Vasectomy - Vasectomy is a minor surgical procedure in which the sperm duct, or vas deferens, is cut in order to achieve sterility
In the male there are 2 muscular tubes, one leading from each testicle, called the vas deferens. The vas deferens carry sperm from the testicle to the prostate gland. By dividing the tubes we interrupt the normal flow of the sperm to the outside.
Following this operation there will be no change in masculinity or sexual potency. There is no detectable change in the quantity of semen; sperm makes up less than 1% of the volume of semen, the rest being made up by the fluids from the prostate and seminal vesicle. The sperm cells themselves are still produced, but are accumulated in the epididymis gland and are reabsorbed by the body.
ABSOLUTE STERILITY IS NOT GUARANTEED. There have been incidents of re-growth of the vas (0.2-1%). However, this is exceedingly rare. Most authorities agree that sterility has been produced once semen shows no sperm at 8 weeks after surgery, again there have been some late incidences of re-growth of the vas after several years (0.08). Vasectomy is probably the safest form of surgical contraception.
There are other methods of birth control including rhythm method, use of condoms, withdrawal, birth control pills, use of a diaphragm, use of spermicidal jelly or cream, and tubal ligation (ligating the fallopian tubes in the woman).
This procedure can be reversed; however, the results are not 100%. Complications are similar to those of any type of surgery and include delayed bleeding (1-3%) and infections (1%).
The procedure is usually done with local anesthesia in the office; however, it can be done with IV sedation or anesthesia, if so desired.
If possible, the patient should shave all hair from the scrotom before coming to the office.
If taking aspirin or blood thinners, the patient should discontinue this for one week prior to having the vasectomy performed.