|
Vasectomy |
|
|
|
|
No Scalpel VasectomyNumber of procedures performed 1021 Please Note Dr Elvy does not perform vasectomies in his Sydney rooms Frequently Asked Questions Vasectomy is one of the safest and most effective methods of permanent birth control. It is much safer and less expensive than other common contraceptive surgery i.e. tubal ligation. For these reasons, some 30,000 men in Australia choose vasectomy each year. Conventional vasectomy blocks the vas deferens preventing sperm from being added to the man’s ejaculation fluid, semen. A local anaesthetic is given, and one or two incisions are made in the scrotum with a scalpel. The two vas deferens are revealed, cut and blocked. The incisions are then closed with sutures. A safer, less invasive procedure, the No Scalpel Vasectomy (NSV) reduces vasectomy’s already low complication rate. Developed in China in 1974, it differs from conventional vasectomy in how anaesthesia is given and in how the two vas deferens (vase) are reached. Worldwide more than 15 million men have had this procedure.
Advantages of Non Scalpel Vasectomy Less Discomfort Fewer Complications No Stitches or Sutures Needed Quicker Recovery No Scalpel Vasectomy uses an advanced technique to anaesthetize the scrotum more effectively. It requires no scalpel. Instead, the physician avoids complex surgery by carefully isolating the vas deferens using the fingers of one hand. The vasa are then fixed just below the scrotal skin with an instrument designed to hold firmly without pinching. A single small incision is made with pointed forceps. The vasa are then delivered through the skin, cut, and sealed (the distal vas is left opened and is buried under the fascia). When the operation is complete, no sutures are needed to close the tiny opening.
How will Vasectomy affect me ? Vasectomy is NOT castration. Vasectomy only interrupts the tubes that carry sperm from the testes to where they are added to your semen. Your penis and testes are not altered. All hormonal and sexual function are unaffected, so your voice, body hair and interest in sex remain the same. Your body still produces semen, and erections and ejaculation occur normally. The only difference is that your semen will no longer contain sperm. As before, the body naturally absorbs unused sperm.
Can I discontinue other effective birth control straight away? No! Sperm can remain in the vas deferens above the operative site for weeks or even months after vasectomy. You will not be considered sterile until a post-surgical semen test shows that no sperm remain. Until then you must continue other birth control to prevent pregnancy.
Are there any complications of Vasectomy ? Yes. All contraceptive methods carry some risk as well as benefits. Vasectomy is a very low risk procedure, but complications are possible. Though rare, bleeding (Haematoma) and infections are the most common complications of a vasectomy. No-scalpel vasectomy, the procedure that I perform, reduces their likelihood because the blood vessels responsible for the bleeding are less likely to be affected because the opening in the scrotum is small. Another potential risk is failure. Vasectomy is not guaranteed to be 100% effective. Even when the operation is performed perfectly, it is possible in rare cases for sperm to find its way across the void between the two blocked ends of the vas deferens. This situation, called Recanalization, is highly unusual but does occur. This is another reason why samples must be taken some 8 to 12 weeks post-vasectomy to verify that your semen contains no sperm. Recanalization usually occurs in the first 2 to 3 months after vasectomy, but has been known in extremely rare cases to occur even years later. Sperm granuloma, a hard, sometimes painful lump about the size of a pea may form as a result of sperm leakage from the cut vas deferens. The lump is not serious and is almost always absorbed by the body in time. Congestion, a sense of pressure caused by sperm in the testes and epididymis, may cause some discomfort for some 2 to 12 weeks after vasectomy. Like sperm granuloma, congestion resolves itself in time. Post Vasectomy Pain Syndrome About 5:1000 cases may develop a long standing testicular pain and this is likely due to back pressure build up. Some of these cases require surgery
No. You may feel some discomfort when the local anaesthetic is given. After it takes effect, you should feel no pain, though some men may feel a slight “tugging” sensation as the vasa are manipulated. After surgery you may feel a sore for a few days. Generally, two or three days rest is recovery enough before men return to work and most normal, non strenuous physical activity. Sex can usually be resumed 7 days after the procedure. We now also use " Penthrox®" or Entonox® an inhaled anaesthetic for those wishing sedation. It is excellent but one cannot drive for 24 hours after administration
Does Vasectomy have any long term serious health risks? Many studies have looked at the long term health effects of vasectomy. The evidence is reassuring, suggesting that no permanent risks exist. Men who have a vasectomy are no more likely than other men to develop cancer, heart disease or other health problems. In 1993, a panel assembled by the U.S. National Institute of Health, the Association of Voluntary Surgical Contraception, and the U.S. National Cancer Institute reaffirmed the conclusion of most medical experts that vasectomy is a safe and effective means of birth control. The panel advise that physicians continue to offer vasectomy and that all men, vasectomised or not, receive the same regular screening for prostate cancer and other illnesses. In many cases, the cut ends of the vas deferens can be surgically reattached. However, this operation, a vasovasostomy, is expensive and, for a variety of reasons, does not guarantee a return to fertility. Vasectomy should therefore be considered a PERMANENT procedure. Before you choose to have a vasectomy, make quite sure that you and your partner do not want any more children. If you’re thinking about a reversal now, perhaps you should take more time to decide whether vasectomy is right for you. We will discuss the procedure in person to determine the suitability of no-scalpel vasectomy for you. Among other things, we will go over your health history as it is related to vasectomy, and will receive a brief physical examination. At some point, you and your wife or partner will be required to sign a consent form. It will state that you understand vasectomy and its possible risks and that it is not guaranteed to result in permanent sterility. Prior to signing this form, be sure that you are informed and comfortable with your decision. It is important that you fully discuss and resolve with me any lingering questions or concerns that you may have.
Ø Take antibiotics as discussed. Ø Wash in Sapoderm soap for 48 hours before the procedure. Ø Sign the surgery informed consent form and bring with you on the day of procedure
|
|
||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||
| Copyright © 2009[Medical and Vein ]. All rights reserved |
