Everything you need to know about vasectomy
Vasectomy is a method of preventing pregnancy in men. This operation is performed by closing the sperm tubes, which is one of the simple operations. Today, many people in Iran do this. In this article, to examine how this action is done; We talk about postoperative care and other issues related to vasectomy.
– What is a vasectomy?
– How to perform vasectomy surgery
Care after vasectomy
– The time required to ensure the absence of sperms in the semen
Side effects of vasectomy
– Benefits of vasectomy
Disadvantages of vasectomy
What is a vasectomy?
In this process, the transfer of sperms from the testicles and reaching the semen is prevented. If there is no sperm in the semen, it will be impossible for pregnancy to occur.
In vasectomy surgery, there is no need to remove the testicles and there is no disturbance in the ability of men to produce sperm, by performing this surgery, no changes are made in men’s sexual performance and male characteristics are not changed.
After vasectomy, men will still be able to enjoy sexual activity and will not feel any change in semen output. The only difference that will be created by performing this procedure is that the semen will be devoid of sperm.
Vasectomy is a permanent method of preventing pregnancy and if a man changes his mind after vasectomy and wants to have a child again, it cannot be reversed easily.
Therefore, before vasectomy, a person must make sure that he does not want to become a father under any other circumstances. However, sometimes a vasectomy can be reversed with a surgery, but there is no guarantee that this operation will be successful and the person will be able to have a child again.
Vasectomy procedure
Vasectomy is a comfortable and easy surgery. To perform vasectomy, there are two methods, which are:
1) Vasectomy using a surgical blade and stitching
2) Vasectomy without using a surgical blade
In order to better understand the operation of vasectomy surgery, it is better to first say a little about the male reproductive system and its function.
The testicles are the part of the body that produce sperm and the male sex hormone testosterone. The testicles are located inside a sac called the scrotum. Each testicle is connected to a small and winding tube called the epididymis.
When the sperms are released from the testicles, they enter the epididymis and are kept there for about six weeks until they mature. The epididymis is also connected to the prostate gland by another pair of tubes called the vas deferens. Semen is produced in the prostate and during sexual intercourse, this semen is mixed with sperm and exits the penis.
In the vasectomy method using a surgical blade, first the scrotum (the skin on the testicle) is numbed using an anesthetic that is injected into it. Then, by identifying the vas deferens under the skin of the scrotum, a small incision (usually about one centimeter) is made on the scrotum.
Now, by pulling out the vazdefrance through this hole, they make two incisions on it and remove one centimeter from it. Both sides of the cut vas deferens are closed with thread or clips or with a cautery and then they are returned to the scrotum. Now the incision on the scrotum is closed with stitches. Then they do all these things for the other side (the testicle of the other side).
In the vasectomy method without the use of a razor, which is called NSV (the initials of the words No – scalpel vasectomy), this operation is performed within 5 to 10 minutes after applying local anesthesia using two tweezers. Since the hole created in this method is very small, there is no need for stitches.
Care after vasectomy
For one to three days after the vasectomy, it is necessary for the person to rest completely and limit his movements to reduce the swelling and allow the cut vas deferens to heal. In such cases, most men prefer to lie on their back and raise their legs.
Although this is not necessary. Carrying out vigorous movements, lifting heavy objects and walking a lot increases the possibility of inflammation and bleeding in the scrotum.
Normal people usually feel a little discomfort for a week. Painkillers and anti-inflammatory drugs can be useful in such cases. Using an ice pack every 15 minutes for 15 minutes can help reduce swelling.
The time required to ensure the absence of sperms in the semen
Vasectomy is not an operation by which the results of sterility can be observed quickly and immediately. Sperm can remain in the vas deferens for more than a week, between its sutured ends and the duct that connects to the penis.
In most men, after about 10 to 14 times of sexual intercourse and semen coming out of them, it takes one to two weeks for their ducts to be empty of sperm. Usually, at least two samples of semen should be taken within one week to one month after vasectomy and sent to the laboratory for sperm testing.
When the number of sperms is reported as zero in the test sheet and no sperms are seen in the semen, then it can be said that the vasectomy was successfully performed and the person is sterile. Until then, other contraceptive methods should be used.
Since the sperms make up only five percent of the semen, after the vasectomy operation, the person will not feel any decrease in his semen. Contrary to some rumors, vasectomy does not cause any disruption in the production of the male sex hormone testosterone and does not cause a decrease in libido.
Side effects of vasectomy
Serious side effects of this procedure are very rare. About 10 percent of people will experience more pain, bleeding and inflammation than other people. This may occur due to temporary pressure build-up in the vent. In very rare cases, sperms may be found in the semen even one year after the vasectomy operation.
This situation may be caused by the slow and weak migration of sperms in the vas deferens, or it may indicate that the closed ends of the vas deferens have been reattached to each other. The solution to this situation is to perform a vasectomy again.
Sometimes, a condition called sperm granuloma occurs, in which the remaining sperms gather as a small gland and cause irritation. This condition usually resolves itself with time, however, sometimes it can be surgically removed.
Benefits of vasectomy
* It is a permanent method of preventing pregnancy
* It does not cause a disturbance in sexual activity
* Does not need daily care
* Compared to closing the fallopian tubes in women, the vasectomy method is much easier and cheaper.
Disadvantages of vasectomy
* It does not prevent the transmission of sexually transmitted diseases
* Immediately after surgery, the effect of its sterility is not apparent
* Requires a small surgery
* The ducts may be connected to each other again
* It may not be implemented if you regret doing this action.
February 3, 2012 06:14
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