Vasectomy

Vasectomy is an effective form of sterilization for males. It can be offered to any man who wishes to be sterilized, with the understanding that it is intended to be complete and irreversible. The procedure can be reversed, but reversal does not always work, and it is an expensive and difficult operation.

Vasectomy may be performed with local "numbing" medicine or a medication may be given to make the man "relaxed." A urologist does the procedure in most cases, usually in the healthcare professional's office or a surgical center. A urologist is a physician that specializes in treating conditions of the male reproductive and urinary systems.

Numbing medicine is injected under the skin of the scrotum just above the testicle on both sides. The procedure is usually done through a small incision in the scrotum. A "no-scalpel" vasectomy uses just a small puncture in the scrotum. The male tubes that carry sperm are identified. The tubes are then cut or interrupted by various methods. This may or may not involve removing a section of the tubes.

The man will wait in the healthcare professional's office or surgical center for a short time to make sure there are no immediate negative effects. Men can then go home. Mild pain and swelling in the scrotum are common, but usually quite mild. Over-the-counter pain relievers and ice packs can help with discomfort if present.

The wounds need little extra care, and can be kept clean with soap and water. Activity should be limited for a week or two to reduce the chance of bleeding. Within a few weeks, men can generally return to all normal activities.

Because there are still sperm in the vas deferens, it is important to continue to use birth control measures, such as condoms, until semen samples have been obtained at follow up visits and the sperm count is noted to be zero by the lab. The sperm still in the tubes can be ejected during sexual intercourse. This may result in pregnancy for several weeks, or even months, after the operation.

Once the sperm count in the semen is zero, sterilization is complete and birth control measures are no longer needed. If the sperm count does not reach zero after a period of several months the procedure can be repeated. This procedure can often be reversed, but reversal is not always successful. Men need to keep this in mind before choosing this form of birth control.

In rare cases, there can be infection or a hematoma, which is a collection of blood, in the area near where the surgery was performed.