A vasectomy is a safe, effective, and permanent procedure. It is also a fifteen-minute operation on anatomy that varies more from man to man than most people expect — which is why it matters who performs it.
Dr. Colin Linke is a board-certified urologist who has performed more than 1,000 vasectomies. Urology is the surgical specialty of the male reproductive and urinary tract: vasectomy is one of its core procedures, not an occasional addition to a general clinic schedule. It is also the specialty other physicians refer to when a vasectomy does not go to plan.
Success is built into the technique. Each vas deferens is divided, the inner lining is sealed with cautery, and a layer of fascia is closed between the two cut ends. That combination — cautery with fascial interposition — is associated with the lowest failure rates reported in the urologic literature, on the order of one in two thousand. Simply tying the ends off, without cautery or fascial interposition, fails measurably more often.
And your result is never assumed. Every man is followed with semen testing, repeated as many times as it takes and included in the price, until a zero sperm count is documented in his chart. If the anatomy is not textbook — a previous hernia repair, prior scrotal surgery, or a vas that is difficult to locate — it is handled in the same visit, by the same surgeon, instead of being referred onward.
Office-based. No hospital, no general anesthesia — and Pronox comfort included with cash-pay. Most patients resume normal activity within a few days.
As opposed to traditional methods, a specialized instrument creates a small opening – about the size of an eraser head. This heals in about 3-5 days
For cash-pay patients who prefer added comfort during the procedure, Pronox is included. This is a safe mixture of 70% nitrous oxide and 30% oxygen inhaled through a mouthpiece during the procedure.
Pronox is included in the $950 cash-pay price, whether or not you choose to use it. It was previously a $100 add-on.
Vasectomy is typically covered by most insurance plans. Your out-of-pocket cost will depend on your deductible and copay. To best determine your responsibility, we ask that you reach out to your insurance representative.
Please note: Pronox comfort and the unlimited included semen analyses are exclusive to our $950 cash-pay option and are not included with insurance-billed vasectomies.
This all-inclusive price covers:
Nothing is billed to you afterward. When you compare vasectomy prices, it is worth asking what the quoted number includes — and what gets billed later.
Before your vasectomy, Dr. Linke will review your medical history, answer questions, and explain the procedure. Patients should avoid blood thinners beforehand unless approved by their prescribing physician. It is also asked that you shave the procedure area 1-2 days prior to the procedure. You will sign your consent form prior to any Pronox given.
Comfort is our #1 priority! Cash-pay patients receive free access to the Pronox handpiece prior to the procedure beginning. Numbing medicine will be utilized prior to the vasectomy. The procedure itself takes about 15 minutes from start to finish. You may feel some gentle pulling during the procedure, which is normal and not generally painful. A small suture will be utilized at the end of the procedure to close the small opening. This is dissolvable.
Most men experience mild soreness for 1–3 days, which is easily managed with ice packs and over-the-counter pain medication. Wearing supportive underwear helps reduce discomfort.
Two reasons, and both are about the outcome rather than the appointment.
Who performs it. Your vasectomy is done by a board-certified urologist who has performed more than 1,000 of them, using cautery with fascial interposition — the occlusion technique tied to the lowest failure rates in the urologic literature. Urology is the specialty vasectomy belongs to, and the one other physicians refer to when a vasectomy does not go to plan.
What the number covers. The $950 is a total, not a procedure fee. Your consultation, the vasectomy, Pronox, every follow-up visit, and semen testing repeated until a zero sperm count is documented are all inside it, and nothing is billed to you afterward. A lower quote frequently covers the procedure alone. It is always worth asking any office what is included — and what arrives as a separate bill later.
More than 99% effective once lab testing confirms the result. The technique used here — dividing each vas deferens, sealing the lumen with cautery, and closing a layer of fascia between the cut ends — is associated with the lowest failure rates reported in the urologic literature, on the order of one in two thousand.
Not until a semen test says so. A lab test about 8 weeks after the procedure confirms the result, and if sperm are still present the test is simply repeated — as many times as it takes, at no additional cost on the cash-pay package — until a zero count is documented in your chart. Keep using other contraception until then.
Most men experience mild soreness for 1–3 days, which is easily managed with ice packs and over-the-counter pain medication. Wearing supportive underwear helps reduce discomfort.
