During a vasectomy, the vas deferens from each testicle is clamped, cut, or otherwise sealed. This prevents sperm from mixing with the semen that is ejaculated from the penis. An egg cannot be fertilized when there aren't any sperm in the semen. The testicles continue to produce sperm, but the sperm are reabsorbed by the body. (This also happens to sperm that are not ejaculated after a while, no matter if you've had a vasectomy.) Because the tubes are obstructed before the seminal vesicles and prostate, you will still ejaculate about the same amount of fluid.
It usually takes several months after a vasectomy for all remaining sperm to be ejaculated or reabsorbed. You have to use another method of birth control until you have a semen sample analyzed and it shows a zero sperm count. Otherwise, it is possible to still get your partner pregnant.
What HappensIn a vasectomy:
• Your testicles and scrotum are cleaned with an antiseptic and probably shaved.
• You may be given an oral or intravenous (IV) medication to reduce anxiety and make you sleepy. If you do take this medication, you may not remember much about the procedure.
• Each vas deferens is located by touch.
• A local anesthetic is injected into the area.
• Your doctor makes one or two small openings within your scrotum. Through an opening, both vas deferens tubes are cut. The 2 ends of the vas deferens are tied, stitched, or sealed. Electrocautery can be utilized to seal the ends with heat. Scar tissue from the procedure helps block the tubes.
• The vas deferens is then replaced inside the scrotum and the skin is closed with stitches that dissolve and don't have to be removed.
The treatment takes about 20 to 30 minutes and can be carried out in an office or clinic such as Metropolitan Urological Services in St. Louis, MO. It may be done by a family medicine doctor, a urologist, or a general surgeon.
No-scalpel vasectomy is a method that utilizes a small clamp with pointed ends. Instead of using a scalpel to cut the skin, the clamp is poked through the skin of the scrotum and subsequently opened. The benefits of this procedure include less bleeding, a smaller sized hole in the skin, and fewer complications. No-scalpel vasectomy is as effective as regular vasectomy.
In the Vasclip implant procedure, the vas deferens is locked shut with a device known as a Vasclip. The vas deferens is not cut, sutured, or cauterized (sealed by burning), which possibly reduces the potential for pain and complications. Some research shows that clipping isn't as effective as other ways of sealing off the vas deferens.
What You Should Expect After Surgery
Your scrotum will be numb for 1 to 2 hours after a vasectomy. Apply cold packs to the area and lie face up as much as possible for the rest of the day. Wearing snug undergarments or a jockstrap will help ease discomfort and protect the area.You may possibly have some swelling and minor pain in your scrotum for a number of days following the surgery. Unless of course your work is strenuous, you'll be able to return to work in one or two days. Avoid heavy lifting for a week.
You can go back to sexual activity when you are comfortable, normally in about a week. But you can still get your partner pregnant until your sperm count is zero. You should use another method of birth control until you have a follow-up sperm count test 2 months after the vasectomy (or after 10 to 20 ejaculations over a shorter period of time). When your sperm count is zero, no other birth control method is needed.
Most men go back to the physician's office to get their sperm count checked. But there is also a home test available.
A vasectomy will not affect your sex drive, capacity to have erections, feeling of orgasm, or capability to ejaculate. You may have occasional mild aching in your testicles in sexual arousal for just a few months following your surgery. If you think that a vasectomy may be something worth exploring for you or your partner, get a hold of Metropolitan Urological Specialists and set up an appointment. Metropolitan Urological Specialists serves St. Louis, Creve Coeur, Florissant, and Kirkwood, MO with the latest in non-invasive surgical and nonsurgical urological solutions.
No comments:
Post a Comment