This is ideal for couples who have completed the family and do not desire any more children. It is a very effective form of contraception. It is a one time permanent procedure. The procedure is relatively easy without major complications. It has to be done by a skilled doctor, under sterile conditions. This is done under local anesthesia that does not require the patient to stay fasting or need hospitalization.
Vasectomy is more cost effective as persons do not require regular contraceptive supplies or medical check ups.
Vasectomy can be reversed though return to fertility is not guaranteed. The reversal surgery is more complicated. Therefore the couple should think very carefully and consider the pros and cons of surgery before embarking on this.
Permanent contraception for a man is called vasectomy. A vasectomy blocks the vas deferens (sperm tubes) so that the sperm will not be able to make a woman pregnant. Sperm are made in a man ín testicles (balls). The sperm move up the sperm tubes to mix with the semen. Semen is the fluid that comes out when a man ejaculates (comes).
Vasectomy stops the sperm from mixing with the semen. After vasectomy, the man will still ejaculate semen but his semen will no longer have any sperm in it. Without sperm, his semen cannot make a woman pregnant. During a vasectomy, the doctor or trained person cuts and ties the tubes to block the path of the sperm. The testicles will still make sperm but the body will absorb them.
No, it does not! It is not castration! Remember, it is only the sperm path that is blocked so that the sperm cannot reach the semen and cannot cause a pregnancy. Otherwise, nothing changes. A vasectomy does not harm the testicles. The testicles still produce the hormones that make men act and feel like men. These hormones pass through the blood, not through the sperm tubes, so the vasectomy does not affect the man’s sexual feelings and manhood.
Two techniques are used commonly for male sterilization. The vas is located, isolated and anchored with the fingers and a local anaesthetic infiltrated into the skin over the anchored segment.
Conventional technique: A 5mm small incision is made in the skin and the vas carefully brought out through this, clamped, and a segment is resected. The cut ends are then tied and left back in the scrotal sac. The skin incision is sutured with absorbable material. One midline or two incisions on either side of the scrotum could be made to approach the vas.
No-scalpel technique: The vas is reached through a puncture in the skin (no incisions). Each vas is ligated and then a substantial portion removed so as to prevent a recanalization. The puncture wound is tightly plastered and the patient is advised to keep it dry for 5 days and then remove the plaster.
After the procedure, plan to stay at home and rest for one or two days (You are entitled to 3 days of duty leave).
Do not do any heavy work or exercise for one week.
You may have some pain, swelling or slight bleeding for a few days. If there is pain take a mild pain killer like paracetamol.
Sexual intercourse can be resumed when the discomfort is over. But contraception is still required as sperms still remain in the semen and sperm tubes up to 20 ejaculations or three months after the operation. Condoms can be used every time, or your spouse can use other methods of family planning during this time. After 3 months there are no sperm in the semen A seminal fluid analysis should be done after 3 months of the surgery to check for sterility.
Wear clean scrotal support for 7 days after the operation.