You may be advised to trim the hair on and around your scrotum. Your doctor should give you a list of instructions in the days leading up to the vasectomy. Your doctor will give you a local anesthetic. You may also be given some medication to help you relax before the vasectomy. For the actual procedure, your doctor will feel for the vas deferens under the skin. Once located, the ducts will be held in place just under the skin with a special clamp from outside the scrotum.
A needlelike tool is used to poke one small hole in the scrotum. The vas deferens are pulled through the holes and cut. Your doctor will then place the vas deferens back into their normal position. After the operation, your doctor will prescribe you some painkillers. Your doctor will also provide instructions on how to take care of the scrotum during recovery. The holes will heal on their own, without stitches. Taking a shower is safe after a day or so, but be careful drying the scrotum.
Use a towel to pat the area gently, rather than rub it. Ice packs or bags of frozen vegetables can help reduce swelling and pain for the first 36 hours or so after the vasectomy. Be sure to wrap the ice pack or frozen vegetables in a towel before applying to the skin.
Avoid intercourse and ejaculation for about a week after the procedure. Also refrain from heavy weightlifting, running, or other strenuous activities for at least a week. You may return to work and normal activities within 48 hours. Some discomfort is normal during the first few days after the procedure. Complications are rare.
If they do occur, they can include:. Another post-vasectomy complication can be a buildup of sperm that forms a lump in your testicles. This is called a sperm granuloma. Granulomas usually disappear on their own, though an injection of a steroid may be needed to speed up the process.
Likewise, hematomas tend to dissolve without any treatment. But if you experience pain or swelling in the weeks following your procedure, schedule a follow-up appointment soon with your doctor. One other important consideration is the possibility of remaining fertile during the first several weeks after a vasectomy. Your doctor may advise you to ejaculate several times in the first couple of months after a vasectomy and then bring in a semen sample for analysis.
Some insurance companies, as well as Medicaid and other government-sponsored programs, may cover the cost entirely. Masson warned. Your sperm count will decrease gradually after a vasectomy. The US National Library of Medicine NLM recommends preventing pregnancy by using another form of birth control until the absence of sperm has been confirmed.
Masson had no hesitations about identifying the biggest myth surrounding vasectomies. You will still be able to have sex and ejaculate, and everything will feel the same. Recovery from a vasectomy is pretty easy. According to the NLM, most men return to work days later, and can resume physical activity in days. Recovery involves a happy pastime: sitting in front of the TV. Peer-to-peer conversation is a great way to realize that vasectomies truly are a good, safe option.
The vas deferens is the tube that allows the sperm to leave each testicle. Each vas deferens is a foot long and goes up and out of the scrotum, into the pelvis, and back around the bladder, where it connects with the urethra. The seminal fluid, or semen, comes from the prostate and the seminal vesicles.
The semen mixes with the sperm from the vas deferens as they enter the urethra simultaneously during an ejaculation. After a vasectomy, the sperm swim up the vas deferens to the site of the vasectomy, where they live a brief life and die.
Most men eventually consider the need for a vasectomy. An IUD intrauterine device is a good option that is temporary and lasts five years, with failure rates around 1 percent. However, an IUD is not always well-tolerated, may have side effects or release hormones, and for some couples may have an unacceptable failure risk. There are only two forms of birth control that a man can control: a condom and a vasectomy. The only certain option that a man can always count on is a vasectomy.
Sedation is not necessary, but some men choose to take an oral sedative in case of anxiety, which I offer all of my patients. If a patient chooses to take an oral sedative, he will need someone to drive him home.
If not, he can drive himself home. It is done while the patient is lying on a clinic bed in my office. The procedure only takes about 20 to 30 minutes. We talk, get to know each other and listen to music during the procedure. I enjoy getting to know all of my patients, and the time we spend together during vasectomy is great for this; it really helps put men at ease. It is minimal in general, but it does depend somewhat on how the procedure is done.
The most painful part is the placement of the anesthetic, so a traditional vasectomy with multiple needle sticks can be painful at first, just like being at the dentist. With the no-needle technique, we use a device to spray the anesthetic on the skin, which feels something like a mosquito bite. After several sprays on either side, numbing kicks in and patients stop feeling that sensation. Many doctors are still performing the traditional type of vasectomy, but the no-needle, no-scalpel variety has many benefits.
The skin turns out to be very thin and stretchy there, so with a poke and a spread with the instrument, we can secure the vas deferens and pull it up through the skin opening to perform the vasectomy. As the vas deferens drops back in, the hole closes back up.
We have a lower rate of complications compared to the previous type of vasectomy, which is now called a traditional or conventional vasectomy.
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