Vasectomy

Vasectomy at Southland Urology

A vasectomy is a safe and highly effective form of permanent male birth control. The procedure involves surgically severing the vas deferens, the tubes that carry sperm from the testicles, which prevents sperm from mixing with seminal fluid during ejaculation. It is an outpatient procedure that is typically performed in a doctor’s office, and it is a popular option for couples who have decided they do not want to have any more children.

Understanding Vasectomy

What is a Vasectomy?

A vasectomy is a surgical procedure for male sterilization. The purpose of the surgery is to prevent sperm from traveling out of the testicles and mixing with seminal fluid. While the body continues to produce sperm, they are simply absorbed by the body. A vasectomy is a popular and highly reliable form of permanent contraception, with a very low failure rate. It does not affect a man’s ability to have an erection, ejaculate, or have a sex drive, as the procedure only affects the pathway of sperm.

How is a Vasectomy Performed?

A vasectomy is a quick and straightforward outpatient procedure, often performed in a urologist’s office. It typically takes less than 30 minutes. The patient is given a local anesthetic to numb the scrotum, so they remain awake and comfortable throughout the procedure. There are two main techniques: a traditional vasectomy and a no-scalpel vasectomy. In a traditional vasectomy, the surgeon makes one or two small incisions in the scrotum to access the vas deferens. In a no-scalpel vasectomy, a specialized tool is used to make a tiny puncture, eliminating the need for an incision and stitches. Once the vas deferens are accessed, they are cut, sealed, or tied off to prevent the passage of sperm.

The Recovery Process

Recovery from a vasectomy is generally fast, and most men can return to light activities within a day or two. It is common to experience some mild discomfort, swelling, or bruising in the scrotum, which can be managed with a cold compress and over-the-counter pain relievers. It is advised to avoid strenuous activity, exercise, and heavy lifting for about a week to prevent complications. Sexual activity can typically be resumed after about a week, but it is important to continue using another form of birth control.

Is a Vasectomy Immediately Effective?

This is a very important point for men to understand: a vasectomy is not immediately effective. Sperm can remain in the vas deferens for several months after the procedure. Therefore, it is crucial to use other forms of contraception until a doctor confirms that the ejaculate is sperm-free. This confirmation is done through a semen analysis, which is performed a few months after the vasectomy. Your urologist will provide specific instructions on when and how to collect a sample for this test.

Benefits and Risks

A vasectomy is considered a very safe and effective form of contraception. The benefits include its high reliability, the fact that it is a one-time procedure, and that it is much less invasive and risky than female sterilization (tubal ligation). The procedure also has a minimal impact on a man’s sexual function and desire. Risks are rare but can include infection, a hematoma (a collection of blood in the scrotum), or chronic pain. The procedure is usually considered irreversible, so it is a decision that should be carefully considered by a man and his partner. While vasectomy reversals are possible, they are not always successful and are more complex and expensive.