|Male Reproductive Anatomy|
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Reasons for Procedure
- Chronic pain in and around the testes
- Sperm granuloma (lumps due to immune system response to sperm leaking from the reproductive organs)
- Ability to still make a woman pregnant
- Local infections
- Bleeding disorders
- Prior surgery in that area
What to Expect
Prior to Procedure
- Physical exam
- Medical history
- Review of medicines
- Discuss the effects of this procedure
- Aspirin or other anti-inflammatory drugs
- Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)
- Arrange for a ride to and from the procedure.
- Wear comfortable clothing.
- Take any medicine as ordered by your doctor. A mild sedative before the procedure may be recommended.
- Shower before leaving home.
- You may be asked to clip your scrotal hair.
Description of the Procedure
- Conventional approach—One small cut will be made in the skin on each side of the scrotum. The vas deferens will be pulled through the openings. The tubes will then be cut. A small piece of the tubes may also be removed. The ends of the tube will be sealed off with stitches, clips, or an electrical pulse. The vas deferens will then be placed back into the scrotum. The incision will be closed with stitches.
- No-scalpel vasectomy—The doctor will locate the vas deferens under the scrotal skin. A clamp will be attached to hold it in place. A special tool will be used to punch a small hole in the skin. The hole will be stretched open to pull the vas deferens through. The tubes will then be cut and sealed as above. The holes will heal without stitches.
- Vas clip vasectomy—The vas deferens will be exposed in either of the two manners above. Special clips will be placed around each vas deferens and cinched in place. The clips will block the flow of sperm beyond the position of the clip.
|Copyright © Nucleus Medical Media, Inc.|
How Long Will It Take?
Will It Hurt?
- Apply ice packs, covered with a towel, on and off during the first eight hours.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Wear an athletic supporter if recommended by your doctor.
- Keep the area clean and dry.
- Cover the incisions with clean gauze for three days, or as directed by your doctor.
- A small amount of blood on the gauze pads is normal. Tell your doctor if you have excessive bleeding or need to change the gauze pads more than 2-3 times daily.
- Your doctor may give you antibiotics for several days following the procedure. Take all medicines as instructed.
- Do not lift heavy objects or participate in sports for 2-3 weeks.
- Be sure to follow your doctor’s instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
- Difficulty urinating
- Pain that you cannot control with the medicines you have been given
American Society for Reproductive Medicine http://www.asrm.org
Urology Care Foundation http://www.urologyhealth.org
National Institutes of Health http://www.nih.gov
Health Canada http://www.hc-sc.gc.ca
Men's Health Centre http://www.menshealthcentre.net
Pfenninger JL, Fowler GC. Procedures for Primary Care Physicians. 1st ed. Philadelphia, PA: Mosby-Year Book; 1994.
U.Va. researcher's sperm-check home test receives FDA OK. University of Virginia website. Available at: http://news.virginia.edu/node/4397?id=4397. Published March 5, 2008. Accessed August 23, 2011.
Vasectomy. National Institute of Child Health and Human Development. National Institute of Child Health and Human Development website. Available at: http://www.nichd.nih.gov/health/topics/vasectomy/Pages/default.aspx. Accessed October 21, 2009.
Vasectomy. Planned Parenthood website. Available at: http://www.plannedparenthood.org/health-topics/birth-control/vasectomy-4249.htm. Updated June 25, 2008. Accessed October 21, 2009.
6/3/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
10/26/2012 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Sharlip I, Belker A, Stanton H, Labrecque M, Marmar J, Ross L, Sandlow J, Sokal D. American Urological Association Vasectomy Guideline. Available at: http://www.auanet.org/content/media/vasectomy.pdf. 2012.
- Reviewer: Adrienne Carmack, MD
- Review Date: 09/2012 -
- Update Date: 10/26/2012 -