South Sound Vasectomy

No  Needle, No Scalpel

324 West Bay Drive NW
​Suite 105
​Olympia, WA 98502
​

360.742.3562

Our goal is to make this simple, quick, low risk procedure readily accessible 
​to our community in order to ​improve community health outcomes and
reduce ​costs to families.
Dr. Timothy Zola
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NO  NEEDLE,  NO  SCALPEL TECHNIQUE

Pictureclick to enlarge
No needle:  The no-needle technique has made vasectomy nearly painless.   Instead of using a needle and syringe to numb or anesthetize the scrotum, we use a spray applicator called a MadaJet to apply the numbing medication.  Although not completely sensation-free, many men compare the feeling of the spray applicator to the that of a rubber band snap.

No scalpel:  Instead of making two incisions in the scrotum as is done in the traditional vasectomy technique, we only make one small hole in the scrotum for the entire procedure.  The area of skin is completely anesthetized by the Madajet.  The hole is so small that stitches are not needed afterwards.

​Pre and Post vasectomy Instructions

View instructions here…
CLICK FOR Pre-vasectomy instruction
What to do:
  • Understand the alternatives to vasectomy so that you are confident in your choice.
  • Understand the "Post-Vasectomy Instructions" so that you know what to expect.
  • Please shave the front wall of the scrotum so that there is at least a two inch long and two inch wide swath free of hair.  Preferably the day before the procedure.  (See example pic)  The doctor can do this for you on the day of the procedure if you prefer.
  • Eat before your procedure - a normal breakfast or lunch. Nervous men who do not eat beforehand are more likely to become lightheaded during or after their vasectomies.
  • We strongly recommend that you arrange to have someone drive you home.  Some men may experience delayed light-headedness following a procedure.
  • Plan to do nothing but recline at home on the evening of the vasectomy.
What NOT to do:
  • Do not use powder or deodorant in the genital area on the day of your procedure.
  • Do not take any aspirin-containing or nonsteroidal anti-inflammatory medications such as ibuprofen (Motrin, Advil) or naproxen (Aleve), for five days before the procedure.
What to bring on the day of your vasectomy:
  • Your insurance card and photo ID.
  • Payment for the procedure.
  • Bring an athletic supporter or snug/supportive underwear (ie not boxers).  You should wear this into the clinic on procedure day.
  • If you wish, you may bring music of your choice on a bluetooth enabled device or a device with a standard headphone jack. It should be something that you find relaxing.
CLICK FOR POST-vasectomy instruction
  • On the day of your vasectomy, spend a quiet evening at home, reclining in bed or on the sofa. Minimize activity.
  • Avoid aspirin for 2 days after the vasectomy. You may take acetaminophen (Tylenol) or Ibuprofen (Advil) if you have any discomfort.
  • No need for ice packs.  Though if you find it helpful, go ahead and use them.  It does help improve the sympathy factor, which may help you maximize the benefits of your vasectomy weekend.
  • You may remove the scrotal support and take a daily shower starting the morning after the procedure. Replace the scrotal support and wear it for the next several days, even while you are sleeping.  This will help decrease swelling and achiness.
  • On the day after the procedure, you may walk and drive as much as you like, but no sports, yard work, swimming, or heavy lifting for 7 days.  After 7 days, there are no restrictions but it is recommended to slowly ease back into your regular activities. If your job is sedentary (office work or supervisor), you may return to work immediately.  If your job involves physically strenuous activity, you may want to consider taking a couple of days off of work.  We can provide you with a ‘doctor’s note’ if needed.
  • The American Urological Association Vasectomy Guidelines recommend that men refrain from ejaculating for one week post-vasectomy; however, a couple of days is probably adequate if you have no pain.  Blood in the semen within the first month or two after the vasectomy occurs in some men, but is not reason for concern.
  • Since no incision is made, no follow-up visit is required, other than the post vasectomy semen analysis. You will be given Dr. Zola’s cell phone number and if you have undue discomfort or any concerns, you should call him anytime after your vasectomy.
  • It is normal to have some discoloration of the skin (black and blue) around the puncture site a day or two after the vasectomy. Some men will develop considerable discoloration of the scrotum about 4 days after the vasectomy. Blood from the deep vasectomy site comes to the surface as a purplish-blue mark, gets darker, and spreads out like an oil slick, then gradually dissipates.
  • Some men (about one in 20) will develop swelling and discomfort on one side, sometimes on both sides, starting anytime from 3 days to 3 months following vasectomy. This usually represents an exaggerated form of the normal inflammatory response necessary for sperm resorption and recycling. It is effectively managed with a 5-7 day course of ibuprofen 600 mg 3 times per day.
  • Twelve weeks and twenty ejaculations after your vasectomy, have your semen tested to be sure that it no longer contains sperm and that it is thereby safe to stop other forms of contraception.
Or print instructions here…

PATIENT  FORMS

Please review the below forms prior to your appointment.