Vasectomy in North Charleston, Summerville and Nexton
Dr. Farah, a urologist in North Charleston, Summerville and Nexton, SC, performs vasectomy in the office with a single-incision technique and numbing medicine. It is a permanent form of birth control for men.
Medically reviewed by Guillaume Farah, MD · Last reviewed October 2026
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Step 1 of 4
Your consultation
First visitDr. Farah explains how a vasectomy works, what to expect and the alternatives, and answers your questions. A vasectomy should be thought of as permanent.
What you do
Bring your questions, and your partner if you like.
Book a visitWhat Dr. Farah does
Examines you and confirms a vasectomy is right for you.
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Step 2 of 4
The procedure
Procedure dayThe procedure is done in the office with numbing medicine. Through one small opening in the skin of the scrotum, the tubes that carry sperm are closed off. You go home the same day.
What you do
Arrange a ride home, wear snug underwear and plan to rest.
Book a visitWhat Dr. Farah does
Performs the vasectomy himself.
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Step 3 of 4
The first days at home
First few daysSome soreness and swelling is common at first. Ice and rest help.
What you do
Avoid heavy lifting and sex for as long as Dr. Farah advises.
Book a visitWhat Dr. Farah does
Gives you written aftercare instructions and is available if you have concerns.
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Step 4 of 4
Confirming it worked
12 weeks afterYou are not sterile right away. At 12 weeks, a semen analysis checks that no sperm remain. Until Dr. Farah confirms the result is clear, keep using other birth control.
What you do
Use other birth control until Dr. Farah tells you your result is clear.
Book a visitWhat Dr. Farah does
Reviews your semen analysis himself to make sure it is clear.
Common questions
Does a vasectomy affect erections or orgasm?
No. A vasectomy does not change erections, sex drive or the feeling of orgasm. Semen looks much the same; it just no longer contains sperm.
Can a vasectomy be reversed?
Reversal is sometimes possible, but it is a bigger operation and doesn't always work, so a vasectomy should be considered permanent.
When can I stop using other birth control?
Only after your semen analysis at 12 weeks shows no sperm and Dr. Farah has reviewed it.
Seen within 24 to 48 hours.
Offices in North Charleston, Summerville and Nexton. Second opinions are welcome.
Start online, without insurance and without a referral
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Youro is a separate service owned by Dr. Farah and is not part of Palmetto Urology.