Saturday, December 16, 2017
Vasectomy

A vasectomy is a permanent sterilization method for adult males. The 40-minute surgical procedure involves excising and cauterizing the vas deferens tube segments to prevent sperm from traveling into the prostate.
Family Planning Center provides vasectomies to competent adult males seeking permanent sterilization. The 40-minute surgery is generally performed under local anesthesia; however, Family Planning Center offers the patient the option to have additional IV sedation. Family Planning Center also allows the patient to have a partner, friend, or parent present throughout the surgery.
Preparation

Family Planning Center requests that each patient attend a brief counseling session before the surgery. It is importans that a patient wanting a Vasectomy:

Clearly understands that the procedure is a permanent birth control solution
Clearly understands that the procedure is potentially irreversible
Clearly understands all other available options for birth control
Prior to the surgery, the patient is encouraged to wash his genital area thoroughly with a mild soap and water. Shaving the pubic region is not necessary.


Procedure

The procedure begins with the man undressing from the waist down and lying on the operating table. Then, the physician tapes the penis upward onto the abdomen and preps the genital area with Betadine antiseptic. Next, the physician injects a local anesthetic under the skin into the scrotum, and makes a single, midline, 1/2-inch vertical scrotal incision. Then he anesthetizes each vas deferens tube and pulls them through the incision. This allows him to excise the tube segments and cauterize the ends. Finally, the incision is closed with two small stitches.

Most patients are able to return to light work the day after surgery.


Sperm and Ejaculation Results

The patient's testes will continue to produce sperm after the surgery; however, the sperm are unable to enter the penis because the vas deferens tubes have been surgically blocked. So, instead of the sperm being released from the body by ejaculation, they are naturally reabsorbed into the body.

Additionally, the patient's ****ic climax should remain unaffected and the amount of ejaculate secretion should remain the same. The prostate and seminal vesicles still produce fluids, so the patient's semen should look and feel the same as it did before the surgery.

It typically takes several weeks and numerous ejaculations for a patient's semen to be free of sperm. This is because numerous sperm remain in the prostate after a vasectomy. Therefore, the patient should use another effective method of birth control until he has a negative sperm check. Family Planning Center includes in the cost of the vasectomy a sperm check following the procedure after the patient has had a minimum of 10 ejaculations.


Sex Drive

Having a vasectomy will not affect a patient's sex drive and usually allows him to feel just as much of "a man" as he was prior to the operation. The patient will continue to produce normal levels of hormones, which are secreted into the bloodstream. The presence of the hormones allows the patient to continue having erections and ****s, as he was able to prior to the surgery. Additionally, having a vasectomy does not make sex less enjoyable for the patient. In fact, the patient might experience heightened sexual pleasure following the procedure because he no longer has to worry about pregnancy.

Possible Complications
As with any surgery, the patient might experience one or more complications. Known complications for a vasectomy that can be experienced include but are not limited to:

Delayed bleeding inside the penis with hematoma (blood clot) formation (although re-operation to control bleeding is seldom necessary)

Swelling, discoloration, and prolonged discomfort that is usually controlled by applying cold packs on the incision

Infection (this is unlikely considering the sterile procedure followed during the surgery; however, should the patient experience redness, soreness, along with a fever, the physician would prescribe an antibiotic to counter the infection)

A feeling of impotence, depression, or damage (this is why the patient must be certain that he does not want to have any future children)

An unsuccessful result (this could occur from imperfect surgical technique, or in rare cases, a duplicate vas deferens on one or both sides)

Sperm granuloma: this is a very rare problem where a "puddle" of sperm and fluid leaks out of the cut tube end and causes swelling on one side of the scrotum. This will eventually reabsorb into the body, but might increase and decrease for weeks or months following the procedure. Sometimes, reconnection with the other end of the tube occurs and sperm continue to reach the prostate gland. Thus, sperm check follow-up is important.


Post-operative Instructions

Family Planning Center endorses fast and healthy recovery for every patient having an in-office surgery. Patients having vasectomies should follow the post-operative instructions below and call the clinic if they experience any complications.

    1. Use another birth control method until we advise you that you are sterile! You will NOT be sterile immediately after the procedure because you will have sperm stored in your prostate gland. To ensure sterility, you must bring a fresh semen sample (not more than 8-12 hours old and kept at room temperature) into the office for a sperm count.

    2. Do not wet your wound for 24 hours following the vasectomy. This is necessary to prevent infection.

    3. Completely avoid heavy lifting and straining for the first three days following your surgery. This is because heavy lifting and straining can increase venous pressure and cause excessive bleeding.

    4. Change your Band-Aid as often as necessary to keep the incision clean and dry.

    5. Never apply Vaseline to your wound.

    6. You may wear scrotal support for one week after the vasectomy (especially if you have a loosely suspended scrotum and/or testicles).

    7. After each shower, remove your Band-Aid and cleanse the wound with rubbing alcohol (70% Isopropyl), dry the wound, and apply a fresh Band-Aid.

    8. Remove your stitches 8 days after the surgery. To remove the stitches: a. Pull each stitch upward with tweezers b. While holding the stitch up, use a razor blade or fingernail clipper to clip the stitch thread on one side just below the knot.

    9. Use your best judgment on when to begin having sex again. Some experts recommend abstaining from sex for 7-10 days after a vasectomy, while others say patients may begin engaging in sexual activity after 24 hours of the surgery. Be guided by how you feel.

    10. It is normal to experience a dull aching in the groin for approximately 24 hours after a vasectomy. If you experience this symptom, apply an ice pack to the incision for 15-20 minutes as necessary. This will help relieve swelling and discomfort. You can also take Naproxen Sodium (Aleve) or Acetaminophen (Tylenol) for pain relief as directed by the manufacturer. However, if you suspect that you have a fever, check your temperature prior to taking any pain medication. If you are running a fever, call your physician.

    11. It is NOT normal to experience pressure or aching in the testicles. This symptom indicates that there is bleeding. If you experience this symptom, apply an ice pack to the incision for 15-20 minutes and call your physician immediately.