No Scalpel Vasectomy (Sterilization)
Vasectomy offers many advantages as a method of birth control. Compared to female sterilization, vasectomy is simpler, more effective, can be performed on an outpatient basis, has fewer complications, and is much less expensive.
Preventing future pregnancies with a minimally invasive technique
Vasectomy is a simple yet effective form for providing a permanent solution of contraception. Vasectomy is the surgical interruption of the two tubes that move a man’s sperm from his testicles to his ejaculatory ducts which is where the sperm are stored before ejaculation during orgasm. A vasectomy will prevent the sperm from being added to the semen. therefore, impregnation is no longer possible. The sperm containing fluid that is blocked by vasectomy constitutes only 2-3% of a man’s semen volume, therefore, a man will not notice any noticeable changes in the amount or appearance in semen.
A minimally invasive technique, the No-Scalpel Vasectomy (NSV) has decreased the incidence of local complications and enhanced the popularity of vasectomy as a means of birth control. The NSV starts with a more effective technique to anesthetize the scrotum and vas using a high pressure jet injector instead of a needle. Two special instruments are used for the NSV procedure instead of using a scalpel.
It is a more elegant technique for delivering the vas deferens through a tiny puncture hole, which is dilated, pushing the potential blood vessels and nerves aside instead of cutting across them. Once the vas is delivered, its ends are sealed several ways to prevent failure. The puncture wound contracts and is virtually invisible at the end of the procedure. No sutures are necessary to close the puncture hole.
Is a vasectomy 100 percent effective?
Other than total abstinence, no method of birth control is 100 percent effective. In rare cases after a vasectomy, it is possible for sperm to find its way across the void between the two blocked ends of the vas deferens. This generally occurs within the first few months after a vasectomy. However, the failure rate of vasectomy is very low. It has been used for many years as a means of sterilization and has a long track record as a safe and effective method of contraception.
If dead or live sperm continue to appear in the semen samples, or if sperm are discovered after a period of sterility, a repeat vasectomy will be necessary. Fortunately, this only happens approximately once in every 1,000 cases, a failure rate far less than for any other form of birth control.
How do I prepare for a vasectomy?
Among other things, we will go over your health history as it relates to vasectomy, and you will receive a brief physical examination. Please be sure to advise us if you have any of the following:
- History of excessive bleeding or blood disorders
- Allergy or sensitivity to local anesthetics, such as the “caine” drugs or antibiotics
- Skin disease involving the scrotum, especially infected pimples
- Regular use of aspirin or medicines that contain aspirin for a week before vasectomy
- History of injury or earlier surgery on the genital organs
- History of recent or repeat urinary tract or genitalia infections
Candidates for Vasectomy
Vasectomy should be considered permanent. Men considering vasectomy should be certain they do not want to father a child under any circumstances. It is important to talk to one’s partner to make the decision together. Other forms of birth control should be considered. Talking to a friend or relative who has had a vasectomy may be helpful. A vasectomy may not be right for you if you are very young, if your current relationship is not stable, if you are having the vasectomy just to please your partner, if you are under a lot of stress, or if you are counting on being able to reverse the procedure later. That said, sperm banking prior to vasectomy should be discussed. Since sperm loses half of its vitality after freezing and thawing, 2–3 specimens should be banked.
What should I do before vasectomy surgery?
- You will be asked to sign a request for sterilization. The form will state that you understand vasectomy, its potential risks and that it is not guaranteed to result in permanent sterility. Prior to signing this form, be sure that you are knowledgeable about and comfortable with your decision. It is important that you resolve any questions or concerns you may have. Remember that vasectomy is an elective procedure, so you should not proceed with it until you are convinced it is the right choice for you.
- Do not take aspirin, coumadin, Plavix®, Ticlid®, or NSAIDs (ibuprofen, such as Advil® or Motrin®) for seven days before surgery without prior medical approval. Taking these medications increases the risk of bleeding.
- The night before or the morning of the vasectomy, shave away the hair from the entire scrotum. Remove the hair all the way to the top of the penis, including any pubic hair that seems to fall onto the scrotum. Do not use an electric razor on the scrotum. A single blade disposable razor is the best choice.
- To reduce the risk of infection, thoroughly wash the scrotum and groin the day before and the morning of the surgery.
- Several hours before surgery, take any preoperative medications as directed.
- Bring a clean athletic supporter or tight pair of jockey shorts.
- A light snack or liquid is preferable to any heavy food before a vasectomy.
- Plan to have someone drive you home.
How is the vasectomy procedure done?
It is performed under local anesthesia in an outpatient surgery center or doctor’s office. The surgeon feels for the vas deferens (the tube that carries sperm) under the skin of the scrotum and holds it in place. An injection is used to numb the scrotum. Then a special instrument is used to make a tiny puncture (hole) in the skin and stretch the opening so the vas deferens can be cut and tied. Tying off the vas deferens prevents the sperm from mixing with the semen and being released when a man ejaculates.
There is little discomfort with the procedure, though some men feel a slight “tugging” sensation. Stitches may be needed to close the incision, but will be determined by your surgeon.
When can I have sexual intercourse after a vasectomy?
You can engage in sexual activities as soon as you feel comfortable, which will probably take anywhere from three to seven days. After the procedure, you can expect to experience some soreness and swelling. Usually, it’s best to take it easy for a few days and let your body heal.
After a vasectomy, your sperm still contains semen, so it’s important to continue using backup forms of birth control, like condoms (for you) or the pill (for her), for several months.
After about two to three months, Dr. Schulz can order a semen analysis to ensure your seminal fluid doesn’t contain sperm. When all the sperm that remains in your system is gone, you won’t require backup methods of birth control any longer.
Find out if a no-scalpel vasectomy is right for you by booking a consultation with Dr. Mario Delgadillo in Tijuana, Mexico Today.