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
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