Twin River Urology is the urological practice of Michael Curtis, MD and Michael Gaffney, PA. We are a General Urology practice with particular specialization in treatment in prostate conditions and minimally invasive vasectomy. Twin River Urology is located in White River Junction, VT and is intentionally not a part of any health system. We seek to provide genuine health care value by offering high quality service, at lower costs then most health systems.
Michael Curtis MD is a Board-Certified urological surgeon who attended Yale University (Undergraduate), Case Western Reserve University (Medical School) and performed his general surgical and urological surgery training at Dartmouth-Hitchcock. He has 30 years of urology experience in Vermont, New Hampshire and Maine, and has also worked for Doctors Without Borders in Bosnia and Bangladesh, with Global Response Medicine in Ukraine, and independently at hospitals in Zambia.
He has performed well over 1000 vasectomies in an office setting using a non-traditional, less-invasive, and much more comfortable procedure.

Michael Gaffney, PA-C, is a certified physician assistant who earned his Master of Physician Assistant Studies from Franklin Pierce University. He completed a one-year otolaryngology residency at Dartmouth-Hitchcock, gaining extensive surgical experience in the operating room. He further expanded his training with a plastic surgery internship in Medellín, Colombia. Michael has also practiced in dermatology, home health, and most recently, addiction medicine. Michael brings this diverse clinical background to urology, where he focuses on delivering attentive, patient-centered care.

Vasectomy is the most dependable option for birth control in men. Having a vasectomy does not affect sexual functioning in any significant way, other than to take away worry of an unintended pregnancy.
Whether you are the father of many children, or the father of none, the choice to undergo a vasectomy is yours. You are encouraged to approach the decision as if this is permanent, and non-reversible.
On the day of the procedure, plan as quiet a day and evening as possible. Plan on refraining from strenuous activities for a few weeks. We welcome and encourage any questions.