Vasectomy is a minor surgical procedure performed for permanent contraception in men.
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The main aim of a vasectomy is to stop the sperm from reaching your semen when it is ejaculated. Your sperm is produced in the testes which are located at the base of your penis. The sperm leaves the testicals through a tube known as epididymis which is joined to the ejaculatory duct via the vas deferens, the site of the vasectomy.
There are two types of vasectomy and can be performed under general or local anaesthesia:
Conventional: The surgeon makes a few incisions on your scrotum to reach the vas deferens. Then, your surgeon will cut a small part of the vas deferens out, and then suture the remaining ends. The incisions are closed with dissolvable stitches.
No scalpel: In this type of vasectomy, the surgeon will not make any incisions on your scrotum, but rather a small hole, through which the surgeon can reach the vas deferens. The vas deferens will then be cut and sutured similarly to a conventional vasectomy.
Over 30% of men who get a vasectomy are looking for a reversal. Just like vasectomy, the reversal is also performed as an outpatient procedure. The surgeon will use microsurgery techniques - under 20x or 25x magnification - to stitch the severed ends of the vas deferens together.
In most cases, a vasectomy reversal is possible. Always consult with your doctor or urologist first to check if this is a viable option for you.
For the vasectomy procedure, you will have a consultation prior to the procedure. Here your surgeon will inquire about your medical history, medications (specifically, your history of blood thinners) and motivations for the procedure. Make sure that you are certain of the decision before choosing to undergo the surgery. Post your vasectomy you will have some pain, redness and bruising but this will go away within a few days to a week. You are free to engage in intercourse again when you feel ready. Though it is important to note that it takes on average 3 months for your semen to be fully free of sperm, and hence it is recommended you use contraception for 8 to 12 weeks after your procedure.
In case of a vasectomy reversal, you are also recommended to only have intercourse 3-4 weeks after surgery or when you are fully healed.