Vasectomy

Of late a lot of couples are choosing vasectomy as their contraception method. Vasectomy is safe and is only a minimal invasive surgery. The invasion consists of the interruption of the tubes that carry the spermatozoids to the prostate. Spermatozoids are formed in the testicles and then they move to the prostate where they mix with the liquid produced by the prostate along with the seminal liquid synthetized by the seminal glands. During intercourse, following ejaculation, spermatozoids in the semen will attempt to penetrate and fertilize the ova. A vasectomy procedure cuts and closes off these tubes thereby making fertilization impossible.

Preparing for the procedure

Before the procedure is performed it is highly advisable that the patient discusses the situation in detail with the doctor to clarify any concerns he might have about the procedure, the plausible risks involved and potential complications. The doctor will also clearly explain that vasectomy is just a technique of contraception and thus doesn’t affect sexual activity or erection. The testicles will thus continue secreting testosterone (the male sexual hormone) and none of the secondary male sexual features will be affected. Vasectomy won’t have an influence on the quantity or the aspect of the semen produced.
Preparation for the Intervention:

A week before the procedure no aspirin, ibuprofen or other anti-inflammatory or anti-coagulation medication should be consumed to minimize the risk of increased blood loss post-surgery.

The patient is also requested to clean shave the scrotum before the procedure is performed and also asked to bring a pair of snug briefs or an athletic supporter that can be put on after the procedure to mitigate the swelling and provide optimal support for the testicles post surgery.

How it’s done

The procedure usually takes no longer than 30 minutes. What happens during that time?

  • An Anaesthetic will be injected in the scrotum tegument and around the vas deferens so there will be pain or feeling during the surgery; A tiny incision is made to identify and isolate the vas deferens.
  • A small portion of each of the vas deferens will be cut and disposed off.
  • The vas deferens will be sealed off with a cautery or tied
  • Usually no stiches are needed for the puncture incisions as they heal naturally. After the surgery the patient can go home straight away.

However he will be advised to:

  • Put a bag of ice on the scrotum to prevent excessive swelling
  •  Wear tight fitting briefs to ensure the proper support for the scrotum
  •  Avoid sexual intercourse for at least a week after the procedure
  • Use a birth control method when you resume sexual intercourse again, before your next semen analysis as there might be spermatozoids in the upper portions of the tubes
  •  Schedule your semen analysis, usually in 2 months’ time after the surgery

Risks and complications

The primary thing to remember is that vasectomy is an efficient birth control method, but however it doesn’t provide any protection for the sexually transmitted diseases (STD). An important thing to remember is that the vas deferens can reconnect after some time leading to an unplanned pregnancy.

Post-surgery a series of other possible complications can be encountered, however they are very rare. Contact your doctor immediately if you are confronted with any of these symptoms:

  • Excessive bleeding post procedure
  • Local infections with pain and inflammation
  • Pain in the scrotum: it is considered a complication and treated only if it lasts for more than month after the procedure
  • Difficulty in urination
  • Constant Fever post procedure