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Vasectomy vs. Essure PDF Print E-mail
Essure vs. Vasectomy

Article Written By Dr. Michael Glass, Board-Certified Urologist

Many men are asking, “Why should I get a vasectomy if my wife can have Essure® for our sterilization?” A comparison of the two procedures can help make the decision.

First, vasectomy has been performed on over 600,000 men in the U.S. annually. The procedure takes about 15 minutes and has a rapid recovery.

Essure is a relatively new procedure that has been performed only for the last 2-3 years.

The initial recovery for either procedure is easy and
non-threatening. However, a post-procedure test must be done on both procedures to confirm sterilization.

For the vasectomy, a simple semen sample is taken to the office and inspected for any sperm free of charge.

For Essure, a woman must have an invasive radiological procedure, done in the hospital. This procedure involves placing a catheter into the uterus and injecting contrast dye. X-rays are then taken to confirm the closure of the fallopian tubes. This post-surgery radiological procedure is not covered under the fee for the Essure procedure and ranges from $250 to $500. In many cases, it needs to be covered by the patient’s deductible.

As urologists, we at Advanced Urology, feel that vasectomy is an easy, well-tested, timely, safe procedure.

Vasectomy vs Essure at a Glance

VASECTOMY

ESSURE®

How is the procedure performed? Local anesthetic is used to prevent and pain (less than 30 sec) A tiny puncture is made and a small piece of the vas is removed, cauterized, and tied. A scope is inserted into the vagina and then the uterus and coils are placed in the fallopian tubes.
Number per year in USA 600,000 Data Not Available
Time of the procedure 15 min 30 min
Location of the procedure Office Office (May be performed in the Operating room for the first 10-15 patients the physician performs the procedure on)
Recovery Time 2 days of rest 1-2 days of rest
Confirmation of sterilization Semen sample taken to the office after 8 weeks Must undergo an invasive and costly radiological procedure (hystersalpingogram) to confirm tubal closure.
Long-term results 0.02-0.2% effective 0.05-0.25% effective (only 5 yrs of data)