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Technically speaking, a vasectomy is a surgically induced disconnection of the vas deferens. Coward, who performs a “no-needle, no-scalpel vasectomy,” to find out everything about the procedure. That’s largely because a vasectomy is the easiest and most effective way to permanently prevent unwanted pregnancies, according to UNC urologist Matt Coward, MD, director of male reproductive medicine and surgery at UNC Fertility.īut how do they work? Do they hurt? Are they reversible?

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