Vasectomy is a surgical procedure for men in which the vas deferens, which are the tubes that carry sperm from the testes, are severed. Vasectomy is a really safe and permanent way of man contraception and sterilization, even though it can be reversed should the need arise.
Although the written consent of a partner isn’t required, it is important to discuss the performance with a partner.
Responsible physicians will go over the details of the vasectomy process and its consequences. Many will then suggest you take some excess time–often 30 times –to reflect on if this is the contraceptive system you truly want.
A vasectomy is a fairly quick procedure that requires about 30 minutes and is performed with a local anesthetic. This reduces post-operative recovery period and reduces the side effects sometimes associated with a general anesthetic. Local anesthetic also reduces prices.
Following the procedure, a man can go home the exact same day and be back to work within two or three days.
The Vasectomy Operation
A local anesthetic is administered prior to the surgery. The vas deferens are worked on a single at one time. A very small incision is made and also the tube is cut then sutured, cauterized, or clipped, in order to shut them off.
At a no-scalpel vasectomy, a particular forceps punctures (instead of cuts) skin.
In the one tiny puncture, both tubes are tied away, cauterized or obstructed. This procedure doesn’t require any sutures.
Both types of vasectomy have exactly the exact same result: The guy gets sterile because semen is stored from their seminal fluid. The sperm is still produced in the testes but is absorbed into your system with no ill consequences.
What this signifies is you will still ejaculate fluid as before, but it will not have any sperm inside, preventing unwanted pregnancy.
The World Health Organization (WHO) recommends that couples continue to utilize alternate contraception for 3 weeks following the procedure. Two samples of ejaculate from approximately 12 months (or later about 12 ejaculations) will affirm that no sperm are present.
Vasectomy Side Effects and Surgical Infection
Like any surgical procedure, there can be several side effects, but important complications are very rare.
- Pain: Any pain or discomfort should stop after about a week. Most pain will respond well to moderate analgesics.
- Infection: A small amount of redness, bruising and swelling are normal. However, should you develop a temperature, or if the swelling does not return, raises or becomes really painful, always seek medical advice.
- Granulomas: A benign (non-cancerous) bulge can develop as a result of leakage of sperm from the cut end of the vas to the scrotal cells, resulting in an inflammatory response. This lump may be painful or sensitive to touch or pressure and is generally treated with anti inflammatory agents. In a really few of instances, sperm granulomas cause more severe complications; alteration of the vasectomy might be tried to solve this problem.
- Epididymitis: This occurs when inflammation at the website of the vasectomy causes swelling of the epididymis (the tightly-coiled tube connecting the efferent ducts in the rear of each testicle to its vas deferens). Swelling should subside within about one week.
- Abscesses: All these are the result of disease from the operation, or could be picked up post-operatively. Abscesses are extremely rare.
- Erectile dysfunction or diminished sexual desire: These may occur in the form of erection, premature ejaculation or painful sex. The reason may be mostly psychological in nature; the vasectomy may exacerbate preceding difficulties and problems involving sexual partners. Counseling may be required to solve difficulties.
Pregnancy After a Vasectomy
In rare situations, pregnancy has happened after the vasectomy. The causes include a collapse in the surgical process, the person not utilizing additional contraceptive methods from the three months following the process or complications after the vasectomy.
The U.S. Agency for International Development states that failure prices for vasectomies vary from 0.2 to 0.4 percent. The Centers for Disease Control have estimated a probability of failure in 11 per 1,000 processes over two years. Half of the failures occur in the first 3 months after the vasectomy, and recent research indicates that men often fail to go for follow-up semen analysis after their vasectomy.