44 Year-Old Man with 4 Children – Vasectomy and Hydrocelectomy Procedure at New York  Urology Specialists

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5922.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.

Our vasectomy cost is affordable with or without insurance.


Real Stories. Real Patients.

Please note:

Names and age have been changed to protect patient privacy.

Treatment success varies. Not every patient experiences benefit from treatment.  Please talk to your doctor.  This is for informational/educational purposes and is not intended to replace a patient-doctor relationship.  Only your doctor can advise you on a course of treatment that is appropriate for your needs.

A 44-year-old man with 4 Children: No-Scalpel, No-Needle Vasectomy

RM is 44-year-old with 4 children, youngest 2 years old.  He presented with a request for an elective no-scalpel vasectomy.  He also complains of increasing discomfort in the left scrotum from a known hydrocele that has increased slowly in size over the past few years.

The patient reports that neither he nor his partner is interested in having more children in the future.  Previously, his partner was using oral contraceptives but has been experiencing side effects from them. 

After a discussion of contraceptive options, the patient is interested in vasectomy.  He signed a NY state consent for the vasectomy.

The patient also expressed a desire to undergo scrotal hydrocele repair at the time of vasectomy to address chronic pain and discomfort in his scrotal sac.

The patient underwent simultaneous no-scalpel vasectomy on the right and vasectomy with hydrocelectomy on the left under local anesthesia with minimal discomfort, with an overall pain score of less than 3-4 (minimal discomfort).

The patient was seen 2 weeks after vasectomy and hydrocelectomy – he had mild discomfort with activity; the scrotal incision was noted to be healing well. He returned to work 1 week after hydrocelectomy and vasectomy.

The patient was seen about 3 months after the hydrocele repair and vasectomy. He reports no pain in the scrotum, no recurrence of the left hydrocele.  The incision healed well and was minimally noticeable. Semen analysis revealed no sperm.  The patient was advised that he can rely on a vasectomy for contraception.

Where to Get No-Scalpel Vasectomy in NYC?

At New York Urology Specialists, we offer no-scalpel vasectomy procedure for men

Call/text today: 1-646-663-5922 or make an appointment online.  

We perform a no-scalpel vasectomy, vasectomy reversal, cosmetic circumcision, circumcision revision, penile frenuloplasty, and offer treatment for phimosis, balanitis, penile irritation, and redness. We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments. Our prices are affordable with or without insurance. 

What You Need to Know:

Learn More About:

Read Real Stories of Men who Underwent Vasectomy at New York Urology Specialists.

Read RealStories: No-scalpel vasectomy for a 35-year-old man with 3 children – out-of-state  – Drove

Read RealStories: No-scalpel vasectomy for a 36-year-old man with no children.

Read RealStories: No-scalpel, no-needle vasectomy for a 31-year old man with 2 children.

Why Choose New York Urology Specialists for your Vasectomy?

  • All vasectomies are performed by a board-certified urologist experienced in performing vasectomies, not an assistant.  Our vasectomy dr is one of the most experienced specialists who perform no-scalpel, no-needle vasectomy in NYC.
  • We are one of the few practices in the region to offer no-needle, no-scalpel vasectomy.
  • We offer vasectomy under local anesthesia which avoids the risks, costs, and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
  • Extensive Experience: Hundreds of successful no-scalpel vasectomies performed under local anesthesia at the Vasectomy Center at New York Urology Specialists.
  • We are one of the few practices in the region to offer a full range of options for the treatment of sexual and erection problems in men.
  • We are conveniently located within 30-60 minute commute to men who are seeking vasectomy in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

What does Vasectomy Scar Look Like?

You can find pictures of circumcision as well as before and after treatment images in our image gallery.

Scheduling Appointments for Vasectomy at New York Urology Specialists


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5922.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.

Our vasectomy cost is affordable with or without insurance.


Vasectomy With Fast Recovery at New York Urology Specialists

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially-trained in no-scalpel, no-needle vasectomy procedure. 

We also address common sexual and genital concerns in men. We understand the challenges that sexual and penile problems such as pain in the penis, cuts on the foreskin, irritation, and curvature create for our patients, their relationships and their self-esteem.  We help you find a treatment for penile problems including appearance concerns, foreskin problems, premature ejaculation, erectile dysfunction that fit your needs, lifestyle, and your preferences.

We Treat Some of the Most Complex Penis, Scrotal, and Foreskin Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-5922 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in no-scalpel vasectomy. 

He also specializes in the evaluation and treatment of sexual and erection problems in men using modern effective and proven treatment methods.  We offer circumcision, circumcision revision, penile frenuloplasty, penoscrotal web repair, testicular implants, inflatable penile implant, shockwave therapy for ED, and treatment for Peyronie’s disease.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5922.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.

Our vasectomy cost is affordable with or without insurance.

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