Vasectomy
For women, surgical contraception can be a serious procedure with unexpected side effects. For men the option is
less time-consuming and dangerous. In less than 30 minutes, man can have a vasectomy procedure that will render
him almost permanently unable to father children.
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Preparation for vasectomy
Preparation for vasectomy includes the following things.
- Wash and shave the scrotum to prevent infection and to allow surgeon's easier access.
- Bring a pair of athletic supporter or tight-fitting underwear to support the scrotum and minimize swelling.
- Arrange for a ride home to minimize movement and effort that exacerbate swelling
- Before surgery avoid anti-inflammatory drugs, such as aspirin and ibuprofen; they thin the blood and can cause excessive bleeding.aker or slower urination.
Vasectomy types
A surgeon performs a vasectomy on an outpatient basis, frequently in the office. The procedure takes about 30 minutes. The patient typically remains clothed from the waist down and lies on his back. His scrotum is numbed with one or more injections of local anesthetic such as lidocaine, the vas deferens is gathered under the skin of the scrotum, and a small incision (usually 1 centimeter or less) is made.
There are four popular vasectomy procedures.
- In the conventional procedure, the vas tube is cut and the ends are tied, clipped or cauterized.
- In a fascial-interposition vasectomy procedure, after the vas tube is cut and the ends are tied off, the fascial sheath is brought over to create a barrier between them, which adds an extra layer of protection against any unwanted sperm getting into the ejaculate.
- With an open vasectomy, the tube end that runs into the testicles after the vas tube is snipped is not tied off or cauterized, while the other end is. It is said that this method heals with the least amount of discomfort to the patient.
- In a no-scalpel procedure (see the picture), a freezing solution is injected into the scrotal skin alongside each vas tube. Then a small incision is made, and the vas tubes are lifted out to be cut and tied off, cauterized, or fitted with metal clips.
Usually, no-scalpel procedure takes about 15 minutes.
What is the most effective vasectomy procedure?
A conventional vasectomy that includes a fascial interposition is said to be the most effective vasectomy procedure.
The key to fast healing from a vasectomy is to take care of yourself following the next instructions.
The vasectomy recovery time
Vasectomy recovery time is relatively short. The healing period ranges anywhere from two days to a week,
with the patient able to resume most of his day to day activities thereafter.
- Take care to rest for the entire day of your procedure. If you scheduled the procedure on a Thursday or Friday, then you will have the weekend to recover. If you work a manual labor job, you will definitely need that time to heal.
- Don't let your testicles hanging. Wear athletic supportive underwear (not boxer shorts) and a jock strap home from your vasectomy procedure. The pulling will put pressure on them--you want to keep them supported.
- Keep the area iced. Apply a bag of frozen peas to the area over your testicles. The small granules of the peas contour gently around the testes, resulting in better comfort for you. Use at least three bags of frozen peas, two on their way to freezing and one on your testicles.
- Take your pain medication. Your doctor may give you a short term supply of pain medicine to help with the initial discomfort. As soon as you get your medicine from the pharmacy, take one. For the first 24 hours after your vasectomy, do not let time elapse between doses. By the next day or two, you should only need pain medication (even if it's something as simple as an ibuprofen) infrequently.
- Stay hydrated. A hydrated body heals faster. Make sure to drink lots of fluids so that you are properly hydrated. Do not drink alcohol.
- Eat healthy foods that nourish your body and give the energy it needs to heal.
- Continue the support. For at least one or two weeks after the vasectomy, wear close fitting underwear and your jock strap. You should have two jock straps because that allows you to wash one and dry it while still wearing the other.
- Be aware of the signs of infection, such as pain (beyond the normal discomfort) and fever. If you have any signs of an infection, contact your doctor immediately.
- Get ready to be your normal self again. Within a few days, the discomfort will fade and you'll feel great. There will be no change in your sexual health or function, so enjoy yourself.
When to resume sexual activity
You can start sex again as soon as the wound is comfortable, usually after about a week.
For one to two months after the procedure, you will need to use another form of birth control until you are
tested and show a zero sperm count. You can still get your partner pregnant during this time, so put in the
effort until your doctor clears you.
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