Make the right call.

If a vasectomy is in your family’s future, March is a great time to schedule. Use the recovery to enjoy uninterrupted, guilt-free, college basketball.

Schedule direct: (701) 952-4878.


Experience THE Difference

In addition to timing, the reasons for permanent male birth control are clear. No-scalpel vasectomies are:

  • more effective: Vasectomies are slightly more effective at preventing unplanned pregnancy than female sterilization (itself very highly effective).
  • less expensive: Female sterilization can cost as much as $6,000, about six times that of a vasectomy.
  • safer: Risks of major complications following a vasectomy are extremely low. It is generally believe to be a safer technique than female sterilization.

Along with his doctor of medicine, Dr. Robert J. Bates has masters degrees in philosophy and biology from Yale and masters of medical management from Carnegie Mellon University. Dr. Bates provides complete urological evaluation and care, with notable attention to communication, compassion and quality of care.

How do I schedule?
To schedule a no-scalpel vasectomy, call direct (701) 566-8205 or schedule online. JRMC does not require a referral from a primary care physician for no-scalpel vasectomies.

How much does it hurt?
During a vasectomy, the two tubes (known as Vas Deferens) that carry sperm from the testes to the penis are cut. This prevents the sperm from continued travel and provides effective sterilization. The results of a no-scalpel vasectomy include less bleeding, bruising, infection and pain. This is due to a small puncture of the skin that is the size of a pin-hole versus cutting the scrotum’s skin. No-scalpel vasectomies are outpatient procedures that do not require sutures. A patient may have some soreness and swelling, which can easily be resolved by applying an ice pack.

How long is the recovery?
Most men return to work 48 to 72 hours after the procedure, whereas women who have tubal ligations return to work within one to two weeks. Tubal ligations have a longer procedure and recovery period, as well as higher cost. They are also more invasive than no-scalpel vasectomies.

Can I still have sex afterward?
With no decrease in a man’s libido or impact on his hormones, he will be ready for sexual activity in one week.

Is a vasectomy guaranteed to sterilize?
The length of time can vary, however, most men are not sterile until eight to 16 weeks after the procedure. The JRMC Laboratory will complete a semen analysis at one and two months post procedure.

What is the cost of a no-scalpel vasectomy?
Traditional vasectomies and tubal ligations (having a woman’s tubes tied) are more invasive and occur in an operating room. In addition to longer recovery time, they can also cost more than $6,000. Dr. Robert J. Bates performs no-scalpel vasectomies in a clinic setting under local anesthesia for about $1,100.


  • Tell your doctor what medications you take. Do not take aspirin, ibuprofen or naproxen for two weeks. Be sure to tell the doctor if you take blood thinners.
  • The day of surgery, shower and clean your scrotum well. Your doctor may also ask you to shave your scrotum.
  • Bring an athletic supporter (jock strap) or tight-fitting athletic compression shorts (no tight-fitting cotton briefs).
  • If you are nervous before surgery, you can ask for medication to help relax.



No-scalpel vasectomy has a low risk for swelling, bleeding and infection. But, it still has risks:

  • Sperm granuloma, a small, harmless lump that may form where the vas deferens is sealed off.
  • Sperm buildup that causes soreness in the testes.
  • Epididymitis, inflammation that may cause scrotal aching (often goes away without treatment).
  • The vas deferens reconnect, making you fertile again (rare).
  • Long-term testicular discomfort (very rare).

Appointment Request: No-Scalpel Vasectomy

Pending confirmation from JRMC.

Preferred Department: Urology

Appointment Type: No-Scalpel Vasectomy