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Vasectomy

WHAT IS A VASECTOMY?

Vasectomy is a minor surgery done on males for birth control. It blocks sperm from reaching the semen during ejaculation from the penis. Post vasectomy, the semen shall still exist, but shall have no sperm in it. As a result during intercourse, no sperm enters the women and hence no pregnancy can happen.  

HOW IS THE VASECTOMY DONE? 

Vasectomy is performed in two ways: Conventional Vasectomy and No Scalpel Vasectomy

Before Surgery 

  1. The patient and the urologist decide if full sedation or local anaesthesia is needed for the procedure depending upon the patient’s anatomy, extent of  nervousness or other reasons. 
  2. In the procedure room, the patient’s scrotal area is shaved and washed with an antiseptic solution. 

During the Procedure  

Conventional Vasectomy : 1 or 2 small cuts are made in the skin of the scrotum to reach the vas deferens which is cut and a small piece may be removed that leaves a short gap between the two ends. The urologist sears the ends of the vas, and then ties the cut ends with a suture. These steps are then repeated on the other vas, either through the same cut or a new one. Dissolvable stitches might be used to close the  scrotal cuts or allowed to close on their own.

No Scalpel Vasectomy: The urologist looks out for the vas under the skin of the scrotum and holds it in place with a small clamp. A tiny hole made in the skin is stretched open to  gently lift out the vas deferens. It is then cut, tied /seared, and put back in place.

After the Surgery 

The patient may be a bit uncomfortable after the vasectomy and may need mild pain medications. Though severe pain may suggest infection or other problems, and the urologist needs to be consulted. While, the swelling and pain can be treated with an ice pack on the scrotum and wearing a supportive undergarment. Sex can often be resumed within a week after the procedure under doctor’s instructions. 

WHAT ARE THE RISK FACTORS ATTACHED TO VASECTOMY? 

Right after surgery, there’s a small risk of bleeding into the scrotum.In addition, there is a small risk of  post-vasectomy pain syndrome, which is a steady pain that can follow a vasectomy, most often treated with anti-swelling medicines.. 

CAN THE PATIENT STILL HAVE KIDS AFTER VASECTOMY? 

Yes, but if a patient hasn't stored frozen sperm he may need an additional procedure where the vas deferens can be microsurgically reconnected in a procedure called vasectomy reversal. Alternatively, the sperm can be taken from the testicle or the epididymis and used for in vitro fertilization. Other non-surgical forms of birth control must be tried before vasectomy. 

IMPORTANT INFORMATION 

  1. Ejaculation and orgasm are usually unaffected by vasectomy.
  2. An uncomplicated vasectomy can never cause impotence.
  3. There is a small chance that a vasectomy may fail which occurs when sperm leaking from one end of the cut vas deferens find a channel to the other cut end.

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