|A vasectomy is a safe, simple and effective surgical procedure that makes a man sterile. |
No-scalpel technique is a special technique for performing vasectomy that often results in less swelling and pain than the traditional method. Any vasectomy is a serious step and should be considered irreversible.
Preparing for the Procedure
You should not take aspirin for 1 week prior to the vasectomy. You should shave the scrotum. Bring a pair of athletic supporter to wear after the procedure. If you are nervous before your surgery, you may be given some medications to help you relax. If you take a sedative, someone should drive you to and from the procedure.
The no-scalpel procedure is similar to the traditional vasectomy but it is done without a large incision or stitches to close the incision. This generally results in faster healing.
During the procedure
You are asked to undress and lie on the exam table. Sterile drapes are placed over you to help prevent infection. You are given local anesthetic into the scrotum. Once, the anesthetic takes effect, the doctor makes one or two punctures in the scrotum. Each of the two vasa is cut, and a section of each may be removed. You may feel a pulling sensation during the procedure. The two cut ends are sealed in three ways using clip, tie and cautery. The skin puncture heals without stitches.
After the procedure
If you were not sedated, you can drive yourself home. If you were sedated, you need someone to drive you home. There is mild discomfort and you may need to take a pain reliever. Wearing athletic supporter will help decrease discomfort.
Recovery time after a no-scalpel vasectomy is usually less than after a traditional vasectomy. Once you are home, you can do several things to aid your recovery:
1. Stay off your feet as much as possible for the first day to decrease swelling.
2. Ice pack to scrotum for ½ hour every 4 hours.
3. Wear Athletic supporter.
4. Avoid heavy lifting or exercise for 3 – 5 days.
5. Sexual activity can resume after 3 days.
6. You can shower 2 days after the procedure
Vasectomy Risks and Complications
Men who have had no-scalpel vasectomies usually have less swelling and bleeding than do men who have had traditional vasectomies. However, certain problems can occur with any vasectomy. If you have any of the following or other symptoms you are concerned about, call your doctor.
Problems that may occur during the first few days after your surgery included:
1. Infection: some signs are fever, chills, drainage and excessive pain.
2. Internal bleeding: Symptoms include increasing pain, excessive swelling, large black and blue area, or a growing mass.
Problems, though rare, that may occur in the first few months after your surgery include:
1. Sperm granuloma: A lump where either vas deferens is tied off, caused by leaking sperm.
2. Congestion: Inflammation that may occur in the testicles that may cause some aching about 3 – 12 weeks after surgery.
3. Sperm antibodies: Antibodies produced by the body in response to absorbed sperm. Antibodies are not harmful but can make fertility difficult to restore if that is later desired.
4. Chronic testicular pain (rare): Discomfort that lasts several years after the procedure.
5. Spontaneous return of fertility: This is very rare.
You must use contraception until you are “cleared” with 2 semen analyses that show absolutely no sperm. It may take 2 months to 6 month to clear all sperm from your body.
How a vasectomy works
When you have a vasectomy, the two vasa deferentia are cut to keep sperm from traveling from the testes to the penis. This is the only change in your reproductive system. The testes still produce sperm, but since the sperm have nowhere to go, they die
and are absorbed by the body. Your prostate and seminal vesicles still produce seminal fluid and you will not note a difference in volume of ejaculate or ejaculation. There is no change in erection and your sexual drive does not change.