A vasectomy is a simple procedure that makes a man unable to father children. It’s nearly 100% effective (99.85% to be exact). It takes about 15 minutes to perform in a urologist’s office, and it’s usually covered by health insurance.

You’ve probably heard chilling or funny tales about vasectomies. They’re fun to tell. But in reality, most men say that their vasectomy experience was quicker, easier, and more tolerable than they ever expected.

A vasectomy is meant to be permanent and should only be undergone with a full understanding of the procedure and after thoughtful consideration.

What our patients say


“I had a great experience with Dr Talley and Urology SA. I had a vasectomy and was told there would be limited pain and very little hassle. It worked out even better than I expected!

On the day of my procedure, I drove up at 3:02pm and was driving myself home with very little discomfort at 3:27pm. What?!?!? Friends who have had the same procedure elsewhere are amazed at my experience.

All I know is Dr Talley and his team were professional, informative, and quick.

HIGHLY recommended.”

Vasectomy Procedure - What to Expect

A medical assistant will escort you to an exam room and collect some basic information from you. Then the urologist will meet with you (and your partner, if you’d like) to make sure you understand the permanence of the procedure and answer any lingering questions you may have.

Vasectomy-San-AntonioIf you’re confident with your decision to have a vasectomy, the urologist will step out to give you a moment to remove your pants and lay back on the exam table (no stirrups are needed) with a drape covering you. Then, the urologist or his assistant will clean the scrotum with an antibiotic soap. The doctor will numb the area with a tiny needle of medication injected into the scrotal skin. The anxiety men feel about this step is worse than the shot itself – trust us. It feels the same (most men say, it’s easier) than a numbing injection before a dental procedure – briefly uncomfortable yes, like a pinch, and then it’s over.

After the numbing medicine takes effect, you won’t feel any pain during the remainder of the procedure, although you may feel pressure. The urologist will make an incision the size of a grain of rice in the scrotum and expose the vas deferens, which looks like cooked spaghetti. He’ll snip the vas and return it to the scrotum. He’ll close the incisions with a few dissolvable sutures and cover the area with gauze to protect it.

That’s it! The doctor will review the recovery instructions with you and give you a cup for the semen sample that you’ll need to provide in 12 weeks. Then he’ll leave you alone to put on tight-fitting underwear or athletic supporter and your pants. You’ll be back home before you know it.

Is a vasectomy reversible?

A vasectomy reversal isn’t a myth. In fact, Urology San Antonio offers vasectomy reversals.  They can cost anywhere from $5,000 -$10,000 and there’s no guarantee a reversal will be successful. You should make the decision to have a vasectomy knowing it’s intended to be a permanent procedure.

Think carefully.

Before you commit to a vasectomy, ask yourself…

  • WHAT IF… my current relationship ends and I have a new partner who wants to have a child?
  • WHAT IF… one or more of my children pass away?
  • WHAT IF… we start making more money and are able to support a larger family?

If you’re at peace with your answers, it’s time to schedule your vasectomy! If you still have questions or concerns, you may choose to have a pre-vasectomy consultation (info below).

Planning for a Vasectomy

Pre-Vasectomy Consultation
Most insurance will cover a pre-vasectomy consultation. However, if you do not have coverage, and you or your physician determines it best to have the vasectomy on a different day from the consultation, there will be a $100 visit charge. The amount may be higher if your physician orders additional lab work or testing performed. Payment must be made at the time of the appointment. Appointments can be made by calling 210-582-5505.

If you know you’re ready for a vasectomy, we offer patients the option of scheduling the consultation just prior to the procedure.

Vasectomy Cost
The cost of a vasectomy will vary depending on your insurance. Urology San Antonio performs many vasectomies for men without health insurance.

With Insurance: The majority of health insurances cover an in-office vasectomy. To find out if yours does, call the 800 number on your insurance card, or contact our insurance and billing department. (Be sure to provide your policy number and group ID.)

Without Insurance: If you don’t have insurance, the vasectomy cost at Urology San Antonio is $900. That includes the vasectomy and the follow-up semen check.

$100 Deposit: Whether you have insurance or not, you’ll need to pay a $100 deposit when you book the appointment. The deposit minimizes “no shows” and keeps appointments available for guys who are serious about having a vasectomy. After the procedure, the deposit will be applied toward your balance or refunded to you.

Vasectomy with Anesthesia: Most patients prefer the cost and speed of an in-office vasectomy. For patients who prefer anesthesia, vasectomy procedures will be completed at the Pasteur Plaza Surgery Center. The vasectomy with anesthesia package price is $2200 and includes the costs for the surgery center (including pathology), the physician, and the anesthesia.

Vasectomy Recovery Time
Most men schedule their vasectomy on a Thursday or a Friday afternoon. They recover over the weekend and go back to desk work on Monday. If you have a job that keeps you on your feet, plan to take 2 days off, followed by 3 days of light-duty.

You can resume sex after 3 days, but use protection because a vasectomy isn’t effective immediately. It takes 3 months for the pipes to clear. When it’s time, drop off a semen sample, and your doctor will call you with the results.

Frequently Asked Questions

At Urology San Antonio, the cash-pay price for a vasectomy and follow-up semen analysis is $900. Health insurance usually covers a vasectomy, making the cost for insured men much lower. For insured men, the exact price you pay will depend on your insurance plan.

Plan to spend 2 days at home recovering. Most men have the procedure on a Friday afternoon and return to desk work on Monday. Guys whose jobs keep them on their feet should take 2 days off and arrange for 3 additional days of desk/light duty.

A vasectomy does not affect a man’s testosterone level, sex drive, body hair, voice, and other masculine traits. The operation has no effect on his sexual response. Erections, climaxes and ejaculation remain the same after the procedure. The only difference is that your ejaculate material will not contain sperm, but you and your partner will not notice a change in the amount of fluid ejaculated.

Men who are confident in their decision to have a vasectomy may schedule the consultation and procedure for the same visit. If you’re unsure about whether you’d like to have a vasectomy, schedule the consultation only and contact us when you’re ready to more forward with the vasectomy.

Your spouse or partner does not need to sign a consent for or come to the appointment, although it is wise for couples to be in agreement about the decision to have a vasectomy.

Most Urology San Antonio doctors allow you to drive yourself home. Others require that a responsible adult drive you, just in case you encounter car trouble or other unexpected issues on the way home. If it’s important to you to be able to drive yourself home, mention this when you book your appointment.

You can have sex as early as 3 days after a vasectomy, but since the procedure is not effective immediately, you must use another form of birth control until your urologist verifies there are no sperm in your semen.

Cryopreservation or freezing sperm is done by fertility centers and cryopreservation labs, not the urologist’s office. Storage of the frozen sperm costs about $300 each year. If you are freezing sperm because you are not quite sure that you are done having children, then it is better to use a long-lasting but non-permanent form of female birth control such as a implantable hormones or an IUD (if they are an option).

Your urologist can give you an sedative medication that you’ll take a few hours before the vasectomy to help you relax. To receive the medication, you’ll need to set up two separate visits: one for the consultation and another for the vasectomy. It’s not safe to drive after taking the medication so you must arrange for an adult to drive you to and from the procedure.

Some of Urology San Antonio doctors provide no scalpel vasectomies upon request, but there is almost no difference in using this technique and doing a conventional vasectomy. Whether the urologist creates a rice-sized incision in the scrotum with a scalpel or a puncture wound that he stretches open using a “no scalpel” tool, he still needs to break the skin to access the vas deferens. The “no needle” tool uses compressed air to shoot numbing medication into the scrotal skin. Unlike an injection with a traditional syringe, the doctor cannot control the speed of the medication’s delivery, which causes a little more discomfort for some men. None of Urology San Antonio’s doctors offer the “no needle” vasectomy.

Aside for being a legal adult, there is no official criteria regarding a man’s age, partner status or the number of children he has fathered; however, our urologist rarely perform vasectomies on young (teens to early 20s), single men, and we require these men to set separate consultation and procedure appointments so the urologist can thoroughly discuss the man’s situation and the procedure. The decision to proceed with the vasectomy is based on the urologist’s ethical judgement and his interpretation of his medical oath to “do no harm.”

A vasectomy is designed to be permanent. Reversal operations are available, but there’s no guarantee they’ll will be effective, they can cost $5,000-$10,000, and they’re hardly ever covered by insurance. If you’re thinking you’ll have a vasectomy reversed later, then a vasectomy is not right for you right now.

Most insurance will cover a pre-vasectomy consultation. However, if you do not have coverage, and you or your physician determines it best to have the vasectomy on a different day from the consultation, there will be a $90 visit charge. The amount may be higher if your physician orders additional lab work or testing performed. Payment must be made at the time of the appointment.

Vasectomy Packet

Download the Vasectomy Packet for consent forms, as well as pre and post-procedure information.

Vasectomy Locations

Stone Oak

18915 Meisner Drive
San Antonio, TX 78258


Northeast Methodist Plaza12709 Toepperwein, Ste. 206
San Antonio, TX 78233

Medical Center

Men’s Health and Wellness
7909 Fredericksburg Rd.
Suite 227
San Antonio, TX 78229

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