Health Advice



Should you get a vasectomy after Roe decision? Doctors explain how it works

Kynala Phillips, The Kansas City Star on

Published in Health & Fitness

KANSAS CITY, Mo. -- Since Roe v. Wade was overturned on Friday and Missouri’s trigger ban outlawed nearly all abortion in the state, interest in vasectomies has been on the rise around Kansas City.

Since the ruling dropped on Friday, The Kansas City Urology Care, which has about a dozen locations in the region, has seen nearly a 90% increase in vasectomy consultation, according to urologist, Dr. Christian Hettinger.

Vasectomies are a safe and effective form of birth control for people who have sperm and are trying to prevent pregnancy, but Kansas City doctors warned they are intended to be permanent.

Here are a few things Hettinger and University of Kansas Health System Urologist Ajay Nangia said to consider when deciding if a vasectomy is a good option for you.

What is a vasectomy?

A vasectomy is a procedure where a doctor makes a small incision in the scrotum, and then severs and blocks the tubes that carry sperm from the testicles. The tube is called the vas deferens and will disconnect the tube and block it with clips or by burning the ends of where the tupe was separated.


“So it blocks the sperm from being released when a man has an ejaculation,” said Hettinger. “So, in essence, they’re shooting blanks. No sperm comes out when they have an ejaculation.”

Are there multiple kinds of vasectomies?

Yes, there are two techniques for performing vasectomies, including the scalpel method and a no-cut method. The incision method uses a scalpel to make a cut on the scrotum. The no-cut method uses a tool to puncture a small hole instead of making a cut, according to Planned Parenthood.

“There are numerous ways you can do it, but in the end, it’s a very similar procedure, just different, slightly different techniques to it,” Hettinger said.


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