Over 500,000 vasectomy procedures are done each year in The
United States. Vasectomy is a simple, safe surgical procedure for permanent male fertility
control. The tube (called a vas) which leads from the testicle is cut and sealed in order
to stop sperm from leaving. The procedure usually takes about 15 to 20 minutes. Since the
procedure simply interrupts the delivery of sperm it does not change hormonal function
--leaving sexual drive and potency unaffected.
The "No-Scalpel" technique is a technique to do the
vasectomy thru one single puncture. This puncture is made into the scrotum and requires no
suturing or stitches. It represents a significant improvement over conventional vasectomy
techniques in that it is less traumatic and shortens recovery time. This procedure is done
with the aid of a local anesthetic called "Xylocaine" (similar to
"Novocaine"). The actual interruption of the vas which is done with the
technique is identical to the interruption used with conventional techniques. The
"No-Scalpel" technique is simply a more elegant and less traumatic way for the
surgeon to control the vas and proceed with its interruption.
As with any surgical procedure, the primary risks of vasectomy
are infection and bleeding. These risks are generally low for this procedure. It is also
important that each patient understand that vasectomy is approached as an irreversible
procedure. While vasectomy can be reversed surgically at times, its successful reversal
cannot be guaranteed. Also important is the fact that the vas deferens can grow back
together. This is called recanalization and occurs only rarely -- less than 1/2 to 1
percent of the time.
A vasectomy leaves the patient unchanged except for the fact
that the sperm cord (vas) is blocked. The testes still produce sperm, but they die and are
absorbed by the body. The level of male hormone remains the same and all sexual
characteristics remain the same. Ability to have an erection is also entirely unchanged.
Prior to coming to your doctor for vasectomy you should take a
shower. Your doctor may request that you shave your scrotum. You will be asked to sign a
permission form before your vasectomy.
After you undress, the scrotum will be washed and a drape will
be put on you. The anesthetic will be injected into the scrotum at the site of the
vasectomy. This will not be an injection into the testicle. The anesthetic will prevent
you from feeling pain as the doctor uses a special instrument to puncture the scrotum and
grasp the vas deferens. The vas is then cut and sealed. Through the same puncture the
other side is similarly done.
Following your procedure it is important that you remain off
your feet as much as possible for 24 to 48 hours. This is important in order to minimize
the chance of post surgical complications. The anesthetic will wear off in approximately 1
to 2 hours after surgery. You should have someone else drive you home. You may shower at
your leisure. Sexual activity may be resumed in approximately 3 to 4 days. (At this time
you are not yet sterile and safe from pregnancy.) Your doctor will ask you to bring a
semen specimen in approximately 4 to 6 weeks after your vasectomy. This must be checked in
order to be assured that the vasectomy worked and that you are as sterile.
The information contained above is intended for
general reference purposes only. It is not a substitute for
professional medical advice or a medical exam. Always seek the advice
of your physician or other qualified health professional before
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