Vasectomy service in Houston, TX

Looking for a safe, effective, and permanent form of birth control? The Y Factor specializes in both vasectomy and vasectomy reversals.


A vasectomy is a surgical procedure performed in males as a form of sterilization and permanent birth control. It is considered one of the safest and most effective means of birth control. Over 500,000 men in North America choose vasectomies. Vasectomies are 99.6% effective according to current research.

How The Y Factor Can Help

The Y Factor uses the no-scalpel method of vasectomy. A local anesthetic is administered through a vapor spray administered into the skin. This no-needle method provides less discomfort and bruising.

The no-scalpel, no-needle method of vasectomy requires no incision. The vas deferens, which carry the sperm to the seminal vesicles, is resected through a small puncture site.

Most procedures are performed only with local anesthetic, however nitrous oxide (laughing gas) is available.

All patients will meet with one of our specialty trained urological medical providers for a consultation to go over the no-scalpel vasectomy procedure before scheduling an appointment for the actual procedure with Dr. Williams.

If you are looking for a vasectomy Doctor in Houston, you have come to the right clinic. Russel Williams, MD, has performed over 20,000 vasectomies.

Same Day Consult and Procedure

The Y Factor understands that you’re busy with life so we’re now offering same-day consultation and procedures for our No-Scalpel Vasectomy. Just book your appointment here online and when our staff calls to confirm your appointment, let them know you are interested in getting your vasectomy done the same day you come in for our consultation. We can verify your insurance and share all post-procedure information on this call as well!

Ligature (stitches) or Clips for your Vasectomy in Houston?

The Y Factor and Dr. Russel Williams have always followed the guidance and protocols of evidence based research provided by the American Urological Association (AUA).
While ligatures is an acceptable form of creating a barrier in the vas deferens, Dr. Russel Williams follows the AUA guidelines and uses titanium vasal clips to seal the vas deferens.
Both ligature and clips are both recognized forms of vas closure and there is no evidence that clips nor ligatures can get dislodged or cause nerve damage. Dr. Williams has personal experience with 25 years of vasectomy procedures with the vasectomy complication rate of 1-2%.
There has been plenty of research on the effectiveness and minimal complications of using titanium clips for the no-scalpel vasectomy and many other surgical procedures.
Trust is important and trust a urologist practicing with evidence based research when it comes to your urological health.

Deposit Policy
The Y Factor’s commitment to care means we want a urologist available to see patients when they need it. In order to minimize no-shows, The Y Factor requires a deposit for special procedures like the no-scalpel vasectomy, Shang Ring Circumcision, and other select procedures. This deposit will be applied to the cost of your urological services or forfeited if you no-show.

*100% of the deposit will be forfeited for no shows or cancellations less than 48 hours prior to the procedure. All cancellations must be via phone call and communication to our office staff. All cancellations or reschedule appointments greater than 48 hours before your procedure qualify for a refund or reapply the deposit to that later date.

Benefits of Vasectomy

  • Safe and effective birth control.

  • Affordable – less expensive than other contraceptive surgeries.

  • Relatively quick and painless.

  • Reversible.


Post Procedure Guide

Patients are able to return to work 24-36 hours after the procedure with the following restrictions:

  • No lifting over 30 pounds for 2-3 days.

  • No sexual activity for 7 days.

  • No strenuous activity for 3-7 days.

  • No aspirin or fish oil products for 48 hours. Tylenol is allowed.

  • Postpone showering until the next morning after the procedure.

  • No hot tub for 24 hours, however swimming is allowed one week after the procedure.

Vasectomy Issues | Frequently Asked Questions

If you want a vasectomy, then call us and we will set your appointment. Most insurances will allow you to have the consult and the procedure on the same day. You do not have to come back after the vasectomy, and we will communicate through your patient portal about the semen analysis result.

We will be happy to check your insurance as a courtesy, it often does. If not, we have cash prices and accept “Care Credit”.

The no-scalpel vasectomy is an affordable in-office procedure. Most commercial insurance companies cover this procedure. The Y Factor also offers attractive prices for patients without insurance. Please contact our office regarding scheduling and the pricing.

Eat before you come. Bring supportive or tight underwear. Don’t take aspirin the week leading up to the vasectomy. Shave or cut the hairs on the front of the scrotum. Call us for any questions.

The procedure may cause some mild pressure, but patients rate their discomfort in the 1-2 range. This discomfort last about sixty seconds.

The no-needle procedure means the anesthetic is administered with a spray! It is a gentle and effective method to numb the area.

We offer nitrous oxide at the time of your vasectomy if you are very nervous. This is offered on select days. If we prescribe Valium, you will need a driver.

On the front of the scrotum.

We suggest waiting at least 5 days before returning to light running.

We suggest waiting 5 days before hitting lightly. You can get back to full speed games in 7-10 days based on your pain tolerance and swelling.

We suggest waiting at least 7 days before returning to playing pickup basketball. We also suggest minimizing any contact to the scrotum or groin area. You can return to light shooting 5 days after your procedure.

We suggest waiting a full 7 days before returning to lifting weights over 30lbs. You can do body weight work 5 days after your procedure.

You will see the little puncture entry site. You might see some scrotal wall bruising. You might feel some temporary thickness inside on the cord.

Yes, unless you take Valium.

Tylenol will take care of the pain in 99% of patients.

A v-shaped metal clip is placed against the vas deferens. This clip stops the sperm flow. No, the clips are securely fastened to the vasectomy and the body forms an adhesive cap over the end of the vasectomy.

Yes, if you examine yourself very carefully you might feel a little pea size bump.

Most couples have no problems reengaging in sex in 7-10 days.

Yes, you will experience a 10% decrease in volume of the ejaculate.

You can shower normally the day after your vasectomy.

We suggest waiting 10 days before returning to full contact MMA or BJJ due to the potential of any accidental hits to the scrotum. We always suggest training with a cup on.

You can return to golfing 5 days after your procedure, but we recommend you wait if you have any pain. Please be cognizant of the torque while you swing!

We recommend 2 to 3 days before returning to travel.

Eight weeks and ten weeks. If you have a conflict, then you can readjust the date. Continue with an alternative form of birth control until you get word from us that your semen analysis is clear.

No, our office will provide the cups and the lab slip. The sample can then be dropped off at the lab. We will contact you within 5-7 days regarding the results. We recommend that the patient have two negative tests prior to discontinuing contraception.

No, and you can also have an MRI without problems.

One in one hundred men will not clear their ejaculate of sperm and will need a repeat vasectomy. One in 3000 men can have sperm present even after the 8-week semen test shows zero sperm.

Dr. Russel Williams has performed over 15,000 vasectomies, conducting about five to fifteen per day.

This is a medical term that describes the tubes being full of sperm after the vasectomy. This condition rarely occurs but might present as a dull ache to the testicle.

Blood accumulation (internal bruising) around the vasectomy site. This is treated with pain meds and allowing the bruise to be absorbed.

Vasectomies have been done for generations. The no-scalpel vasectomy started in the 1980s. The no-scalpel no-needle vasectomy started in the 2000s. Some urologists decide to provide the traditional method which is just as effective as the no-scalpel vasectomy.

We recommend seven days (with birth control).

We recommend 10 days before getting into dirty water?

We recommend seven days before heavy construction lifting.