|Effective Birth Control
Vasectomy is a simple, safe surgical procedure for permanent male
fertility control. The tube (called a "vas") which leads from the
testicle is cut and sealed in order to stop sperm from leaving. The
procedure usually takes about 15 to 20 minutes.
Since the procedure simply interrupts the delivery of sperm it does
not change hormonal function - leaving sexual drive and potency
The "No-Scalpel" Technique
The "No-Scalpel" technique is a technique to do the vasectomy
through one single puncture. This puncture is made into the
scrotum and requires no suturing or stitches.
It represents a significant improvement over conventional vasectomy
techniques in that it is less traumatic and shortens recovery time.
This procedure is done with the aid of a local anesthetic called
"Xylonest". The actual interruption of the vas which is done with
the "No-Scalpel" technique is identical to the interruption made
with conventional techniques.
The "No-Scalpel" technique is simply a more elegant and less
traumatic way for the surgeon to control the vas and proceed
with its interruption.
Risks, Complications, Important Information
As with any surgical procedure, the primary risks of vasectomy are
infection and bleeding. These risks are generally low for this
procedure. It is also important that each patient understand that
vasectomy is approached as an irreversible procedure. While
vasectomy can be reversed surgically at times, its successful
reversal cannot be guaranteed. Also important is the fact that the
vas deferens can grow back together. This is called recanalization
and occurs only rarely - less than 1/2 to 1 percent of the time.
The Effects of a Vasectomy
A vasectomy leaves the patient unchanged except for the fact that
the sperm cord (vas) is blocked. The testes still produce sperm, but
they die and are absorbed by the body. The level of male hormone
remains the same and all sexual characteristics remain the same.
Ability to have an erection is also entirely unchanged.
Preparing for Your Vasectomy
Prior to coming to your doctor for vasectomy you should take a
shower. Don´t shave your scrotum.
You will be asked to sign a permission form
before your vasectomy.
After you undress, the scrotum will be washed and a drape will
be put on you. The anesthetic will be injected into the scrotum at
the site of the vasectomy. This will not be an injection into the
testicle. The anesthetic will prevent you from feeling pain as the
doctor uses a special instrument to puncture the scrotum and
grasp the vas deferens.The vas is then cut and sealed. Through
the same puncture the other side is similarly done.
Following your procedure it is important that you remain off your
feet as much as possible for 24 hours. This is important in
order to minimize the chance of post-surgical complications. The
anesthetic will wear off in approximately 1 to 2 hours after surgery.
You should have someone else drive you home. You may shower at
your leisure. Sexual activity may be resumed in approximately 3 to
4 days. (At this time you are not yet sterile and safe from pregnancy.)
Your doctor will ask you to bring a semen specimen in approximately
10 to 12 weeks after your vasectomy.
This must be checked in order to be assured that the vasectomy
worked and that you are sterile.
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