About a Vasectomy



Indications
Vasectomy is carried out for contraception purposes - A reversal can be sone but is often unsuccessful.

Anaesthetic

Vasectomy is usually carried out under local anaesthetic. A small volume of a local anaesthetic is injected into the skin and around each vas at the proposed site of surgery. If it is anticipated the procedure is likely to be difficult because of previous scrotal surgery, or if the patient does not wish to have a local anaesthetic then vasectomy can be carried out under general anaesthetic.

Technique
There is considerable variation in technique. The procedure can be carried out through one or two incisions. Commonly a short length of vas on both sides is removed and the ends tied off. Many surgeons carry out an additional manoeuvre such as doubling over one end of the vas or separating the cut ends by placing them in different layers of the scrotal tissue.

Length of Operation
The procedure usual takes 10 to 15 minutes.

Time in Hospital
The vast majority of vasectomies are carried out as day case procedures.

Post op Discomfort/Limitations
The discomfort after a vasectomy is not usually severe and can be controlled with pain killers. Men are advised to avoid strenuous activity for a few days. Sexual intercourse can be resumed as soon as it is comfortable to do so.

Time off Work

In general a day or two off work is all that is required.

Risks and Complications
As with all operations there is a small risk of infection or bruising. If you are concerned you should see your doctor. Chronic scrotal discomfort is fairly common after vasectomy affecting up to 30% of men but this is usually mild. However men contemplating having a vasectomy should be aware that more severe discomfort does occur rarely and is difficult to treat. There has been much debate about the risk of prostate cancer after vasectomy. If the risk is increased, and it is far from certain that it is, then the increased risk is very small.

Outcome
Vasectomy is the most reliable form of contraception. The failure rate is between 1:2000 and 1:3000. It is important that men provide semen specimens after the procedure to ensure that the operation has been successful but this does not preclude the possible that the two end of the vas may rejoin at a later date resulting in an unplanned pregnancy.

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