SimpleVas was created to make it truly SIMPLE for men to get vasectomies. A vasectomy is often a difficult and intimate discussion for men to have, and it often contains a lot of misinformation. We are dedicated to dispelling these myths.
Simple Vas is the simplest way for men to get a fast, effective, and stress-free vasectomy. Our minimally invasive, no needle, no scalpel procedure takes less than 15 minutes and costs less than you would think.
It was quick and easy. Dr. G took the time to answer all my questions. In fact, he spent more time answering my questions than the actual procedure took. If you have been thinking about it call Dr. G and get the facts you need to make an informed decision.
Dr G. made me feel comfortable through out the procedure. He has a great bedside manor. He answered all my questions. The procedure was not painful at all and Dr. G makes sure that his patients have little to no discomfort at all. I would highly recommend Dr. G to anyone looking to get a vasectomy.
Dr. G is incredibly good at what he does - not only regarding the procedure, but the way he talks with the customer before, during, and after the procedure to make sure they are comfortable. I was pretty nervous going in, but he managed to make the experience quick, easy, and painless. He's the kind of guy you'd want to get a beer with. Highly recommend giving Dr. G a call if you are remotely interested in getting a vasectomy. It took 10 minutes and I didn't feel a thing.
Dr. Guarin was incredibly professional, and answered all of my questions in depth before the procedure. Everything from scheduling all the way through to the post procedure follow up was simple. Pain was minimal, and I can't recommend the procedure enough. Get snipped.
Scheduling was very easy and the website provided all the information that i needed to make my decision. The procedure was quick and Dr. Guarin is skilled and very personable. Along with being nearly pain free post procedure, this the best option for men who are considering a vasectomy.
Wow I'm literally amazed! Dr Guarin is absolutely spot on with this procedure. 36 hours after this procedure and I'm still pain free. Dr Guarin's professionalism and expertise in truly astounding. I'm still questioning why anyone would still have a traditional vasectomy (needle and scalpel)!? Thanks again Dr Guarin!
Dr. G was kind, professional, and reassuring at every step. The arrangements, procedure, and recovery were easy and virtually painless. The cost is totally reasonable. Esgar is a vasectomist activist around the world, and I'm so pleased with my decision and the experience that I tell people about it every chance I get. I almost wish I could do it again! Almost.
When considering the pros and cons of tubal ligation vs. vasectomy, tubal Ligation has potentially more side effects. It is a more complicated procedure and requires more surgical assistance and a longer recovery time. After a tubal ligation, women no longer need to worry about birth control. They no longer need to take daily contraceptives nor replace IUDs.
The risk of ectopic pregnancies exists for tubal ligation. This occurs when the fertilized egg attaches to the fallopian tubes or abdominal cavities. Ectopic pregnancies are considered a very serious medical condition.
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These techniques, when used together, allow men to have a vasectomy that provides the quickest recovery time, lowest complication rate, and least amount of pain when compared to some other vasectomy techniques.
Dr. Monteith only offers His Choice Vasectomy. This is the most minimally invasive vasectomy performed through a single small, midline scrotal incision without using a needle or a scalpel. Each vas deferens is divided and fascial interposition is performed. The upper portion of each divided vas deferens is sealed with light coagulation (heat energy) and the lower portion of each divided vas deferens is allowed to remain open rather than intentionally closed. This is considered an open-ended vasectomy technique.
This type of vasectomy (coagulation with fascial interposition) has been demonstrated to have the lowest failure rate and the lowest complication rate while offering the least amount of pain and quickest recovery.
Dr. Monteith performs the vasectomy in the office using local anesthesia in less than 10 minutes. No tissue is removed or excised during a typical vasectomy. Dr. Monteith's patients leave the office with the same items they brought when they came to their appointment!
The no-needle technique is accomplished by using a handheld spray applicator to provide local anesthesia at the start of the vasectomy procedure. This spray applicator is called a Mada Jet and is sometimes used to provide anesthesia for dental, dermatologic, and urologic procedures. The spray applicator utilizes pressurized air to spray local anesthetic directly into the skin and superficial tissues. This technique provides quick anesthesia and minimizes the risk of needle injury to blood vessels that can sometimes occur with needle-administered anesthesia.
At the start of the procedure, each vas deferens is positioned directly underneath the scrotal skin and anesthetized with a puff of anesthetic from the spray applicator. The anesthetic spray superficially spreads into the scrotal skin and across the vas deferens simultaneously and is dispersed over an area about the width of a dime. This provides an almost instantaneous onset of anesthesia and anesthetizes only the area on the scrotal skin and the area around each vas deferens where the procedure will occur.
Dr. Monteith uses bupivacaine as a local anesthetic. Bupivacaine provides longer pain relief for up to four (4) hours.
Most men will not experience significant pain after the anesthetic wears off.
The no-scalpel technique is accomplished by using a small pointy instrument, a no-scalpel dissector, inserted into the anesthetized skin. This instrument is used to spread a small opening in the scrotal skin. Typically only one small opening is made in the center of the scrotum and this opening is typically no larger than an aspirin tablet. This area will usually heal closed within 3 days without the need for any stitches.
Each vas deferens is divided using a small hand held battery device called a coagulator. This device quickly divides the vas deferens and seals any small blood vessels, which could contribute to bleeding. Portions of the vas deferens are not removed during a typical vasectomy procedure.
Minimal coagulation of the inside of the upper end of the vas is performed to accelerate closure of the vas and minimize the risk of vasectomy failure. Coagulation is accomplished by inserting the tip of a small hand-held, battery powered heating device into the upper most portion of the vas (proximal portion). The device is inserted into the opening of each proximal vas for about inch and heat energy (coagulation) is briefly applied to the inside of each proximal vas deferens.
An open-ended vasectomy minimizes the immediate buildup of pressurized sperm and fluid in the bottom end of the divided vas deferens. If pressurized fluid builds up in the epididymis this can cause a disruption in the epididymis, more post-vasectomy discomfort, and more inflammatory reaction.
Open-ended vasectomy has been suggested to result in quicker recovery and less discomfort after vasectomy and less inflammation in the epididymis than a closed end vasctomy. Open-ended vasectomies have been suggested to result in a higher chance of sperm recovery success after vasectomy reversal because the sperm making epididymis undergoes less disruption and inflammation after the initial vasectomy procedure.
Fascial interposition involves separating the divided ends of each vas deferens by interposing healthy fascial tissue between the two ends. This technique minimizes the chance the divided ends can come into close contact and possibly reconnect.
When I perform vasectomy the lower end is allowed to remain open and fascial interposition is effectively accomplished with one or two small titanium clips. Using clips allows the procedure to be performed more quickly and with less risk of trauma and bleeding than can occur using suture. The titanium clips are small, non-reactive, and are difficult to feel after a vasectomy.
"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."
"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!"
"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."
"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!"
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