OVERVIEW
Vasectomy is a procedure that creates permanent sterility (the inability to have children) in a man. During the procedure, the two vas deferens are blocked in order to obstruct the flow of sperm out of the testicles.
Vasectomy (for men) and tubal ligation (for women) are considered the two methods to produce permanent sterilization. There are advantages and disadvantages to each procedure.
Symptoms
The procedure is a voluntary procedure that would not have any symptoms.
Diagnosis/Evaluation
- What to know before your visit:
- The Urologist will often ask about your social situation (i.e. single vs long-term relationship vs married) in order to determine whether you are a good candidate for the procedure. While none of these alone preclude undergoing a vasectomy, it is important knowledge in order to have a more informed discussion about the procedure.
- The urologist will also perform physical examination to confirm the presence of the vas deferens (some men are born with only one) and document that the testes are normal. There will also be discussion regarding the benefits and risks of the procedure.
Treatment
NON-SURGICAL TREATMENT
Currently, there are no “medical” treatments for male contraception. The only approved male contraceptive is a condom.
SURGICAL TREATMENT
The vasectomy procedure is typically performed under local anesthetic (numbing medicine) in a doctor’s office or procedure clinic. The procedure typically takes 15 – 30 minutes and recovery is a few days but slightly longer for the return to more strenuous activity and exercise.
During the procedure, the vas deferens is cut and the ends are sealed. Typically, a piece of each vas deferens is also removed. As a minimum, the ends of the vas deferens should be sealed with cautery and the ends should be physically separated. Different surgeons also use a combination of clips and sutures during the procedure. The procedure may be performed with one or two punctures or incisions.
Schedule an appointment with a MidLantic Urology physician near you today!