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Urology/Vasectomy

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Question
Recently my husband went in for a vasectomy after several Attempts the dr told him he would have to be out to sleep and treated as an outpatient surgery. Is this normal? Should we find a different dr?

Answer
Lynn:

It is certainly not "normal" to do a vasectomy under anesthesia but it can happen.  In some cases, the vas may be hard to identify or the patient's body size and shape make it difficult.  If the surgeon is a certified urologist, then he would be expected to have the necessary competence and experience to know when an outpatient surgical approach is needed.  I've done this just a handful of times in my 30 years of practice.

If the surgeon is not a urologist, then I would suggest a consultation with a local urologist before making a decision.

Urology

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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