During a vasectomy, the male vas deferentia are cut and tied or sealed so as to prevent sperm from entering into the urethra, thereby preventing fertilization of a female through sexual intercourse. (The vasa deferentia are tubes that carry sperm from the testicles to the urethra, where it mixes with semen)
Vasectomy is a procedure that doesn't provide immediate protection against pregnancy. It is imperative to use an alternative form of birth control until it is confirmed by your doctor that there are no sperm in your semen.
Also, post-vasectomy, you will need to wait for several months or longer and ejaculate 15 to 20 times or more to clear any sperm from your semen, before indulging in unprotected sex.
Vasectomy won't protect you or your partner from sexually transmitted infections.
It is done in men who do not wish to father a child in the future.
Getting a vasectomy is usually really safe. But like all medical procedures, the risks associated could be temporary pain, bruising, and infection, which all get better in a couple of days.
Very rarely, the cut ends of the vas deferens could grow back together, which would lead to a pregnancy.
A potential concern is that you might change your mind later about fathering a child. Reverse vasectomy is possible but does not guarantee desired results, is more complicated and even more expensive.
A vasectomy usually does not cause any side effects. Serious complications are rare. Still, possible side effects right after the surgery may include the following:
Preparation for vasectomy involves:
Food and medications: You may be instructed to not take some specific medicines during the preparation phase. This includes nonsteroidal anti-inflammatory drugs and other blood-thinning medicines such as over-the-counter pain medicines.
Clothing/personal items: You can bring an athletic supporter or a pair of tight-fitting underwear to wear post-procedure. This provides support to the scrotum and minimizes swelling.
Other precautions: Shower/bathe on the surgery day, wash the genital area thoroughly, and trim hair if required.
Do arrange for a ride back home, as driving can cause movement and pressure on the surgery area.
Your doctor will inform you of the procedure, recovery, possible complications, and the related dos and don'ts.
It is, however, advisable to inform your doctor of the medications you are already on, to know if they can be of any critical issue during the surgery.
During the initial appointments, the doctor also discusses with you the permanency of vasectomy, whether you have children, your partner’s opinion about the decision, and other birth control methods available.
The two procedures are as follows:
No-Scalpel Procedure
In no-scalpel vasectomy (NSV), a sharp instrument is used to make a small puncture/opening in the scrotum.
Gently through this puncture, the vasa deferentia are pulled out and cut. The cut ends are then sealed, clipped, tied, or stitched. The vasa deferentia are then placed back in the normal position.
The benefits of NSV are it can be done more quickly than a conventional vasectomy and requires no sutures to close up incisions. Though, surgical glue or stitches might be used to seal the openings.
A no-scalpel vasectomy therefore also means less pain and bleeding.
Conventional Vasectomy
In a conventional vasectomy surgery, an incision is made in the upper portion of the scrotum to reach the vas deferens. The incision is made on both sides of the scrotum.
The vasa deferentia are pulled out gently and cut, and either end is clipped, stitched, sealed with heat (cauterizing), or tied. A combination of methods may also be used for sealing the vas deferens.
The wound too is closed with surgical glue or stitches.
The no-scalpel treatment is promising of -
Less pain, bleeding, bruising, and infection
The no-scalpel procedure uses a needle to perform the procedure (no incisions involved) and therefore there is less pain, minimal bleeding (during the procedure), bruising, or infection.
Faster recovery
Men can return to work fairly quickly (mostly between 2-5 days) after a no-scalpel procedure, whereas the conventional method takes time to allow the incisions to completely heal.
Moreover, NSV is less invasive, more common, doesn’t need sutures, and carries less risk of hematoma (blood collection in tissues).
However, the two procedure types are similar in ways that they both take 20-30 minutes to complete and allow same-day discharge.
No-scalpel vasectomy Vs Conventional (Traditional Vasectomy)
Parameters | No-scalpel vasectomy | Conventional Vasectomy |
Duration | 20-30 minutes | 20-30 minutes |
Discharge | Same day | Same day |
Invasiveness | Less invasive | More invasive |
Sutures | Not needed | Required |
Bleeding | Minimal bleeding during the procedure | More bleeding during the procedure |
Complications | Less swelling and bruising, faster healing | More soreness, bruising and swelling lasting longer |
Infection risk | Less risk of hematoma and infection | More risk of hematoma and infection |
Time required to resume activities | Fairly quickly | Time is needed |
Recovery time | A few days | At least a week |
Popularity | More common | Less common |
You should call the doctor right away in the following scenarios:
A vasectomy, as mentioned in the beginning, is not an immediate protection against pregnancy. You should even apply other forms of protection to prevent any sexually transmitted infection. After 6-12 weeks post-surgery, your doctor will examine your semen sample to ensure there is no sperm in it.
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 tasks of finding the best hospital, the finest doctor, and the latest procedure at the lowest costs. Let us take charge while you sit back and focus on your health & recovery. Think surgery! Think Medfin!
The main post-operative risk is with bleeding in the first 6-12 hours, you will be given a prescription for pain medication on the day of your procedure. Preferably apply an ice pack to the scrotum that will help reduce the swelling in the first one or two days.
In a couple of days, you should be able to get do normal activities without difficulty, but avoid vigorous exercise, bike riding for a week. Within 2-3 days, you will be able to return to work.
The risks of vasectomy are bleeding, infection, inflammation and chronic pain. Vasectomy does not have a major consequence on a man's long-term health.
Birth control methods need to be taken by patients during intercourse until their doctor tests the semen and confirms there are no more sperm present.
Vasectomy is meant to be permanent. The chances of a successful vasectomy reversal vary a great deal. Although possible, vasectomy reversal is an expensive process and harder to carry out.
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