Vasectomy Male sterilization surgery

Vasectomy or male sterilization is the elective procedure for the removal of a section of vas deferens for permanent contraception. vasectomy side effects and vasectomy recovery

The surgical procedure proceeds with small with cut the vas deferens and ligates both ends with suture or endo surgical unit.

Anesthesia

The procedure is done under the local anesthesia/spinal anesthesia. The daycare surgery needs the consultation before the surgery and informed consent prior to the surgery

1% or 2% xylocaine for infiltration at the surgical site

Position

Patient positioned in the supine position.

Prep the patient with recommended skin preparation solution and drape the patients with scrotum exposed.

Vasectomy procedure 

Make an incision on the proximal part of the scrotum over the vas deferens. Blunt dissection followed by the sharp dissection to reach the vas deferens. Isolate the vas deferens from the other tissue and lift the vas with Allis forceps or Babcock forceps. Cut or ligate the vas deferens with the curved Metzenbaum scissor or Endosurgical unit

Ligate both ends of vas deferens using the chromic catgut or the Endo surgical unit

After controlling of the small bleeders and close the scrotum with the fine interrupted absorbable suture and skin closure suture

Male sterilization is one of the permanent contraception methods used

Instruments used

#10 or #15 size blade

#3 BP handle

Curved Mosquito forceps

Straight mosquito forceps

Allis forceps

Babcock forceps

Adson forceps

Sponge holder forceps

Bowl for cleaning

Apply the gauze dressing for the scrotum

Sent the discarded parts of vas deferens for histological examination for further investigation and confirmation

After the surgery semen stored in the distal part o the vas deferens channels up to the period of 3 months

Its requires the ejaculation to empty the stored semen

Postoperative semen analysis confirms the presence of spermatozoa and confirmed the man as sterile

Vasectomy side effects and Complication

Wound sepsis

Scrotal abscess

Scrotal hematoma

Discomfort to the patient

Impotency

vasectomy recovery: Patient discharged after the half an hour of the surgery

It’s the daycare surgery, no need for the hospital stay

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