6 Questions to Ask Before You Book a Vasectomy | Dr. Theodore Cisu

The short answer: Before booking a vasectomy, ask who performs it, how many visits it takes, what the total cost will be, how the follow-up semen test works, what comfort options you have, and who to call if something comes up afterward. Good answers to these questions make the whole process easier to plan.

Written by Theodore Cisu, MD, board-certified urologist. Last reviewed November 2026.

Want to ask them in person? Book a telehealth consultation with Dr. Cisu. No referral needed.

These are fair questions for any practice. Here's why each one matters, and how Dr. Cisu's clinics handle it.

1. "Who performs the procedure?"

Why it matters: You should know the training of the person doing your vasectomy and who will be in the room.

Our answer: Dr. Theodore Cisu, a board-certified urologist, performs every vasectomy himself. He has performed more than a thousand.

2. "How many visits will this take?"

Why it matters: Every trip means time off work and, for some men, a long drive.

Our answer: One trip. Your consultation is a telehealth visit from home or work. Procedure day is your only trip to the clinic, and your semen test can be done at a local lab or with a mail-in kit.

3. "What will it cost me, all in?"

Why it matters: With insurance, your cost depends on your deductible and coinsurance. Without insurance, you should know the number before you book.

Our answer: Most insurance plans cover vasectomy, and our office checks your coverage before scheduling. If you'd rather pay cash, the price is $580 for the procedure and a lab semen analysis. The consultation is billed to insurance, and nitrous oxide is $75. See the vasectomy cost guide.

4. "How does the follow-up semen test work?"

Why it matters: The semen test is the step that confirms the vasectomy worked, and it's the step many men skip.

Our answer: About three months after your procedure, you give a sample at a local lab or with a mail-in kit (a third-party fee applies to mail-in kits). Dr. Cisu reviews the result and tells you when you're cleared. Read more about the semen test.

5. "What comfort options do I have?"

Why it matters: Nerves are normal, and the right comfort option can make the day easier.

Our answer: Every vasectomy uses the no-scalpel, no-needle technique. You can choose nitrous oxide only, which wears off within minutes so you can drive yourself home; Valium plus nitrous, which needs a driver; or Valium only.

6. "Who do I call if something comes up afterward?"

Why it matters: Most recoveries are uneventful, but you want a clear answer before you need one.

Our answer: Call the office at (540) 332-5630, which reaches the urology team for both clinics. Most questions can be handled by phone, and you can be seen in person if needed.

Frequently asked questions

Do I need a referral?

No. You can book directly.

Is the consultation required?

Yes. It's a telehealth visit, so you can ask your questions and decide before you make the trip.

How long does the procedure take?

Usually about 10 minutes. Most men are in and out of the office in about 45 minutes.

Can I bring my partner?

Yes. Partners are welcome at the consultation.

Sources

• American Urological Association. Vasectomy: AUA Guideline (2026), Part I.

This article is for general education and isn't a substitute for medical advice. Costs depend on your insurance plan; our office can give you an estimate before scheduling.