Is Shakespeare had a vasectomy

The surgeon’s hand, with care, begins the task,

A gentle cut beneath the scrotum’s clasp.

The tubes that carry seed are sought with skill,

To sever paths that nature meant to fill.

The flow is blocked, though manhood stays intact,

No loss of strength, no courage does it lack.

A choice for love, for life, for future’s plan,

The burden shared by thoughtful, modern man.

In quiet calm, the deed is swift and sure,

A lasting bond, yet easy to endure.

Thus ends the tale of this procedure wise,

A measured step with future in its eyes.

Prostate health affects bladder health as we age.

As men age, maintaining bladder health becomes increasingly important. The bladder is essential for storing and eliminating urine, but aging can bring challenges like urinary incontinence, overactive bladder, or prostate-related issues. Enlarged prostate (benign prostatic hyperplasia) is particularly common, potentially leading to urinary obstruction and discomfort. To preserve bladder health, men should stay hydrated, maintain a healthy weight, and avoid bladder irritants like caffeine and alcohol. Regular exercise and pelvic floor strengthening can also help. Importantly, routine check-ups with a healthcare provider ensure early detection of problems. Proactive care supports not only bladder function but overall quality of life.

King of the jungle

 Which of the following hormones is the MOST critical for sperm production?

• Testosterone
• Follicle Stimulating Hormone
• Luteinizing Hormone

Send me you answer by email 

Dr Schoor

Options for Fertility After a Vasectomy

 

A little magic in my office

I had magical moment in my office the other day.

Man with azoospermia (no sperm in his semen).  Had testicular atrophy and elevated pituitary hormones consistent with testicles that were not producing sperm. My options:

• Traditional open diagnostic testis biopsy
• Immediate testis sperm retrieval attempt
• Referral for donor sperm
• Testicular mapping biopsy

What did I choose?

• Mapping.  

What is a mapping? 

• Mapping is a diagnostic procedure that can be done in the office setting under a local anesthetic.  I numb the patient then use tiny gauge needles to aspirate seminiferous tubule in a grid pattern in each testicle then I inspect the fluid under 200X in my laboratory microscope.  I then notate where in the grid the testicles contain sperm, if at all, then I return to those area at a future time to harvest the sperm for reproductive purposes. 

How is this different for a diagnostic biopsy? 

• In a diagnostic biopsy I only sample one area and I sent the specimen for pathology in a fixative solution.  The pathologist then gives me a diagnosis of normal spermatogenesis vs hypospermatogenesis vs Sertoli only syndrome.  Then I either tell the patient there is nothing more I can do or that he needs more invasive surgery to harvest sperm for reproductive use.  I only resort to diagnostic biopsies in rare instances.   

In this case, I did a mapping and inspected the fluid in my lab while my patient waited in my office's waiting room.  I found sperm in 6 locations in the right testicle and one in the left.  I counseled the patient that we could harvest the sperm in the right testicle, now, while he was still numb, and we did just that, right in my office's procedure room. Thirty minutes later, the testicular sperm extraction procedure was completed with

sperm being found right where the mapping told me it would be found.  I then processed the sperm in my lab for cryopreservation.  Next week the patient will pick up the specimen and transport it in a liquid nitrogen transport tank to an IVF facility. 

Now that is magic.

Dr Schoor 

Indicators that you (your husband) have a sperm production disorder

You are a smoker

You have an obesity problem

You have  history cancer or cancer therapy

You have  history of gonadotoxin exposure

You smoke marijuana

You use testosterone 

You use chronic opioids

You have an endocrineopathy/hormonal problem

You have abdominal fat, ie a large belly 

You have gynecomastia, ie man-boobs

You may a varicocele-dilated veins of the spermatic cord

You have a testicular mass

You have small testicles 

Any questions?  Contact me

Vasectomy questions

No, you do not need spousal consent and to require is a HIPAA violation, most likely. 

No, there is no minimum age, aside for 18, the age of consent.   NYC has a minimum age of 21.