Vasectomy & Reversal

Looking for a safe, effective, and permanent form of birth control? Or maybe your plans have changed, and you would like to reverse your vasectomy? The Y Factor specializes in both vasectomy and vasectomy reversals.

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New Technology is Now Available at TYF!

In our continuous pursuit of better treatment options for sexual dysfunction, The Y Factor is excited to announce that we now offer Shock Wave Lithotripsy (SWL) Treatment for Erectile Dysfunction.



A vasectomy is a surgical procedure performed in males as a form of sterilization and permanent birth control. It is considered one of the safest and most effective means of birth control. Over 500,000 men in North America choose vasectomies. Vasectomies are 99.6% effective according to current research.

How The Y Factor Can Help

The Y Factor uses the no-scalpel method of vasectomy. A local anesthetic is administered through a vapor spray administered into the skin. This no-needle method provides less discomfort and bruising.

The no-scalpel, no-needle method of vasectomy requires no incision. The vas deferens, which carry the sperm to the seminal vesicles, is resected through a small puncture site.

Most procedures are performed only with local anesthetic, however nitrous oxide (laughing gas) is available.

Benefits of Vasectomy

  • Safe and effective birth control.

  • Affordable – less expensive than other contraceptive surgeries.

  • Relatively quick and painless.

  • Reversible.

Post Procedure Guide

Patients are able to return to work 24-36 hours after the procedure with the following restrictions:

  • No lifting over 30 pounds for 2-3 days.

  • No sexual activity for 7 days.

  • No strenuous activity for 3-7 days.

  • No aspirin or fish oil products for 48 hours. Tylenol is allowed.

  • Postpone showering until the next morning after the procedure.

  • No hot tub for 24 hours, however swimming is allowed one week after the procedure.


Vasectomy Issues | Frequently Asked Questions

If you want a vasectomy, then call us and we will set your appointment. Most insurances will allow you to have the consult and the procedure on the same day. You do not have to come back after the vasectomy, and we will communicate through your patient portal about the semen analysis result.

We will be happy to check your insurance as a courtesy, it often does. If not, we have cash prices and accept “Care Credit”.

The no-scalpel vasectomy is an affordable in-office procedure. Most commercial insurance companies cover this procedure. The Y Factor also offers attractive prices for patients without insurance. Please contact our office regarding scheduling and the pricing.

Eat before you come. Bring supportive or tight underwear. Don’t take aspirin the week leading up to the vasectomy. Shave or cut the hairs on the front of the scrotum. Call us for any questions.

The procedure may cause some mild pressure, but patients rate their discomfort in the 1-2 range. This discomfort last about sixty seconds.

The no-needle procedure means the anesthetic is administered with a spray! It is a gentle and effective method to numb the area.

We offer nitrous oxide at the time of your vasectomy if you are very nervous. This is offered on select days. If we prescribe Valium, you will need a driver.

On the front of the scrotum.

You will see the little puncture entry site. You might see some scrotal wall bruising. You might feel some temporary thickness inside on the cord.

Yes, unless you take Valium.

Tylenol will take care of the pain in 99% of patients.

A v-shaped metal clip is placed against the vas deferens. This clip stops the sperm flow. No, the clips are securely fastened to the vasectomy and the body forms an adhesive cap over the end of the vasectomy.

Yes, if you examine yourself very carefully you might feel a little pea size bump.

Most couples have no problems reengaging in sex in 7-10 days.

Yes, you will experience a 10% decrease in volume of the ejaculate.

You can shower normally the day after your vasectomy.

Eight weeks and ten weeks. If you have a conflict, then you can readjust the date. Continue with an alternative form of birth control until you get word from us that your semen analysis is clear.

No, our office will provide the cups and the lab slip. The sample can then be dropped off at the lab. We will contact you within 5-7 days regarding the results. We recommend that the patient have two negative tests prior to discontinuing contraception.

No, and you can also have an MRI without problems.

One in one hundred men will not clear their ejaculate of sperm and will need a repeat vasectomy. One in 3000 men can have sperm present even after the 8-week semen test shows zero sperm.

Dr. Russel Williams has performed over 15,000 vasectomies, conducting about five to fifteen per day.

This is a medical term that describes the tubes being full of sperm after the vasectomy. This condition rarely occurs but might present as a dull ache to the testicle.

Blood accumulation (internal bruising) around the vasectomy site. This is treated with pain meds and allowing the bruise to be absorbed.

Vasectomies have been done for generations. The no-scalpel vasectomy started in the 1980s. The no-scalpel no-needle vasectomy started in the 2000s. Some urologists decide to provide the traditional method which is just as effective as the no-scalpel vasectomy.


A vasectomy reversal is a procedure when the cut or resected ends of the vas deferens are reattached. These reconnected segments allow the sperm to enter and ejaculate. This is a specialized microsurgery performed in a surgical setting.

The staff at The Y Factor is dedicated to treating the couple seeking a vasectomy reversal. We offer consultation on microsurgical vasectomy reversals and methods to increase a man’s fertility. We will provide information on the safest and most cost-effective way to reverse your vasectomy. We will discuss ways that you can enhance your fertility and sexual health by lifestyle changes and addressing other ongoing medical problems. In addition to performing the vasectomy reversal, your physician will develop a plan for close follow up to monitor your restored fertility.

Dr. Williams is one of the few reproductive urologists who performs vasectomy reversals in the greater Houston area. Make sure you want no more children before choosing a vasectomy since a vasectomy reversal is an expensive procedure with a longer recovery time. If you have doubts, ask us about freezing sperm before your vasectomy. Vasectomy reversal has a success rate of more than 90%.


Vasectomy Reversal | Frequently Asked Questions

It is a surgical procedure under general anesthesia. The procedure takes about two hours. Afterwards, you will need to sit on the couch for one week. Vasectomy reversals are up to 90% successful. We can freeze sperm at the same time as the vasectomy reversal. Insurance never pays for the vasectomy reversal.

We will ask questions like: Was your vasectomy complicated? Did you have difficulty having children prior to your vasectomy? Have you had any testosterone problems or treatments? What age is your partner and how is her fertility? Have you had a hernia or prostate surgery? The physical exam will be very important for determining the size and health of your testicles.

If you are in good health, then we simply need to check your testosterone to make sure your sperm production is optimal.

The surgery is performed through incisions into the scrotal sack and the scar area of the vasectomy is removed. The vas tube on the testicular side will be examined for sperm. If sperm is present, then we will perform a vas-to-new-vas connection using a high-power operating microscope. The sutures used will be the size of human hair. We will freeze sperm from the tubes if you choose. The incision will be closed with dissolvable suture (stitch) that does not need to be removed.

Do you still connect the vas to vas connection? No. If you have no sperm coming to your new vas to vas vasectomy reversal connection then you will not have sperm return to the ejaculate. In the situation of no sperm in the vas tube then we will need to perform the more difficult vas to epididymis (bypass) connection.

The vas to vas vasectomy reversal has the highest success rate (90%). The bypass vas to epididymis connection has a much lower connection success rate (sperm return to the ejaculate). That vas to epididymis vasectomy reversal success rate is only 50 percent.

We freeze sperm to provide a backup. Some men after the vasectomy reversal do not get sperm back in their ejaculate. They are “not back to square one” but rather can use the frozen sperm sample. That frozen sperm would need to be used with in vitro fertilization. The only caveat is that some men have poor quality sperm that is not ideal for freezing.

Sperm in the ejaculate. Ideally you want a sperm count over fifteen million sperm that swim well for a pregnancy to occur with sex.

Yes, we treat conditions that create a low sperm count or sperm that do not swim well.

Bleeding, infection and reaction to a medicine. The risk for these problems is low. Rarely, will men have prolonged pain after a vasectomy reversal.

You go home the day of the procedure. The pain requires prescription pain medications. You will need to place ice on the scrotum. You will use a scrotal support for three weeks to protect the vas reversal and to make you comfortable. You can shower the next day. You will return to The Y Factor in seven-to-ten days. You will have to hold off on strenuous activity for four weeks. You need to wait five weeks before resuming ejaculation. You will produce a semen sample in 6 weeks to check your fertility. You can travel two days after the vasectomy reversal or as pain dictates.

No, we accept Care Credit or credit cards. Call us about pricing for the surgery and freezing.

Yes, we perform that procedure, but you will now need to use or rely on in vitro fertilization to achieve the pregnancy.

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