Vasectomy
Vasectomy is a minor surgical procedure to cut and close off the tubes (vas deferens) that deliver sperm from the testes; it is usually performed as a means of contraception. The procedure typically takes about 30 minutes and usually
A vasectomy is less invasive than a tubal ligation (the procedure used to prevent a woman’s eggs from reaching the uterus) and more easily reversed. An increasing number of couples choose it as a means of permanent birth control.
Male Reproductive System
To understand a vasectomy, it is helpful to understand the male reproductive system and how it functions. The testicles, or testes, are the sperm- and testosterone-producing organs. They are located in a sac at the base of the penis called the scrotum. Each testicle is connected to a small, coiled tube called the epididymis, where sperm are stored for as long as 6 weeks while they mature. The epididymes are connected to the prostate gland by a pair of tubes called the vas deferens. The vas deferens are part of a larger bundle of tissue, blood vessels, nerves, and lymphatic channels called the spermatic cord. During ejaculation, seminal fluid produced by the prostate gland mixes with sperm from the testes to form semen, which is ejaculated from the penis.
Preparation
Preparations that may be required prior to undergoing vasectomy include the following:
- Avoid aspirin products for 2 weeks prior to the procedure. (These medications "thin" the blood and can cause excessive bleeding.)
- Wash the scrotum to help prevent infection.
- Bring an athletic supporter to support the scrotum and minimize swelling.
- Arrange for a ride home if possible to minimize exertion and movement that can exacerbate swelling.
Procedure
A urologist performs a vasectomy on an outpatient basis, usually in the office. The procedure takes about 5-15 minutes. The patient typically remains clothed from the waist up and lies on his back. The scrotum is numbed with one or more injections of local anesthetic (lidocaine), the vas deferen is gathered under the skin of the scrotum, and a small puncture (usually 1 centimeter or less) is made. The vas deferens is then pulled through the same incision, cut in two places, and a 1-centimeter segment is removed. Each end of the vas deferens are surgically cauterized and placed back in the scrotum. Then the same technique is repeated on the other side.
No-scalpel Vasectomy
In the no-scalpel vasectomy, a surgical clamp is used to hold the vas deferens while a puncture incision is made with special forceps. The forceps are opened to stretch the skin, making a small hole through which the vas deferens is lifted out, cut, cauterized, and put back in place. The no-scalpel method is quicker and minimizes postoperative discomfort and the risk for bleeding and infection.
We do “No Scalpel Vasectomy” This 5-10 minute procedure is simple Office based procedure. Read more about this in the link below.
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