What is vasectomy?
Vasectomy is a minor surgical procedure in which the vas deferens, thin tubes that store and transport sperm, is cut and sealed so that the sperm can no longer enter into body through the vas. It is a permanent method of birth control in men and prevent the discharge sperm when a man ejaculates.
Before getting a vasectomy, however, you need to be certain you don’t want to father a child in the future. Vasectomy is considered a permanent form of male birth control.
Vasectomy offers no protection from sexually transmitted infections.
Why is it done?
Vasectomy is a safe and efficient birth control choice for men who are certain they don’t want to father a child.
Vasectomy is nearly 100 percent effective in stop pregnancy.
Vasectomy is an outpatient surgery with a low risk of complications or side effects.
The cost of a vasectomy is far less than the cost of female sterilization (tubal ligation) or the long-term cost of birth control medications for women.
You won’t need to take birth control steps before sex, such as putting on a condom.
How is vasectomy performed?
I use the no-scalpel method to performed vasectomy.It is a technique that uses a tiny sharp clamp rather than a scalpel to puncture the scrotum skin. The clamp is poked through the skin of the scrotum and then opened, the wound is very small and leaves no detectable scar after healing. This technique reduces bleeding, infection and pain, and no stitches are needed.
The vas is then identified on both sides. A section of the vas is detached and both ends of the vas is tied and diathermied. The two ends of the vas is buried in separate fascial compartment to prevent them from combination together again.
The vasectomy can be performed under local anesthetics or general anesthetics depending on patient preferences. Sometimes the surgeon will recommend general anesthesia is the vas is thickened or hard to find on examination.
What are the common complications of vasectomy?
Swelling and minor pain may be felt in the scrotum for some days after vasectomy. Complications that might occur after a vasectomy include bleeding under the skin, infection at the site of incision, sperm leaking from a vas deferens and forming a small lump called sperm granuloma, and chronic pain. In rare conditions, the vas deferens can regrow or re-canalise.
Pain can be present after vasectomy in up to 10% of patients initially possible due to back force from sperm build up. This is usually resolves after 4 weeks. It is rare, but possible to have chronic pain in the long-term after vasectomy. In these people, vasectomy reversal may be necessary
What does your post-operative care include?
Following a vasectomy, you’ll have some bruising, swelling and pain. It usually gets healthier within a few days. Apart from this you should:
- ignore heavy lifting for a week
- Wear snug underwear to support the scrotum
- Get plenty of rest
- Ignore sexual activity for one week
After vasectomy, it usually takes several months for all remaining sperm stored in the seminal vesicles to ejaculate or reabsorb. Alternative methods of birth control must be used, until a semen sample test shows a zero sperm count. Semen test is generally performed at 8-12 weeks following vasectomy.