Vasectomy Procedures Near Winston-Salem, NC

The No-needle, No-scalpel Vasectomy

Vasectomy is a Lot Easier Than You Thought

Vasectomy is the most effective form of birth control in which a male can participate. Piedmont Urology offers Charlotte’s least invasive, most convenient vasectomy. The no-needle, no-scalpel procedure is relatively painless, just as effective as other vasectomy techniques, and has an incredibly quick recovery time. The procedure usually takes approximately 20 minutes to perform.

With convenient appointment times, you can have your vasectomy on Friday and be back to work on Monday.

From providing you with the information you need to make the decision to walking you through the specifics of the procedure and recovery, we walk you through every step of the process.

Vasectomy Overview

  • Permanent male birth control
  • No-needle, no-scalpel
  • Least Invasive
  • Quick Recovery

Speak with one of our providers to learn more about the no-scalpel, no-needle vasectomy.


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Sedation Vasectomy

Piedmont Urology is the first in North Carolina to offer sedation vasectomies. For this option, a nurse anesthetist will administer medication with vitals monitoring for twilight sedation during the 15-minute procedure. Any patients interested in this option will be telephone screened prior to the visit. The cost of a sedation vasectomy is an additional $200 to the vasectomy.


Dr. Hettiarachchi is a double board certified urologist and surgeon and has over 21 years of experience performing vasectomies. He is fully qualified to handle your individual case. Our team will be there throughout the entire process to answer any questions you may have.

Availability and Flexibility

Our team is available 24/7 to promptly answer any questions you may have via call, text message, or email. Please feel free to contact us both before and after your procedure. We offer flexible appointments to meet your busy schedule, with day and evening options on weekends and weekdays. You can choose either one or two visits for the process, and can schedule at either our Charlotte or Piedmont location.


We offer consultations for $250,  which eventually goes toward the total cost of the procedure ($800). These costs can be paid with credit card, cash, or checks.


Our team is happy to contact your insurance company for you, and inform you of your coverage. Depending on copays, deductibles, and consulting, the out-of-pocket cost can range from $0-$1100.


A $100 deposit is required to set an appointment, which will be contributed to the cost of the vasectomy. Deposits are forfeited if you do not show up for your appointment or cancel later than seven days prior to your appointment.

Vasectomy FAQs

You should plan on the procedure taking 10-15 minutes on each side. After undressing below the waist, you will have the affected area sterilized and a sterile drape will be positioned. Then, Dr. Hettiarachchi will numb the area with a local anesthetic; the anesthetic is administered without a needle, so you should just feel a slight pinch or pluck, like picking a hair. If you have any pain during the procedure, tell Dr. H and he will give you more anesthetic. During the procedure, the ends of the vas deferens will be clipped, cauterized, and sealed to prevent regrowth. The hole made for the procedure is so small that you will not even require stitches, so you can go home after with minimal fuss.

Do not take aspirin or ibuprofen products for the week leading up to your vasectomy. The day before or morning of, shower and shave the area where the scrotum and penis meet. Wear comfortable clothing to the appointment and arrive approximately 15 minutes early to fill out procedure forms.

Ice the area after the procedure, rotating off and on for best results. You will receive a pain medication prescription for use after the local anesthetic wears off. Avoid ibuprofen and aspirin for the first two days, but after that ibuprofen is very effective for managing pain.

Avoid activity and rest for the first 72 hours after your procedure. You may shower, but do not take a bath or use a hot tub for the first 72 hours. Within a week of the procedure, you should be able to return to all of your daily activities, including sexual activities.

No. The vasectomy is simply a procedure for male sterilization. There is no evidence that vasectomy leads to sexual dysfunction. The procedure works so that when the body produces sperm, it is reabsorbed rather than ejaculated. After having this procedure, there is a very small decrease in ejaculate that will not be noticeable or affect your sex life in any way. The procedure does not cause erectile dysfunction or lessen sex drive.

Vasectomy is a permanent form of birth control. If you are sure that you do not want any future children, this is the best option for you. It is a quick, easy, and safe procedure at our office.

Vasectomy is permanent and more effective than pills or condoms. Once you are considered sterile, you do not need to take any additional steps for contraception (although vasectomy does not protect against sexually transmitted diseases). There is only a 1 in 2000 chance of pregnancy after a patient has been determined sterile by vasectomy. Vasectomy is also less expensive and less invasive option than tubal ligation for permanent birth control.

Our procedure is designed to be performed without the use of needles or scalpels in order to minimize discomfort. During the procedure, you should not feel any sharp pain. If you do, let Dr. Hettiarachchi know and he will administer more local anesthetic.

In nearly every case, no. In very rare cases, a patient will experience chronic testicular discomfort after the procedure. However, this is not something that is common in any way, and should not affect your decision to get a vasectomy. Vasectomy does not cause any kind of cancer, including prostate or testicular.

The no-needle, no-scalpel procedure that we use at Piedmont Urology is just as effective as a traditional vasectomy procedure. In addition to this, the minimally invasive nature of the procedure leads to a quicker recovery and less chance of complication than traditional. There is also no anesthesia required, which can make the process more convenient and less expensive.


The No-Needle, No-Scalpel Vasectomy

This video demonstrates the no-needle, no-scalpel vasectomy technique. Please be advised that the video is of an actual procedure and contains graphic content.

No-Scalpel Vasectomy Video

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