Vasectomy refers to a surgical procedure for to cutting and sealing the vas deferens. Vasectomy is designed to block the sperms inside the testes, and thus, sperms are not released during ejaculation. It is considered as a permanent method for birth control.
Vasectomy Procedures
There are three ways of performing Vasectomy:
No-Scalpel Vasectomy (Key-Hole Vasectomy)
- During this procedure, the surgeon finds the place of vas deferens by checking the scrotum.
- After this a numbing medication is provided to the patient.
- The surgeon creates a small hole in the scrotum by using a sharp haemostat and pulls the vas deferens via the small hole for cutting it.
- This procedure does not require any stitches and incision is healed quickly.
Open-Ended Vasectomy
- Before this procedure, the scrotum of patient is shaved and cleaned.
- Patient is administered with a numbing medication into the targeted area
- Surgeon makes a small surgical cut in the upper part of the scrotum.
- After this, the vas deferens is tied and cut. However, the testicular end of the vas deferens is not sealed and sperms continue to flow into the scrotum.
- Surgeon closes the incision by using stitches.
Vas-Clip Vasectomy
- Before this procedure, the scrotum of patient is shaved and cleaned.
- Patient is administered with a numbing medication into the targeted area
- Surgeon makes a small surgical cut in the upper part of the scrotum.
- After this, the vas deferens is squeezed shut by using a clip that prevents the flow of sperm.
- Surgeon closes the incision by using stitches.
Duration of surgery
The Vasectomy surgery requires 20 to 30 minutes to get completed.
Days admitted
Vasectomy is performed as an outpatient procedure and patient is not required to stay in the hospital after the procedure.
Recovery
- After the surgery, patient is not required to stay overnight and he/she can go home on same day
- Patients can resume normal work activities in two to three days.
- The swelling and bruising of Scrotum go away in two weeks
- Patients are required to wear scrotal support for 3 to 4 days
Risks
- Bleeding
- Sperm granuloma
- Swelling
- Recanalization
- Infection
- Prolonged pain
- Congestive epididymitis
After care
- Patient can be prescribed pain killers for relieving pain.
- Patients should avoid heavy and stress activities for a week after the surgery.
- Patients should use an ice pack for reducing swelling.
- Patients may feel mild pain for few months during sexual intercourse after vasectomy.
