Vasectomy · Johns Creek Clinic & Surgery Center
Vasectomy, explained the way we explain any other procedure
Our urologists walk through a vasectomy consult at our Johns Creek Clinic & Surgery Center, 10730 Medlock Bridge Rd, with the same care we give any outpatient plan: what the no-scalpel technique involves, how the day usually goes, and how recovery typically unfolds in the first days after.
What a vasectomy does
The operation is intended to be permanent, and we offer it to men who are sure their family is complete. Our urologists divide and close the vas deferens so sperm no longer reaches the semen. Intimacy, desire and performance are not reduced; the operation also does not block sexually transmitted infections, which is why condoms still matter for that purpose.
The no-scalpel technique
Our urologists use the no-scalpel method. It is done as an outpatient visit, usually with local anesthesia, and does not require stitches. The procedure itself is short, and you go home the same day. A reversal may be possible later if your plans change; that is a separate operation, discussed on Advanced Urology’s vasectomy reversal page.
The consult and the day of the procedure
The consult is the place to ask questions and confirm that a permanent method is the right choice for you. We ask you to pause medicines such as aspirin (NSAIDs) a full two weeks out, to wash and shave the scrotal skin forty-eight hours out, to have a ride home, and to pack snug cotton underwear. The procedure takes place at our Johns Creek Clinic & Surgery Center, 10730 Medlock Bridge Rd.
Vasectomy recovery
Recovery with the no-scalpel technique is usually brief. Plan to rest for the first forty-eight hours. A low-grade ache, plus bruising and modest swelling, is expected then; short sessions of ice and close-fitting underwear typically ease them. Desk work is often comfortable by day three or four, while jobs that require lifting may need a longer pause. Walk if you like; postpone strain, riding a bicycle and intercourse until our urologist says you may resume. Feeling ordinary again within a week or two is typical.
A vasectomy does not work immediately. Give it about a week, or until you feel comfortable and have been cleared, before having sex. Keep a second contraceptive in place until a semen analysis shows no sperm remaining, commonly around the three-month mark or after 15–20 ejaculations.
Call us if pain gets worse instead of better, or if you have fever or chills, spreading redness, swelling that keeps growing, or bleeding that does not stop with gentle pressure.
How effective it is, and coverage questions
Published figures on the Advanced Urology vasectomy page put effectiveness above 99 percent — roughly 15–20 pregnancies per 10,000 women across the first year. Even so, our urologist waits for a clear lab result before other methods are set aside.
A large share of commercial plans will pay for the operation; Medicare and Medicaid typically leave it unpaid. If you'll be paying on your own, call 678-344-8900 before the vasectomy and we'll go over the details with you. More detail lives on Advanced Urology’s vasectomy page.
A related official video, and a clear note about who appears in it
A no-scalpel vasectomy is part of our procedure list, and consults for Johns Creek patients happen at 10730 Medlock Bridge Rd, with the procedure done in this same surgery-center building. The official-channel video below features Dr. Marc Greenstein, a member of the Advanced Urology physician group, walking through a vasectomy in clear, practical terms.
The official Advanced Urology vasectomy video
Dr. Marc Greenstein, a urologist who works with Advanced Urology, discusses vasectomy in this official-channel video. Our urologists here will still walk you through the no-scalpel method, permanence, and the semen check after the procedure.
Watch: Dr. Marc Greenstein discusses VasectomyWhat the video covers. The official video is titled "Dr. Marc Greenstein discusses Vasectomy." In it, Dr. Greenstein talks through vasectomy as a topic.
Questions we are often asked
Is a vasectomy performed at both of your offices?
Counseling and the pre-procedure visit can take place at Johns Creek or Cumming. The procedure itself is scheduled at the office where we perform vasectomy, and we will tell you which one when we book the date. You will hear the follow-up instructions, including semen testing, before you leave.
Does a vasectomy work immediately?
No. Sperm can remain in the system until a follow-up test shows that the semen is clear. We will tell you how many ejaculations and how much time we want before that test, and we ask you to use another form of contraception until we have confirmed the result.
Will a vasectomy change my hormones or my erection?
A vasectomy blocks the path of sperm. It does not remove the testes and does not change testosterone production or, by itself, erectile function. We go over risks, including failure and chronic discomfort, in the counseling visit so the decision is an informed one.
Where is a vasectomy performed?
We perform no-scalpel vasectomy at the Johns Creek Clinic & Surgery Center. A consult can take place in Johns Creek or, when it fits the calendar, as a clinic visit that later leads to a Johns Creek procedure date.
Can I ask about a vasectomy at the Cumming Clinic?
Yes. You can start that conversation in Cumming. The procedure itself is scheduled at Johns Creek.
What belongs in the bag for the consult?
A government photo ID, the insurance card you use and a current medicine list. If you have questions written down, bring those too. The packing-list page on this site has the rest.
When is the procedure considered complete?
A vasectomy is not a substitute for other contraception until a follow-up semen test shows what we are looking for. We will tell you when to do that test and how we share the result.
Is a vasectomy reversible?
Vasectomy reversal is a separate operation, discussed on its own terms. If that is the question you are bringing, tell us when you book so we can shape the appointment around it. We will not treat a reversal as a routine add-on to a vasectomy consult.
Whenever a visit would help, the Johns Creek and Cumming teams are a phone call or a booked appointment away.