Vasectomy Health Article

Definition

A vasectomy is a surgical procedure performed on males in which the vas deferens (tubes that carry sperm from the testicles to the seminal vesicles) are cut, tied, cauterized (burned or seared) or otherwise interrupted. The semen no longer contains sperm after the tubes are cut, so conception cannot occur. The testicles continue to produce sperm, but they die and are absorbed by the body.

Purpose

The purpose of this operation is to provide reliable contraception. Research indicates that the level of effectiveness is 99.6%. Vasectomy is the most reliable method of contraception.

Description

Vasectomies are often performed in the doctor's office using a local anesthesia. The patient's scrotum area will be shaved and cleaned with an antiseptic solution to reduce the chance of infection. A small incision is made into the scrotum (the sac containing the testicles that produce the sperm). Each of the vas deferens (one from each testicle) is tied in two places with nonabsorbable (permanent) sutures and the tube is severed between the ties. The ends may be cauterized (burned or seared) to decrease the chance that they will leak or grow back together.

Sterility does not occur immediately after the procedure is finished. Men must use other methods of contraception until two consecutive semen analyses confirm that there are no sperm present in the semen. This will take four to six weeks or 15-20 ejaculations to clear all of the sperm from the tubes.

"No scalpel" vasectomies are gaining popularity. Instead of an incision, a small puncture is made into the scrotum. The vas deferens are cut and sealed in a manner similar to that described above. No stitches are necessary and the patient has less pain. Other advantages include less damage to the tissues, less bleeding, less risk of infection, and less discomfort after the procedure.

In some, cases vasectomies may be reversed. However, this procedure should be considered permanent as there is no guarantee of successful reversal.

Preparation

No special physical preparation is required. The physician will first assess the patient's general health in order to identify any potential problems that could occur. The doctor will then explain possible risks and side effects. The patient is asked to sign a consent form which indicates that he understands the information he has received, and gives the doctor permission to perform the operation.