"I think it's hard to convince men, in general, to get health care," said Neal. "You get these 20, 30, or 40-year-olds who seek health care with a lot less frequency than women do in the same age group… so a lot of men will go undiagnosed with hypertension (high blood pressure) and heart disease."
However, Neal said once men enter his office the majority go through with the procedure.
While more clinics are offering March Madness specials each year, the link between March Madness (or Vas Madness as an Austin, Texas office calls it) hasn't reached all parts of the country yet.
"From my experience in my geographic area, the top two scenarios are if it's the end of the year, and they've met their deductible and they're trying to fit it in… -- that's probably the biggest spike in the year," said Dr. Wayne Kuang, of the American Urological Association, who practices in Albuquerque, N.M. and a professor at the University of New Mexico.
The other scenario is if the wife recently gave birth, and the couple has agreed it will be their last child, he said.
But Kuang didn't doubt that many of his patients who follow doctor's orders to rest will be watching the game.
"It's a great marketing scheme; we always recommend that you go home and lay low and on your easy chair," said Kuang.