Vasectomy

Vasectomy is a form of male birth control in which the supply of the sperm to the semen is prevented. It is done by cutting and tying the vas deferens that carry sperm. This prevents the sperm from being released in the semen that is ejaculated from the penis. Sperm production is not affected by vasectomy and the sperm produced is reabsorbed by the body. Vasectomy is a permanent, long term and low risk method.

Know More About Surgery

During a Vasectomy, an incision is made in the upper part of the scrotum. A part of the vas deferens which carries the semen is cut at the region it joins the scrotum and is removed. The two ends of the vas deferens are tied and sealed using different methods such as Electrocautery or surgical clips. The incision at the scrotum is then closed by stitches.

There are two methods of performing a Vasectomy:

  • No scalpel Vasectomy- This procedure involves the usage of a clamp instead of a scalpel. This is preferred due to less bleeding, smaller hole in the skin and fewer risks. 
  • Traditional Vasectomy- This is the standard method and involves the usage of a scalpel to access the scrotum and the vas deferens. 

There are several risks of a Vasectomy. There may be a lot of bleeding during the surgery or a blood clot may form in the scrotum. Infection may occur at the site of incision. The scrotum may get injured during vasectomy causing pain and discomfort. There may be inflammation in the epididymis and other tubes. Sperm granuloma may also form due to the leaking of sperm from the vas deferens. Rarely, the vas deferens grows back together which results in the man becoming fertile again. 

After a vasectomy, the patient must keep in mind the following:

  • Avoid engaging in strenuous physical activities for at least 1 week after vasectomy
  • Use an ice pack to suppress the pain and swelling
  • Scrotal support is recommended for 3 days 
  • Pain killers may be prescribed
  • Sexual intercourse should be avoided for at least 1 week after vasectomy
  • Wearing loose underwear

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Vasectomy

Vasectomy is a form of male birth control in which the supply of the sperm to the semen is prevented. It is done by cutting and tying the vas deferens that carry sperm. This prevents the sperm from being released in the semen that is ejaculated from the penis. Sperm production is not affected by vasectomy and the sperm produced is reabsorbed by the body. Vasectomy is a permanent, long term and low risk method.

Treatment

During a Vasectomy, an incision is made in the upper part of the scrotum. A part of the vas deferens which carries the semen is cut at the region it joins the scrotum and is removed. The two ends of the vas deferens are tied and sealed using different methods such as Electrocautery or surgical clips. The incision at the scrotum is then closed by stitches.

There are two methods of performing a Vasectomy:

  • No scalpel Vasectomy- This procedure involves the usage of a clamp instead of a scalpel. This is preferred due to less bleeding, smaller hole in the skin and fewer risks. 
  • Traditional Vasectomy- This is the standard method and involves the usage of a scalpel to access the scrotum and the vas deferens. 

Risks

There are several risks of a Vasectomy. There may be a lot of bleeding during the surgery or a blood clot may form in the scrotum. Infection may occur at the site of incision. The scrotum may get injured during vasectomy causing pain and discomfort. There may be inflammation in the epididymis and other tubes. Sperm granuloma may also form due to the leaking of sperm from the vas deferens. Rarely, the vas deferens grows back together which results in the man becoming fertile again. 

After Procedure

After a vasectomy, the patient must keep in mind the following:

  • Avoid engaging in strenuous physical activities for at least 1 week after vasectomy
  • Use an ice pack to suppress the pain and swelling
  • Scrotal support is recommended for 3 days 
  • Pain killers may be prescribed
  • Sexual intercourse should be avoided for at least 1 week after vasectomy
  • Wearing loose underwear

FAQ Section

1) What is vasectomy?

A vasectomy is a simple surgery done by a physician in an office, hospital, or clinic. The small tubes in your scrotum that transport sperm is cut or blocked off, so sperm can’t leave your body and cause pregnancy. The procedure is very quick and painless, and you can go home the same day. And it's 99.9% effective at preventing pregnancy. Vasectomies are meant to be permanent so in most cases, they can’t be reversed. A person should only get a vasectomy if he is 100% positive that he doesn’t want to be able to get someone pregnant for the rest of his life.

2) What are the types of vasectomy?

There are two types of vasectomies. They are the incision method and the no-scalpel method. No- scalpel methods use clamps and lower the risk of infection and other complications and generally take less time to heal.

3) How is vasectomy performed?

The vasectomy procedure is performed under local anesthesia. The operator feels for the sperm- carrying tubes, or vas deferens, under the skin of the scrotum and holds it in place. Then a special instrument is used to make a tiny hole in the skin and stretch the opening so the vas deferens can be cut and tied. This approach takes less than 20 minutes, produces very little bleeding, and no stitches are needed to close the incision, and men only feel a little discomfort, or in some cases, a slight “tugging” sensation.

4) What are the benefits of a vasectomy?

Vasectomy offers many advantages as a method of birth control for me, and like female sterilization, it is a highly effective and a one-time procedure that provides permanent contraception. And also compared to female sterilization, vasectomy is simpler, more effective, has fewer complications, can be performed on an outpatient basis, and is much less expensive.

5) What happens to sperm after a vasectomy?

After a vasectomy, your testes continue to make sperm, but they now can not leave your body, and when these sperm cells die, they disintegrate and are absorbed by your body.

6) Can I discontinue other birth control methods right away after vasectomy?

No, sperm cells can remain in the vas deferens above the operative site for weeks or even months after the procedure. It usually takes about 15-20 ejaculations after the vasectomy before you flush out any remaining sperm cells from each vas deferens. It is recommended to use an alternative method of contraception during this time. After two to three months you should give a semen sample which will be tested to see if any sperm are still present in the ejaculate. You can not discontinue other birth control methods until you are considered sterile, which will happen after the two post- surgical semen tests.

7) Is a vasectomy 100 percent effective?

No, vasectomy is not 100 percent effective. In rare cases, it is possible for the sperm cells to find their way across the void between the two blocked ends of the vas deferens. This phenomenon is called recanalization, and it generally occurs within the first few months following the procedure. However, the failure rate of vasectomy is very low, and the success rate is as high as 99.9%.

If live or dead sperm continues to appear in the semen samples, or if sperm is discovered after a period of sterility, a repeat vasectomy is required. Luckily, the medical literature shows that this only happens approximately once in every thousand cases, a failure rate far less than for any other form of birth control.

8) Can I have the vasectomy reversed later if I choose?

Vasectomy should be considered a permanent means of birth control as reversing a vasectomy is difficult, expensive and many times unsuccessful. The decision to undergo vasectomy should be considered along with other contraceptive options and discussed with a professional counselor. Men who are married or in a serious relationship also should discuss this issue with their wives.

9) Will the procedure hurt?

A vasectomy usually takes less than 30 minutes and can be done under local or general anesthetic, men usually report feeling a mild to moderate ache in their testicles for a few seconds during the operation.

10) Will you still be able to ejaculate after vasectomy?

Yes, as a majority part of the semen is made in the seminal vesicles and the prostate gland and not in your testicles and only have 2 to 5% of sperms in them, the volume of ejaculate will not be affected by a vasectomy.

11) Will your levels of testosterone fall after your vasectomy?

No, there is no evidence that proves that vasectomy decreases testosterone levels or sex drive.

12) Are people at greater risk of prostate cancer after having a vasectomy?

There is currently no consistent evidence from clinical trials that prove that there is an association between prostate cancer and vasectomy.