What is Vasectomy
Vasectomy is a sterilization operation undertaken in males with the primary objective of preventing further pregnancy permanently.
The sterilization is suited to those couples who have completed their families and do not want to bear the inconvenience or cost of the other methods of contraception or the other methods are contraindicated.
Vasectomy Procedure
- It consists of cutting the vas deferens and disrupting the passage of sperms.
- It is done through a small incision in the stratum under local anesthesia.
- The sterility is not immediate.
- The sperms are stored in the reproductive tract for up to 3mths.
- The couple must therefore abstain from intercourse during this period or use other methods of contraception.
- Approximately, ten ejaculates clear the semen of all sperms. Two semen analysis reports must confirm the absence of sperms before a man can be declared sterile.
- No-scalpel technique has been recently adopted.
- One single incision is made with a special forceps and skin stitch is not required.
Vasectomy Advantages
- It is an out-patient procedure.
- Local anesthesia is adequate.
- It is a minor surgical procedure and the man can resume duty after rest of 1-2days.
Disadvantages of Vasectomy
- Hematoma and infection sometimes occur.
- Spontaneous re-canalization may occur years after vasectomy.
- Spermatocele formation is not uncommon.
- Autoimmunity through formation of anti-spermal antibodies is occasionally reported.
Restoring the fertility by anastomosis or re-joining of the two cut ends of the vas gives 60-70% success rate.
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