NO - SCALPEL VASECTOMY
Vasectomy is a small procedure, but a large decision. Before you actually have a vasectomy, you should think about it carefully, because a vasectomy is designed to be permanent. If you are sure you want no more children in the future, vasectomy may be an excellent choice.
Vasectomy relieves the man and woman from fear of pregnancy. In today's world, it is important for men to have a responsible role in birth control. More than 500,000 vasectomies and 500,000 tubal ligations are performed in the United States each year. Vasectomy is safer and more cost-effective than tubal ligation, with fewer complications and a lower failure rate. The few failures (1 in 1,000 or less) can be found by postoperatively checking semen. In the United States, 10 to 15 women die each year after undergoing tubal ligation. No man has ever died from vasectomy. If more men had vasectomies, health care costs could be reduced and complications minimized.
Vasectomy simply blocks the travel of sperm to the penis. Vasectomy prevents the sperm from getting out of the man's body. It does not cause voice changes, hair loss, impotence, or loss of sexual desire. Male hormones are not affected by vasectomy, and they continue to circulate normally.
The no-scalpel method has a major psychological advantage: it is far less frightening to the male patient.
First the doctor gives an injection of local anesthetic into the skin of the scrotum (the sac holding the testicles). This may feel like a brief pinch. The anesthetic numbs the area. The doctor then makes a small puncture and stretches it to a half inch opening, gently pulls up each tube (vas deferens) and interrupts it in a way that will permanently block the passage of sperm. The procedure takes about 40 minutes to complete.
You should have a day or two of rest after the vasectomy. You should avoid heavy lifting or other strenuous activity for at least one week.
No. You may experience a few days of mild discomfort, like a pulling or aching feeling in the groin. This discomfort can usually be relieved with ibuprofen (Advil or Nuprin) and good support with tight underwear. Some bruising may occur, but this is perfectly normal. A very small number of men have more serious side effects, such as significant bleeding, infection, or painful leakage. Early reporting can usually prevent any such complications.
That depends: If a couple has been worried about pregnancy, their sex life could improve, especially as they come to trust the vasectomy. The procedure does not change anything, except that there will no longer be sperm in the semen. Sex, orgasm, and ejaculation are not affected. However, if you do not want a vasectomy and are having one because you think you should, or because your partner wants you to, then you may note some resentment. If you have been worried about other facets of your sex life before the procedure, chances are that a vasectomy will not improve those other conditions.
You should wait 5-7 days until some healing has taken place. Use another form of birth control until your semen has been examined and no sperm is present.
It is effective when the semen has been tested and has been found to be free of sperm. A sperm count is usually done 6 weeks after the procedure, and after at least 15 ejaculations.
WHAT HAPPENS IF MY
VASECTOMY IS NOT SUCCESSFUL?
After the procedure, you will need to remain in the office for a short time, and when you leave, you should take it easy for the rest of the day. It is a good idea to take another day or two off work. You may shower the next day. For adequate support, you should wear tight cotton briefs or an athletic supporter for the next two weeks. Some men get bruising that can be quite extensive. This is quite harmless and is caused by leakage of blood under the skin. It fades slowly. Some men ache about six hours after the procedure. Others may begin to ache about five days after the procedure. If swelling or pain persists, or if the incision looks infected, call your physician. If you can let the area heal for seven days before having an ejaculation, you are more likely to have a successful result.
Yes. The sperm are produced by the testicles and they make up only 5% of the semen (the fluid that is produced with ejaculation). The other 95% of semen is produced by other glands that continue to function normally. Unless the semen is placed under a microscope, it is impossible to tell whether or not sperm are present.
In a few cases, a small blood vessel may continue to bleed inside the scrotum, causing bruising or even a larger accumulation of blood. Infection in the scrotum may also occur. Pain after a vasectomy is generally quite minimal: on a scale of 1 to 10, it is rated a 3 or less. Failure rates vary between 1 per 200 and 1 per 1500 vasectomies. In the past there were some concerns that having a vasectomy may increase the chances of getting prostate cancer. After careful review of all the data, several major organizations, including the American Cancer Society and the National Institute of Health, have concluded that there should be no change in vasectomy recommendations. Similarly, there do not appear to be any increased risks of any other diseases.
Vasectomy should always be considered permanent, so do not undergo a vasectomy if you feel there is any chance you will change your mind. Forty to fifty percent of the reversal operations are unsuccessful.
There are many other temporary and reversible options for contraception: condoms, spermicides, diaphragm, IUD, Norplant, contraceptive sponge, and birth control pills.
No. Castration means removal of the testicles. Vasectomy does not touch the testicles and does not reduce the production of male sex hormones.
Perhaps. Some examples are men who feel masculine only when they can cause a pregnancy: men or partners who change their minds a lot: men who may get divorced and then marry someone else who wants children: men who think they might want children later. We will consider performing a vasectomy for any man who has seriously thought about the implications of his decision and who feels quite sure he has had all the children he will ever want. This applies equally to men who are single, married, divorced, widowed, childless, or with families, regardless of age.
There are certain well-established health risks associated with general anesthesia. Because vasectomy is such a simple and quick procedure, we feel that it is unwise to subject our patients to these unnecessary risks. While some doctors use general anesthesia, the vast majority of vasectomies in the United States are performed using local anesthesia.
Only your written consent is required, although it is wise for you to discuss this decision with your partner. Her consent is not required by law. However, we prefer to have her present during counseling if possible.