, the experience of the surgeon and the quality of the fluid in the vas deferens at the time of the reversal.
No. Testosterone which is responsible for sex drive (libido) is not affected by a vasectomy. Only the sperm produced in the testicle is affected.
Obviously the skill and experience of the surgeon is an important factor. However, in general, a no needle no scalpel vasectomy takes about 15-20 minutes.
Regardless of the method used (clips, suture, fulguration, no needle/no scalpel) the chances of recanalization is about 1 in 2000.
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