Reproductive Health Issues

Is A Vasectomy Performed?

How is a vasectomy operation done? What exactly does the procedure entail?

Overview

A vasectomy is meant to prevent fertility in men. But though the end result is not easily reversible, the process itself doesn’t require hospitalization. Rather, it is simple enough to be completed within 30 minutes, and the patient can subsequently be followed home following a recovery period of about one hour.

Planning

Before going in for a vasectomy, it’s advised that you arrange for a friend of family member to accompany you in the event you feel any discomfort following the procedure and need someone to drive you home. You should also shower the day of the operation, and perhaps even shave your scrotum. Some physicians also recommend that you bring a jockstrap or a set of cotton briefs into the hospital. Eat lightly beforehand.

It’s also advisable to avoid taking certain medicines before your procedure (ask your doctor for a list), since these drugs can cause bleeding.

The Procedure

Upon entrance, a local anesthetic will be administered into a scrotum prior to the surgery. After the anesthesia has taken effect, the vas deferens (the part of the male reproductive system which conveys your sperm to the ejaculatory ducts) will then be operated on, one at a time.

During this operation, a scalpel will be used to create two small incisions, one on both sides of the scrotum.

This provides access to the vas deferens, so they are sometimes attracted to the surface for surgical removal. They will then be cut out, and at least one side is going to be sealed by suturing, cauterization, or clamping. All done!

Methods

This is the most common method of performing of vasectomy, even though there are other variations on this procedure.

1 such variant is that the no-scalpel vasectomy, through which a unique surgical tool is utilized to intercept (instead of cut) skin. Via this smaller gap, the two tubes are tied away, cauterized, or blocked. This process doesn’t require any sutures. This is a popular option among men who would prefer to avoid the use of a scalpel.

Another alternatives exist, including the use of no-needle anesthesia, an open-ended vasectomy, or vas irrigation (a procedure by which sterile water or some other fluid that kills sperm is injected into the vas deferens).

The intended result of a vasectomy, however, is always the same. The guy gets sterile by maintaining his sperm from the seminal fluid. While the sperm continues to be produced in the testes, they are then absorbed into the body without any ill effects. This indicates is you will still ejaculate fluid as before however, since there is no longer sperm on your ejaculate, there is not any danger of an unwanted pregnancy.

Post-Procedure

Your physician will give you instructions about the best way to take care of your own vasectomy. These usually include keeping the area clean. Your doctor will inform you if it is fine to get the area wet. You ought to watch for any signs of infection such as a fever, redness or tenderness near your incision.

Following your own vasectomy you’ll want to use backup contraception for a time period, usually a certain number of ejaculations. Since half of unsuccessful vasectomy processes (failure to prevent pregnancy) happen in the first three months, it’s important to follow these directions closely. The World Health Organization recommends having a backup for of birth control for the first three months after the process.

Possible Complications and Side Effects

Like any surgical procedure, there’s a small risk of complications and side effects of a vasectomy. Some of them include:

  • Vasectomy failure – The failure rate of a vasectomy (failure to prevent pregnancy) was stated to be between 0.2% and as high as 5 percent. According to the CDC, the average probability of collapse is 11 out of 1000 processes over a period of 2 years. Half of these failures occur in the first few months.
  • Granulomas – A uncommon reaction may occur in which a little lump develops because of leakage of sperm where the incision happens in the vas deferens. This could possibly be treated with anti inflammatory drugs or even a vasectomy reversal if it persists.
  • Epididymitis – Swelling of the epididymis may occur but usually resolves within one week.
  • Erectile dysfunction – Having a vasectomy doesn’t reduce libido. Sperm account for only one percent of semen volume, so the volume won’t appear to modify. On occasion, changes in sexual function may occur, but these are primarily psychological in nature and not associated with physical changes from the vasectomy.

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