Board-certified urologist David Robbins, MD is Miami and Fort Lauderdale's top doctor performing low-cost minimally invasive No-Needle No-Scalpel Vasectomy. At Urological Consultants of Florida, Dr. Robbins has performed thousands of vasectomy procedures.
Vasectomy procedures with Dr. Robbins take 15 minutes or less and patients typically have minimal to no pain after the procedure. Dr. Robbins' goal is to perform a safe and effective vasectomy procedure directly from our state-of-the-art Biscayne Boulevard North Miami location with minimal impact on patients' daily lives. When it comes to a successful and complication-free office-based vasectomy, experience and technique are paramount. If you are considering a vasectomy, make an appointment with Dr. Robbins to explore your options and discuss whether you would benefit from a minimally invasive, No-Needle No-Scalpel Vasectomy.
In response to these challenging times, we would like to make it easier for our patients who are contemplating a vasectomy to get a consultation and schedule their procedure without needing to come to the office. If you are interested in a telemedicine consultation for your vasectomy, please call the office and request one. At the time of your appointment, we will send a text to your phone with a link to an encrypted and secure video conference. You do not have to download a program or an app. Prior to your consultation, please click on the link leading you to our contact us page. At the bottom of the page, you can download and print out our patient registration, patient history, and notice of privacy forms and email them to [email protected].
With regards to outcomes following a vasectomy procedure, experience does matter. Dr. Robbins performs hundreds of vasectomy procedures every year at his North Miami location making him likely the busiest vasectomy surgeon in Miami and Fort Lauderdale.
Given Dr. Robbins' extensive experience with No-Needle No-Scalpel Vasectomy, he can perform the procedure quickly and efficiently. A typical No-Needle No-Scalpel Vasectomy procedure performed by Dr. Robbins takes 15 minutes or less. It is not uncommon for patients to have little or no discomfort after their vasectomy procedure.
Dr. Robbins' experience with vasectomy allows him to quickly identify and isolate the vas deferens with minimal trauma to the surrounding tissue resulting in decreased swelling and inflammation post-procedure and therefore less post-procedure pain and discomfort for the patient. Dr. Robbins is also able to perform the entire vasectomy procedure though only one single 4mm opening in the skin that is barely visible even immediately post vasectomy. As a vasectomy provider with significant experience, Dr. Robbins is able to provide optimal outcomes.
Vasectomy procedure failures are more common than would be thought, but Dr. Robbins is up to date with the most current vasectomy techniques to decrease the risk of vas recanalization and failure including facial interposition and mucosal cauterization. When choosing a urologist to perform your vasectomy in Miami and Fort Lauderdale is important to go with a provider with experience. If you are considering a vasectomy, experience matters. Please contact us for a consultation. We would be happy to help you or guide you in any way that would be helpful.
A vasectomy is a minor surgical procedure performed in the office with the goal of achieving permanent sterility by preventing sperm from exiting the penis during ejaculation. A vasectomy procedure is minimally invasive and highly effective with success rates reportedly greater than 99%. A vasectomy procedure is simple to perform and low risk as compared to a tubal ligation in females and for that reason, it is the most popular means of birth control when the goal is to achieve permanent sterility.
Although a vasectomy procedure is an excellent way to achieve permanent sterility, the decision to undergo a vasectomy procedure should not be taken lightly. A vasectomy procedure is performed for men that have made the decision that they no longer want to father children under any circumstances. Although a vasectomy reversal procedure is possible, this is a complex surgical procedure performed in the operating room under general anesthesia. It is typically not covered by insurance and success rates can vary.
If you do choose to have a vasectomy, rest assured that Dr. Robbins has extensive experience performing vasectomy procedures. Dr. Robbins is at your service to provide you with a hassle-free vasectomy procedure performed by a recognized expert in minimally invasive vasectomy. Patients from Miami Dade, Broward including Fort Lauderdale, and our surrounding neighborhoods including the Caribbean, Central, and South America have come to Urological Consultants of Florida to have a No-Needle No-Scalpel Vasectomy with Dr. Robbins.
Dr. Robbins performs 200 to 300 vasectomy procedures every year. The whole procedure takes approximately 15 minutes to perform and patients typically spend no more than 45 minutes in the office from the time they arrive until they are ready to go home. Dr. Robbins gives all of his patients a Valium to take 1 hour prior to the procedure to diminish any anxiety about the vasectomy. Most patients do choose to take the Valium although it is optional. All patients take an oral dose of antibiotics 1 hour prior to the procedure. Vasectomy procedures are performed on Thursday and Friday afternoons giving most patients with traditional jobs that do not work the weekend the opportunity to take it easy for a few days prior to returning to work on a Monday.
Vasectomy works by preventing sperm from reaching your penis during ejaculation.
Sperm is made inside of your testicles. After leaving the testicles, the sperm travels through an organ called the epididymis where it can mature. At the time of ejaculation, sperm travels out of the epididymis through a long tube called the vas deferens into the urethra where it is then mixed with fluid from the prostate and semenal vesicles to create semen. The semen is then propelled out of the urethra via rhythmic contractions of the muscles around the penis and perineum during orgasm.
To perform a vasectomy procedure Dr. Robbins will use lidocaine to numb the skin. Next, the vas deferens are identified manually and isolated using the standard three-finger technique. Subsequently, the skin is opened using a No-Needle No-Scalpel technique. The vas deferens are then isolated, divided, cauterized, and suture ligated. The tiny skin defect is approximated with skin glue or a small suture. The total time to perform a vasectomy procedure is approximately 15 minutes.
Many men are concerned about a vasectomy procedure because they have heard from a friend or read on the internet that it may cause erectile dysfunction or that they will not ejaculate after the procedure. A vasectomy procedure certainly does not cause damage to the nerves that initiate erections or cause injury to the erectile bodies. Erectile dysfunction is simply not a known complication of vasectomy. Also, a vasectomy procedure does not lead to decreased ejaculatory volume. Only a minute portion of the volume of semen in the ejaculate is contributed to by sperm from the testicles. Greater than 99% of the semen volume is from the semenal vesicles and prostate and the path for these fluids is not altered by a vasectomy. The volume, color, and consistency of semen are not altered by a vasectomy procedure.
Additionally, some patients report that they have heard that a vasectomy procedure may increase their risk of developing prostate cancer. There is no literature making this connection with statistically significant data and recent studies addressing this concern have shown no connection with vasectomy procedure and prostate cancer.
Finally, it is a common misconception that a vasectomy procedure can affect a man's libido or ability to achieve orgasm and ejaculate normally. These functions are certainly not altered by a vasectomy procedure.
A vasectomy procedure is considered a safe procedure with few risks especially when performed by urologists with expertise and experience with the procedure such as Dr. Robbins.
Occasionally minor complications may occur and may include:
Very infrequently a post-vasectomy syndrome may occur which is associated with prolonged scrotal discomfort. Typically, this can be relieved with anti-inflammatory medications such as ibuprofen and the symptoms should resolve with time.
In 2012, the American Urological Association released a set of official guidelines for a vasectomy procedure. You can download and print out these guidelines below. This publication highlights the risks and benefits of the vasectomy procedure similar to that which is highlighted above. It should be noted that the typical post-vasectomy course is unremarkable. Given that most vasectomy patients are young professionals, we typically perform vasectomy procedures on Friday afternoons to allow patients the weekend to relax and recover so that they can be back to work on Monday morning.
According to the American Urological Association 2012 Guidelines, the risk of pregnancy after a vasectomy procedure is less than 1 in 2000 with a demonstration of no sperm on a post-vasectomy semen analysis.
It is very important that patients comply with the request to obtain a semen analysis to confirm lack of sperm approximately 10-12 weeks after the vasectomy. For men whose circumstances may change after a vasectomy procedure or who change their mind, the options for fertility after vasectomy include vasectomy reversal surgery, sperm retrieval combined with in vitro fertilization, or the use of sperm from cryopreservation saved prior to the initial vasectomy procedure. However, although these methods can be employed post-vasectomy, they are certainly expensive and not a guarantee of success in achieving pregnancy.
A vasectomy procedure is performed in our state-of-the-art Biscayne Boulevard office in North Miami under local anesthesia. The vasectomy procedure takes about 15 minutes to perform and is tolerated very well by our patients. To add to patient comfort during a vasectomy procedure, we prescribe Valium to be taken 1 hour prior to the procedure. Additionally, we recommend to patients that they bring an iPhone or personal music player with earphones to make their vasectomy experience more relaxing. With the combination of Valium and music, it is not uncommon for patients to fall asleep during the vasectomy procedure.
Before your vasectomy:
After a vasectomy, it is important to avoid strenuous activities such as heavy lifting, exercise, or sexual activity for 3-5 days. It is typical to have mild discomfort that can be relieved with Tylenol or ibuprofen.
Ice should be applied to the area indirectly for 20 minutes every few hours while awake for the first day to reduce swelling and discomfort.
A topical antibacterial such as Bacitracin or Neosporin should be applied to the wounds 2-3 times per day for several days. It is important to avoid submerging the wound in water such as in a bath or swimming pool. These activities can allow bacteria to enter the wound and lead to infection. It is OK to take a shower even the day of the procedure, but the area should not be washed vigorously or scrubbed with a brush.
Since you will be taking Valium, it is important that someone is there during the procedure and available to drive you home. Immediately following a vasectomy, there is a slight risk of bleeding into your scrotum. Contact your doctor if you experience:
Three months following the vasectomy, patients are requested to obtain a semen analysis to confirm that there are no viable sperm remaining prior to withdrawing any form of prophylaxis against pregnancy. Previously, this required that patients to make an appointment at a laboratory where they would be ushered into a bathroom to “do the deed” and provide a sample. This method is not only awkward but required patients to take time away from work or their busy schedules to attend this appointment. Dr. Robbins has partnered with a company called Fellow that has pioneered a technology that allows patients to provide a sample from the comfort of their own homes. They can then drop off that sample in a discreet, prelabeled and prepaid kid at their local UPS store. A few short days later, their result will be emailed to them in clear laypersons, easy to interpret language. A more scientific report will be sent to Dr. Robbins.
A vasectomy procedure is not immediately effective. There are still sperm that are left in the vas deferens beyond the point where the tube is divided. These sperm are viable and capable of causing an unplanned pregnancy. Effective birth control should be resumed after the vasectomy procedure until a negative semen analysis is documented and confirmed by Miami urologist David Robbins, MD.
A semen analysis should be performed 10-12 weeks after the procedure and it is important to have at least 12 ejaculations prior to the analysis to clear the tubes of any remaining sperm. The semen analysis will be performed at your local laboratory. You do not have to make a follow-up appointment to review the results. Dr. Robbins will call you to review the result on the phone.
For the first day or two after vasectomy, you may experience mild discomfort in your scrotum or abdomen. Over-the-counter medications such as Tylenol or ibuprofen should help. The doctor may also send you home with narcotic pain medication.
Most men in Dr. Robbins' practice who opt for vasectomy are busy with their family and careers and are concerned about time off from work after the procedure. To minimize downtime from work, vasectomy procedures are typically performed by Dr. Robbins on Thursday and Friday afternoons. This allows the clear majority of patients to take it easy over the weekend and return to work on Monday without any problems. We are certainly willing to work with men who do not have traditional work schedules to find an alternative day for a vasectomy procedure.
Miami urologist Dr. David Robbins has provided a pdf copy for download of the vasectomy consent form that you signed at the North Miami Office. You can additionally download the pre and post-vasectomy instruction forms below as well as additional information about vasectomy from the American Urological Association:
You will need to have someone take you home following the surgery WHEN YOU GET HOME:
Dr. Robbins is proud to be part of an elite group of experienced urologists providing Tear Free Vasectomy procedures. Tear Free Vasectomy involves the use of a needle-free injector to provide local anesthesia instead of a small gauge needle. The aim of the Tear Free Vasectomy Group is to be able to offer patients seeking a vasectomy provider with the highest level of skill and experience a list of only qualified providers throughout the United States.
Dr. Robbins has treated countless patients in Miami, Fort Lauderdale, and the surrounding region searching for an experienced urologist performing minimally invasive and low-cost vasectomy procedures. There are few urologists with the experience and dedication to the art of vasectomy like Dr. Robbins. Dr. Robbins' experience, dedication, and skill in the craft of vasectomy have earned Urological Consultants of Florida the distinction of a Center of Excellence for Vasectomy. Please call our North Miami office at (305) 575-2771 to make an appointment for a vasectomy procedure.
Dr. Robbins North Miami office serves patients seeking vasectomy in all Miami-Dade, Fort Lauderdale, and all Broward cities.