Conventional Vasectomy Surgery in Korba

Conventional Vasectomy (male sterilization) is a permanent method of birth control in males who do not want to father more children. It is an invasive surgical procedure in which the vas deferens (tubes transporting the sperm from the testicles to the penis) are cut and sealed. Vasectomy is an effective method of male contraception (a form of male birth control) with a >99% success rate. 

A Conventional vasectomy is a minor, outpatient male sterilization procedure to cut and seal your vas deferens.  In a conventional vasectomy method, the surgeon uses a scalpel to make an incision on your scrotum (a part of the male reproductive system located beneath the penis that contains and protects the testes) to access the vas deferens. Each testicle contains a tube that carries the sperm to the penis, known as the "vas deferens." The testes (plural) are two egg-shaped glands inside the scrotum containing sperm.

Vasectomy is an outpatient procedure and can be done by 4 approaches-

• Conventional vasectomy- It is a minor procedure in which the surgeon makes cuts on the scrotum to cut and seal the vas deferens.
• No-scalpel vasectomy- In this procedure, the surgeon does not use the scalpel to perform the procedure.
• Vas Clip Vasectomy- The vas deferens are clipped instead of cut and sealed in this technique, hence the name.
• Laser vasectomy- The surgeon uses a laser beam to seal the vas deferens.

• It is a permanent sterilization method, meaning you do not have to use contraception during intercourse after getting a vasectomy.
• After getting a vasectomy, your sex drive will not be affected. You will be able to have intercourse, ejaculate, and produce semen, but your semen will be devoid of sperms (you will not be able to make your partner pregnant; pregnancy occurs when the sperm from the male fertilizes the egg released from the female). Hence, you cannot father any children.
•  Vasectomy is a permanent sterilization method, so be sure before getting it done, as it cannot be reversed.
• A Vasectomy will not protect you against sexually transmitted infections (STIs), so always use a condom during intercourse. 
   

Conventional vasectomy is recommended if:

• You are sure that you do not want any children in the future.
• You are over 30 years old and have children.
• Getting your partner pregnant would cause risk to her health (she would have medical problems if she becomes pregnant) 
• You and your partner have a genetic disorder ( to reduce the chances of the offspring inheriting the disorder) 

You should not get a conventional vasectomy if:

• You are indecisive about having children in the future
• You have other partners/ are planning to have other partners in future
• You want a reversible method of birth control

Undergoing a conventional vasectomy procedure may be stressful, so discuss it with your partner and your surgeon before deciding. Planning in advance (before the surgery) will ease the tension.

A few days before the procedure:

• Your doctor will review your medical and family history to understand why you are opting for the procedure and will perform a physical examination.
• Your doctor will ask you to discuss this with your partner before consenting to the procedure.
• Your doctor will also discuss your sexual history to counsel you and determine whether it is the right procedure.
• Your doctor will also inform you about the benefits, risks, and aftercare that needs to be taken after a conventional vasectomy.
• Inform your doctor about medications, vitamins, herbs, or supplements you may be taking or any medication allergies.
• Your doctor may ask you to stop certain medications like blood thinners one week before the procedure to prevent bleeding during or after the procedure.
• You will be advised to do routine blood tests, urine examinations, chest X-rays, and electrocardiograms (ECG) to assess your overall condition before the procedure.
• You would be advised to have a light meal the night before the procedure.
• You must arrange for someone to drive you back home as you will be drowsy from the effect of anesthesia.

On the day of the procedure:

• You should shower at home before coming to the hospital.
• You should wear comfortable cotton and loose clothing
• You should remove any jewelry and make-up before coming for the procedure
• You would be asked to bring a supportive undergarment to wear after the surgery.
• You would be made to sign a consent form stating your consent for the surgery.
• Your scrotal hair will be trimmed before the procedure by the hospital staff.

Vasectomy is a quick outpatient procedure that takes about 30 minutes. It is usually done at the hospital by a skilled urologist (a doctor specializing in diseases of the male reproductive tract and the urinary system) under local anesthesia, meaning you'll be awake during the procedure and feel no pain.

• You will be asked to empty your bladder before the procedure.
• You will be wheeled into the operation theatre (OT) and made to lie supine on the OT table.
• Your surgeon will inject a local anesthetic into the scrotal area. This will numb the area, and you will not feel any pain. Your surgeon may give you a mild sedative to ease your anxiety.
• Your surgeon will make a small incision (cut) on the upper part of the scrotum to access the vas deferens in the testicle. 
• The vas deferens will be located. A small piece will be cut, and the cut ends of the vas deferens will be tied together by using heat (cauterization), surgical clips, or by inserting a tissue between them.
• The surgeon will repeat the same procedure on the other vas deferens
• The cuts on the scrotum will be closed with dissolvable sutures (stitches) or surgical glue may be used.

After the surgery, you will be shifted to the postoperative care unit (PACU), where your vitals (pulse, heart rate, respiration, and blood pressure) will be monitored. Ice packs will be applied over the area to reduce swelling, and painkillers will be given for relief. Once your vitals are stable, you will be allowed to go home. Your surgeon with instruct you on the care to be taken at home:

• You will be advised bed rest for 24 hours.
• You may have swelling, pain, and bruising over the incision site, which usually will subside within a few days with medications. 
• Add ice packs to the scrotum for the first two days to reduce the swelling. Do not apply ice directly on the wound, as it may cause an ice burn. Take ice cubes and keep them in a plastic bag. Wrap a towel on the plastic bag and then apply it.
• Keep the incision site clean and dry. 
• Support your scrotum with a bandage and tight-fitting underwear for at least 48 hours after your vasectomy.
• Limit any strenuous activity such as weight lifting and jogging for at least 1 week. You can start walking and light exercises after 2 to 3 days.
• Refrain from intercourse/ejaculation for one week. After a week, it is advisable to use another method of contraception while having intercourse until cleared by your surgeon.
• You can resume work the next day after the procedure.
• Your surgeon will ask you for your semen sample to test for the presence of any sperm. If it is negative, then the procedure is considered successful.

Conventional Vasectomy is a safe and effective procedure with many benefits. If proper care is not taken during recovery, some complications may develop.

Benefits of Conventional Vasectomy

• It is a safe, effective, permanent, and reliable method of birth control.
• It is a quick procedure done under local anesthesia that takes 30 minutes - you can go home the same day.
• There is no risk of complications developing after anesthesia as general anesthesia is not used (performed under local anesthesia).
• The procedure does not affect your overall health.
• Your sexual drive and ejaculation are not affected.
• Recovery is quick and takes a week.

Risks of Conventional Vasectomy

Complications of conventional vasectomy are not serious and uncommon but sometimes can include:

• Infection at the incision site with inflammation and bruising of the area. 
• A feeling of discomfort and pain in a testicle
• Formation of a sperm granuloma (a hard lump or inflammation caused by leakage of the sperm), spermatocele (a cyst in the tube that collects sperm), or a hydrocele (a sac of fluid around a testicle causing swelling in your scrotum).
• Epididymitis (inflammation of the duct behind the testicles through which the sperm passes to the vas deferens.
• Vasovenous fistula (when multiple blood vessels adhere to the vas deferens, causing injury).
• Failure of the procedure ( when viable sperm are seen in the semen sample after vasectomy).

Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital, the finest doctor, and the latest procedure at the lowest cost. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin!