It is performed in the office setting, under local anesthesia in less than 10 minutes. Studies show fantastic improvement in urinary symptoms for at least five years of more. Urolift® is covered by most insurances in Northern Virginia,performinax-male-enhancement including Medicare. Why not do vasectomies under IV sedation or at surgery center? Because with proper technique and local anesthesia, vasectomy is a truly "simple office procedure.